Avera Gettysburg
Also known as Avera Missouri River Health Center
Avera Gettysburg reported $16.6 million in revenue and $13.9 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $90.81 went to program services, $9.19 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 93.2% of the total. The highest compensation it reported for one person was $1,294,581 (CFO Avera Health;Secretary/Treasurer). 6 people received more than $100,000 in reportable compensation. Revenue rose 81% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $14MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $17MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 90.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 9.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.6% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.1% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 93.2% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,294,581 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 9.32% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 6 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 17.5 | 6.6 |
| Independent voting board members Part VI 1a–1b | 8 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseAvera Gettysburg's mission is to provide healthcare services to Gettysburg, South Dakota residents and residents of the surrounding counties including Potter, Sully, Faulk, and Dewey. Avera Gettysburg is a 501(c)(3) organization affiliated with Avera Health. Avera Gettysburg consists of a 7-bed critical access hospital, a physician clinic, and a 40-bed nursing home in Gettysburg, South Dakota. Avera Gettysburg provides acute care, swing-bed, and long-term healthcare services. Services include emergency department, surgery, x-ray, laboratory, CT, outpatient treatment, physical therapy…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CFO Avera Health;Secretary/Treasurer Officer, 0.10 hrs/week | $0 | $1,274,363 | $20,218 | $1,294,581 |
| Board Member/Orthopedics Director/trustee, 2.00 hrs/week | $0 | $893,268 | $34,401 | $927,669 |
| President/CEO Avera St. Mary's Director/trustee, officer, 2.00 hrs/week | $0 | $447,249 | $21,380 | $468,629 |
| Nurse Practitioner Highest compensated employee, 40.00 hrs/week | $205,451 | $0 | $40,170 | $245,621 |
| Physician Assistant Highest compensated employee, 40.00 hrs/week | $180,474 | $0 | $24,235 | $204,709 |
| Medical Lab Scientist Highest compensated employee, 40.00 hrs/week | $170,285 | $0 | $10,719 | $181,004 |
| Practitioner (Until Sept)/Adminstrator Director/trustee, 40.00 hrs/week | $127,050 | $0 | $48,800 | $175,850 |
| RN - Coordinator (LTC) Highest compensated employee, 40.00 hrs/week | $119,305 | $0 | $9,749 | $129,054 |
6 people received more than $100,000 in reportable compensation from Avera Gettysburg (Part VII, line 2). Compensation of current officers, directors and key employees totaled $200K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 8 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aNo
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5113
- Volunteers Part I, line 68
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Avera Health Shared Services | $1,031,560 |
Individuals listed as contractors are left out. 1 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Avera Gettysburg's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Avera Gettysburg, you can publish a response that is linked from this page.
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Of every $100 Avera Gettysburg spent in FY2025, $90.81 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in South Dakota
Questions people ask
How much of Avera Gettysburg's spending goes to programs?
In the fiscal year ending June 30, 2025, Avera Gettysburg reported that 90.8% of its $13.9 million in expenses went to program services, 9.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Avera Gettysburg pay its top executive?
The largest total compensation Avera Gettysburg reported for one person in the fiscal year ending June 30, 2025 was $1,294,581, for the role of CFO Avera Health;Secretary/Treasurer (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Avera Gettysburg get its money?
Of $16.6 million in revenue in the fiscal year ending June 30, 2025, 0.6% came from contributions and grants (including 0.1% from government grants) and 93.2% from program service revenue (Form 990, Part VIII).
Is Avera Gettysburg a registered charity?
The IRS lists EIN 46-0234354 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202601359349304055 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202511349349308581 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441359349310034 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321329349302177 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211369349312071 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101379349305650 · read the filing
All filings for EIN 46-0234354: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.