Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Minnesota · Not ranked: see note below.

Avera Granite Falls

Thomas Kooiman, Board Member/Administrator. Fiscal year ending 2025-06.

$351,197
CEO total compensation
Form 990 Part VII, columns D+E+F
0.62%
of expenses spent on charity care
Schedule H Part I line 7a
190.0%
CEO pay as a share of all charity care
In the most recent filing year, Thomas Kooiman’s reported compensation was $351,197. The system’s charity care for the same year was $184,827. One person’s reported compensation was 1.9 times what the system gave to every patient who could not pay.

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

§1The filing

Total revenue
$31,417,598
Total expenses
$29,603,806
Net assets
$22,549,769
Employees
235
Hospitals covered
1 facilities across 1 filing
Charity care, net
$184,827
Bad debt
$420,720
Medicare surplus (shortfall), as filed
$1,306
CEO pay from the organization (Part VII col. D)
$313,271
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$37,926
CEO total compensation (D+E+F)
$351,197 to Thomas Kooiman

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Avera Granite Falls, EIN 84-3156881, fiscal year ending 2025-06, as published by the IRS. CEO identification: administrator title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$3.6M Of which charity care to patients who could not pay (line 7a)$184,827 (5%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($420,720) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

§Share

Avera Granite Falls: CEO pay $351,197, charity care 0.62% of expenses