Civic Intelligence

Avera Holy Family

990 • Fiscal year 2017 • EIN 42-0680370

Jul 01, 2016 to Jun 30, 2017 • Filed on May 09, 2018

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

0.17x

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

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

44th percentile

0.24x

Higher debt load relative to revenue than 44% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

68th percentile

10%

Higher net margin than 68% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

84th percentile

$503,132

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

67th percentile

9.5%

Faster asset growth than 67% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

61st percentile

8.7%

Faster revenue growth than 61% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$41,561,915

Up $3,604,284 (+9.5%) from 2016

Net Assets

Up

$34,530,690

Up $3,232,170 (+10%) from 2016

Liabilities

Up

$7,031,225

Up $372,114 (+5.6%) from 2016

Revenue

Up

$29,269,237

Up $2,345,590 (+8.7%) from 2016

Expenses

Up

$26,293,607

Up $1,323,596 (+5.3%) from 2016

Net Income

Up

$2,975,630

Up $1,021,994 (+52%) from 2016

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

2017

Assets$41,561,915
Liabilities$7,031,225
Net Assets$34,530,690

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

2017

Revenue$29,269,237
Expenses$26,293,607
Net Income$2,975,630
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 9, 2018
Return Version
2016v3.0
Gross Receipts
$29,303,635
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$15,935,234$21,117,582▲ $5,182,348
Land, Buildings, and Equipment, Net$13,509,620$13,055,280▼ $454,340
Accounts Receivable$3,481,778$3,004,144▼ $477,634
Savings and Temporary Cash Investments$2,965,166$2,788,478▼ $176,688
Inventories for Sale or Use$716,064$794,867▲ $78,803
Prepaid Expenses and Deferred Charges$159,508$322,260▲ $162,752
Investments in Publicly Traded Securities$296,976$295,163▼ $1,813
Investments Program Related$247,052$184,141▼ $62,911
Total Assets$37,957,631$41,561,915▲ $3,604,284
Other Assets Total$646,233$0▼ $646,233
Liabilities
Tax Exempt Bond Liabilities$3,010,157$2,768,824▼ $241,333
Other Liabilities$1,820,551$2,161,279▲ $340,728
Accounts Payable and Accrued Expenses$1,828,403$2,101,122▲ $272,719
Total Liabilities$6,659,111$7,031,225▲ $372,114
Net Assets / Fund Balance
Unrestricted Net Assets$31,029,292$34,199,641▲ $3,170,349
Temporarily Rstr Net Assets$246,686$308,507▲ $61,821
Permanently Rstr Net Assets$22,542$22,542→ $0
Total Net Assets Fund Balance$31,298,520$34,530,690▲ $3,232,170
Total Liabilities and Net Assets / Fund Balance$37,957,631$41,561,915▲ $3,604,284

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,923,409$9,453,579$17,376,988
Equipment$3,815,371$5,916,759$9,732,130
Other Land Buildings$846,160$319,669$1,165,829
Land$470,340-$470,340
Other Securities$2,301,213--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$1,055,754-▲ $442,798-$1,490,407
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Anthony CookBoard Member-$478,961$24,977$503,938
Dr Randy AsmanBoard Member-$265,489$30,283$295,772
Dr Douglas StanglBoard Member-$204,108$30,341$234,449
April KrullPharmacistFT$113,528$31,905$145,433
Kristi HoughPharmacy ManagerFT$138,240$4,091$142,331
Shannon AdamsSec/Treas & SrVP FinanceFT-$129,102$129,102

Board Members and Trustees

NameTitle
Kathy PrestonChair
Dale HustedtPresident & CEO
Joe GreigVice Chair
Chris SchiltzBoard Member
Joe FitzgibbonsBoard 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$823,992
Acute Care IncER CoveragePO Box 4130, Des Moines, IA 50333$498,042
Woodward Anesthesia Services PCAnesthesia Services203 N 8th St, Estherville, IA 51334$310,231
Fit for Life Physical Therapy LLCPhysical Therapy826 N 8th, Estherville, IA 51334$254,078
Grapetree Medical StaffingStaffing703 16th Street, Spirit Lake, IA 51360$236,197
Revenue and Support

