Liabilities / Assets
27th percentile
Higher debt load relative to assets than 27% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
27th percentile
Higher debt load relative to assets than 27% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
56th percentile
Higher net margin than 56% of similar nonprofits.
Top Officer Pay
91st percentile
Higher top officer pay than 91% of similar nonprofits.
Top officer pay equals 3.5% of source-year revenue.
Asset Growth
44th percentile
Faster asset growth than 44% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
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
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
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
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kristi Hough | Manager - Pharmacy | FT | $157,694 | $55,441 | $213,135 |
| April Sue Krull | Pharmacist | FT | $127,617 | $46,128 | $173,745 |
| Martin Bergstrom | Chief Nursing Officer | FT | $109,249 | $39,254 | $148,503 |
| Nancy Diekmann | Nurse Manager | FT | $118,840 | $24,127 | $142,967 |
| Linda Adams | Nurse Manager | FT | $116,117 | $19,128 | $135,245 |
| Name | Title |
|---|---|
| Yas Mata | Chair |
| Deb Herzberg | President/CEO |
| Mike Cornwall | Vice Chair |
| Bob Jensen | Board Member |
| Jim Rosendahl | Board Member |
| Penny Clayton | Board Member |
| Sr Candyce Chrystal | Board Member |
| Sr Janet Schumacher | Board Member |
| Trudy Ahrens | Board Member (Beg 01/2024) |
| Molly Struve | Board Member (End 08/2023) |
| Julie Lautt | CFO Avera Health;Secretary/Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Avera Health | Shared Services | 3900 W Avera Drive, Sioux Falls, SD 57108 | $2,618,641 |
| Docs Emergency Medicine Inc | Medical/Locum Services | 800 W Frontier Lane, Olathe, KS 66061 | $1,709,033 |
| Avera McKennan | Medical Services | 1325 S Cliff Ave, Sioux Falls, SD 57117 | $805,583 |
| Psychiatric Medical Care LLC | Medical Services | 4322 Harding Pike 417, Nashville, TN 37205 | $405,850 |
| Woodward Anesthesia Services PC | Medical Professional Services | 203 N 8th St, Estherville, IA 51334 | $285,873 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Regional Transit Authority ART | Spencer, IA | 501(c)(3) | Support Estherville community transportation | $7,500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Estimated Third-Party Settlements | $834,677 |
“Julie Lautt and Deb Herzberg have a business relationship. Julie Lautt and Sr. Candyce Chrystal have a business relationship.”
“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.”
“Avera Health, as the sole member, has the power to appoint and remove, with or without cause, members of the Board of Directors.”
“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.”
“There is no committee with authority to act on behalf of the Board.”
“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.”
“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.”
“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.”
“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.”
“The organization's website is: avera.org/locations/profile/avera-holy-family-hospital/”
“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.”
“Change in Interest in Avera Foundation 273,065. Change in Assets with Donor Restrictions 187,131.”
“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.”
“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.”
“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.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1662984 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1368946 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3091147 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3590555 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Promotion of health |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 4756 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 115 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 4871 |
| IRS990/AllOtherContributionsAmt | 0 | 7500 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 822105 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 294698 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1116803 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Jamie Schaefer |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6053223992 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3900 W Avera Dr Ste 300 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Sioux Falls |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57108 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 9 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3525 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 31011 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 34536 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2618641 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1709033 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 805583 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 405850 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 285873 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 3900 W Avera Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 800 W Frontier Lane |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1325 S Cliff Ave |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 4322 Harding Pike 417 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 203 N 8th St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Sioux Falls |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Olathe |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Sioux Falls |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Nashville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Estherville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | KS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 57108 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 66061 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 57117 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 37205 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 51334 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Avera Health |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Docs Emergency Medicine Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Avera McKennan |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Psychiatric Medical Care LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Woodward Anesthesia Services PC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Shared Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Medical/Locum Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Medical Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Medical Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Medical Professional Services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 25968 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 11937 |
| IRS990/CYInvestmentIncomeAmt | 0 | 722151 |
| IRS990/CYOtherExpensesAmt | 0 | 16634864 |
| IRS990/CYOtherRevenueAmt | 0 | 31928 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 35123681 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 6048962 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 13207965 |
| IRS990/CYTotalExpensesAmt | 0 | 29854766 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 35903728 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 9660 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 143109 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1313190 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1456299 |
| IRS990/Desc | 0 | Avera 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. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 891550 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1078681 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 190 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 26049617 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 1800 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1800 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 2198 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 2198 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2219344 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 5689099 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 7908443 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 7.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 46.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 27859 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 19401 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 19128 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 39254 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 24127 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 45411 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 48843 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Deb Herzberg |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Yas Mata |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Mike Cornwall |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Trudy Ahrens |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Sr Candyce Chrystal |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Bob Jensen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Sr Janet Schumacher |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Molly Struve |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jim Rosendahl |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Penny Clayton |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Julie Lautt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Linda Adams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Martin Bergstrom |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Nancy Diekmann |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | April Sue Krull |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Kristi Hough |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 116117 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 109249 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 118840 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 128334 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 164291 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 207039 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 1203675 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member (Beg 01/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member (End 08/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CFO Avera Health;Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Nurse Manager |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Chief Nursing Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Nurse Manager |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Pharmacist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Manager - Pharmacy |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1996 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 200 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 707167 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 13210 |
| IRS990/GrantAmt | 0 | 11937 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 11937 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 11937 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 200 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 707167 |
| IRS990/GrossReceiptsAmt | 0 | 35903728 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 23629 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 990 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 126207 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 127197 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 84045 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 18564 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 102609 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 567626 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 606429 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 14784 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 14784 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 43149255 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 50538253 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 114911 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 152336 |
| IRS990/IRPDocumentCnt | 0 | 41 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 23880254 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 12763584 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 12495262 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 36375516 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 56176941 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 66158874 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 707367 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 707367 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 23629 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 23629 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 3472775 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 55285391 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 65080193 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 40239 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 429046 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 469285 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 46450 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 232562 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 279012 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 20870 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 932793 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 460196 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 50317 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1658843 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1709160 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Equipment Lease/Rental |
| IRS990/OtherExpensesGrp/Desc | 2 | Bad Debt |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14068 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 47084 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 5000755 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 27720 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 5048 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 5014823 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 74804 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 5048 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2427007 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 834677 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | AR Interest Income |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 8299 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 8299 |
| IRS990/OtherRevenueTotalAmt | 0 | 8299 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 290409 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 10054918 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 10345327 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 18201 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 710357 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 728558 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 14078 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 410842 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 424920 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 109441 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 85220 |
| IRS990/PrincipalOfficerNm | 0 | Michelle Majerus |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 456110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Service Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Pharmacy Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Patient and Clinic |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 31776706 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3227654 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 25503 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 31776706 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3227654 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 25503 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 794244 |
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