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Nonprofiteer
← AVERA HEALTH

Form 990 for tax year 2022

Filed by AVERA HEALTH.

Totals

Total revenue
$285,338,511
Total expenses
$291,882,361
Contributions and grants received
$22,270,065
Grants paid
$26,892,445
Program service revenue
$250,557,105
Investment income
$12,851,478
Other revenue
-$340,137
Total assets, end of year
$1,738,162,649
Total liabilities, end of year
$1,435,789,048
Net assets or fund balances, end of year
$302,373,601
Program services expenses (Part IX)
$246,451,320
Management and general expenses
$43,169,031
Fundraising expenses
$2,262,010
Program service expenses (Part III)
$246,451,320

Program services were 84.4% 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.

  • 1a · Federated campaigns

    $280,887

  • 1c · Fundraising events

    $1,082,645

  • 1d · Related organizations

    $1,191,120

  • 1e · Government grants (contributions)

    $2,643,037

  • 1f · All other contributions, gifts and grants

    $17,072,376

  • 1g · Noncash contributions included above

    $109,733

  • 2a · Program service revenue: ACS revenue

    total $219,909,987 · related or exempt $219,909,987

  • 2b · Program service revenue: Other revenue

    total $19,157,339 · related or exempt $17,945,987 · unrelated business $1,211,352

  • 2c · Program service revenue: PACE revenue

    total $7,341,552 · related or exempt $934,262 · unrelated business $6,407,290

  • 2d · Program service revenue: Premier expense credits

    total $4,148,227 · related or exempt $4,148,227

  • 3 · Investment income

    total $6,986,889 · excluded $6,986,889

  • 6a · Gross rents

    real property $2,471,115

  • 6b · Less rental expenses

    real property $3,351,376

  • 6c · Rental income or loss

    real property -$880,261

  • 6d · Net rental income or loss

    total -$880,261 · unrelated business -$956,674 · excluded $76,413

  • 7a · Gross sales of assets other than inventory

    securities $6,887,815

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

    securities $0 · other assets $1,023,226

  • 7c · Gain or loss

    securities $6,887,815 · other assets -$1,023,226

  • 7d · Net gain or loss

    total $5,864,589 · unrelated business $5,878,660 · excluded -$14,071

  • 8a · Fundraising events: gross income

    $693,132

  • 8a · Fundraising events: contributions included on line 1c

    $1,082,645

  • 8b · Fundraising events: direct expenses

    $153,008

  • 8c · Net income from fundraising events

    total $540,124 · excluded $540,124

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $26,797,364 · program services $26,797,364

  • 2 · Grants to domestic individuals

    total $95,081 · program services $95,081

  • 5 · Compensation of officers, directors and key employees

    total $8,135,671 · management and general $8,135,671

  • 6 · Compensation of disqualified persons

    total $150,170 · program services $150,170

  • 7 · Other salaries and wages

    total $126,461,339 · program services $102,573,071 · management and general $22,486,025 · fundraising $1,402,243

  • 8 · Pension plan contributions

    total $5,609,724 · program services $5,149,051 · management and general $399,250 · fundraising $61,423

  • 9 · Other employee benefits

    total $21,530,439 · program services $17,780,844 · management and general $3,500,472 · fundraising $249,123

  • 10 · Payroll taxes

    total $9,427,853 · program services $8,586,539 · management and general $741,627 · fundraising $99,687

  • 11b · Fees: legal

    total $196,312 · program services $123,063 · management and general $73,249

  • 11c · Fees: accounting

    total $1,415,632 · program services $1,415,632

  • 11d · Fees: lobbying

    total $701,354 · program services $701,354

  • 11g · Fees: other

    total $11,843,458 · program services $9,566,848 · management and general $2,222,928 · fundraising $53,682

  • 12 · Advertising and promotion

    total $8,978,866 · program services $8,845,429 · management and general $40,552 · fundraising $92,885

  • 13 · Office expenses

    total $6,342,112 · program services $6,338,566 · management and general -$70,849 · fundraising $74,395

  • 14 · Information technology

    total $35,001,288 · program services $34,435,471 · management and general $365,408 · fundraising $200,409

  • 16 · Occupancy

    total $5,517,499 · program services $1,430,362 · management and general $4,087,137

