Civic Intelligence

Avera Health Plans Inc

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.

5300 S Broadband LnSioux Falls, SD 57108

averahealthplans.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

57th percentile

0.36x

Higher debt load relative to assets than 57% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

22nd percentile

0.11x

Higher debt load relative to revenue than 22% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Net Margin

50th percentile

4.5%

Higher net margin than 50% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

40th percentile

3.2%

Faster asset growth than 40% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

13th percentile

-10%

Faster revenue growth than 13% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2015: $47,717,458Liabilities 2015: $25,610,599Net Assets 2015: $22,106,8592015Assets 2016: $56,625,039Liabilities 2016: $34,383,874Net Assets 2016: $22,241,1652016Assets 2017: $77,062,871Liabilities 2017: $45,303,321Net Assets 2017: $31,759,5502017Assets 2018: $77,746,308Liabilities 2018: $37,995,239Net Assets 2018: $39,751,0692018Assets 2019: $94,760,633Liabilities 2019: $43,588,104Net Assets 2019: $51,172,5292019Assets 2020: $110,420,388Liabilities 2020: $45,940,073Net Assets 2020: $64,480,3152020Assets 2021: $89,852,085Liabilities 2021: $56,185,936Net Assets 2021: $33,666,1492021Assets 2022: $99,399,851Liabilities 2022: $67,815,446Net Assets 2022: $31,584,4052022Assets 2023: $94,133,862Liabilities 2023: $47,282,372Net Assets 2023: $46,851,4902023Assets 2024: $97,099,522Liabilities 2024: $35,064,136Net Assets 2024: $62,035,3862024

Highlighted filing

2024

Assets$97,099,522
Liabilities$35,064,136
Net Assets$62,035,386

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$200M$0-$200MRevenue 2015: $40,960,944Expenses 2015: $54,022,950Net Income 2015: -$13,062,0062015Revenue 2016: $211,513,355Expenses 2016: $210,950,548Net Income 2016: $562,8072016Revenue 2017: $270,357,229Expenses 2017: $262,191,458Net Income 2017: $8,165,7712017Revenue 2018: $268,466,086Expenses 2018: $255,488,120Net Income 2018: $12,977,9662018Revenue 2019: $287,416,585Expenses 2019: $275,683,826Net Income 2019: $11,732,7592019Revenue 2020: $326,945,286Expenses 2020: $299,167,383Net Income 2020: $27,777,9032020Revenue 2021: $344,814,571Expenses 2021: $383,335,892Net Income 2021: -$38,521,3212021Revenue 2022: $337,041,127Expenses 2022: $351,085,632Net Income 2022: -$14,044,5052022Revenue 2023: $342,342,227Expenses 2023: $331,043,313Net Income 2023: $11,298,9142023Revenue 2024: $307,117,436Expenses 2024: $293,221,455Net Income 2024: $13,895,9812024

Highlighted filing

2024

Revenue$307,117,436
Expenses$293,221,455
Net Income$13,895,981

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 7, 2025
Return Version
2024v5.2
Gross Receipts
$322,242,352
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.

Provide low-cost, high quality health plan coverage.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
Other Assets Org$394,748--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Preston RenshawCMOFT$431,884$60,963$492,847
David WarsingCOO (mar-jun)FT$96,825$324,609$421,434
Jordan AndersonVP - Sales/sr Director - SalesFT$207,943$177,240$385,183
Christopher JessenCFOFT$303,740$45,535$349,275
Renee SchroederMedical DirectorFT$281,198$55,501$336,699
Lisa CarlsonVP - Product Strategy & DevFT$227,816$50,515$278,331
Josephine Opong-vaughnVP - Network Dev (beg Mar 2024)FT$183,341$39,599$222,940
Sara Hansen - Senior Dir ofPopulation Health & Clinic OpsFT$195,974$25,519$221,493
Jason BortmenBusiness Development ExecutiveFT$107,447$97,736$205,183
Michael DooleyDirector of Provider RelationsFT$154,871$46,112$200,983
John Mohr - Director ofProvider Contracting (jan-jun)FT$50,480$145,017$195,497

