Civic Intelligence

Gettysburg Medical Center

990 • Fiscal year 2015 • EIN 46-0234354

Jul 01, 2014 to Jun 30, 2015 • Filed on May 16, 2016

606 East GarfieldGettysburg, SD 57442

(605) 765-2488

Siviq Scores

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

Liabilities / Assets

38th percentile

0.09x

Higher debt load relative to assets than 38% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

40th percentile

0.12x

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

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Net Margin

72nd percentile

13%

Higher net margin than 72% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

95th percentile

$568,889

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 8.9% of source-year revenue.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Asset Growth

77th percentile

12%

Faster asset growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

72nd percentile

14%

Faster revenue growth than 72% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Assets

Up

$8,953,768

Up $927,605 (+12%) from 2014

Net Assets

Up

$8,172,223

Up $837,546 (+11%) from 2014

Liabilities

Up

$781,545

Up $90,059 (+13%) from 2014

Revenue

Up

$6,393,202

Up $785,024 (+14%) from 2014

Expenses

Down

$5,555,222

Down $219,183 (-3.8%) from 2014

Net Income

Up

$837,980

Up $1,004,207 (+604%) from 2014

Historical Trend

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2010: $7,740,688Liabilities 2010: $3,294,804Net Assets 2010: $4,445,8842010Assets 2011: $8,204,054Liabilities 2011: $2,399,238Net Assets 2011: $5,804,8162011Assets 2012: $9,158,907Liabilities 2012: $2,738,720Net Assets 2012: $6,420,1872012Assets 2013: $10,765,814Liabilities 2013: $3,265,042Net Assets 2013: $7,500,7722013Assets 2014: $8,026,163Liabilities 2014: $691,486Net Assets 2014: $7,334,6772014Assets 2015: $8,953,768Liabilities 2015: $781,545Net Assets 2015: $8,172,2232015Assets 2016: $9,586,709Liabilities 2016: $265,664Net Assets 2016: $9,321,0452016Assets 2017: $10,411,525Liabilities 2017: $496,159Net Assets 2017: $9,915,3662017Assets 2018: $10,873,753Liabilities 2018: $548,990Net Assets 2018: $10,324,7632018Assets 2019: $11,788,322Liabilities 2019: $687,215Net Assets 2019: $11,101,1072019Assets 2020: $16,594,797Liabilities 2020: $4,968,157Net Assets 2020: $11,626,6402020Assets 2021: $24,786,516Liabilities 2021: $11,901,300Net Assets 2021: $12,885,2162021Assets 2022: $17,011,211Liabilities 2022: $3,748,405Net Assets 2022: $13,262,8062022Assets 2023: $24,541,675Liabilities 2023: $10,402,418Net Assets 2023: $14,139,2572023Assets 2024: $35,514,104Liabilities 2024: $19,493,227Net Assets 2024: $16,020,8772024

Highlighted filing

2015

Assets$8,953,768
Liabilities$781,545
Net Assets$8,172,223

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $5,253,4952010Expenses 2011: $5,543,5602011Expenses 2012: $5,589,7862012Expenses 2013: $5,249,6092013Revenue 2014: $5,608,178Expenses 2014: $5,774,405Net Income 2014: -$166,2272014Revenue 2015: $6,393,202Expenses 2015: $5,555,222Net Income 2015: $837,9802015Revenue 2016: $6,723,426Expenses 2016: $5,593,399Net Income 2016: $1,130,0272016Revenue 2017: $6,823,618Expenses 2017: $6,223,655Net Income 2017: $599,9632017Revenue 2018: $6,867,622Expenses 2018: $6,467,414Net Income 2018: $400,2082018Revenue 2019: $8,542,670Expenses 2019: $7,768,188Net Income 2019: $774,4822019Revenue 2020: $9,186,361Expenses 2020: $8,648,843Net Income 2020: $537,5182020Revenue 2021: $11,602,552Expenses 2021: $10,455,726Net Income 2021: $1,146,8262021Revenue 2022: $12,283,433Expenses 2022: $11,632,628Net Income 2022: $650,8052022Revenue 2023: $12,778,709Expenses 2023: $12,769,963Net Income 2023: $8,7462023Revenue 2024: $13,727,200Expenses 2024: $12,875,879Net Income 2024: $851,3212024

