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Nonprofiteer
← AVERA MARSHALL

Form 990 for tax year 2023

Filed by AVERA MARSHALL.

Totals

Total revenue
$151,414,803
Total expenses
$147,028,201
Contributions and grants received
$407,857
Grants paid
$35,813
Program service revenue
$150,368,471
Investment income
$469,295
Other revenue
$169,180
Total assets, end of year
$101,603,031
Total liabilities, end of year
$28,220,083
Net assets or fund balances, end of year
$73,382,948
Program services expenses (Part IX)
$135,083,961
Management and general expenses
$11,943,602
Fundraising expenses
$638
Program service expenses (Part III)
$135,083,961

Program services were 91.9% 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

    $29,326

  • 1e · Government grants (contributions)

    $378,531

  • 2a · Program service revenue: Net Patient Service Revenue

    total $128,826,996 · related or exempt $128,808,028 · unrelated business $18,968

  • 2b · Program service revenue: Federally Qualified Health Center

    total $15,650,245 · related or exempt $15,650,245

  • 2c · Program service revenue: Pharmacy Revenue

    total $1,766,825 · related or exempt $1,766,825

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

    total $33,537 · related or exempt $33,537

  • 2f · All other program service revenue

    total $4,090,868 · related or exempt $4,090,868

  • 3 · Investment income

    total $227,707 · excluded $227,707

  • 6a · Gross rents

    real property $102,762

  • 6b · Less rental expenses

    real property $8,977

  • 6c · Rental income or loss

    real property $93,785

  • 6d · Net rental income or loss

    total $93,785 · excluded $93,785

  • 7a · Gross sales of assets other than inventory

    securities $242,230

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

    securities $0 · other assets $642

  • 7c · Gain or loss

    securities $242,230 · other assets -$642

  • 7d · Net gain or loss

    total $241,588 · excluded $241,588

  • 11a · Other revenue: A/R Interest

    total $63,915 · related or exempt $63,915

  • 11b · Other revenue: Sports Programs

    total $11,480 · related or exempt $11,480

  • 11e · Other revenue, total

    $75,395

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $35,813 · program services $35,813

  • 5 · Compensation of officers, directors and key employees

    total $1,463,287 · program services $1,463,287

  • 7 · Other salaries and wages

    total $55,748,382 · program services $54,380,469 · management and general $1,367,913

  • 8 · Pension plan contributions

    total $1,893,068 · program services $1,850,494 · management and general $42,574

  • 9 · Other employee benefits

    total $7,634,393 · program services $7,477,815 · management and general $156,578

  • 10 · Payroll taxes

    total $3,526,995 · program services $3,429,027 · management and general $97,968

  • 11b · Fees: legal

    total $121,995 · management and general $121,995

  • 11d · Fees: lobbying

    total $4,091 · management and general $4,091

  • 11g · Fees: other

    total $34,772,323 · program services $28,148,787 · management and general $6,623,536

  • 12 · Advertising and promotion

    total $6,502 · program services $3,302 · management and general $3,200

  • 13 · Office expenses

    total $704,310 · program services $485,278 · management and general $218,862 · fundraising $170

  • 14 · Information technology

    total $550,941 · program services $545,980 · management and general $4,961

  • 16 · Occupancy

    total $2,085,426 · program services $1,757,283 · management and general $328,143

  • 17 · Travel

    total $829,589 · program services $822,384 · management and general $7,205

  • 19 · Conferences, conventions and meetings

    total $227,732 · program services $206,532 · management and general $21,200

  • 20 · Interest

    total $510,014 · program services $423,247 · management and general $86,767

  • 22 · Depreciation, depletion and amortization

    total $5,955,597 · program services $5,367,401 · management and general $587,787 · fundraising $409

  • 23 · Insurance

    total $518,443 · program services $248,194 · management and general $270,249

  • 24a · Other expenses: Medical Supplies

    total $26,852,333 · program services $26,841,450 · management and general $10,824 · fundraising $59

  • 24b · Other expenses: Equipment Lease/Rental

    total $101,909 · program services $101,809 · management and general $100

  • 24c · Other expenses: Provision for Income Ta

    total $2,500 · program services $2,500

  • 24e · All other expenses

    total $3,482,558 · program services $1,492,909 · management and general $1,989,649

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,177,591 · end of year $1,033,965

  • 4 · Accounts receivable

    beginning of year $14,199,316 · end of year $17,564,495

  • 8 · Inventories for sale or use

    beginning of year $3,132,295 · end of year $3,306,368

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,402,764 · end of year $1,178,532

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

    $115,459,251

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

    $66,068,567

  • 10c · Land, buildings and equipment, net

    beginning of year $49,118,791 · end of year $49,390,684

  • 12 · Investments: other securities

    beginning of year $17,239,490 · end of year $23,641,781

  • 13 · Investments: program-related

    beginning of year $1,416,664 · end of year $1,756,599

  • 14 · Intangible assets

    end of year $350,000

  • 15 · Other assets

    beginning of year $4,014,224 · end of year $3,380,607

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,567,236 · end of year $11,014,307

  • 19 · Deferred revenue

    beginning of year $62,024 · end of year $210,809

  • 20 · Tax-exempt bond liabilities

    beginning of year $12,805,303 · end of year $12,283,499

  • 21 · Escrow or custodial account liability

    beginning of year $23,070 · end of year $11,681

  • 25 · Other liabilities

    beginning of year $2,918,327 · end of year $4,699,787

  • 27 · Net assets without donor restrictions

    beginning of year $63,455,740 · end of year $69,361,923

  • 28 · Net assets with donor restrictions

    beginning of year $3,869,435 · end of year $4,021,025

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 guided by Christian values.

