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 · Ranked 617 of 1033 by CEO pay.

Avera St Luke's

Daniel Bjerknes, President/CEO. Fiscal year ending 2025-06.

$595,749
CEO total compensation
Form 990 Part VII, columns D+E+F
0.85%
of expenses spent on charity care
Schedule H Part I line 7a
35.1%
CEO pay as a share of all charity care
Daniel Bjerknes’s pay of $595,749 equals 35.1 percent of the $1,696,048 the system spent on charity care in the same year.

Most of the reported compensation ($543,341 of $595,749) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$194,354,799
Total expenses
$199,456,468
Net assets
$74,744,399
Employees
1,258
Hospitals covered
1 facilities across 1 filing
Charity care, net
$1,696,048
Bad debt
$3,878,939
Medicare surplus (shortfall), as filed
($15,564,599)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$543,341
Other compensation, including deferred pay and nontaxable benefits (col. F)
$52,408
CEO total compensation (D+E+F)
$595,749 to Daniel Bjerknes

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 St Luke's, EIN 46-0224598, 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)$9.7M Of which charity care to patients who could not pay (line 7a)$1.7M (17%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($3.9M) 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 St Luke's: CEO pay $595,749, charity care 0.85% of expenses