Civic Intelligence

Avera Tyler

990 • Fiscal year 2018 • EIN 41-0853163

Jul 01, 2017 to Jun 30, 2018 • Filed on May 10, 2019

240 Willow StreetTyler, MN 56178

(507) 247-5521

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

51st percentile

0.22x

Higher debt load relative to assets than 51% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Liabilities / Revenue

30th percentile

0.10x

Higher debt load relative to revenue than 30% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Net Margin

56th percentile

4.7%

Higher net margin than 56% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Top Officer Pay

96th percentile

$921,522

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 8.1% of source-year revenue.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Asset Growth

42nd percentile

0.0%

Faster asset growth than 42% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2017 to 2018

Revenue Growth

40th percentile

1.1%

Faster revenue growth than 40% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2017 to 2018

Assets

Up

$5,430,571

Up $2,457 (+0.0%) from 2017

Net Assets

Up

$4,247,300

Up $4,576,630 (+1390%) from 2017

Liabilities

Down

$1,183,271

Down $4,574,173 (-79%) from 2017

Revenue

Up

$11,353,776

Up $127,111 (+1.1%) from 2017

Expenses

Down

$10,816,215

Down $831,551 (-7.1%) from 2017

Net Income

Up

$537,561

Up $958,662 (+228%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0-$5.0MAssets 2010: $4,074,999Liabilities 2010: $1,566,624Net Assets 2010: $2,508,3752010Assets 2011: $5,183,348Liabilities 2011: $2,692,551Net Assets 2011: $2,490,7972011Assets 2012: $6,149,861Liabilities 2012: $3,374,100Net Assets 2012: $2,775,7612012Assets 2013: $5,833,621Liabilities 2013: $2,552,057Net Assets 2013: $3,281,5642013Assets 2014: $5,764,681Liabilities 2014: $2,825,702Net Assets 2014: $2,938,9792014Assets 2015: $5,878,305Liabilities 2015: $4,001,977Net Assets 2015: $1,876,3282015Assets 2016: $5,648,141Liabilities 2016: $5,353,056Net Assets 2016: $295,0852016Assets 2017: $5,428,114Liabilities 2017: $5,757,444Net Assets 2017: -$329,3302017Assets 2018: $5,430,571Liabilities 2018: $1,183,271Net Assets 2018: $4,247,3002018Assets 2019: $6,149,682Liabilities 2019: $1,120,668Net Assets 2019: $5,029,0142019Assets 2020: $13,515,698Liabilities 2020: $7,374,053Net Assets 2020: $6,141,6452020Assets 2021: $11,048,987Liabilities 2021: $1,826,499Net Assets 2021: $9,222,4882021Assets 2022: $10,802,115Liabilities 2022: $1,565,291Net Assets 2022: $9,236,8242022Assets 2023: $12,179,850Liabilities 2023: $1,484,387Net Assets 2023: $10,695,4632023

Highlighted filing

2018

Assets$5,430,571
Liabilities$1,183,271
Net Assets$4,247,300

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $11,194,1302010Revenue 2011: $10,700,473Expenses 2011: $10,752,573Net Income 2011: -$52,1002011Expenses 2012: $11,295,0132012Revenue 2013: $12,460,693Expenses 2013: $11,954,229Net Income 2013: $506,4642013Revenue 2014: $12,817,654Expenses 2014: $13,146,015Net Income 2014: -$328,3612014Revenue 2015: $12,429,902Expenses 2015: $13,517,173Net Income 2015: -$1,087,2712015Revenue 2016: $11,562,824Expenses 2016: $13,147,503Net Income 2016: -$1,584,6792016Revenue 2017: $11,226,665Expenses 2017: $11,647,766Net Income 2017: -$421,1012017Revenue 2018: $11,353,776Expenses 2018: $10,816,215Net Income 2018: $537,5612018Revenue 2019: $11,807,130Expenses 2019: $10,918,286Net Income 2019: $888,8442019Revenue 2020: $12,124,436Expenses 2020: $11,238,373Net Income 2020: $886,0632020Revenue 2021: $14,114,571Expenses 2021: $12,292,634Net Income 2021: $1,821,9372021Revenue 2022: $14,336,491Expenses 2022: $13,365,488Net Income 2022: $971,0032022Revenue 2023: $13,461,268Expenses 2023: $12,739,104Net Income 2023: $722,1642023

Highlighted filing

2018

Revenue$11,353,776
Expenses$10,816,215
Net Income$537,561
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 10, 2019
Return Version
2017v2.3
Gross Receipts
$11,353,776
Mission and Program Overview

Mission

To provide primary, acute and long-term healthcare services to the people of the surrounding region; to use all available resources to provide quality personalized, yet cost-effective care; and to provide community health promotion to individuals and businesses.

