Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

South Dakota · Iowa · Ranked 368 of 1033 by CEO pay.

Avera Mckennan

Ronald Place MD, President & CEO. Fiscal year ending 2025-06.

$1.1M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.94%
of expenses spent on charity care
Schedule H Part I line 7a
6.7%
CEO pay as a share of all charity care

Most of the reported compensation ($1,093,970 of $1,122,887) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: David Flicek, Former President & CEO, $1,497,202. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$1,859,516,401
Total expenses
$1,769,469,298
Net assets
$1,145,823,529
Employees
10,231
Hospitals covered
8 facilities across 1 filing
Charity care, net
$16,669,798
Bad debt
$37,004,255
Medicare surplus (shortfall), as filed
($24,874,253)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,093,970
Other compensation, including deferred pay and nontaxable benefits (col. F)
$28,917
CEO total compensation (D+E+F)
$1,122,887 to Ronald Place MD

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 Mckennan, EIN 46-0224743, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$88.0M Of which charity care to patients who could not pay (line 7a)$16.7M (19%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($37.0M) 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 Mckennan: CEO pay $1.1M, charity care 0.94% of expenses