Revenue Composition

Contributions and Grants
$39,769
Program Service Revenue
$27,809,874
Investment Income
$1,386,767
Other Revenue
$32,827
Change in Net Assets
$2,975,630

Audited Revenue Reconciliation

Revenue per Audited Statements
$29,207,416
Revenue Not Reported on Financial Statements
$61,821
Revenue Not Reported on Form 990
$-820,017
Other Revenue Adjustments
$61,821
Total Revenue per Audited Statements
$28,387,399
Total Revenue per Form 990
$29,269,237
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,904,437
Other Expenses$12,366,895
Grants and Similar Amounts Paid$22,275
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,923,821$995,346-$9,919,167
Fees for Services Other$1,793,645$67,643-$1,861,288
Other Employee Benefits$1,474,609$168,002-$1,642,611
Depreciation Depletion$1,497,141--$1,497,141
Other Expenses$1,075,913--$1,075,913
Current Officers, Directors, Trustees, and Key Employees$998,532--$998,532
Payroll Taxes$672,303$81,379-$753,682
Pension Plan Contributions$188,945$401,500-$590,445
All Other Expenses$329,441$258,824-$588,265
Occupancy$397,527--$397,527
Office Expenses$253,162$133,879-$387,041
Fees for Services Management$30,100$332,088-$362,188
Insurance$74,377$247,878-$322,255
Information Technology$54,840$53,542-$108,382
Interest$99,055--$99,055
Conferences and Meetings$66,534$15,658-$82,192
Fees for Services Accounting-$37,340-$37,340
Advertising$1,333$27,603-$28,936
Grants to Domestic Orgs$22,275--$22,275
Travel$8,806$8,449-$17,255
Total Functional Expenses$23,464,476$2,829,131$0$26,293,607

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$26,293,607
Expenses per Audited Statements$25,217,694
Total Expenses per Audited Statements$25,217,694
Expenses Not Reported on Financial Statements$1,075,913
Other Expense Adjustments$1,075,913
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$1,750,461
Estimated Third Party Payor Settlements$410,818

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$975,000$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
Yes
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 11B

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.

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
2018-05-09
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
253
Volunteers
17

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 644.

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 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.

Part XI, Line 2D - Other Adjustments:

Provision for Bad Debts Reported in Revenue on Financial Statements -1,075,913.

Part XI, Line 4B - Other Adjustments:

Change in Interest in Net Assets Avera Health Fdtn in Fund Balance for F/S 61,821.

Part XII, Line 4B - Other Adjustments:

Provision for Bad Debts Reported in Revenue on Financial Statements 1,075,913.

