3 associated locations — data as of October 30, 2026
Critical access hospital · GETTYSBURG, SD
Avera Gettysburg dba Avera Missouri River Health Center
Taking partYesLast certifiedAugust 26, 2026
- 0Registered locations
- 3Associated locations
- 2Contract pharmacies
- 2With no end date
- April 1, 2011In 340B since
Where this record sits: among the 38 Critical access hospitals in South Dakota, the median open contract-pharmacy count is 2; this record’s open count ranks 19.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,028,650 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $5,795,016 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,233,634 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,896,732 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $336,902 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $77,742 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $56,566 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $182,458 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $119,868 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $176,434 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 7 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.6713 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 431302 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.
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.
The full report for Avera Gettysburg dba Avera Missouri River Health Center
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 58thpercentile of 24 hospitals in SD, same facility class, under 25 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 60thpercentile of 25 hospitals in SD, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 35thpercentile of 23 hospitals in SD, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
- 35thpercentile of 23 hospitals in SD, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 16thpercentile of 25 hospitals in SD, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 78thpercentile of 23 hospitals in SD, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in South Dakota beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- April 1, 2011
- Certification date
- August 26, 2026
- Record last edited
- August 26, 2026
Identifiers
- 340B ID
- CAH431302-00
- Entity type as filed
- CAH
- CMS certification number
- 431302
- Rural
- Yes
606 EAST GARFIELD, GETTYSBURG SD 57442
Associated locations
| Avera Gettysburg dba Avera Missouri River Health Center | 606 EAST GARFIELD | GETTYSBURG SD 57442 |
| Avera Gettysburg dba Avera Missouri River Health Center | 606 East Garfield | Gettysburg SD 57442 |
| Avera Pharmacy Distribution Center | 4101 W Memory Circle, Ste 150 | Sioux Falls SD 57107 |
Pharmacy contracts
No end date filed2
| AVERA SPECIALTY PHARMACY | SIOUX FALLS, SD | January 17, 2023 | no end date filed |
| VILAS | GETTYSBURG, SD | April 1, 2021 | no end date filed |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 30, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_130602.xlsx, stamped by its publisher October 30, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_130602.xlsx, read October 30, 2026.