Promotion of health

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,453,014$1,798,534▼ $654,480
Savings and Temporary Cash Investments$1,020,464$1,754,713▲ $734,249
Accounts Receivable$1,073,605$913,374▼ $160,231
Investments Other Securities$483,419$673,634▲ $190,215
Inventories for Sale or Use$239,725$217,612▼ $22,113
Prepaid Expenses and Deferred Charges$152,383$69,337▼ $83,046
Investments Program Related$2,200--
Total Assets$5,428,114$5,430,571▲ $2,457
Other Assets Total$3,304$3,367▲ $63
Liabilities
Accounts Payable and Accrued Expenses$736,016$588,365▼ $147,651
Other Liabilities$3,073,623$398,920▼ $2,674,703
Unsecured Notes Loans Payable$1,933,838$190,168▼ $1,743,670
Mortgage Notes Payable Secured by Investment Property$13,967$5,818▼ $8,149
Total Liabilities$5,757,444$1,183,271▼ $4,574,173
Net Assets / Fund Balance
Unrestricted Net Assets$-703,710$3,819,319▲ $4,523,029
Temporarily Rstr Net Assets$166,612$220,213▲ $53,601
Permanently Rstr Net Assets$207,768$207,768→ $0
Total Net Assets Fund Balance$-329,330$4,247,300▲ $4,576,630
Total Liabilities and Net Assets / Fund Balance$5,428,114$5,430,571▲ $2,457

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$805,583$4,633,739$5,439,322
Buildings$824,298$1,162,073$1,986,371
Land$157,440-$157,440
Other Land Buildings$0$85,203$85,203
Leasehold Improvements$11,213$3,344$14,557
Other Securities$458,519--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Roger PabstChair
Mary Maertensex-officio wvotePresident/CEO Avera Marsha
Joyce StrootmanVice Chair
Doug OlsenDirector
George JorgesenDirector
Laurie JohansenDirector
Quentin FixenDirector
Randy SerreynDirector
Sr Jodelle A ZimmermanDirector
Sr Mary Joan ReicheltDirector
Sr Roxanne SeifertDirector
Todd BockDirector
Curtis Louwagie MDDirector/Ophthlalmologist
Jim BreckenridgeCFO Avera Health
Allen AndersonAdministratorFormer Officer
Sharon WilliamsVP Finance

Highest Paid Contractors

ContractorServicesLocationCompensation
Avera MarshallPhysicians and Shared Services300 South Bruce St, Marshall, MN 56258$2,275,535
Big Stone Therapies IncPT,OT, and Speech Therapy309 Washington Ave, Ortonville, MN 56278$607,920
Avera HealthShared Services3900 W Avera Dr, Sioux Falls, SD 57108$172,021
Avera McKennanPhysicians, Lab, Radiology, and Other Cl800 E 21st St, Sioux Falls, SD 57117$162,671
Revenue and Support

Revenue Composition

Contributions and Grants
$18,671
Program Service Revenue
$11,317,407
Investment Income
$14,978
Other Revenue
$2,720
Change in Net Assets
$537,561
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,609,504
Salaries, Compensation, and Employee Benefits$4,206,711
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,753,814$623,768-$3,377,582
Other Salaries and Wages$3,013,227$237,048-$3,250,275
Depreciation Depletion$438,201$329,124-$767,325
Other Employee Benefits$489,992$20,491-$510,483
All Other Expenses$274,768$150,155-$424,923
Payroll Taxes$250,324$8,252-$258,576
Occupancy$238,402--$238,402
Pension Plan Contributions$182,631$4,746-$187,377
Office Expenses$74,732$23,519-$98,251
Insurance$4,864$77,339-$82,203
Travel$47,385$9,805-$57,190
Fees for Services Accounting-$36,793-$36,793
Interest$4,279--$4,279
Other Expenses$911$124,359-$911
Conferences and Meetings$710--$710
Advertising-$645-$645
Fees for Services Lobbying-$140-$140
Fees for Services Legal-$120-$120
Total Functional Expenses$9,169,911$1,646,304$0$10,816,215
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Third Party Payor Settlements$398,920
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 1

The Executive Committee is subject to the direction of the Board of Directors. However, in the case of an emergency, the Executive Committee may exercise all the powers of the board provided that any actions taken shall be reported to the board as quickly as possible. The Chair, Vice-Chair, and Past Chair will make up the composition of the Executive Committee. The President/CEO will serve as a non-voting, ex-officio member of the Executive Committee.

