Medicare cost report · CMS certification number 431302
AVERA GETTYSBURG HOSPITAL
GETTYSBURG, South Dakota · critical access hospital
Buy the report: $295Filing alerts: $390/year · The register under license: from $25,000/year
Figures for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2552-10, as submitted.
This hospital also appears on the 340B covered-entity register: Avera Gettysburg dba Avera Missouri River Health Center.
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.
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.
Peers and history
Every Medicare cost report this hospital has filed, with the date CMS stamped each one, and five hospitals of its own size in South Dakota beside it — each figure with the cell it came from — are in one signed, dated document. The citable document with peers and history — $295.
Get an email when this record changes
One email a day naming what moved on AVERA GETTYSBURG HOSPITAL: the field, the value before, the value after, and the date of the file that first showed it.
The filing alert follows cost reports: one named person, one hospital, invoiced once a year. The certification number arrives filled in because you are on this hospital's own record.
On May 29, 2026, a cost report was filed for fiscal year 2024. That is one line of the filing alert.
Take these figures as a spreadsheet The citable document with peers and history
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Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 431302 on form CMS-2552-10, publication year 2024, file HOSP10FY2024.ZIP.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 4, 2025.
The full report for AVERA GETTYSBURG HOSPITAL
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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