Board Members and Trustees

NameTitle
Michael BenderChair
James DoverDIRECTOR; PRESIDENT/CEO AVERA HEALTH
Bob SuttonFormer President
David LemperlePresident/CEO
Richard KormanVice President
Clark SinclairDirector
David FlicekDirector
Douglas EkerenDirector
Jacquelyn JohnsonDirector
Ryan HuberDirector
Sarah TuntlandDirector
Andrew EllsworthDIRECTOR; PHYSICIAN
Julie LauttSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Attentis Consulting INCContracted Services - Software Build38 STORYTELLER COURT, Sandia Park, NM 87047$2,119,865
UmrNetwork Access FeesPO BOX 860689, Minneapolis, MN 55486-0689$1,957,865
Healthedge Software INCSaas FeesPO BOX 347589, Pittsburgh, PA 15251-4816$1,915,490
Doherty Consulting INCProfessional ServicesPO BOX 860597, Saint Paul, MN 55170-0597$1,007,164
OmnitechContracted Services5841 S CORPORATE PLACE, Sioux Falls, SD 57108$902,867
Revenue and Support

Revenue Composition

Contributions and Grants
$196
Program Service Revenue
$304,597,748
Investment Income
$2,519,492
Other Revenue
$0
Change in Net Assets
$13,895,981

Audited Revenue Reconciliation

Revenue per Audited Statements
$286,863,906
Revenue Not Reported on Financial Statements
$20,253,530
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$20,133,321
Total Revenue per Audited Statements
$286,863,906
Total Revenue per Form 990
$307,117,436
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
South Dakota Partners in EducationSioux Falls, SD501(c)(3)Scholarship$650,000
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
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-ENTITY OWNED MORE THAN 35% BY BOARD MEMBER CLARK SINCLAIRHealth InsuranceNo$660,512
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Incomplete and Unreported Claims Payable, Net$19,502,224
Payable to Parent, Subsidiaries and Affiliates$2,048,575
Unpaid Claims Adjustment$522,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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 4

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.

Form 990, Part VI, Section A, Line 6

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.

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

Avera health, as the sole shareholder, has the right to appoint and remove members of the board.

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

Avera health, as the sole shareholder, has standard shareholder authorities with respect to the corporation.

Form 990, Part VI, Section A, Line 8B

There is no committee with authority to act on behalf of the board.

Form 990, Part VI, Section B, Line 11B

The cfo reviews the form 990 in depth prior to filing with the irs.

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

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.

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

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.

Form 990, Part VI, Section C, Line 19

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.

Part VI Line 16B

The purpose of any company that avera health plans invests in is reviewed to ensure that it will further the mission of our organization.

Filing and Contact Details

Filer

Filer Name
Avera Health Plans Inc
EIN
46-0451539
Phone
6053224500
Address
5300 S BROADBAND LN, SIOUX FALLS, SD 57108

Signing Officer

Name
Christopher Jessen
Title
CFO
Phone
6053224500
Signed
2025-10-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Dover Fache
Formed
1999
Legal Domicile
Sd
Voting Board Members
11
Independent Board Members
4
Employees
189
Volunteers
5

Preparer

Firm
Eide Bailly Llp
Address
345 N REID PL STE 400, SIOUX FALLS, SD 57103-7034
Preparer
Laurie Hanson CPA
Phone
6053391999
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in nonadmitted assets -706,909.

Financial Statement Notes

PART X, LINE 2:

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.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

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.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

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.

Raw XML AppendixShowing 400 of 1,362 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/ActivityOrMissionDesc0PROVIDE LOW-COST, HIGH QUALITY HEALTH PLAN COVERAGE.
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IRS990/Desc0AS 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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR; PRESIDENT/CEO AVERA HEALTH
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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt17COO (MAR-JUN)
IRS990/Form990PartVIISectionAGrp/TitleTxt18MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19POPULATION HEALTH & CLINIC OPS
IRS990/Form990PartVIISectionAGrp/TitleTxt20BUSINESS DEVELOPMENT EXECUTIVE
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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.
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