Highlighted filing

2015

Revenue$6,393,202
Expenses$5,555,222
Net Income$837,980
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 16, 2016
Return Version
2014v6.0
Gross Receipts
$6,393,202
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$5,625,693$5,514,027▼ $111,666
Savings and Temporary Cash Investments$586,040$1,768,593▲ $1,182,553
Land, Buildings, and Equipment, Net$1,043,422$976,286▼ $67,136
Accounts Receivable$655,768$673,544▲ $17,776
Prepaid Expenses and Deferred Charges$32,199$21,589▼ $10,610
Inventories for Sale or Use$83,041$-271▼ $83,312
Total Assets$8,026,163$8,953,768▲ $927,605
Liabilities
Other Liabilities$432,701$560,000▲ $127,299
Accounts Payable and Accrued Expenses$258,785$221,545▼ $37,240
Total Liabilities$691,486$781,545▲ $90,059
Net Assets / Fund Balance
Unrestricted Net Assets$7,334,677$8,172,223▲ $837,546
Total Net Assets Fund Balance$7,334,677$8,172,223▲ $837,546
Total Liabilities and Net Assets / Fund Balance$8,026,163$8,953,768▲ $927,605

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$358,582$3,808,510$4,167,092
Equipment$290,632$1,032,347$1,322,979
Land$300,294-$300,294
Other Land Buildings$26,778$79,872$106,650
Leasehold Improvements$0$65,459$65,459
Other Securities$5,514,027--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mark SchmidtExecutive DirectorPT$127,800$31,385$159,185

Board Members and Trustees

NameTitle
Colleen LambChair
Bob SuttonPresident & CEO (as of 8/25/14)
Terry FitzkeVice Chair/Secretary/Treasurer
Dan LuskBoard Member
Dr Jessica RasmussenBoard Member
Dr Joseph VillaBoard Member
Dr Joseph WyattBoard Member
Janet CroninBoard Member
Peggy WilliamsBoard Member
Scott IsburgBoard Member
Sister Kathleen CrowleyBoard Member
Sister Mary JaegerBoard Member
Sister Sandra MeekBoard Member
Paul EbmeierCEO (thru 8/25/14)
Tom WagnerCFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Rural Health Care IncER coverage and Medical Director202 Island Drive Suite 1, Fort Pierre, SD 57532$179,763
Revenue and Support

Revenue Composition

Contributions and Grants
$26,261
Program Service Revenue
$6,349,444
Investment Income
$0
Other Revenue
$17,497
All Other Contributions
$26,261
Change in Net Assets
$837,980
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,697,857
Other Expenses$1,852,965
Grants and Similar Amounts Paid$4,400
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,298,052$170,099-$2,468,151
Other Employee Benefits$706,299$22,123-$728,422
Fees for Services Other$442,175--$442,175
Office Expenses$200,318$50,080-$250,398
Payroll Taxes$159,991$17,777-$177,768
Current Officers, Directors, Trustees, and Key Employees-$168,970-$168,970
Occupancy$138,242--$138,242
All Other Expenses$119,486--$119,486
Depreciation Depletion$116,413--$116,413
Pension Plan Contributions$91,902$1,806-$93,708
Comp Disqual Persons$60,838--$60,838
Other Expenses$56,350--$56,350
Insurance$40,222--$40,222
Travel-$22,571-$22,571
Advertising$10,948--$10,948
Conferences and Meetings$8,031--$8,031
Fees for Services Accounting-$6,395-$6,395
Grants to Domestic Individuals$4,400--$4,400
Fees for Services Legal-$3,349-$3,349
Information Technology$529--$529
Total Functional Expenses$5,092,052$463,170$0$5,555,222
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Caitie GravesDaughter of officerEmployee CompensationNo$60,838
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Payor Settlements$560,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

Sister Kathleen Crowley, Sister Mary Jaeger, Joe Villa, Bob Sutton, and Paul Ebmeier have business relationships.

