Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
EIN 46-0451539 • 501(c)4 • Sioux Falls, SD
Profile
To make a positive impact in the lives and health of persons and communities by providing quality services guided by christian values.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
Liabilities / Revenue
22nd percentile
Higher debt load relative to revenue than 22% of similar nonprofits.
Net Margin
50th percentile
Higher net margin than 50% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
40th percentile
Faster asset growth than 40% of similar nonprofits.
Revenue Growth
13th percentile
Faster revenue growth than 13% of similar nonprofits.
Assets
Up$97,099,522
Up $2,965,660 (+3.2%) from 2023
Liabilities
Down$35,064,136
Down $12,218,236 (-26%) from 2023
Net Assets
Up$62,035,386
Up $15,183,896 (+32%) from 2023
Revenue
Down$307,117,436
Down $35,224,791 (-10%) from 2023
Expenses
Down$293,221,455
Down $37,821,858 (-11%) from 2023
Net Income
Up$13,895,981
Up $2,597,067 (+23%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Avera is a health ministry rooted in the gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by christian values.
Provide low-cost, high quality health plan coverage.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Pd in Cap Srpls Land Bldg Eqp Fund | $73,325,239 | $73,325,239 | → $0 |
| Investments in Publicly Traded Securities | $74,032,567 | $70,488,765 | ▼ $3,543,802 |
| Savings and Temporary Cash Investments | $9,644,486 | $19,849,643 | ▲ $10,205,157 |
| Cap Stk Tr Prin Current Funds | $100 | $100 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $-26,473,849 | $-11,289,953 | ▲ $15,183,896 |
| Total Assets | $94,133,862 | $97,099,522 | ▲ $2,965,660 |
| Other Assets Total | $10,456,809 | $6,761,114 | ▼ $3,695,695 |
| Liabilities | |||
| Other Liabilities | $38,410,056 | $22,072,799 | ▼ $16,337,257 |
| Accounts Payable and Accrued Expenses | $5,992,786 | $7,796,554 | ▲ $1,803,768 |
| Deferred Revenue | $2,879,530 | $5,194,783 | ▲ $2,315,253 |
| Total Liabilities | $47,282,372 | $35,064,136 | ▼ $12,218,236 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $46,851,490 | $62,035,386 | ▲ $15,183,896 |
| Total Liabilities and Net Assets / Fund Balance | $94,133,862 | $97,099,522 | ▲ $2,965,660 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Assets Org | $394,748 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Preston Renshaw | CMO | FT | $431,884 | $60,963 | $492,847 |
| David Warsing | COO (mar-jun) | FT | $96,825 | $324,609 | $421,434 |
| Jordan Anderson | VP - Sales/sr Director - Sales | FT | $207,943 | $177,240 | $385,183 |
| Christopher Jessen | CFO | FT | $303,740 | $45,535 | $349,275 |
| Renee Schroeder | Medical Director | FT | $281,198 | $55,501 | $336,699 |
| Lisa Carlson | VP - Product Strategy & Dev | FT | $227,816 | $50,515 | $278,331 |
| Josephine Opong-vaughn | VP - Network Dev (beg Mar 2024) | FT | $183,341 | $39,599 | $222,940 |
| Sara Hansen - Senior Dir of | Population Health & Clinic Ops | FT | $195,974 | $25,519 | $221,493 |
| Jason Bortmen | Business Development Executive | FT | $107,447 | $97,736 | $205,183 |
| Michael Dooley | Director of Provider Relations | FT | $154,871 | $46,112 | $200,983 |
| John Mohr - Director of | Provider Contracting (jan-jun) | FT | $50,480 | $145,017 | $195,497 |
| Name | Title |
|---|---|
| Michael Bender | Chair |
| James Dover | DIRECTOR; PRESIDENT/CEO AVERA HEALTH |
| Bob Sutton | Former President |
| David Lemperle | President/CEO |
| Richard Korman | Vice President |
| Clark Sinclair | Director |
| David Flicek | Director |
| Douglas Ekeren | Director |
| Jacquelyn Johnson | Director |
| Ryan Huber | Director |
| Sarah Tuntland | Director |
| Andrew Ellsworth | DIRECTOR; PHYSICIAN |
| Julie Lautt | Secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Attentis Consulting INC | Contracted Services - Software Build | 38 STORYTELLER COURT, Sandia Park, NM 87047 | $2,119,865 |
| Umr | Network Access Fees | PO BOX 860689, Minneapolis, MN 55486-0689 | $1,957,865 |
| Healthedge Software INC | Saas Fees | PO BOX 347589, Pittsburgh, PA 15251-4816 | $1,915,490 |