  • 17 · Travel

    total $671,648 · program services $556,944 · management and general $103,779 · fundraising $10,925

  • 19 · Conferences, conventions and meetings

    total $449,556 · program services $391,159 · management and general $52,498 · fundraising $5,899

  • 20 · Interest

    total $279,573 · program services $232,572 · management and general $47,001

  • 22 · Depreciation, depletion and amortization

    total $20,802,974 · program services $19,962,966 · management and general $837,035 · fundraising $2,973

  • 23 · Insurance

    total -$1,896,996 · program services -$2,034,514 · management and general $137,518

  • 24a · Other expenses: UBI tax

    total $1,361,387 · program services $1,361,387

  • 24b · Other expenses: Medical supplies

    total $1,052,381 · program services $1,035,967 · management and general $10,751 · fundraising $5,663

  • 24c · Other expenses: Lease and rental

    total $108,187 · program services $100,834 · management and general $7,353

  • 24d · Other expenses: Bad debt expense

    total $62,053 · program services $62,053

  • 24e · All other expenses

    total $787,436 · program services $793,107 · management and general -$8,374 · fundraising $2,703

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $27,501,589 · end of year $39,556,446

  • 3 · Pledges and grants receivable

    beginning of year $1,609,551 · end of year $1,454,625

  • 4 · Accounts receivable

    beginning of year $37,731,747 · end of year $27,678,643

  • 8 · Inventories for sale or use

    beginning of year $11,750,560 · end of year $9,452,715

  • 9 · Prepaid expenses and deferred charges

    beginning of year $16,146,619 · end of year $15,507,258

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

    $242,882,802

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

    $149,674,740

  • 10c · Land, buildings and equipment, net

    beginning of year $101,396,137 · end of year $93,208,062

  • 11 · Investments: publicly traded securities

    beginning of year $1,292,137,490 · end of year $1,261,490,473

  • 12 · Investments: other securities

    beginning of year $143,843,078 · end of year $150,197,416

  • 13 · Investments: program-related

    beginning of year $30,792 · end of year $18,492

  • 14 · Intangible assets

    beginning of year $16,196,061 · end of year $16,197,241

  • 15 · Other assets

    beginning of year $108,191,197 · end of year $123,401,278

  • 17 · Accounts payable and accrued expenses

    beginning of year $33,736,130 · end of year $26,358,847

  • 19 · Deferred revenue

    beginning of year $13,064,034 · end of year $11,588,034

  • 20 · Tax-exempt bond liabilities

    beginning of year $18,663,217 · end of year $15,361,822

  • 21 · Escrow or custodial account liability

    beginning of year $1,028,211,189 · end of year $1,035,287,668

  • 23 · Secured mortgages and notes payable

    beginning of year $19,524,946 · end of year $19,295,412

  • 25 · Other liabilities

    beginning of year $184,838,753 · end of year $327,897,265

  • 27 · Net assets without donor restrictions

    beginning of year $440,586,693 · end of year $286,933,501

  • 28 · Net assets with donor restrictions

    beginning of year $17,909,859 · end of year $15,440,100

Mission and programs · 2022

Mission

Avera Health 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 Health is a nonprofit corporation jointly sponsored by the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota and the Benedictine Convent of the Sacred Heart of Yankton, South Dakota, together referenced as the "Sisters." Avera Health acts as the leader of the Avera health ministry, serving as an overall parent to support its affiliated tax-exempt health care organizations. These organizations provide services principally in eastern South Dakota and surrounding states. Avera Health provides management consulting, fund raising and other administrative services to the hospitals, long-term health care facilities, clinics, services and programs that are sponsored or otherwise affiliated with the Sisters.

    Expenses $246,451,320 · Grants $26,892,445 · Revenue $242,938,463

As filed on the 2022 return.