Form 990, Part VI, Section A, line 6

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

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

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

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

Avera Health, as the sole member, has the following rights as the Member. 1) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of 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, South Dakota ("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 Chief Executive Officer of the Corporation. 8) To approve 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 are no committees with the authority to act on behalf of the governing body.

Form 990, Part VI, Section B, line 11

Once the return is prepared, the return is reviewed by the Executive Director. The Executive Director presents the return to the Avera Gettysburg Hospital's board at a board meeting or sends electronically to the board.

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

All board members are required to complete an annual conflict of interest disclosure statement. In addition, any board member with a conflict is required to declare the conflict at the beginning of each board or committee meeting. The entire board or committee determines whether the affected board member should be excluded from voting and discussions due to the disclosed conflict.

Form 990, Part VI, Section B, line 15B

The CEO is compensated by Avera Health System. 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 compensation of the other officers and key employees is determined by Avera Health Human Resources based on a market analysis of comparable positions. The compensation is approved by the CEO. This process is completed on an annual basis.

Form 990, Part VI, Section C, line 19

The organization's conflict of interest policy and governing documents are not available to the public. The organization's financial statements are included in Avera Health's consolidated audited financial statements.

Filing and Contact Details

Filer

Filer Name
Gettysburg Medical Center
EIN
46-0234354
Phone
6057652488
Address
606 East Garfield, Gettysburg, SD 57442

Signing Officer

Name
Todd Forkel
Title
CEO
Phone
6057652488
Signed
2016-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Todd Forkel
Formed
1952
Legal Domicile
Sd
Voting Board Members
12
Independent Board Members
9
Employees
108
Volunteers
14

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 V, Line 1A:

Independent contractors reported relate to services received by Avera Gettysburg, however a related organization files all applicable Form 1099s on behalf of the organization.

Form 990, Part XII, Line 2C:

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

Financial Statement Notes

Part X, Line 2:

Avera Health and most of its sponsored organizations are considered nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. These organizations are required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). Avera Health and certain sponsored organizations also file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report their unrelated business taxable income. Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The federal Form 990T filings for consolidated subsidiaries are no longer subject to federal tax examinations by tax authorities for years before 2012.