Form 990, Part VI, Section A, line 2

Jim Breckenridge and Mary Maertens have a business relationship.

Form 990, Part VI, Section A, line 6

The sole member of the Corporation is Avera Marshall, a nonprofit corporation organized and existing under the laws of the State of Minnesota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended.

Form 990, Part VI, Section A, line 7A

Avera Marshall as the sole member, has the power to appoint and remove, with or without cause, members of the board of directors.

Form 990, Part VI, Section A, line 7B

Avera Marshall, the Member, has the exclusive right: (a) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of Corporation; (b) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Corporation, and to give final approval of any such action with respect thereto; (c) To appoint and remove, with or without cause, the Board of Directors of the Corporation. (d) To appoint and/or remove, with or without cause, the President and Chief Executive Officer of the Corporation. (e) To approve operating/capital budgets and strategic plans of the Corporation. (f) To approve expenditures outside of operating and capital budgets exceeding defined thresholds according to policy which may be adopted from time to time by the Member. (g) To approve acquisitions, sales and leases, according to policy which may be adopted from time to time by the Member. (h) To establish and maintain employee benefit programs. (i) To establish and maintain insurance programs. (j) To approve major community fund drives. (k) To approve the appointment of auditors. (l) To adopt policies designed to effectuate the reserved powers of the Member. (m) To initiate and give final approval to equity and asset transfers by and between the Member and the Corporation and any affiliates or subsidiaries of the Member. (n) To initiate and give final approval to (i) any and all issuances of obligations under any existing or future master indentures binding the Corporation, any indebtedness (including, without limitation, capitalized leases) in excess of dollar thresholds as may be from time to time established by the Member, and (ii) any pledges of collateral for such indebtedness and any pledges of real estate as collateral for any indebtedness regardless of amount. (o) (i) Full and exclusive power to execute supplemental master indentures, including, without limitation, those authorizing the issuance of obligations or series of obligations, (ii) full and exclusive power to prepare, or authorize the preparation of, any and all documents, agreements, swap agreements, investment contracts, certificates and disclosure materials (including, without limitation, Official Statements and any supplements thereto) reasonably and ordinarily prepared in connection with the issuance of obligations thereunder, or related bonds associated therewith and to execute and deliver such items to the appropriate parties in connection therewith and (iii) full and exclusive power to authorize the entrance of members to, or withdrawal of members from, any obligated group, subject to the other requirements of the applicable master indenture for such entrance or withdrawal.

Form 990, Part VI, Section B, line 11B

The Form 990 is reviewed by the Avera Health VP of Financial Reporting, Tax Manager, Facility CEO and Finance Committee (if applicable). After initial review the Form 990 is made available to the Board and other Operation Finance Leaders.

Form 990, Part VI, Section B, line 12C

The conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board.

Form 990, Part VI, Section B, line 15

The CEO and CFO-Avera Health are compensated by Avera Health. Annually the Compensation Committee of Avera Health, which is comprised of six (6) System Members appointed by the Religious Orders, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes.

Form 990, Part VI, Section C, line 19

The organization's governing documents and conflict of interest policy are not made available to the general public. The Organization's financial statements are attached to the Form 990 per IRS instructions and therefore available to the general public.

Filing and Contact Details

Filer

Filer Name
Avera Tyler
EIN
41-0853163
Phone
5072475521
Address
240 Willow Street, Tyler, MN 56178

Signing Officer

Name
Jim Breckenridge
Title
CFO Avera Health
Phone
5072475521
Signed
2019-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary Maertens
Formed
1918
Legal Domicile
Mn
Voting Board Members
13
Independent Board Members
11
Employees
151
Volunteers
40

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Other Fees: Program service expenses 2,753,814. Management and general expenses 173,768. Fundraising expenses 0. Total expenses 2,927,582. ACS Fees: Program service expenses 0. Management and general expenses 450,000. Fundraising expenses 0. Total expenses 450,000.

Form 990, Part XI, line 9:

Transfer from related party 4,052,767. Intercompany transfer -11,320. Change in Interest in Avera Foundation 539.

Form 990, Part XII, Line 2C:

The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the consolidated audited financial statements for Avera Health, which includes Avera Tyler.

Form 990, Part X, Line 20:

Avera Tyler is part of the Avera Obligated Group which consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Sacred Heart, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Gettysburg and Avera at Home. Avery Tyler was not allocated any share of the bond issue, and thus does not have an amount on line 20.

