Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Iowa · Ranked 1026 of 1033 by CEO pay.

Avera Holy Family

Michelle Majerus, President/CEO (Beg. Oct.). Fiscal year ending 2025-06.

$59,279
CEO total compensation
Form 990 Part VII, columns D+E+F
0.52%
of expenses spent on charity care
Schedule H Part I line 7a
36.8%
CEO pay as a share of all charity care
Michelle Majerus’s pay of $59,279 equals 36.8 percent of the $160,947 the system spent on charity care in the same year.

The chief executive's title on the filing indicates a change during the year (President/CEO (Beg. Oct.)); the pay shown is what the filing reports for that person, which may cover part of the year.

Most of the reported compensation ($32,924 of $59,279) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$38,249,103
Total expenses
$31,187,101
Net assets
$76,432,477
Employees
189
Hospitals covered
1 facilities across 1 filing
Charity care, net
$160,947
Bad debt
$1,011,770
Medicare surplus (shortfall), as filed
($30,211)
CEO pay from the organization (Part VII col. D)
$22,840
From related organizations (col. E)
$32,924
Other compensation, including deferred pay and nontaxable benefits (col. F)
$3,515
CEO total compensation (D+E+F)
$59,279 to Michelle Majerus

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 Holy Family, EIN 42-0680370, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$5.7M Of which charity care to patients who could not pay (line 7a)$160,947 (3%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($1.0M) 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.

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Avera Holy Family: CEO pay $59,279, charity care 0.52% of expenses