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 705 of 1033 by CEO pay.

Avera St Mary's

Shantel Krebs, President/CEO. Fiscal year ending 2025-06.

$468,629
CEO total compensation
Form 990 Part VII, columns D+E+F
0.70%
of expenses spent on charity care
Schedule H Part I line 7a
45.9%
CEO pay as a share of all charity care
Shantel Krebs’s pay of $468,629 equals 45.9 percent of the $1,020,620 the system spent on charity care in the same year.

Most of the reported compensation ($447,249 of $468,629) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$150,453,513
Total expenses
$145,909,106
Net assets
$85,222,304
Employees
808
Hospitals covered
2 facilities across 2 filings
Charity care, net
$1,020,620
Bad debt
$4,415,879
Medicare surplus (shortfall), as filed
($1,889,504)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$447,249
Other compensation, including deferred pay and nontaxable benefits (col. F)
$21,380
CEO total compensation (D+E+F)
$468,629 to Shantel Krebs

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 Mary's, EIN 46-0230199, 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)$24.0M Of which charity care to patients who could not pay (line 7a)$1.0M (4%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($4.4M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Avera St Mary's46-02301992025-06$133.9M$903,7830.68%990
Avera Gettysburg46-02343542025-06$16.6M$116,8370.84%990

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 Mary's: CEO pay $468,629, charity care 0.70% of expenses