Financial Statement Notes

Part X, Line 2:

Avera Health and most of its sponsored organizations are considered nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. These organizations are required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). Avera Health and certain sponsored organizations also file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report their unrelated business taxable income. Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The federal Form 990T filings and taxable subsidiary returns for consolidated subsidiaries are no longer subject to federal tax examinations by tax authorities for years before 2015. Certain consolidated entities are subject to federal income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. Deferred tax assets and liabilities are not material as of June 30, 2018 and 2017. The Organization paid an immaterial amount of federal and state income taxes for the years ended June 30, 2018 and 2017.

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IRS990/Desc0Avera Tyler's mission is to provide healthcare services to Tyler, Minnesota residents and residents of the surrounding counties including Lincoln, Pipestone and Lyon. Avera Tyler is a 501(c)(3) organization affiliated with Avera Health and controlled by Avera Marshall. Avera Tyler consists of a 21-bed hospital, a Rural Health Clinic and a 30-bed nursing home in Tyler, Minnesota, a Rural Health Clinic in Lake Benton, Minnesota and a clinic in Ivanhoe, Minnesota. The program services offered include primary care, general surgery, infusion, radiology, nuclear medicine, ultrasound, chemotherapy, cardiac rehab, speech therapy, physical therapy and occupational therapy. Avera Tyler provides acute care and long-term healthcare services, of which there were 120 patient discharges, 12,619 outpatient visits, 293 swing-bed days, 9,583 clinic visits, and 10,099 nursing home resident days. Following is a breakdown of these statistics by facility:Avera Tyler Hospital120 Acute patient discharges12,619 Outpatient visits293 Swing-bed patient days6,664 Clinic visits - Tyler1,518 Clinic visits - Lake Benton1,401 Clinic visits - IvanhoeSunrise Manor10,099 Long-term resident daysAvera Tyler maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and equivalent service statistics. The amount of charges foregone, based on established rates, were $12,535.Avera Tyler also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H.As a member of the Avera Health Network, Avera Tyler upholds the vision of the Presentation and Benedictine Sisters to work through collaboration to provide quality, effective health ministry and to improve the healthcare of individuals and our communities through a regionally integrated network or persons and institutions. Avera Tyler engages in activities designed to improve the health of individuals and communities in response to a calling to heal the sick, the elderly, and the oppressed.
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt51.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt61.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt71.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt81.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt91.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1041.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt111.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1240.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1339.90
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1440.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt150.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt91.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt101.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt111.30
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt122.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt130.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt140.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1540.00
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1042256
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1242256
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1334116
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1434022
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1516806
IRS990/Form990PartVIISectionAGrp/PersonNm0Roger Pabst
IRS990/Form990PartVIISectionAGrp/PersonNm1Joyce Strootman
IRS990/Form990PartVIISectionAGrp/PersonNm2Todd Bock
IRS990/Form990PartVIISectionAGrp/PersonNm3Quentin Fixen
IRS990/Form990PartVIISectionAGrp/PersonNm4Laurie Johansen
IRS990/Form990PartVIISectionAGrp/PersonNm5George Jorgesen
IRS990/Form990PartVIISectionAGrp/PersonNm6Doug Olsen
IRS990/Form990PartVIISectionAGrp/PersonNm7Sr Roxanne Seifert
IRS990/Form990PartVIISectionAGrp/PersonNm8Randy Serreyn
IRS990/Form990PartVIISectionAGrp/PersonNm9Sr Mary Joan Reichelt
IRS990/Form990PartVIISectionAGrp/PersonNm10Curtis Louwagie MD
IRS990/Form990PartVIISectionAGrp/PersonNm11Sr Jodelle A Zimmerman
IRS990/Form990PartVIISectionAGrp/PersonNm12Mary Maertensex-officio wvote
IRS990/Form990PartVIISectionAGrp/PersonNm13Jim Breckenridge
IRS990/Form990PartVIISectionAGrp/PersonNm14Sharon Williams
IRS990/Form990PartVIISectionAGrp/PersonNm15Allen AndersonAdministrator
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10652783
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt12410791
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt13887406
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt14188237
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt15109637
IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director/Ophthlalmologist
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12President/CEO Avera Marsha
IRS990/Form990PartVIISectionAGrp/TitleTxt13CFO Avera Health
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt15Former Officer
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01918
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt06830
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt013
IRS990/GovernmentGrantsAmt014400
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt06830
IRS990/GrossReceiptsAmt011353776
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt011