Listed in Part VII

  • Bob Sutton

    President/CEO, Board Member

    Total calculated
    $2,133,816
    From this org
    $2,078,032
    From related orgs
    $0
    Other
    $55,784
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $2,064,357
    Bonus
    $0
    Other
    $13,675
    Deferred
    $15,250
    Nontaxable benefits
    $40,534
    Filer's total
    $2,133,816

  • Dr Luis Rojas-Espaillat

    Chair

    Total calculated
    $732,347
    From this org
    $0
    From related orgs
    $682,717
    Other
    $49,630
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $654,742 related
    Bonus
    $0 + $24,000 related
    Other
    $0 + $3,975 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $34,380 related
    Filer's total
    $0 + $732,347 related

  • Sister Penny Bingham

    Vice Chair

    Total calculated
    $0
    Hours/week
    5 + 4 related

  • Sister Pam Donelan

    Board Member

    Total calculated
    $0
    Hours/week
    5 + 2 related

  • Lori Essig

    Board Member

    Total calculated
    $0
    Hours/week
    5

  • Robert Fouberg

    Board Member

    Total calculated
    $0
    Hours/week
    5

  • Doneen Hollingsworth

    Board Member

    Total calculated
    $0
    Hours/week
    5

  • Sister Mary Jaeger

    Board Member

    Total calculated
    $0
    Hours/week
    5 + 3 related

  • Dr Wayne Kindle

    Board Member/Superintendent YSD

    Total calculated
    $0
    Hours/week
    5

  • Sister Debra Kolecka

    Board Member

    Total calculated
    $0
    Hours/week
    5 + 3 related

  • Sister Mary Kay Panowicz

    Board Member

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • Sister Roxanne Seifert

    Board Member

    Total calculated
    $0
    Hours/week
    5 + 4 related

  • Clark Sinclair

    Board Member

    Total calculated
    $0
    Hours/week
    5

  • Dr Katherine Wang

    Board Member/Neonatology

    Total calculated
    $539,459
    From this org
    $0
    From related orgs
    $524,209
    Other
    $15,250
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,660 related
    Bonus
    $0 + $138,682 related
    Other
    $0 + $1,867 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $539,459 related

  • Dr Jason Wickersham

    Board Member/Family Medicine/OB

    Total calculated
    $474,644
    From this org
    $0
    From related orgs
    $428,084
    Other
    $46,560
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $351,842 related
    Bonus
    $0 + $70,680 related
    Other
    $0 + $5,562 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $31,310 related
    Filer's total
    $0 + $474,644 related

  • Julie Lautt

    CFO, Secretary/Treasurer

    Total calculated
    $1,103,540
    From this org
    $1,086,452
    From related orgs
    $0
    Other
    $17,088
    Hours/week
    45 + 1.4 related

    Schedule J breakdown matched by us

    Base
    $1,075,517
    Bonus
    $460
    Other
    $10,475
    Deferred
    $15,250
    Nontaxable benefits
    $1,838
    Filer's total
    $1,103,540

  • Thomas Clark Left 122022

    Chief Strategy & Growth Officer

    Total calculated
    $827,105
    From this org
    $780,573
    From related orgs
    $0
    Other
    $46,532
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $759,109
    Bonus
    $0
    Other
    $21,464
    Deferred
    $15,250
    Nontaxable benefits
    $31,282
    Filer's total
    $827,105

  • Doug Ekeren

    President/CEO-Sacred Heart

    Total calculated
    $750,622
    From this org
    $704,190
    From related orgs
    $0
    Other
    $46,432
    Hours/week
    0 + 49 related

    Schedule J breakdown matched by us

    Base
    $686,463
    Bonus
    $725
    Other
    $17,002
    Deferred
    $15,250
    Nontaxable benefits
    $31,182
    Filer's total
    $750,622

  • David Flicek

    Pres/CEO - Avera McKennan

    Total calculated
    $1,348,494
    From this org
    $1,301,962
    From related orgs
    $0
    Other
    $46,532
    Hours/week
    0 + 42 related

    Schedule J breakdown matched by us

    Base
    $1,274,133
    Bonus
    $675
    Other
    $27,154
    Deferred
    $15,250
    Nontaxable benefits
    $31,282
    Filer's total
    $1,348,494

  • Debbie Streier

    President/CEO - Avera Marshall

    Total calculated
    $509,045
    From this org
    $470,488
    From related orgs
    $0
    Other
    $38,557
    Hours/week
    0 + 46 related

    Schedule J breakdown matched by us

    Base
    $460,875
    Bonus
    $420
    Other
    $9,193
    Deferred
    $15,250
    Nontaxable benefits
    $23,307
    Filer's total
    $509,045