| Doherty Consulting INC | Professional Services | PO BOX 860597, Saint Paul, MN 55170-0597 | $1,007,164 |
| Omnitech | Contracted Services | 5841 S CORPORATE PLACE, Sioux Falls, SD 57108 | $902,867 |
| Line Item | Amount |
|---|---|
| Other Expenses | $273,003,583 |
| Salaries, Compensation, and Employee Benefits | $19,567,872 |
| Grants and Similar Amounts Paid | $650,000 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $3,160,162 | $17,250,571 | - | $20,410,733 |
| Other Salaries and Wages | $4,491,467 | $9,001,394 | - | $13,492,861 |
| All Other Expenses | $3,936,423 | $1,150,097 | - | $5,086,520 |
| Other Employee Benefits | $1,626,896 | $793,757 | - | $2,420,653 |
| Current Officers, Directors, Trustees, and Key Employees | $930,108 | $1,219,901 | - | $2,150,009 |
| Advertising | $2,792 | $1,366,995 | - | $1,369,787 |
| Payroll Taxes | $334,444 | $635,462 | - | $969,906 |
| Office Expenses | $457,654 | $439,083 | - | $896,737 |
| Grants to Domestic Orgs | $650,000 | - | - | $650,000 |
| Pension Plan Contributions | $178,713 | $355,730 | - | $534,443 |
| Occupancy | - | $497,992 | - | $497,992 |
| Travel | $19,577 | $300,634 | - | $320,211 |
| Depreciation Depletion | $275,956 | - | - | $275,956 |
| Insurance | - | $214,307 | - | $214,307 |
| Fees for Service Investment Mgmnt Fees | - | $120,209 | - | $120,209 |
| Fees for Services Accounting | - | $91,890 | - | $91,890 |
| Fees for Services Legal | - | $17,699 | - | $17,699 |
| Conferences and Meetings | $9,805 | $6,393 | - | $16,198 |
| Other Expenses | $9,226,601 | $5,070 | - | $5,070 |
| Information Technology | - | $3,228 | - | $3,228 |
| Total Functional Expenses | $256,823,685 | $36,397,770 | $0 | $293,221,455 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $293,221,455 |
| Expenses per Audited Statements | $272,967,925 |
| Total Expenses per Audited Statements | $272,967,925 |
| Expenses Not Reported on Financial Statements | $20,253,530 |
| Other Expense Adjustments | $20,133,321 |
| Expenses Not Reported on Form 990 | $0 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| South Dakota Partners in Education | Sioux Falls, SD | 501(c)(3) | Scholarship | $650,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | ENTITY OWNED MORE THAN 35% BY BOARD MEMBER CLARK SINCLAIR | Health Insurance | No | $660,512 |
| Liability | Amount |
|---|---|
| Estimated Incomplete and Unreported Claims Payable, Net | $19,502,224 |
| Payable to Parent, Subsidiaries and Affiliates | $2,048,575 |
| Unpaid Claims Adjustment | $522,000 |
“The amended bylaws set board term limits. The term of each director shall be for four years from the date designated at their appointment and terminating four years thereafter. Intital appointments of directors may be for a period either longer or shorter than a four year term such that one-fourth of the directors shall be subject to reappointments each year. A director may not serve more than two, four-year terms excluding partial terms served. The amended bylaws also state that any action required or permitted to be taken at a regular or special meeting of the board of directors may be taken without a vote if a consent in writing, setting forth the action so taken, is signed by all the directors. The amended bylaws also establish a chair and vice chair of the board. The chair presides at all meetings and performs any duties as agreed upon by the directors. The vice chair acts in the absense of the chair and performs any other duties as delegated by the board.”
“The sole shareholder of the organization is avera health, a nonprofit corporation organized and existing under the laws of the state of south dakota. Avera health is an exempt entity pursuant to 501(c)(3) of the internal revenue code of 1986, as amended.”
“Avera health, as the sole shareholder, has the right to appoint and remove members of the board.”
“Avera health, as the sole shareholder, has standard shareholder authorities with respect to the corporation.”
“There is no committee with authority to act on behalf of the board.”
“The cfo reviews the form 990 in depth prior to filing with the irs.”