Activities or mission (Part I)

Promotion of health

  • Avera Marshall's mission is to provide healthcare services to Marshall, Minnesota residents and residents of the surrounding area. Avera Marshall is a 501(c)(3) organization affiliated with Avera Health. Avera Marshall consists of a 25-bed critical access hospital plus 10 behavioral health beds and a 76-bed nursing home in Marshall, Minnesota, eight physician clinics and seven optometry clinics. The program services offered include primary care, general surgery, neurology (via telemed), dermatology, pediatrics, orthopedics, OB/GYN, urology, oncology, podiatry, psychiatry, nephrology, radiology, optometry, ophthalmology, level III trauma center, ICU, speech therapy, physical therapy, and occupational therapy. Avera Marshall provides acute care and long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Marshall Hospital 1,294 Acute patient discharges 288 Newborn patient discharges 17 Swing bed patient discharges 82,945 Outpatient visits 70 Swing-bed patient days 434 Newborn patient days 53,440 Clinic visitsAvera Morningside Heights Care Center 26,818 Long-term resident days 179 Long Term Care patient dischargesAvera Marshall 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 $5,755,901.Avera Marshall 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 Marshall 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 Marshall 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 $135,083,961 · Grants $35,813 · Revenue $150,424,898

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
    40 + 6 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

  • George Jorgensen

    Chair

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Amanda Sieling

    Vice Chair

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Stephen Crim

    Board Member/Ministerial Juridic

    Total calculated
    $64,095
    From this org
    $0
    From related orgs
    $64,095
    Other
    $0
    Hours/week
    1.5 + 43.5 related

  • Quentin Fixen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Greg Goepferich

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Sharon Hennen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Laurie Johansen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Sr Janice Klein

    Board Member (End 02/2024)

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • LaVonne Koenen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 3.5 related

  • Curtis Louwagie MD

    Board Member/Opthalmology

    Total calculated
    $903,972
    From this org
    $846,339
    From related orgs
    $0
    Other
    $57,633
    Hours/week
    41.5 + 1.5 related

    Schedule J breakdown matched by us

    Base
    $652,244
    Bonus
    $191,293
    Other
    $2,802
    Deferred
    $16,500
    Nontaxable benefits
    $41,133
    Filer's total
    $903,972

  • Tim O'Leary

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Joyce Strootman

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Jill Vroman DO

    Board Member/Family Medicine/OB

    Total calculated
    $561,364
    From this org
    $510,393
    From related orgs
    $0
    Other
    $50,971
    Hours/week
    41.5 + 1.5 related

    Schedule J breakdown matched by us

    Base
    $474,773
    Bonus
    $27,000
    Other
    $8,620
    Deferred
    $16,500
    Nontaxable benefits
    $34,471
    Filer's total
    $561,364

  • Sr Jodie Zimmerman

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 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

  • Emmy Ho MD

    Orthopedics & Surgery

    Total calculated
    $911,837
    From this org
    $861,900
    From related orgs
    $0
    Other
    $49,937
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $792,477
    Bonus
    $15,000
    Other
    $54,423
    Deferred
    $16,372
    Nontaxable benefits
    $33,565
    Filer's total
    $911,837

  • Daniel Lister MD

    Orthopedics & Surgery

    Total calculated
    $883,479
    From this org
    $838,382
    From related orgs
    $0
    Other
    $45,097
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $755,717
    Bonus
    $15,000
    Other
    $67,665
    Deferred
    $16,500
    Nontaxable benefits
    $28,597
    Filer's total
    $883,479

  • Jonna Maas MD

    Internal Medicine & Hospitalist

    Total calculated
    $817,549
    From this org
    $768,315
    From related orgs
    $0
    Other
    $49,234
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $365,371
    Bonus
    $366,444
    Other
    $36,500
    Deferred
    $16,500
    Nontaxable benefits
    $32,734
    Filer's total
    $817,549

  • Timothy Michals MD

    Pediatrics & Internal Medicine

    Total calculated
    $713,089
    From this org
    $695,654
    From related orgs
    $0
    Other
    $17,435
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $668,209
    Bonus
    $26,212
    Other
    $1,233
    Deferred
    $16,500
    Nontaxable benefits
    $935
    Filer's total
    $713,089

  • Arthur Rillo MD

    Family Medicine/OB

    Total calculated
    $768,150
    From this org
    $717,909
    From related orgs
    $0
    Other
    $50,241
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $451,070
    Bonus
    $179,804
    Other
    $87,035
    Deferred
    $16,500
    Nontaxable benefits
    $33,741
    Filer's total
    $768,150

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:
President/CEO serves Avera Marshall, Avera Tyler, and Avera Granite Falls and was compensated by a related organization, Avera Health. Avera Marshall 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

  • Minnesota West Community & Technical College

    $0

    Education for surgical techs

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

    Medical services - Home Medical Equipment · 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
202521349349308692

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