Civic Intelligence

Gettysburg Medical Center

990 • Fiscal year 2016 • EIN 46-0234354

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

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

24th percentile

0.03x

Higher debt load relative to assets than 24% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Liabilities / Revenue

19th percentile

0.04x

Higher debt load relative to revenue than 19% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Net Margin

78th percentile

17%

Higher net margin than 78% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Top Officer Pay

95th percentile

$571,633

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 8.5% of source-year revenue.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Asset Growth

68th percentile

7.1%

Faster asset growth than 68% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Revenue Growth

57th percentile

5.2%

Faster revenue growth than 57% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Assets

Up

$9,586,709

Up $632,941 (+7.1%) from 2015

Net Assets

Up

$9,321,045

Up $1,148,822 (+14%) from 2015

Liabilities

Down

$265,664

Down $515,881 (-66%) from 2015

Revenue

Up

$6,723,426

Up $330,224 (+5.2%) from 2015

Expenses

Up

$5,593,399

Up $38,177 (+0.7%) from 2015

Net Income

Up

$1,130,027

Up $292,047 (+35%) from 2015

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

2016

Assets$9,586,709
Liabilities$265,664
Net Assets$9,321,045

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

2016

Revenue$6,723,426
Expenses$5,593,399
Net Income$1,130,027
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 10, 2017
Return Version
2015v3.0
Gross Receipts
$6,723,426
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
Land, Buildings, and Equipment, Net$976,286$1,577,480▲ $601,194
Savings and Temporary Cash Investments$1,768,593$879,160▼ $889,433
Accounts Receivable$673,544$470,840▼ $202,704
Investments Other Securities$31,056$202,683▲ $171,627
Prepaid Expenses and Deferred Charges$21,589$28,566▲ $6,977
Inventories for Sale or Use$-271--
Total Assets$8,953,768$9,586,709▲ $632,941
Other Assets Total$5,482,971$6,427,980▲ $945,009
Liabilities
Accounts Payable and Accrued Expenses$221,545$200,664▼ $20,881
Other Liabilities$560,000$65,000▼ $495,000
Total Liabilities$781,545$265,664▼ $515,881
Net Assets / Fund Balance
Unrestricted Net Assets$8,172,223$9,321,045▲ $1,148,822
Total Net Assets Fund Balance$8,172,223$9,321,045▲ $1,148,822
Total Liabilities and Net Assets / Fund Balance$8,953,768$9,586,709▲ $632,941

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$306,788$3,860,304$4,167,092
Equipment$944,750$1,113,899$2,058,649
Land$300,294-$300,294
Other Land Buildings$25,648$81,002$106,650
Leasehold Improvements$0$65,459$65,459
Other Assets Org$6,427,980--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tom WagnerCFO (thru Oct 2015)FT-$145,213$145,213
Robert ShecklerAdministrator (as of Aug 2015)FT$36,679$4,981$41,660

Board Members and Trustees

NameTitle
Terry FitzkeChair
Todd ForkelPresident & CEO (as of Dec 2015)
Bob SuttonPresident & CEO (thru Dec 2015)
Dr Joseph VillaVice Chair/secretary/treasurer
Dan LuskBoard Member
Dr Jessica RasmussenBoard Member
Dr Joseph WyattBoard Member
Justin CroninBoard Member
Mike WeisgramBoard Member
Peggy WilliamsBoard Member
Scott IsburgBoard Member
Sister Kathleen CrowleyBoard Member
Sister Mary JaegerBoard Member
Geoff DurstCFO (as of Oct 2015)

Highest Paid Contractors

ContractorServicesLocationCompensation
Rural Health Care INCEr Coverage And Medical Director202 ISLAND DRIVE SUITE 1, Fort Pierre, SD 57532$179,663
Revenue and Support

Revenue Composition

Contributions and Grants
$411,396
Program Service Revenue
$6,292,222
Investment Income
$1,981
Other Revenue
$17,827
All Other Contributions
$400,000
Change in Net Assets
$1,130,027
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,718,753
Other Expenses$1,872,250
Grants and Similar Amounts Paid$2,396
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,388,517$236,610-$2,625,127
Other Employee Benefits$635,501$21,331-$656,832
Fees for Services Other$456,688--$456,688
Office Expenses$183,618$45,904-$229,522
Payroll Taxes$166,468$18,496-$184,964
Occupancy$141,245--$141,245
Depreciation Depletion$134,477--$134,477
Pension Plan Contributions$104,127$5,480-$109,607
Current Officers, Directors, Trustees, and Key Employees-$106,134-$106,134
All Other Expenses$74,606--$74,606
Other Expenses$66,435--$66,435
Comp Disqual Persons$36,089--$36,089
Travel$8,921$26,306-$35,227
Insurance$31,209--$31,209
Information Technology$14,576--$14,576
Conferences and Meetings$8,293--$8,293
Fees for Services Accounting-$7,285-$7,285
Fees for Services Legal-$6,815-$6,815
Advertising$2,815--$2,815
Grants to Domestic Individuals$2,396--$2,396
Total Functional Expenses$5,119,038$474,361$0$5,593,399
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Payor Settlements$65,000
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
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
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, and bob sutton 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

The return is reviewed by the cfo. The cfo presents the return to the board at a board meeting or an electronic copy of the return is sent to each board member by email for their review prior to filing.

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 reporet is provided to the board.

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
2017-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Todd Forkel
Formed
1952
Legal Domicile
Sd
Voting Board Members
11
Independent Board Members
8
Employees
106
Volunteers
9

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 2013.