  • Andrew Burchett

    Chief Medical Information Officer

    Total calculated
    $738,346
    From this org
    $651,549
    From related orgs
    $45,150
    Other
    $41,647
    Hours/week
    40 + 15 related

    Schedule J breakdown matched by us

    Base
    $218,004
    Bonus
    $82,020 + $45,150 related
    Other
    $351,525
    Deferred
    $15,250
    Nontaxable benefits
    $26,397
    Filer's total
    $693,196 + $45,150 related

  • David Erickson Left 122022

    Chief Medical Officer

    Total calculated
    $2,302,588
    From this org
    $2,256,352
    From related orgs
    $0
    Other
    $46,236
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $905,423
    Bonus
    $1,260
    Other
    $1,349,669
    Deferred
    $15,250
    Nontaxable benefits
    $30,986
    Filer's total
    $2,302,588

  • Kimberly Jensen

    Chief Human Resource Officer

    Total calculated
    $692,564
    From this org
    $651,828
    From related orgs
    $0
    Other
    $40,736
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $633,638
    Bonus
    $625
    Other
    $17,565
    Deferred
    $15,250
    Nontaxable benefits
    $25,486
    Filer's total
    $692,564

  • Bruk Kammerman

    Sr. VP - Chief Information Officer

    Total calculated
    $681,455
    From this org
    $665,725
    From related orgs
    $0
    Other
    $15,730
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $661,382
    Bonus
    $0
    Other
    $4,343
    Deferred
    $15,250
    Nontaxable benefits
    $480
    Filer's total
    $681,455

  • Richard Korman

    Chief Legal Officer/General Counsel

    Total calculated
    $845,312
    From this org
    $798,780
    From related orgs
    $0
    Other
    $46,532
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $783,792
    Bonus
    $0
    Other
    $14,988
    Deferred
    $15,250
    Nontaxable benefits
    $31,282
    Filer's total
    $845,312

  • Todd Forkel

    Former Key Employee

    Total calculated
    $125,417
    From this org
    $113,998
    From related orgs
    $0
    Other
    $11,419
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $112,827
    Bonus
    $0
    Other
    $1,171
    Deferred
    $5,725
    Nontaxable benefits
    $5,693
    Filer's total
    $125,416

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4a
Andrew Burchett received severance pay of $350,770. David Erickson received severance pay of $1,300,000.
Part I, Line 7
During the current year, the organization paid bonuses for longevity, Great Expectation incentive program, and referrals. Some individuals received incentives related to retention and loan forgiveness. Physicians receive incentives based on production.

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

The 10 largest by cash amount. The API serves every itemized grant.

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 · IA

  • 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 · MO

  • Caravan Health ACO 41 LLC dba Prairie View Care Organization

    Accountable Care Organization · MO

  • 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 · 75% owned · share of income $3,446,054 · share of assets $2,626,383 · controlled entity

    Directly controlled by Avera Health

  • Alucent Australia Pty Ltd

    Biotech Research · AS · 65.4% owned · share of income -$731,491 · share of assets $441,636 · controlled entity

    Directly controlled by Alucent Biomedical Inc

  • Alucent Biomedical Inc

    C · Biotech Research · SD · 65.4% owned · share of income -$3,818,591 · share of assets $6,033,104 · controlled entity

    Directly controlled by Alumend LLC

  • Avera Property Insurance Inc

    C · Insurance · SD · 100% owned · share of income $1,417,924 · share of assets $2,833,478 · controlled entity

    Directly controlled by Avera Health

  • DakotaCare Administrative Services Inc

    C · Insurance · SD · 100% owned · share of income $713,509 · share of assets $7,765,515 · controlled entity

    Directly controlled by Avera Health

  • Kore Cares In Home Services LLC

    S · In-Home Care Services · SD

  • South Dakota State Medical Holding Company Inc

    C · Insurance · SD · 100% owned · share of income $4,133,781 · share of assets $5,644,894 · controlled entity

    Directly controlled by Avera Health

  • Valley Health Services

    C · Rental Real Estate · SD · 100% owned · share of income $87,970 · share of assets $1,049,059 · controlled entity

    Directly controlled by Sacred Heart Health Services

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202421359349310157

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