Civic Intelligence

Avera Holy Family

990 • Fiscal year 2016 • EIN 42-0680370

Jul 01, 2015 to Jun 30, 2016 • Filed on May 10, 2017

826 North 8th StreetEstherville, IA 51334

(712) 362-6519

Siviq Scores

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

Liabilities / Assets

40th percentile

0.18x

Higher debt load relative to assets than 40% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

42nd percentile

0.25x

Higher debt load relative to revenue than 42% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

66th percentile

7.3%

Higher net margin than 66% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

31st percentile

$180,178

Higher top officer pay than 31% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

47th percentile

1.7%

Faster asset growth than 47% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

59th percentile

5.6%

Faster revenue growth than 59% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Assets

Up

$37,957,631

Up $633,088 (+1.7%) from 2015

Net Assets

Up

$31,298,520

Up $1,509,682 (+5.1%) from 2015

Liabilities

Down

$6,659,111

Down $876,594 (-12%) from 2015

Revenue

Up

$26,923,647

Up $1,429,143 (+5.6%) from 2015

Expenses

Up

$24,970,011

Up $1,639,792 (+7.0%) from 2015

Net Income

Down

$1,953,636

Down $210,649 (-9.7%) from 2015

Historical Trend

Balance Sheet Trend

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

$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

2016

Assets$37,957,631
Liabilities$6,659,111
Net Assets$31,298,520

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$26,923,647
Expenses$24,970,011
Net Income$1,953,636
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 10, 2017
Return Version
2015v3.0
Gross Receipts
$26,923,647
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$15,680,663$15,935,234▲ $254,571
Land, Buildings, and Equipment, Net$13,240,052$13,509,620▲ $269,568
Accounts Receivable$3,545,567$3,481,778▼ $63,789
Savings and Temporary Cash Investments$3,289,110$2,965,166▼ $323,944
Inventories for Sale or Use$749,685$716,064▼ $33,621
Investments in Publicly Traded Securities$293,480$296,976▲ $3,496
Investments Program Related$198,013$247,052▲ $49,039
Prepaid Expenses and Deferred Charges$145,061$159,508▲ $14,447
Receivables From Officers Etc$3,125--
Total Assets$37,324,543$37,957,631▲ $633,088
Other Assets Total$179,787$646,233▲ $466,446
Liabilities
Tax Exempt Bond Liabilities$3,246,414$3,010,157▼ $236,257
Accounts Payable and Accrued Expenses$1,886,891$1,828,403▼ $58,488
Other Liabilities$2,347,351$1,820,551▼ $526,800
Mortgage Notes Payable Secured by Investment Property$55,049--
Total Liabilities$7,535,705$6,659,111▼ $876,594
Net Assets / Fund Balance
Unrestricted Net Assets$29,535,949$31,029,292▲ $1,493,343
Temporarily Rstr Net Assets$230,347$246,686▲ $16,339
Permanently Rstr Net Assets$22,542$22,542→ $0
Total Net Assets Fund Balance$29,788,838$31,298,520▲ $1,509,682
Total Liabilities and Net Assets / Fund Balance$37,324,543$37,957,631▲ $633,088

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,078,593$9,214,596$17,293,189
Equipment$4,071,191$6,586,524$10,657,715
Other Land Buildings$889,496$275,789$1,165,285
Land$470,340-$470,340
Other Securities$1,991,877--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$908,995-▲ $146,759-$1,055,754
2014$823,825-▲ $85,170-$908,995
2013$721,217-▲ $102,608-$823,825
2012$680,404-▲ $40,813-$721,217
2011$680,404---$680,404
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kristi HoughPharmacy ManagerFT$126,594$3,356$129,950
April KrullPharmacistFT$105,208$18,011$123,219
Shannon AdamsSec/Treas & SrVP FinanceFT-$119,948$119,948

