Critical access hospital · Gettysburg, South Dakota · 7 beds · CMS certification number 431302
Avera Missouri River Health Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 4, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $3.1M in its first year on file (1997) to $14.2M in 2025.
- Its result from patient care: −$799K (2023), −$751K (2024), $337K (2025).
- 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
- Medicaid paid for 14.9% of its inpatient days and Medicare for 73.7%.
- AVERA HEALTH holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
29 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in South Dakota with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Avera Missouri River Health Center | 7 | $14,233,634 | $13,896,732 | 2.4% |
| Bennett County Hospital and Nursing Home, Martin | 10 | $10,160,265 | $10,345,046 | −1.8% |
| Avera de Smet Memorial Hospital, De Smet | 6 | $9,051,899 | $7,942,864 | 12.3% |
| Douglas County Memorial Hospital, Armour | 11 | $12,726,567 | $12,582,770 | 1.1% |
| Eureka Community Health Services, Eureka | 4 | $5,369,401 | $5,928,454 | −10.4% |
| Sanford Clear Lake Medical Center, Clear Lake | 10 | $8,755,667 | $7,688,672 | 12.2% |
Patients and payers
- Discharges
- 73S-3 line 14, col 15
- Inpatient days
- 834S-3 line 14, col 8
- Beds in use, on an average day
- 2.3days ÷ days in year
- Occupancy
- 32.6%days ÷ bed days
- Medicare share of days
- 73.7%S-3 cols 6 ÷ 8
- Medicaid share of days
- 14.9%S-3 cols 7 ÷ 8
Who owns it
- AVERA HEALTH100%
- AVERA ST MARYS100%
Related organizations on its own cost report: ST MARYS (100%).
Other hospitals with the same owner: Avera Merrill Pioneer Hospital (IA), Avera Holy Family Hospital (IA), Avera Granite Falls Health Center (MN), Avera Tyler Hospital (MN), Avera Marshall Regional Medical Center (MN), Avera St. Anthonys Hospital (NE).
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Avera Gettysburg (employer identification number 460234354) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $4,330,992 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $87,000 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $31,059 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $118,059 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $4,212,933 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.3391 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202441359349310034. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Avera Gettysburg (employer identification number 460234354) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Connie Belford | Nurse Practitioner | Highest-compensated employee | $165,495 | $0 | $41,562 |
| Daylon Wigart | Nurse Practitioner | Highest-compensated employee | $166,070 | $0 | $40,073 |
| Dr Amy Lueking - Board mbr | to 03/2023)/VP of Med Affairs/CMO | Trustee/director | $0 | $327,482 | $49,050 |
| Dr Mark Hagy | Board Member/Orthopedics | Trustee/director | $0 | $827,282 | $29,930 |
| Dr Mikel Holland | CMO/President/CEO (End 03/2023) | Trustee/director, Officer | $0 | $397,658 | $54,210 |
| Jamie Cronin | Board Member | Trustee/director | $0 | $0 | $0 |
| Jonda Sue Johnson | Director - Patient Care | Highest-compensated employee | $115,173 | $0 | $29,259 |
| Julie Lautt | CFO Avera Health;Secretary/Treasurer | Officer | $0 | $1,086,452 | $17,088 |
| Kim Olson | Board Member | Trustee/director | $0 | $0 | $0 |
| Kristi Livermont MBA | Administrator | Highest-compensated employee | $134,679 | $0 | $17,882 |
| Kristin Brost | Board Member | Trustee/director | $0 | $0 | $0 |
| Mary Mae B Quipot-Ackerman | Medical Lab Scientist | Highest-compensated employee | $112,726 | $0 | $7,505 |
| Meredith Lee | Board Member | Trustee/director | $0 | $0 | $0 |
| Michael Larson | Board Member | Trustee/director | $0 | $0 | $0 |
| Mike Weisgram | Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Rena Robbennolt | Board Member/Nurse Practioner | Trustee/director | $27,887 | $67,154 | $42,943 |
| Robert Wylie | Board Member | Trustee/director | $0 | $0 | $0 |
| Shantel Krebs | Interim President/CEO (Beg 03/2023) | Trustee/director, Officer | $0 | $107,215 | $5,497 |
| Sr Lynn Marie Welbig PBVM | Board Member | Trustee/director | $0 | $0 | $0 |
| Sr Penny Bingham | Board Member | Trustee/director | $0 | $0 | $0 |
| Todd Forkel | Former President/CEO | Former | $0 | $113,998 | $11,419 |
E-file object id 202441359349310034. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431302. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 4, 2025.