Civic Intelligence

Avera Holy Family

EIN 42-0680370 • 501(c)3 • Estherville, IA

Profile

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

826 North 8th StreetEstherville, IA 51334

see schedule o

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

27th percentile

0.07x

Higher debt load relative to assets than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2023

Liabilities / Revenue

27th percentile

0.14x

Higher debt load relative to revenue than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2023

Net Margin

56th percentile

6.7%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2023

Top Officer Pay

91st percentile

$1,067,422

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 3.5% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2022

Asset Growth

44th percentile

4.7%

Faster asset growth than 44% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2023

Revenue Growth

19th percentile

-6.9%

Faster revenue growth than 19% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2023

Assets

Up

$68,362,497

Up $8,085,905 (+13%) from 2023

Liabilities

Down

$2,203,623

Down $1,896,028 (-46%) from 2023

Net Assets

Up

$66,158,874

Up $9,981,933 (+18%) from 2023

Revenue

Up

$35,903,728

Up $7,358,024 (+26%) from 2023

Expenses

Up

$29,854,766

Up $3,207,408 (+12%) from 2023

Net Income

Up

$6,048,962

Up $4,150,616 (+219%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $29,123,733Liabilities 2010: $8,966,787Net Assets 2010: $20,156,9462010Assets 2011: $31,035,157Liabilities 2011: $8,608,717Net Assets 2011: $22,426,4402011Assets 2012: $35,576,786Liabilities 2012: $12,504,548Net Assets 2012: $23,072,2382012Assets 2013: $34,058,209Liabilities 2013: $9,004,331Net Assets 2013: $25,053,8782013Assets 2014: $36,625,882Liabilities 2014: $8,370,026Net Assets 2014: $28,255,8562014Assets 2015: $37,324,543Liabilities 2015: $7,535,705Net Assets 2015: $29,788,8382015Assets 2016: $37,957,631Liabilities 2016: $6,659,111Net Assets 2016: $31,298,5202016Assets 2017: $41,561,915Liabilities 2017: $7,031,225Net Assets 2017: $34,530,6902017Assets 2018: $45,730,184Liabilities 2018: $6,361,496Net Assets 2018: $39,368,6882018Assets 2019: $47,595,359Liabilities 2019: $6,403,782Net Assets 2019: $41,191,5772019Assets 2020: $58,037,598Liabilities 2020: $13,240,891Net Assets 2020: $44,796,7072020Assets 2021: $61,816,340Liabilities 2021: $7,148,901Net Assets 2021: $54,667,4392021Assets 2022: $57,552,066Liabilities 2022: $5,822,103Net Assets 2022: $51,729,9632022Assets 2023: $60,276,592Liabilities 2023: $4,099,651Net Assets 2023: $56,176,9412023Assets 2024: $68,362,497Liabilities 2024: $2,203,623Net Assets 2024: $66,158,8742024

Highlighted filing

2024

Assets$68,362,497
Liabilities$2,203,623
Net Assets$66,158,874

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0Expenses 2010: $19,458,9292010Expenses 2011: $21,169,9792011Revenue 2012: $23,274,737Expenses 2012: $22,334,768Net Income 2012: $939,9692012Expenses 2013: $22,780,2682013Revenue 2014: $26,123,524Expenses 2014: $24,044,689Net Income 2014: $2,078,8352014Revenue 2015: $25,494,504Expenses 2015: $23,330,219Net Income 2015: $2,164,2852015Revenue 2016: $26,923,647Expenses 2016: $24,970,011Net Income 2016: $1,953,6362016Revenue 2017: $29,269,237Expenses 2017: $26,293,607Net Income 2017: $2,975,6302017Revenue 2018: $30,388,470Expenses 2018: $27,324,090Net Income 2018: $3,064,3802018Revenue 2019: $27,404,428Expenses 2019: $24,699,692Net Income 2019: $2,704,7362019Revenue 2020: $29,197,784Expenses 2020: $25,767,898Net Income 2020: $3,429,8862020Revenue 2021: $30,600,480Expenses 2021: $25,963,968Net Income 2021: $4,636,5122021Revenue 2022: $30,648,640Expenses 2022: $27,141,163Net Income 2022: $3,507,4772022Revenue 2023: $28,545,704Expenses 2023: $26,647,358Net Income 2023: $1,898,3462023Revenue 2024: $35,903,728Expenses 2024: $29,854,766Net Income 2024: $6,048,9622024