Board Members and Trustees

NameTitle
Joe FitzgibbonsChair
Dale HustedtPresident & CEO
Joe GreigVice Chair
Chris SchiltzBoard Member
Dr Anthony CookBoard Member
Kathy PrestonBoard Member
Roslyn GundersonBoard Member
Scott StokesBoard Member
Sr Debra KoleckaBoard Member
Sr Mary JaegerBoard Member
Sr Sharon HaasBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Estherville Medical Center ERER Coverage926 N 8th Street, Estherville, IA 51334$595,736
Acute Care IncER CoveragePO Box 4130, Des Moines, IA 50333$455,694
Woodward Anesthesia Services PCAnesthesia Services203 N 8th St, Estherville, IA 51334$298,249
Fit for Life Physical Therapy LLCPhysical Therapy826 N 8th, Estherville, IA 51334$264,934
Grapetree Medical StaffingStaffing703 16th Street, Spirit Lake, IA 51360$207,605
Revenue and Support

Revenue Composition

Contributions and Grants
$50,796
Program Service Revenue
$26,591,958
Investment Income
$241,151
Other Revenue
$39,742
All Other Contributions
$21,875
Change in Net Assets
$1,953,636

Audited Revenue Reconciliation

Revenue per Audited Statements
$26,907,308
Revenue Not Reported on Financial Statements
$16,339
Revenue Not Reported on Form 990
$-1,274,193
Other Revenue Adjustments
$16,339
Total Revenue per Audited Statements
$25,633,115
Total Revenue per Form 990
$26,923,647
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,852,583
Other Expenses$12,089,654
Grants and Similar Amounts Paid$27,774
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,969,531$1,061,252-$10,030,783
Fees for Services Other$1,728,556$40,466-$1,769,022
Other Employee Benefits$1,423,520$195,101-$1,618,621
Depreciation Depletion$1,526,487--$1,526,487
Payroll Taxes$607,499$63,950-$671,449
All Other Expenses$469,675$183,105-$652,780
Pension Plan Contributions$98,429$433,301-$531,730
Occupancy$379,351--$379,351
Office Expenses$207,157$154,955-$362,112
Fees for Services Management$30,000$332,088-$362,088
Insurance$70,551$258,824-$329,375
Information Technology$79,460$62,405-$141,865
Interest$104,408--$104,408
Conferences and Meetings$70,585$11,275-$81,860
Advertising$471$35,539-$36,010
Fees for Services Accounting-$35,700-$35,700
Grants to Domestic Orgs$27,774--$27,774
Travel$11,297$8,861-$20,158
Other Expenses$102--$102
Total Functional Expenses$22,093,189$2,876,822$0$24,970,011

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$24,970,011
Expenses per Audited Statements$23,955,769
Total Expenses per Audited Statements$23,955,769
Expenses Not Reported on Financial Statements$1,014,242
Other Expense Adjustments$1,014,242
Expenses Not Reported on Form 990$0
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$3,125--
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$1,250,000
Clinic Collaborative Arrangement$570,551

Bond Issues

BondIssuerIssuedIssue PricePurpose
AThe City of Estherville Iowa2012-06-21$3,840,000Refund the Series 2000 Bonds issued 12/14/2000

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$3,840,000$3,763,200$725,000$76,800

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
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 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 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 11

The CEO reviews the 990 in detail. After the CEO's review, the 990 is provided to each Board Member.

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 officers are compensated by Avera McKennan. Avera McKennan has a process in place for determining compensation for these individuals.

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.

Form 990, Part VI, Section B, Line 16B:

There is no written policy or procedure since in the event of any such proposed transaction the board or a committee with delegated authority reviews all materials, valuations and operational aspects for any proposed transaction. Such transaction would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Any transaction also would be approved by the board and the member.

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
Dale Hustedt
Title
President & CEO
Phone
7123626519
Signed
2017-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dale Hustedt
Formed
1996
Legal Domicile
Ia
Voting Board Members
10
Independent Board Members
10
Employees
245
Volunteers
12

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 XI, line 9:

Equity Transfers -184,003.

Form 990, Part XII, Line 2C:

The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the audited financial statements for Avera Holy Family.

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:

The Organization is an Iowa nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Organization is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Organization is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report its unrelated business taxable income. The Organization believes that it has 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 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 Organization's federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2013.

Part XI, Line 2D - Other Adjustments:

Provision for Bad Debts Reported in Revenue on Financial Statements -1,014,242.

