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Nonprofiteer
← AVERA GRANITE FALLS

Form 990 for tax year 2023

Filed by AVERA GRANITE FALLS.

Totals

Total revenue
$30,956,113
Total expenses
$28,278,592
Contributions and grants received
$481,084
Grants paid
$0
Program service revenue
$30,247,956
Investment income
$209,007
Other revenue
$18,066
Total assets, end of year
$30,187,089
Total liabilities, end of year
$10,364,844
Net assets or fund balances, end of year
$19,822,245
Program services expenses (Part IX)
$24,314,722
Management and general expenses
$3,963,870
Fundraising expenses
$0
Program service expenses (Part III)
$24,314,722

Program services were 86.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $8,494

  • 1e · Government grants (contributions)

    $472,590

  • 1g · Noncash contributions included above

    $17,312

  • 2a · Program service revenue: Net Patient Revenue

    total $28,487,990 · related or exempt $28,487,990

  • 2b · Program service revenue: Pharmacy Revenue

    total $1,218,034 · related or exempt $1,218,034

  • 2c · Program service revenue: Patient and Clinic Revenue

    total $69,822 · related or exempt $69,822

  • 2f · All other program service revenue

    total $472,110 · related or exempt $472,110

  • 3 · Investment income

    total $1,147 · excluded $1,147

  • 6a · Gross rents

    real property $28,024

  • 6b · Less rental expenses

    real property $13,819

  • 6c · Rental income or loss

    real property $14,205

  • 6d · Net rental income or loss

    total $14,205 · excluded $14,205

  • 7a · Gross sales of assets other than inventory

    securities $205,360 · other assets $2,500

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $205,360 · other assets $2,500

  • 7d · Net gain or loss

    total $207,860 · excluded $207,860

  • 11a · Other revenue: A/R Interest Income

    total $3,861 · related or exempt $3,861

  • 11e · Other revenue, total

    $3,861

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $346,842 · management and general $346,842

  • 7 · Other salaries and wages

    total $11,714,591 · program services $11,525,571 · management and general $189,020

  • 8 · Pension plan contributions

    total $421,076 · program services $415,613 · management and general $5,463

  • 9 · Other employee benefits

    total $1,805,953 · program services $1,777,369 · management and general $28,584

  • 10 · Payroll taxes

    total $828,854 · program services $819,325 · management and general $9,529

  • 11d · Fees: lobbying

    total $372 · management and general $372

  • 11g · Fees: other

    total $5,817,312 · program services $4,249,312 · management and general $1,568,000

  • 12 · Advertising and promotion

    total $3,082 · program services $1,212 · management and general $1,870

  • 13 · Office expenses

    total $393,908 · program services $168,811 · management and general $225,097

  • 14 · Information technology

    total $138,040 · program services $137,389 · management and general $651

  • 16 · Occupancy

    total $662,126 · program services $582,213 · management and general $79,913

  • 17 · Travel

    total $100,207 · program services $93,794 · management and general $6,413

  • 19 · Conferences, conventions and meetings

    total $52,260 · program services $48,573 · management and general $3,687

  • 22 · Depreciation, depletion and amortization

    total $819,264 · program services $490,082 · management and general $329,182

  • 23 · Insurance

    total $143,161 · program services $18,683 · management and general $124,478

  • 24a · Other expenses: Medical Supplies

    total $3,559,288 · program services $3,557,919 · management and general $1,369

  • 24b · Other expenses: Equipment Lease/Rental

    total $5,049 · program services $4,949 · management and general $100

  • 24e · All other expenses

    total $1,467,207 · program services $423,907 · management and general $1,043,300

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $223,450 · end of year -$507,195