“The conflict of interest policy covers board members, officers and key employees. Any declarations of conflict of interest are recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board.”
“The president and ceo (david lemperle) is compensated by avera health. Annually the compensation committee of avera health, which is comprised of six (6) system members appointed by the religious orders, meets with an independent consultant regarding fair market value for compensation 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 cfo, cmo, vp of sales, vp of product strategy & development, vp of network development, and coo are compensated by avera health plans. Compensation is determined by avera health plans human resources based on a market analysis. The compensation committee approves the compensation of the cfo, cmo, vp of sales, vp of product strategy & development, vp of network development, and coo.”
“The organization's articles of incorporation are made available through the secretary of state's website. (https://sos.sd.gov) statutory financial statements are made available to the public upon request by contacting the south dakota division of insurance. The conflict of interest policy is made available upon request.”
“The purpose of any company that avera health plans invests in is reviewed to ensure that it will further the mission of our organization.”
“Change in nonadmitted assets -706,909.”
“The plan believes it has appropriate support for the 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 company 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. For state income tax purposes, the company is taxed as an insurance company. The plan recorded provisions for unrelated business income tax benefit/(expense) of $(5,070) and $0 as of december 31, 2024 and 2023, respectively.”
“Third party administrator revenue offset in expense for audit 10,438,444. Cob and subrogation in expense for audit 18,411. Cost containment allocations in expense for audit 8,613,166. Revenue reclassification 1,063,300.”
“Third party administrator revenue offset in expense for audit 10,438,444. Cob and subrogation in expense for audit 18,411. Cost containment allocations in expense for audit 8,613,166. Revenue reclassification 1,063,300.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 5992786 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 7796554 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDE LOW-COST, HIGH QUALITY HEALTH PLAN COVERAGE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1366995 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2792 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1369787 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1150097 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 3936423 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5086520 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CHRISTOPHER JESSEN CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6053224500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 5300 S BROADBAND LN |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57108 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 100 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 100 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 52 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1219901 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 930108 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2150009 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6393 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 9805 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 16198 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2119865 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1957865 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1915490 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1007164 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 902867 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 38 STORYTELLER COURT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 860689 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 347589 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 860597 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 5841 S CORPORATE PLACE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SANDIA PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PITTSBURGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SAINT PAUL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 87047 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 554860689 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 152514816 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 551700597 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 57108 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ATTENTIS CONSULTING INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | UMR |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | HEALTHEDGE SOFTWARE INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | DOHERTY CONSULTING INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | OMNITECH |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTED SERVICES - SOFTWARE BUILD |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | NETWORK ACCESS FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | SAAS FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PROFESSIONAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONTRACTED SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 196 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 650000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2519492 |
| IRS990/CYOtherExpensesAmt | 0 | 273003583 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 304597748 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 13895981 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 19567872 |
| IRS990/CYTotalExpensesAmt | 0 | 293221455 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 307117436 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2879530 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 5194783 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 275956 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 275956 |
| IRS990/Desc | 0 | AS AN ESSENTIAL COMPONENT OF THE AVERA HEALTH INTEGRATED DELIVERY PLAN, AVERA HEALTH PLANS (AHP) PROVIDES COVERAGE AND CONDUCTS OTHER ACTIVITIES THAT INCREASE THE HEALTH OF THE COMMUNITY IN ITS SERVICE AREA. AHP CONDUCTS SUBSTANTIALLY ALL OF ITS ACTIVITIES WITHIN THE SERVICE AREA OF AVERA HEALTH BUT DOES CONDUCT A SMALL PORTION BEYOND THE AVERA HEALTH SERVICE AREA TO FULFILL ITS MISSION OF MAKING A POSITIVE IMPACT IN THE COMMUNITIES IT SERVES BY ENSURING ADEQUATE RURAL HEALTH CARE IS AVAILABLE. AHP PROVIDES HEALTH INSURANCE COVERAGE TO AN UNDERSERVED POPULATION INCLUDING ELDERLY AND LOW INCOME, HIGH RISK AND MEDICALLY UNDERSERVED PERSONS. OF THE 70,500 TOTAL MEMBERS SERVED IN 2024, 9,635 OF THESE MEMBERS WERE MEDICARE SUPPLEMENT MEMBERS AND APPROXIMATELY 49% CONSISTS OF INDIVIDUALS OR EMPLOYEES OF SMALL GROUPS. APPROXIMATELY 17,743 MEMBERS ARE INDIVIDUALS AND MORE THAN 96.1% OF THE HEALTH CARE EXCHANGE ENROLLEES IN THE INDIVIDUAL CATEGORY WERE ELIGIBLE TO RECEIVE AN ADVANCE PREMIUM TAX CREDIT, WHICH MEANS THEY WERE BELOW 400% OF THE FEDERAL POVERTY LIMIT. AVERA HEALTH PLANS IS FURTHER DISTINGUISHED FROM THE FOR-PROFIT PLANS BY ITS PARTICIPATION IN THE FEDERAL HEALTH INSURANCE EXCHANGE/MARKETPLACE. AHP HAS AFFORDABLE, COMMUNITY-RATED PREMIUMS WHICH ARE MARKET COMPETITIVE, AND THEY DO NOT COVER AHP'S COSTS INCLUDING CLAIMS AND ADMINISTRATIVE EXPENSES. NET MEDICAL AND PHARMACY CLAIMS EXPENSE RESULTED IN A MEDICAL INCOME RATIO (MIR) AVERAGE OF 80.6% FOR 2024. SIGNIFICANT FINANCIAL SUPPORT BY AVERA HEALTH (501(C)(3)) ALLOWS AHP TO REMAIN FINANCIALLY VIABLE.AHP ALSO SPONSORS HEALTH EDUCATION OPEN FORUMS, OPEN HOUSES, AND WEBINARS THAT ARE OPEN TO THE PUBLIC. |