Part XI, Line 4B - Other Adjustments:

Change in Interest in Net Assets Avera Health Fdtn in Fund Balance for F/S 16,339.

Part XII, Line 4B - Other Adjustments:

Provision for Bad Debts Reported in Revenue on Financial Statements 1,014,242.

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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 Health operates a 25-bed critical access hospital and provider-based clinic located in Estherville, Iowa. Inpatient and outpatient medical services are provided. The hospital provided 2,463 inpatient bed days.Avera Holy Family maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy and equivalent service statistics. The amount of charges foregone, based on established rates, were $407,510 for the year ended June 30, 2016.The Hospital also provides community benefit health activities at less than or at no cost to support those in the area served. These activities include community education programs; special programs for the elderly, handicapped, and medically underserved; and a variety of broad community support activities. For the years ended June 30, 2016, specific activities included meals delivered to residential homes; meeting facilities; and programs for patients and families suffering from cancer, diabetes, breathing disorders, and others; assistance to health educators; emergency health care providers; and wellness programs.
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IRS990/FeesForServicesManagementGrp/ProgramServicesAmt030000
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IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt040466
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt01728556
IRS990/FeesForServicesOtherGrp/TotalAmt01769022
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt410.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt70.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt80.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt90.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt100.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt111.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt120.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt130.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt91.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1040.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1145.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1340.00
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd1X
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
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IRS990/Form990PartVIISectionAGrp/OfficerInd3X
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/OtherCompensationAmt1023189
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1122714
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt123356
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1318011
IRS990/Form990PartVIISectionAGrp/PersonNm0Joe Fitzgibbons
IRS990/Form990PartVIISectionAGrp/PersonNm1Joe Greig
IRS990/Form990PartVIISectionAGrp/PersonNm2Dr Anthony Cook
IRS990/Form990PartVIISectionAGrp/PersonNm3Sr Debra Kolecka
IRS990/Form990PartVIISectionAGrp/PersonNm4Sr Mary Jaeger
IRS990/Form990PartVIISectionAGrp/PersonNm5Chris Schiltz
IRS990/Form990PartVIISectionAGrp/PersonNm6Kathy Preston
IRS990/Form990PartVIISectionAGrp/PersonNm7Sr Sharon Haas
IRS990/Form990PartVIISectionAGrp/PersonNm8Roslyn Gunderson
IRS990/Form990PartVIISectionAGrp/PersonNm9Scott Stokes
IRS990/Form990PartVIISectionAGrp/PersonNm10Dale Hustedt
IRS990/Form990PartVIISectionAGrp/PersonNm11Shannon Adams
IRS990/Form990PartVIISectionAGrp/PersonNm12Kristi Hough
IRS990/Form990PartVIISectionAGrp/PersonNm13April Krull
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt12126594
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10156989
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1197234
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Sec/Treas & SrVP Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt12Pharmacy Manager
IRS990/Form990PartVIISectionAGrp/TitleTxt13Pharmacist
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr01996
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt014932
IRS990/GainOrLossGrp/SecuritiesAmt0214992
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt010
IRS990/GrantAmt027774
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt027774
IRS990/GrantsToDomesticOrgsGrp/TotalAmt027774
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/OtherAmt014932
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0214992
IRS990/GrossReceiptsAmt026923647
IRS990/GrossRentsGrp/RealAmt039742
IRS990/GroupExemptionNum00928
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt010
IRS990/IndivRcvdGreaterThan100KCnt02
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt062405
IRS990/InformationTechnologyGrp/ProgramServicesAmt079460
IRS990/InformationTechnologyGrp/TotalAmt0141865
IRS990/InsuranceGrp/ManagementAndGeneralAmt0258824
IRS990/InsuranceGrp/ProgramServicesAmt070551
IRS990/InsuranceGrp/TotalAmt0329375
IRS990/InterestGrp/ProgramServicesAmt0104408
IRS990/InterestGrp/TotalAmt0104408