Raw XML AppendixShowing 400 of 1,303 raw XML fields

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 2,538 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 $746,578 for the year ended June 30, 2017.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, 2017, 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/Form990PartVIISectionAGrp/OtherCompensationAmt10
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1225954
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1324587
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt144091
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1531905
IRS990/Form990PartVIISectionAGrp/PersonNm0Kathy Preston
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/PersonNm6Joe Fitzgibbons
IRS990/Form990PartVIISectionAGrp/PersonNm7Sr Sharon Haas
IRS990/Form990PartVIISectionAGrp/PersonNm8Roslyn Gunderson
IRS990/Form990PartVIISectionAGrp/PersonNm9Scott Stokes
IRS990/Form990PartVIISectionAGrp/PersonNm10Dr Randy Asman
IRS990/Form990PartVIISectionAGrp/PersonNm11Dr Douglas Stangl
IRS990/Form990PartVIISectionAGrp/PersonNm12Dale Hustedt
IRS990/Form990PartVIISectionAGrp/PersonNm13Shannon Adams
IRS990/Form990PartVIISectionAGrp/PersonNm14Kristi Hough
IRS990/Form990PartVIISectionAGrp/PersonNm15April Krull
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt13104515
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
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/TitleTxt10Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt13Sec/Treas & SrVP Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt14Pharmacy Manager
IRS990/Form990PartVIISectionAGrp/TitleTxt15Pharmacist
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01996
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt0-34398
IRS990/GainOrLossGrp/SecuritiesAmt01411990
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt010
IRS990/GrantAmt022275
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt022275
IRS990/GrantsToDomesticOrgsGrp/TotalAmt022275
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt01411990
IRS990/GrossReceiptsAmt029303635
IRS990/GrossRentsGrp/RealAmt032827
IRS990/GroupExemptionNum00928
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt010
IRS990/IndivRcvdGreaterThan100KCnt05
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt053542
IRS990/InformationTechnologyGrp/ProgramServicesAmt054840
IRS990/InformationTechnologyGrp/TotalAmt0108382
IRS990/InsuranceGrp/ManagementAndGeneralAmt0247878
IRS990/InsuranceGrp/ProgramServicesAmt074377
IRS990/InsuranceGrp/TotalAmt0322255
IRS990/InterestGrp/ProgramServicesAmt099055
IRS990/InterestGrp/TotalAmt099055
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0716064
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0794867
IRS990/InvestmentIncomeGrp/ExclusionAmt09175
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt09175
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt015935234
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt021117582
IRS990/InvestmentsProgramRelatedGrp/BOYAmt0247052
IRS990/InvestmentsProgramRelatedGrp/EOYAmt0184141
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0296976
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0295163
IRS990/InvestTaxExemptBondsInd00
IRS990/IRPDocumentCnt054
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt015690007
IRS990/LandBldgEquipBasisNetGrp/BOYAmt013509620
IRS990/LandBldgEquipBasisNetGrp/EOYAmt013055280
IRS990/LandBldgEquipCostOrOtherBssAmt028745287
IRS990/LegalDomicileStateCd0IA
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt034398
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/NetAssetsOrFundBalancesBOYAmt031298520
IRS990/NetAssetsOrFundBalancesEOYAmt034530690
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt01377592
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt01377592
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt032827
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt032827
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0255896
IRS990/NondeductibleContributionsInd00
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IRS990/OccupancyGrp/TotalAmt0397527
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0133879
IRS990/OfficeExpensesGrp/ProgramServicesAmt0253162
IRS990/OfficeExpensesGrp/TotalAmt0387041
IRS990/OfficerMailingAddressInd00
IRS990/OnBehalfOfIssuerInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0646233
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0644
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0168002
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01474609
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01642611
IRS990/OtherExpensesGrp/Desc0Medical Supplies
IRS990/OtherExpensesGrp/Desc1Locum Fees
IRS990/OtherExpensesGrp/Desc2Bad Debt Expense
IRS990/OtherExpensesGrp/ProgramServicesAmt04083018
IRS990/OtherExpensesGrp/ProgramServicesAmt11419099
IRS990/OtherExpensesGrp/ProgramServicesAmt21075913
IRS990/OtherExpensesGrp/TotalAmt04083018
IRS990/OtherExpensesGrp/TotalAmt11419099
IRS990/OtherExpensesGrp/TotalAmt21075913
IRS990/OtherLiabilitiesGrp/BOYAmt01820551
IRS990/OtherLiabilitiesGrp/EOYAmt02161279
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0995346
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt08923821
IRS990/OtherSalariesAndWagesGrp/TotalAmt09919167
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt081379
IRS990/PayrollTaxesGrp/ProgramServicesAmt0672303
IRS990/PayrollTaxesGrp/TotalAmt0753682
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0401500
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0188945
IRS990/PensionPlanContributionsGrp/TotalAmt0590445
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt022542
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt022542
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0159508
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0322260
IRS990/PrincipalOfficerNm0Dale Hustedt
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0622110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/BusinessCd3900099
IRS990/ProgramServiceRevenueGrp/BusinessCd4900099
IRS990/ProgramServiceRevenueGrp/Desc0Patient Service Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Pharmacy Revenue
IRS990/ProgramServiceRevenueGrp/Desc2Change in Foundation
IRS990/ProgramServiceRevenueGrp/Desc3Other Revenue
IRS990/ProgramServiceRevenueGrp/Desc4Collaborative Agreement
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt025809537
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt11476504
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2239591
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3166872
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt470090
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt025809537
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11476504
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2239591
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3166872
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt470090
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt050796
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt027774

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