Raw XML AppendixShowing 400 of 1,186 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/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. 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 OTHER COMMUNITY BASED SERVICE ORGANIZATIONS FOR THE PROMOTION OF A HEALTHIER COMMUNITY.
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt22.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt32.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt42.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt52.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt62.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt72.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt82.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt92.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt102.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt112.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt122.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1340.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1540.00
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
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt75300
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1240732
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt134981
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1422005
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1519352
IRS990/Form990PartVIISectionAGrp/PersonNm0TERRY FITZKE
IRS990/Form990PartVIISectionAGrp/PersonNm1DR JOSEPH VILLA
IRS990/Form990PartVIISectionAGrp/PersonNm2DAN LUSK
IRS990/Form990PartVIISectionAGrp/PersonNm3JUSTIN CRONIN
IRS990/Form990PartVIISectionAGrp/PersonNm4SCOTT ISBURG
IRS990/Form990PartVIISectionAGrp/PersonNm5MIKE WEISGRAM
IRS990/Form990PartVIISectionAGrp/PersonNm6DR JOSEPH WYATT
IRS990/Form990PartVIISectionAGrp/PersonNm7DR JESSICA RASMUSSEN
IRS990/Form990PartVIISectionAGrp/PersonNm8PEGGY WILLIAMS
IRS990/Form990PartVIISectionAGrp/PersonNm9SISTER MARY JAEGER
IRS990/Form990PartVIISectionAGrp/PersonNm10SISTER KATHLEEN CROWLEY
IRS990/Form990PartVIISectionAGrp/PersonNm11TODD FORKEL
IRS990/Form990PartVIISectionAGrp/PersonNm12BOB SUTTON
IRS990/Form990PartVIISectionAGrp/PersonNm13ROBERT SHECKLER
IRS990/Form990PartVIISectionAGrp/PersonNm14GEOFF DURST
IRS990/Form990PartVIISectionAGrp/PersonNm15TOM WAGNER
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
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/ReportableCompFromOrgAmt1336679
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1507529
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt6565860
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt7321000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt12371428
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt14218970
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt15125861
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR/SECRETARY/TREASURER
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/TitleTxt11PRESIDENT & CEO (AS OF DEC 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt12PRESIDENT & CEO (THRU DEC 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt13ADMINISTRATOR (AS OF AUG 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO (AS OF OCT 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt15CFO (THRU OCT 2015)
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01952
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt01965
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt011
IRS990/GovernmentGrantsAmt011396
IRS990/GrantAmt02396
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt02396
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt02396
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt01965
IRS990/GrossReceiptsAmt06723426
IRS990/GrossRentsGrp/RealAmt017827
IRS990/GroupExemptionNum00928
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt08
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt014576
IRS990/InformationTechnologyGrp/TotalAmt014576
IRS990/InsuranceGrp/ProgramServicesAmt031209
IRS990/InsuranceGrp/TotalAmt031209
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0-271
IRS990/InvestmentIncomeGrp/ExclusionAmt016
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt016
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt031056
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0202683
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt05120664
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0976286
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01577480
IRS990/LandBldgEquipCostOrOtherBssAmt06698144
IRS990/LegalDomicileStateCd0SD
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
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/NetAssetsOrFundBalancesBOYAmt08172223
IRS990/NetAssetsOrFundBalancesEOYAmt09321045
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt01965
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt01965
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt017827
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt017827
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt018795
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0141245
IRS990/OccupancyGrp/TotalAmt0141245
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt045904
IRS990/OfficeExpensesGrp/ProgramServicesAmt0183618
IRS990/OfficeExpensesGrp/TotalAmt0229522
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt05482971
IRS990/OtherAssetsTotalGrp/EOYAmt06427980
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt021331
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0635501
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0656832
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1REPAIRS AND MAINTENANCE
IRS990/OtherExpensesGrp/Desc2BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/ProgramServicesAmt0531452
IRS990/OtherExpensesGrp/ProgramServicesAmt1131605
IRS990/OtherExpensesGrp/ProgramServicesAmt266435
IRS990/OtherExpensesGrp/TotalAmt0531452
IRS990/OtherExpensesGrp/TotalAmt1131605
IRS990/OtherExpensesGrp/TotalAmt266435
IRS990/OtherLiabilitiesGrp/BOYAmt0560000
IRS990/OtherLiabilitiesGrp/EOYAmt065000
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0236610
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02388517
IRS990/OtherSalariesAndWagesGrp/TotalAmt02625127
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt018496
IRS990/PayrollTaxesGrp/ProgramServicesAmt0166468
IRS990/PayrollTaxesGrp/TotalAmt0184964
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt05480
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0104127
IRS990/PensionPlanContributionsGrp/TotalAmt0109607
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt021589
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt028566
IRS990/PrincipalOfficerNm0TODD FORKEL
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICE REVENU
IRS990/ProgramServiceRevenueGrp/Desc1CAFETERIA
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt06104496
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt17809
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt06104496
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt17809
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt026261
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt04400
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt01852965
IRS990/PYOtherRevenueAmt017497
IRS990/PYProgramServiceRevenueAmt06349444
IRS990/PYRevenuesLessExpensesAmt0837980
IRS990/PYSalariesCompEmpBnftPaidAmt03697857
IRS990/PYTotalExpensesAmt05555222
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt06393202
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt01130027
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt017827
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt06292222
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01768593
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0879160
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
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/OtherActivitiesAmt0333
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/TotalLobbyingExpendituresAmt0333
IRS990ScheduleC/VolunteersInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0306788
IRS990ScheduleD/BuildingsGrp/DepreciationAmt03860304
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt04167092
IRS990ScheduleD/EquipmentGrp/BookValueAmt0944750
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01113899
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02058649
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt0300294
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0300294
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt00

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