| IRS990/DescribedInSection501c3Ind | 0 | 0 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 189 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 256823685 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 91890 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 91890 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 17699 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 17699 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 17250571 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 3160162 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 20410733 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 120209 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 120209 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 50892 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 20218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 52228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 52913 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 59872 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 47062 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 55428 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 59354 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 57036 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 44029 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 50178 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 17272 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 26321 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 54962 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 25353 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 44694 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 10949 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 45515 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 7987 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JAMES DOVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JULIE LAUTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DOUGLAS EKEREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MICHAEL BENDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | CLARK SINCLAIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ANDREW ELLSWORTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RYAN HUBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAVID LEMPERLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SARAH TUNTLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JACQUELYN JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DAVID FLICEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | RICHARD KORMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DR PRESTON RENSHAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JORDAN ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CHRISTOPHER JESSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | LISA CARLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOSEPHINE OPONG-VAUGHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DAVID WARSING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | RENEE SCHROEDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | SARA HANSEN - SENIOR DIR OF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JASON BORTMEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JOHN MOHR - DIRECTOR OF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MICHAEL DOOLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | BOB SUTTON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 433493 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 328147 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 305246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 228153 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 205668 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 395113 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 281737 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 196140 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 160489 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 184549 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 155467 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2453843 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1274363 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 639691 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 220263 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 628604 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 1450140 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 910447 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 247745 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR; PRESIDENT/CEO AVERA HEALTH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR; PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | VP - SALES/SR DIRECTOR - SALES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP - PRODUCT STRATEGY & DEV |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP - NETWORK DEV (BEG MAR 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | COO (MAR-JUN) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | POPULATION HEALTH & CLINIC OPS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | BUSINESS DEVELOPMENT EXECUTIVE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PROVIDER CONTRACTING (JAN-JUN) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR OF PROVIDER RELATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER PRESIDENT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1999 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -689702 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 196 |
| IRS990/GrantAmt | 0 | 650000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 650000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 650000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 14435214 |
| IRS990/GrossReceiptsAmt | 0 | 322242352 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 4 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3228 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3228 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 214307 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 214307 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3209194 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3209194 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 74032567 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 70488765 |
| IRS990/IRPDocumentCnt | 0 | 1763 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 15124916 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | AVERA IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 46851490 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 62035386 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -689702 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -689702 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1994824 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 497992 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 497992 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 439083 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 457654 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 896737 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 10456809 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 6761114 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -706909 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 793757 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1626896 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2420653 |
| IRS990/OtherExpensesGrp/Desc | 0 | HOSPITAL AND MEDICAL |
| IRS990/OtherExpensesGrp/Desc | 1 | CLAIMS ADJUSTMENT EXPEN |
| IRS990/OtherExpensesGrp/Desc | 2 | PREMIUM TAXES |
| IRS990/OtherExpensesGrp/Desc | 3 | INCOME TAX EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2927358 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 5070 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 231523087 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 9226601 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 231523087 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 9226601 |
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