Highlighted filing

2024

Revenue$35,903,728
Expenses$29,854,766
Net Income$6,048,962

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$68.4$2.20$66.2$35.9$29.9$6.05
2023Detailed filing. Detailed filing data is available for this year.$60.3$4.10$56.2$28.5$26.6$1.90
2022Detailed filing. Detailed filing data is available for this year.$57.6$5.82$51.7$30.6$27.1$3.51
2021Detailed filing. Detailed filing data is available for this year.$61.8$7.15$54.7$30.6$26.0$4.64
2020Detailed filing. Detailed filing data is available for this year.$58.0$13.2$44.8$29.2$25.8$3.43
2019Detailed filing. Detailed filing data is available for this year.$47.6$6.40$41.2$27.4$24.7$2.70
2018Detailed filing. Detailed filing data is available for this year.$45.7$6.36$39.4$30.4$27.3$3.06
2017Detailed filing. Detailed filing data is available for this year.$41.6$7.03$34.5$29.3$26.3$2.98
2016Detailed filing. Detailed filing data is available for this year.$38.0$6.66$31.3$26.9$25.0$1.95
2015Detailed filing. Detailed filing data is available for this year.$37.3$7.54$29.8$25.5$23.3$2.16
2014Detailed filing. Detailed filing data is available for this year.$36.6$8.37$28.3$26.1$24.0$2.08
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.1$9.00$25.1$22.8
2012Summary only. Only limited summary data is available for this year.$35.6$12.5$23.1$23.3$22.3$0.94
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.0$8.61$22.4$21.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.1$8.97$20.2$19.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 9, 2025
Return Version
2023v6.0
Gross Receipts
$35,903,728
Mission and Program Overview

Mission

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

Promotion of health

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$43,149,255$50,538,253▲ $7,388,998
Land, Buildings, and Equipment, Net$12,763,584$12,495,262▼ $268,322
Accounts Receivable$3,091,147$3,590,555▲ $499,408
Inventories for Sale or Use$567,626$606,429▲ $38,803
Investments Program Related$114,911$152,336▲ $37,425
Prepaid Expenses and Deferred Charges$109,441$85,220▼ $24,221
Savings and Temporary Cash Investments$459,758$-38,351▼ $498,109
Total Assets$60,276,592$68,362,497▲ $8,085,905
Other Assets Total$20,870$932,793▲ $911,923
Liabilities
Accounts Payable and Accrued Expenses$1,662,984$1,368,946▼ $294,038
Other Liabilities$2,427,007$834,677▼ $1,592,330
Deferred Revenue$9,660$0▼ $9,660
Total Liabilities$4,099,651$2,203,623▼ $1,896,028
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$55,285,391$65,080,193▲ $9,794,802
Net Assets With Donor Restrictions$891,550$1,078,681▲ $187,131
Total Net Assets Fund Balance$56,176,941$66,158,874▲ $9,981,933
Total Liabilities and Net Assets / Fund Balance$60,276,592$68,362,497▲ $8,085,905

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,767,794$14,644,752$23,412,546
Equipment$2,749,317$8,747,016$11,496,333
Other Land Buildings$467,611$488,486$956,097
Land$510,540-$510,540
Other Securities$3,950,982--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$2,362,025$52,271▲ $249,102$10,605$2,652,793
2022$2,161,342$21,024▲ $198,406$18,747$2,362,025
2021$2,219,508$207,261▼ $252,374$13,053$2,161,342
2020$1,859,198-▲ $369,234$8,925$2,219,507
2019$1,807,087$69,640▼ $7,644$9,884$1,859,199
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kristi HoughManager - PharmacyFT$157,694$55,441$213,135
April Sue KrullPharmacistFT$127,617$46,128$173,745
Martin BergstromChief Nursing OfficerFT$109,249$39,254$148,503
Nancy DiekmannNurse ManagerFT$118,840$24,127$142,967
Linda AdamsNurse ManagerFT$116,117$19,128$135,245