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IRS990/Desc0The Avera Gettysburg Hospital was founded in 1948 with its doors opening in 1952. To strengthen the organization, the previously leased buildings; Oahe Manor, Oahe Villa and the Community Care Clinic joined Avera Gettysburg in 1999. As the first Catholic hospital to serve the community and later primary care clinic and long term care facilities, Avera Gettysburg embraced the mission of the founding, religious congregation, which has joined with other religious congregations to form Avera. The mission of Avera Gettysburg is to develop a healthy community and provide care to all in need. Community service has always been at the core of Avera Gettysburg activities. Each year, services and programs are encouraged to promote a healthy community. The programs and services described throughout this report not only serve the community but also reduce the burdens on the government. For example, if Avera Gettysburg did not provide charity care, the burden of providing charity care would fall on area county poor relief programs.To live out the Mission of Avera Gettysburg we:* Provide services to all persons in the community on a non-discriminatory basis. * Operate an emergency room that is open to all persons regardless of ability to pay. * Have an open medical staff with privileges available to all qualified health care providers in the area.* Have a governing body in which independent persons representative of the community and area comprise a majority.* Participate in Medicaid, Medicare, CHAMPUS, Tricare and/or other government sponsored health care programs. Avera Gettysburg serves the counties of Potter, Sully, Faulk, and Dewey, with a general service area population of 2,300. As a frontier community primarily supported by agriculture we serve both a high risk industry and an aging population. Avera Gettysburg prides itself on providing a continuum of care for all in need. As an aging region, the health status of people we serve includes, but is not limited to, congestive heart failure, diabetes, cancer, orthopedic conditions, dementia, and other geriatric ailments. To ensure the highest access and quality to health services, Avera Gettysburg collaborates with Avera St. Mary's, Avera Medical Group Physicians, North Central Heart Physicians, and Rural Health Care Inc. Rural Health Care Inc. is an on-site Community Health Center which services all based on ability to pay and extends very similar mission based services as Avera Gettysburg. Along with these services, Avera Gettysburg must be prepared for any and all trauma and emergency needs.Financial Assistance: Avera Gettysburg provides financial assistance to those who meet certain criteria based on specific poverty guidelines, those most vulnerable are uninsured and under-insured which both are effectively managed by the program. Avera Gettysburg takes every action to identify and assist those in need to complete required documentation. The facility communicates the program thru posters, direct verbal notification and thru collaboration with the Community Health Center. The Avera Gettysburg's policy on third party discounts is to limit its reduction to 3-5% of charges, this helps ensure the viability of the services necessary for our community. This policy has been successful due to our at-risk status identified by most payor organizations. They see the opportunity to partner with us to ensure our continued success thru access of those they provide coverage for.Broader Community:Avera Gettysburg supports many economic development activities both in-kind and with direct support. The organization partners with many other non-profit community based providers to ensure access for primary care, EMT training facilities, health promotion and education, distance learning opportunities, support for local EMS and Fire departments, along with many other activities. Avera Gettysburg knows its organization must reach out to the broader community and finds success in building relationships with
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt820800
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1238243
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1329450
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1430097
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1530234
IRS990/Form990PartVIISectionAGrp/PersonNm0Colleen Lamb
IRS990/Form990PartVIISectionAGrp/PersonNm1Terry Fitzke
IRS990/Form990PartVIISectionAGrp/PersonNm2Dan Lusk
IRS990/Form990PartVIISectionAGrp/PersonNm3Dr Joseph Villa
IRS990/Form990PartVIISectionAGrp/PersonNm4Janet Cronin
IRS990/Form990PartVIISectionAGrp/PersonNm5Scott Isburg
IRS990/Form990PartVIISectionAGrp/PersonNm6Sister Sandra Meek
IRS990/Form990PartVIISectionAGrp/PersonNm7Dr Joseph Wyatt
IRS990/Form990PartVIISectionAGrp/PersonNm8Dr Jessica Rasmussen
IRS990/Form990PartVIISectionAGrp/PersonNm9Peggy Williams
IRS990/Form990PartVIISectionAGrp/PersonNm10Sister Mary Jaeger
IRS990/Form990PartVIISectionAGrp/PersonNm11Sister Kathleen Crowley
IRS990/Form990PartVIISectionAGrp/PersonNm12Bob Sutton
IRS990/Form990PartVIISectionAGrp/PersonNm13Paul Ebmeier
IRS990/Form990PartVIISectionAGrp/PersonNm14Tom Wagner
IRS990/Form990PartVIISectionAGrp/PersonNm15Mark Schmidt
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt8304275
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt12306096
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair
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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 (as of 8/25/14)
IRS990/Form990PartVIISectionAGrp/TitleTxt13CEO (thru 8/25/14)
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt15Executive Director
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01952
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
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IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt04400
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt04400
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt06393202
IRS990/GrossRentsGrp/RealAmt017467
IRS990/GroupExemptionNum00928
IRS990/GroupReturnForAffiliatesInd00
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IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
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IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
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IRS990/InformationTechnologyGrp/ProgramServicesAmt0529
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IRS990/InsuranceGrp/ProgramServicesAmt040222
IRS990/InsuranceGrp/TotalAmt040222
IRS990/InventoriesForSaleOrUseGrp/BOYAmt083041
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0-271
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IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt05514027
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
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IRS990/LandBldgEquipBasisNetGrp/EOYAmt0976286
IRS990/LandBldgEquipCostOrOtherBssAmt05962474
IRS990/LegalDomicileStateCd0SD
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
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/NetAssetsOrFundBalancesBOYAmt07334677
IRS990/NetAssetsOrFundBalancesEOYAmt08172223
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt017467
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt017467
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-434
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0138242
IRS990/OccupancyGrp/TotalAmt0138242
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt050080
IRS990/OfficeExpensesGrp/ProgramServicesAmt0200318
IRS990/OfficeExpensesGrp/TotalAmt0250398
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt022123
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0706299
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0728422
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IRS990/OtherExpensesGrp/Desc1Repairs and Maintenance
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IRS990/OtherExpensesGrp/ProgramServicesAmt1116658
IRS990/OtherExpensesGrp/ProgramServicesAmt256350
IRS990/OtherExpensesGrp/TotalAmt0521198
IRS990/OtherExpensesGrp/TotalAmt1116658
IRS990/OtherExpensesGrp/TotalAmt256350
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IRS990/OtherLiabilitiesGrp/EOYAmt0560000
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
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IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02298052
IRS990/OtherSalariesAndWagesGrp/TotalAmt02468151
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt017777
IRS990/PayrollTaxesGrp/ProgramServicesAmt0159991
IRS990/PayrollTaxesGrp/TotalAmt0177768
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01806
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt091902
IRS990/PensionPlanContributionsGrp/TotalAmt093708
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt032199
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt021589
IRS990/PrincipalOfficerNm0Todd Forkel
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0Patient Service Revenu
IRS990/ProgramServiceRevenueGrp/Desc1Cafeteria
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt16758
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt16758
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
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IRS990/RentalIncomeOrLossGrp/RealAmt017467
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IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
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IRS990/SavingsAndTempCashInvstGrp/BOYAmt0586040
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01768593
IRS990ScheduleA/HospitalInd0X
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleC/DirectContactLegislatorsInd00
IRS990ScheduleC/GrantsOtherOrganizationsInd00
IRS990ScheduleC/MailingsMembersInd00
IRS990ScheduleC/MediaAdvertisementsInd00
IRS990ScheduleC/NotDescribedSection501c3Ind00
IRS990ScheduleC/OtherActivitiesAmt0352
IRS990ScheduleC/OtherActivitiesInd01
IRS990ScheduleC/PaidStaffOrManagementInd00
IRS990ScheduleC/PublicationsOrBroadcastInd00
IRS990ScheduleC/RalliesDemonstrationsInd00
IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0Avera Gettysburg paid dues to organizations which have a portion of the dues attributed to lobbying activities.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0Part II-B, Line 1:
IRS990ScheduleC/TotalLobbyingExpendituresAmt0352
IRS990ScheduleC/VolunteersInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0358582
IRS990ScheduleD/BuildingsGrp/DepreciationAmt03808510
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt04167092
IRS990ScheduleD/EquipmentGrp/BookValueAmt0290632
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01032347
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01322979
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt0300294
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0300294
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt065459
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt065459
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt026778
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt079872