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0749685
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0716064
IRS990/InvestmentIncomeGrp/ExclusionAmt011227
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt011227
IRS990/InvestmentInJointVentureInd01
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt015680663
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt015935234
IRS990/InvestmentsProgramRelatedGrp/BOYAmt0198013
IRS990/InvestmentsProgramRelatedGrp/EOYAmt0247052
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0293480
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0296976
IRS990/InvestTaxExemptBondsInd00
IRS990/IRPDocumentCnt053
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt016076909
IRS990/LandBldgEquipBasisNetGrp/BOYAmt013240052
IRS990/LandBldgEquipBasisNetGrp/EOYAmt013509620
IRS990/LandBldgEquipCostOrOtherBssAmt029586529
IRS990/LegalDomicileStateCd0IA
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt055049
IRS990/NetAssetsOrFundBalancesBOYAmt029788838
IRS990/NetAssetsOrFundBalancesEOYAmt031298520
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0229924
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0229924
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt039742
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt039742
IRS990/NetUnrelatedBusTxblIncmAmt0711
IRS990/NetUnrlzdGainsLossesInvstAmt0-259951
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0379351
IRS990/OccupancyGrp/TotalAmt0379351
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0154955
IRS990/OfficeExpensesGrp/ProgramServicesAmt0207157
IRS990/OfficeExpensesGrp/TotalAmt0362112
IRS990/OfficerMailingAddressInd00
IRS990/OnBehalfOfIssuerInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0179787
IRS990/OtherAssetsTotalGrp/EOYAmt0646233
IRS990/OtherChangesInNetAssetsAmt0-184003
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0195101
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01423520
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01618621
IRS990/OtherExpensesGrp/Desc0Medical Supplies
IRS990/OtherExpensesGrp/Desc1Locum Fees
IRS990/OtherExpensesGrp/Desc2Bad Debt Expense
IRS990/OtherExpensesGrp/Desc3UBI Tax
IRS990/OtherExpensesGrp/ProgramServicesAmt04093682
IRS990/OtherExpensesGrp/ProgramServicesAmt11180412
IRS990/OtherExpensesGrp/ProgramServicesAmt21014242
IRS990/OtherExpensesGrp/ProgramServicesAmt3102
IRS990/OtherExpensesGrp/TotalAmt04093682
IRS990/OtherExpensesGrp/TotalAmt11180412
IRS990/OtherExpensesGrp/TotalAmt21014242
IRS990/OtherExpensesGrp/TotalAmt3102
IRS990/OtherLiabilitiesGrp/BOYAmt02347351
IRS990/OtherLiabilitiesGrp/EOYAmt01820551
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt01061252
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt08969531
IRS990/OtherSalariesAndWagesGrp/TotalAmt010030783
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt063950
IRS990/PayrollTaxesGrp/ProgramServicesAmt0607499
IRS990/PayrollTaxesGrp/TotalAmt0671449
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0433301
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt098429
IRS990/PensionPlanContributionsGrp/TotalAmt0531730
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt022542
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt022542
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0145061
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0159508
IRS990/PrincipalOfficerNm0Dale Hustedt
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0622110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/BusinessCd3900099
IRS990/ProgramServiceRevenueGrp/BusinessCd4900099
IRS990/ProgramServiceRevenueGrp/Desc0Patient Service Revenu
IRS990/ProgramServiceRevenueGrp/Desc1Other Revenue
IRS990/ProgramServiceRevenueGrp/Desc2Change in Foundation
IRS990/ProgramServiceRevenueGrp/Desc3Cafeteria
IRS990/ProgramServiceRevenueGrp/Desc4Collaborative Agreement
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt025481822
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1909737
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt271904
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt350024
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt448655
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt025481822
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1912553
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt271904
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt350024
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt448655
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt02816
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt041213
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt033316
IRS990/PYInvestmentIncomeAmt0480572
IRS990/PYOtherExpensesAmt011064874
IRS990/PYOtherRevenueAmt036557
IRS990/PYProgramServiceRevenueAmt024936162
IRS990/PYRevenuesLessExpensesAmt02164285
IRS990/PYSalariesCompEmpBnftPaidAmt012232029
IRS990/PYTotalExpensesAmt023330219
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt025494504
IRS990/QuidProQuoContributionsInd00

Document Assets

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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