Board Members and Trustees

NameTitle
Yas MataChair
Deb HerzbergPresident/CEO
Mike CornwallVice Chair
Bob JensenBoard Member
Jim RosendahlBoard Member
Penny ClaytonBoard Member
Sr Candyce ChrystalBoard Member
Sr Janet SchumacherBoard Member
Trudy AhrensBoard Member (Beg 01/2024)
Molly StruveBoard Member (End 08/2023)
Julie LauttCFO Avera Health;Secretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Avera HealthShared Services3900 W Avera Drive, Sioux Falls, SD 57108$2,618,641
Docs Emergency Medicine IncMedical/Locum Services800 W Frontier Lane, Olathe, KS 66061$1,709,033
Avera McKennanMedical Services1325 S Cliff Ave, Sioux Falls, SD 57117$805,583
Psychiatric Medical Care LLCMedical Services4322 Harding Pike 417, Nashville, TN 37205$405,850
Woodward Anesthesia Services PCMedical Professional Services203 N 8th St, Estherville, IA 51334$285,873
Revenue and Support

Revenue Composition

Contributions and Grants
$25,968
Program Service Revenue
$35,123,681
Investment Income
$722,151
Other Revenue
$31,928
All Other Contributions
$7,500
Change in Net Assets
$6,048,962
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$16,634,864
Salaries, Compensation, and Employee Benefits$13,207,965
Grants and Similar Amounts Paid$11,937
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,054,918$290,409-$10,345,327
Fees for Services Other$5,689,099$2,219,344-$7,908,443
Other Employee Benefits$1,658,843$50,317-$1,709,160
Depreciation Depletion$1,313,190$143,109-$1,456,299
All Other Expenses$294,698$822,105-$1,116,803
Payroll Taxes$710,357$18,201-$728,558
Occupancy$429,046$40,239-$469,285
Pension Plan Contributions$410,842$14,078-$424,920
Office Expenses$232,562$46,450-$279,012
Information Technology$126,207$990-$127,197
Insurance$18,564$84,045-$102,609
Travel$34,705$2,431-$37,136
Conferences and Meetings$31,011$3,525-$34,536
Grants to Domestic Orgs$11,937--$11,937
Other Expenses$5,048$47,084-$5,048
Advertising$115$4,756-$4,871
Fees for Services Lobbying-$2,198-$2,198
Fees for Services Accounting-$1,800-$1,800
Total Functional Expenses$26,049,617$3,805,149$0$29,854,766
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Regional Transit Authority ARTSpencer, IA501(c)(3)Support Estherville community transportation$7,500
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
Estimated Third-Party Settlements$834,677
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 35% controlled entity
No
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 2

Julie Lautt and Deb Herzberg have a business relationship. Julie Lautt and Sr. Candyce Chrystal have a business relationship.

Form 990, Part VI, Section A, line 6

The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended.

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

Avera Health, 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 Health, as the sole member, has the following rights as the Member: 1) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of the Corporation; 2) 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; 3) To approve and act upon the alienation of real property and precious artifacts under the canonical stewardship of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, SD ("Presentation Sisters"), or the Benedictine Sisters of Sacred Heart Monastery ("Benedictine Sisters"), pursuant to the policies established by the Member; 4) To approve any plan of merger, consolidation or dissolution of the corporation, or the divestiture of a sponsored work or ministry associated with the Corporation; 5) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of the Corporation; 6) To appoint and remove, with or without cause, the Board of Directors of the Corporation; 7) To appoint and/or remove, with or without cause, the President and CEO of the Corporation; 8) To approve the operating/capital budgets and strategic plans of the Corporation; 9) 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; 10) To approve acquisitions, sales and leases, according to policy which may be adopted from time to time by the Member; 11) To establish and maintain employee benefit programs; 12) To establish and maintain insurance programs; 13) To approve major community fund drives; 14) To approve the appointment of auditors; 15) To adopt policies designed to effectuate the reserved powers of the Member.