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt077339
IRS990/InsuranceGrp/ProgramServicesAmt04864
IRS990/InsuranceGrp/TotalAmt082203
IRS990/InterestGrp/ProgramServicesAmt04279
IRS990/InterestGrp/TotalAmt04279
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0239725
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0217612
IRS990/InvestmentIncomeGrp/ExclusionAmt08148
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt08148
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0483419
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0673634
IRS990/InvestmentsProgramRelatedGrp/BOYAmt02200
IRS990/IRPDocumentCnt025
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt05884359
IRS990/LandBldgEquipBasisNetGrp/BOYAmt02453014
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01798534
IRS990/LandBldgEquipCostOrOtherBssAmt07682893
IRS990/LegalDomicileStateCd0MN
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Avera Health is a ministry rooted in the gospel. Our mission is to make a postive impact in the lives and health of persons and communities by providing quality services guided by Christian values.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt013967
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt05818
IRS990/NetAssetsOrFundBalancesBOYAmt0-329330
IRS990/NetAssetsOrFundBalancesEOYAmt04247300
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt06830
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt06830
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-2917
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0238402
IRS990/OccupancyGrp/TotalAmt0238402
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt023519
IRS990/OfficeExpensesGrp/ProgramServicesAmt074732
IRS990/OfficeExpensesGrp/TotalAmt098251
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt03304
IRS990/OtherAssetsTotalGrp/EOYAmt03367
IRS990/OtherChangesInNetAssetsAmt04041986
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt020491
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0489992
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0510483
IRS990/OtherExpensesGrp/Desc0Medical Supplies
IRS990/OtherExpensesGrp/Desc1Repairs and Maintenance
IRS990/OtherExpensesGrp/Desc2Bad Debt Expense
IRS990/OtherExpensesGrp/Desc3Licenses and Permits
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0124359
IRS990/OtherExpensesGrp/ProgramServicesAmt0974089
IRS990/OtherExpensesGrp/ProgramServicesAmt1409634
IRS990/OtherExpensesGrp/ProgramServicesAmt211948
IRS990/OtherExpensesGrp/ProgramServicesAmt3911
IRS990/OtherExpensesGrp/TotalAmt0974089
IRS990/OtherExpensesGrp/TotalAmt1533993
IRS990/OtherExpensesGrp/TotalAmt211948
IRS990/OtherExpensesGrp/TotalAmt3911
IRS990/OtherLiabilitiesGrp/BOYAmt03073623
IRS990/OtherLiabilitiesGrp/EOYAmt0398920
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0A/R Interest Income
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt02720
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt02720
IRS990/OtherRevenueTotalAmt02720
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0237048
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03013227
IRS990/OtherSalariesAndWagesGrp/TotalAmt03250275
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt08252
IRS990/PayrollTaxesGrp/ProgramServicesAmt0250324
IRS990/PayrollTaxesGrp/TotalAmt0258576
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt04746
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0182631
IRS990/PensionPlanContributionsGrp/TotalAmt0187377
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0207768
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0207768
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0152383
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt069337
IRS990/PrincipalOfficerNm0Mary Maertens
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0622110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0Patient Service Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Pharmacy Revenue
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt011136794
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt199497
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt011136794
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt199497
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0176278
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt01000
IRS990/PYInvestmentIncomeAmt038636
IRS990/PYOtherExpensesAmt06494640
IRS990/PYOtherRevenueAmt0252678
IRS990/PYProgramServiceRevenueAmt010759073
IRS990/PYRevenuesLessExpensesAmt0-421101
IRS990/PYSalariesCompEmpBnftPaidAmt05152126
IRS990/PYTotalExpensesAmt011647766
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt011226665
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0537561
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt04271
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt011320127
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01020464
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01754713
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.2$1.48$10.7$13.5$12.7$0.72
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$1.57$9.24$14.3$13.4$0.97
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.0$1.83$9.22$14.1$12.3$1.82
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.5$7.37$6.14$12.1$11.2$0.89
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.15$1.12$5.03$11.8$10.9$0.89
2018Detailed filing. Detailed filing data is available for this year.$5.43$1.18$4.25$11.4$10.8$0.54
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.43$5.76$0.33$11.2$11.6$0.42
2016Summary only. Only limited summary data is available for this year.$5.65$5.35$0.30$11.6$13.1$1.58
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.88$4.00$1.88$12.4$13.5$1.09
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.76$2.83$2.94$12.8$13.1$0.33
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$5.83$2.55$3.28$12.5$12.0$0.51
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.15$3.37$2.78$11.3
2011Summary only. Only limited summary data is available for this year.$5.18$2.69$2.49$10.7$10.8$0.05
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.07$1.57$2.51$11.2