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$35.5$19.5$16.0$13.7$12.9$0.85
2023Detailed filing. Detailed filing data is available for this year.$24.5$10.4$14.1$12.8$12.8$0.01
2022Detailed filing. Detailed filing data is available for this year.$17.0$3.75$13.3$12.3$11.6$0.65
2021Detailed filing. Detailed filing data is available for this year.$24.8$11.9$12.9$11.6$10.5$1.15
2020Detailed filing. Detailed filing data is available for this year.$16.6$4.97$11.6$9.19$8.65$0.54
2019Detailed filing. Detailed filing data is available for this year.$11.8$0.69$11.1$8.54$7.77$0.77
2018Detailed filing. Detailed filing data is available for this year.$10.9$0.55$10.3$6.87$6.47$0.40
2017Summary only. Only limited summary data is available for this year.$10.4$0.50$9.92$6.82$6.22$0.60
2016Detailed filing. Detailed filing data is available for this year.$9.59$0.27$9.32$6.72$5.59$1.13
2015Detailed filing. Detailed filing data is available for this year.$8.95$0.78$8.17$6.39$5.56$0.84
2014Detailed filing. Detailed filing data is available for this year.$8.03$0.69$7.33$5.61$5.77$0.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$3.27$7.50$5.25
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.16$2.74$6.42$5.59
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.20$2.40$5.80$5.54
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.74$3.29$4.45$5.25
Peer Organizations

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