Form 990, Part VI, Section A, line 8B

There is no committee with authority to act on behalf of the Board.

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

The Form 990 is prepared and reviewed by an independent accounting firm. The Form 990 is then reviewed by the Avera Health VP of Financial Reporting and Tax Manager. After initial internal review, the Form 990 is made available to various members of Avera Health Executive Management, including the Avera Health CFO, President/CEO and COO. In addition, the Form 990 is made available to the Facility CEO, other Operation Finance Leaders and the Facility Board members.

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 President/CEO is compensated by Avera McKennan, a related exempt organization. Avera McKennan has a process in place for determining compensation. The CFO-Avera Health is 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 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 Holy Family
EIN
42-0680370
Phone
7123626519
Address
826 North 8th Street, Estherville, IA 51334

Signing Officer

Name
Julie Lautt
Title
CFO Avera Health
Phone
7123626519
Signed
2025-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michelle Majerus
Formed
1996
Legal Domicile
Ia
Voting Board Members
9
Independent Board Members
8
Employees
190
Volunteers
8

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, Item J:

The organization's website is: avera.org/locations/profile/avera-holy-family-hospital/

Form 990, Part IX, line 11G

Purchased Services: Program service expenses 2,286,949. Management and general expenses 72,951. Fundraising expenses 0. Total expenses 2,359,900. Medical Professional Fees: Program service expenses 2,330,887. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,330,887. Repairs & Maintenance: Program service expenses 595,172. Management and general expenses 15,742. Fundraising expenses 0. Total expenses 610,914. Centralized Services: Program service expenses 476,091. Management and general expenses 2,130,651. Fundraising expenses 0. Total expenses 2,606,742.

Form 990, Part XI, line 9:

Change in Interest in Avera Foundation 273,065. Change in Assets with Donor Restrictions 187,131.

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 Holy Family.

Form 990, Part X, Line 20:

Avera Holy Family 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 Granite Falls, Avera Gettysburg, and Avera at Home. Avera Holy Family was not allocated any share of the bond issue, and thus does not have an amount on line 20 related to the Obligated group bond issuance.

Financial Statement Notes

Part V, Line 4:

The Organization's endowments consist of a portion of their interest in the net assets of the Avera Health Foundation. The Avera Health Foundation includes endowment funds which have been established for a variety of purposes. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the Board of Directors to function as endowments (if any), are classified and reported based on the existence or absence of donor-imposed restrictions.

Part X, Line 2:

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Avera Holy Family's mission is to provide healthcare services to Estherville, Iowa residents and residents of the surrounding area. Avera Holy Family is a 501(c)(3) organization affiliated with Avera Health. Avera Holy Family consists of a 25-bed critical access hospital and a clinic in Estherville, Iowa. The program services offered include primary care, general surgery, orthopedic and ophthalmology surgical services, nuclear medicine, wound care, emergency, ultrasound, speech therapy, physical therapy, and occupational therapy. Avera Holy Family provides acute healthcare services. Following is a breakdown of these statistics by facility:Avera Holy Family Hospital 243 Acute inpatient discharges 98 Swing-bed patient discharges 28,328 Outpatient visits 757 Swing-bed patient days 15,064 Clinic visitsAvera Holy Family 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 $2,546,868.Avera Holy Family 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 Holy Family 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 of persons and institutions. Avera Holy Family 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/PersonNm0Deb Herzberg
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member (Beg 01/2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO Avera Health;Secretary/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Nurse Manager
IRS990/Form990PartVIISectionAGrp/TitleTxt12Chief Nursing Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt13Nurse Manager
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IRS990/MissionDesc0Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.
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