  • 4 · Accounts receivable

    beginning of year $2,592,303 · end of year $3,588,605

  • 8 · Inventories for sale or use

    beginning of year $396,477 · end of year $350,979

  • 9 · Prepaid expenses and deferred charges

    beginning of year $173,241 · end of year $177,177

  • 10a · Land, buildings and equipment: cost or other basis

    $6,748,779

  • 10b · Land, buildings and equipment: accumulated depreciation

    $3,785,532

  • 10c · Land, buildings and equipment, net

    beginning of year $3,362,426 · end of year $2,963,247

  • 12 · Investments: other securities

    beginning of year $11,473,987 · end of year $14,074,605

  • 13 · Investments: program-related

    beginning of year $25,663 · end of year $104,628

  • 15 · Other assets

    beginning of year $9,658,344 · end of year $9,435,043

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,527,025 · end of year $1,659,148

  • 19 · Deferred revenue

    end of year $95,690

  • 21 · Escrow or custodial account liability

    beginning of year $7,714 · end of year $8,832

  • 25 · Other liabilities

    beginning of year $10,268,958 · end of year $8,601,174

  • 27 · Net assets without donor restrictions

    beginning of year $15,917,212 · end of year $19,587,046

  • 28 · Net assets with donor restrictions

    beginning of year $184,982 · end of year $235,199

Mission and programs · 2023

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 and guided by Christian values.

Activities or mission (Part I)

Promotion of health

  • Avera Granite Falls' mission is to provide healthcare services to Granite Falls, Minnesota residents and residents of the surrounding area. Avera Granite Falls is a 501(c)(3) organization affiliated with Avera Health and controlled by Avera Marshall. Avera Granite Falls consists of a 25-bed critical access hospital, a 48-bed nursing home, a 28-unit senior living facility in Granite Falls, Minnesota, and one physician clinic. The program services offered include primary care, med/surg, lab, imaging, physical therapy, speech therapy, occupational therapy, respiratory therapy, ambulance, special transportation, ER, telehealth, infusion, general surgery, chemotherapy, cardiac rehab, long term care and independent living. Following is a breakdown of these statistics by facility:Avera Granite Falls Health Center 132 Acute patient discharges 60 Swing bed patient discharges 18,956 Outpatient visits 382 Swing-bed patient days 19,323 Clinic visitsAvera Granite Falls Care Center 17,291 Long-term resident days 36 Long Term Care patient dischargesAvera Granite Falls maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and equivalent service statistics. The amount of charges foregone, based on established rates, were $850,319.Avera Granite Falls also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H. As a member of the Avera Health Network, Avera Granite Falls upholds the vision of the Presentation and Benedictine Sisters to work through collaboration to provide quality, effective health ministry and to improve the healthcare of individuals and our communities through a regionally integrated network of persons and institutions. Avera Granite Falls engages in activities designed to improve the health of individuals and communities in response to a calling to heal the sick, the elderly, and the oppressed.

    Expenses $24,314,722 · Revenue $30,251,817

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Debbie Streier

    Regional President & CEO

    Total calculated
    $506,835
    From this org
    $0
    From related orgs
    $489,400
    Other
    $17,435
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $481,234 related
    Bonus
    $0 + $440 related
    Other
    $0 + $7,726 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $935 related
    Filer's total
    $0 + $506,835 related
  • LaVonne Koenen

    Chair

    Total calculated
    $0
    Hours/week
    2 + 3 related
  • Mark Jensen

    Vice Chair

    Total calculated
    $0
    Hours/week
    2
  • Stephen Crim

    Board Member/Ministerial Juridic

    Total calculated
    $64,095
    From this org
    $0
    From related orgs
    $64,095
    Other
    $0
    Hours/week
    2 + 43 related
  • Thomas Kooiman

    Board Member/Administrator

    Total calculated
    $341,453
    From this org
    $305,221
    From related orgs
    $0
    Other
    $36,232
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $304,498
    Bonus
    $0
    Other
    $723
    Deferred
    $10,137
    Nontaxable benefits
    $26,095
    Filer's total
    $341,453
  • Sharon Pazi Zea

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Rosa Rios Avendano MD

    Board Member/Family Medicine

    Total calculated
    $353,637
    From this org
    $0
    From related orgs
    $317,126
    Other
    $36,511
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,134 related
    Bonus
    $0 + $19,193 related
    Other
    $0 + $21,799 related
    Deferred
    $0 + $10,259 related
    Nontaxable benefits
    $0 + $26,253 related
    Filer's total
    $0 + $353,638 related
  • Sister Lucille Welbig

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 5 related
  • Julie Lautt

    CFO Avera Health;Secretary/Treasurer

    Total calculated
    $1,223,076
    From this org
    $0
    From related orgs
    $1,203,675
    Other
    $19,401
    Hours/week
    0.1 + 46.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,197,590 related
    Bonus
    $0 + $480 related
    Other
    $0 + $5,605 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $2,901 related
    Filer's total
    $0 + $1,223,076 related
  • Deena Aus

    Director - Patient Care Services

    Total calculated
    $174,065
    From this org
    $126,008
    From related orgs
    $0
    Other
    $48,057
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $115,167
    Bonus
    $3,940
    Other
    $6,901
    Deferred
    $7,069
    Nontaxable benefits
    $40,988
    Filer's total
    $174,065
  • Ashly Gohr

    RN - III

    Total calculated
    $113,370
    From this org
    $104,903
    From related orgs
    $0
    Other
    $8,467
    Hours/week
    40
  • Jennifer Ann Jager

    Director - Ambulance

    Total calculated
    $163,039
    From this org
    $144,400
    From related orgs
    $0
    Other
    $18,639
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,758
    Bonus
    $13,893
    Other
    $4,749
    Deferred
    $7,317
    Nontaxable benefits
    $11,322
    Filer's total
    $163,039
  • Seth Streblow

    Assistant Director - Ambulance

    Total calculated
    $140,237
    From this org
    $112,107
    From related orgs
    $0
    Other
    $28,130
    Hours/week
    40
  • Jennifer Varpness

    RN - Clinical Informaticist

    Total calculated
    $124,358
    From this org
    $107,505
    From related orgs
    $0
    Other
    $16,853
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3:
The President/CEO serves Avera Marshall, Avera Tyler, and Avera Granite Falls and was compensated by a related organization, Avera Health. Avera Granite Falls relied on the related organization for determining the compensation for the President/CEO using the methods described in Part I, Line 3.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Avera Home Medical Equipment of Floyd Valley Hospital LLC

    Medical services - home medical equipment · SD

  • Avera Home Medical Equipment of Lakes Regional Healthcare LLC

    Medical services - home medical equipment · SD

  • Avera Home Medical Equipment of Sioux Center LLC

    Medical services - home medical equipment · SD

  • Avera Home Medical Equipment of Spencer Hospital LLC

    Medical Services - home medical equipment · SD

  • Brookings Health System - Avera HME LLC

    Healthcare Services · SD

  • Caravan Health ACO 15 LLC dba Prairie Vista Care Organization

    Accountable Care Organization · TX

  • Caravan Health ACO 41 LLC dba Prairie View Care Organization

    Accountable Care Organization · TX

  • Heart Hospital of South Dakota LLC

    Healthcare Services · SD

  • Surgical Associates Endoscopy Clinic LLC

    Surgical associates · SD

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Accounts Management Inc

    C · Collection agency · SD

  • Alucent Australia Pty Ltd

    Biotech Research · AS

  • Alucent Biomedical Inc

    C · Biotech Research · SD

  • Avera Property Insurance Inc

    C · Insurance · SD

  • DakotaCare Administrative Services Inc

    C · Insurance · SD

  • Kore Cares In Home Services LLC

    S · In-home care services · SD

  • South Dakota State Medical Holding Company Inc

    C · Insurance · SD

  • Valley Health Services

    C · Rental real estate · SD

Provenance

Return type
form_990
Tax year
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202531349349308853

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