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← AVERA GRANITE FALLS

Form 990 for tax year 2022

Filed by AVERA GRANITE FALLS.

Totals

Total revenue
$29,608,741
Total expenses
$28,486,949
Contributions and grants received
$282,689
Grants paid
$100
Program service revenue
$29,236,790
Investment income
$66,049
Other revenue
$23,213
Total assets, end of year
$27,905,891
Total liabilities, end of year
$11,803,697
Net assets or fund balances, end of year
$16,102,194
Program services expenses (Part IX)
$24,421,899
Management and general expenses
$4,065,050
Fundraising expenses
$0
Program service expenses (Part III)
$24,421,899

Program services were 85.7% 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

    $10,169

  • 1e · Government grants (contributions)

    $120,492

  • 1f · All other contributions, gifts and grants

    $152,028

  • 2a · Program service revenue: Patient Service Revenue

    total $28,169,648 · related or exempt $28,169,648

  • 2b · Program service revenue: Pharmacy Revenue

    total $570,200 · related or exempt $570,200

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

    total $86,625 · related or exempt $86,625

  • 2f · All other program service revenue

    total $410,317 · related or exempt $410,317

  • 3 · Investment income

    total $874 · excluded $874

  • 6a · Gross rents

    real property $29,701

  • 6b · Less rental expenses

    real property $22,371

  • 6c · Rental income or loss

    real property $7,330

  • 6d · Net rental income or loss

    total $7,330 · excluded $7,330

  • 7a · Gross sales of assets other than inventory

    securities $64,336 · other assets $839

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $64,336 · other assets $839

  • 7d · Net gain or loss

    total $65,175 · excluded $65,175

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

    total $15,883 · related or exempt $15,883

  • 11e · Other revenue, total

    $15,883

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $100 · program services $100

  • 5 · Compensation of officers, directors and key employees

    total $356,465 · management and general $356,465

  • 7 · Other salaries and wages

    total $10,977,360 · program services $10,798,312 · management and general $179,048

  • 8 · Pension plan contributions

    total $402,798 · program services $394,086 · management and general $8,712

  • 9 · Other employee benefits

    total $1,783,559 · program services $1,764,449 · management and general $19,110

  • 10 · Payroll taxes

    total $770,421 · program services $758,342 · management and general $12,079

  • 11d · Fees: lobbying

    total $331 · management and general $331

  • 11g · Fees: other

    total $6,239,279 · program services $4,739,663 · management and general $1,499,616

  • 12 · Advertising and promotion

    total $1,596 · program services $175 · management and general $1,421

  • 13 · Office expenses

    total $423,717 · program services $190,144 · management and general $233,573

  • 14 · Information technology

    total $143,247 · program services $110,613 · management and general $32,634

  • 16 · Occupancy

    total $669,423 · program services $594,837 · management and general $74,586

  • 17 · Travel

    total $119,695 · program services $112,234 · management and general $7,461

  • 19 · Conferences, conventions and meetings

    total $53,867 · program services $51,904 · management and general $1,963

  • 22 · Depreciation, depletion and amortization

    total $835,942 · program services $447,875 · management and general $388,067

  • 23 · Insurance

    total $133,324 · program services $26,402 · management and general $106,922

  • 24a · Other expenses: Medical Supplies

    total $3,718,539 · program services $3,717,592 · management and general $947

  • 24e · All other expenses

    total $1,857,286 · program services $715,171 · management and general $1,142,115

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $792,418 · end of year $223,450

  • 4 · Accounts receivable

    beginning of year $3,389,064 · end of year $2,592,303

  • 8 · Inventories for sale or use

    beginning of year $461,980 · end of year $396,477

  • 9 · Prepaid expenses and deferred charges

    beginning of year $177,097 · end of year $173,241

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

    $6,328,693

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

    $2,966,267

  • 10c · Land, buildings and equipment, net

    beginning of year $3,465,545 · end of year $3,362,426

  • 12 · Investments: other securities

    beginning of year $8,536,502 · end of year $11,473,987

  • 13 · Investments: program-related

    beginning of year $25,000 · end of year $25,663

  • 15 · Other assets

    beginning of year $10,086,248 · end of year $9,658,344

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,843,981 · end of year $1,527,025

  • 21 · Escrow or custodial account liability

    beginning of year $10,098 · end of year $7,714

  • 25 · Other liabilities

    beginning of year $10,775,907 · end of year $10,268,958

  • 27 · Net assets without donor restrictions

    beginning of year $14,165,251 · end of year $15,917,212

  • 28 · Net assets with donor restrictions

    beginning of year $138,617 · end of year $184,982

Mission and programs · 2022

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 157 Acute patient discharges 6 Newborn patient discharges 57 Swing bed patient discharges 18,748 Outpatient visits 302 Swing-bed patient days 9 Newborn patient days 18,825 Clinic visitsAvera Granite Falls Care Center 17,235 Long-term resident days 35 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 $24,066.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 $24,421,899 · Grants $100 · Revenue $29,252,673

As filed on the 2022 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
    $509,045
    From this org
    $0
    From related orgs
    $470,488
    Other
    $38,557
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,875 related
    Bonus
    $0 + $420 related
    Other
    $0 + $9,193 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $23,307 related
    Filer's total
    $0 + $509,045 related

  • LaVonne Koenen

    Chair

    Total calculated
    $0
    Hours/week
    2 + 3 related

  • Mark Jensen

    Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Thomas J Kooiman

    Board Member/Administrator

    Total calculated
    $323,503
    From this org
    $280,835
    From related orgs
    $0
    Other
    $42,668
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $279,378
    Bonus
    $0
    Other
    $1,457
    Deferred
    $11,475
    Nontaxable benefits
    $31,192
    Filer's total
    $323,502

  • Stephen Crim

    Board Member

    Total calculated
    $48,817
    From this org
    $0
    From related orgs
    $48,817
    Other
    $0
    Hours/week
    2 + 43 related

  • Sharon Pazi Zea

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Rosa Rios Avendano MD

    Board Member/Family Medicine/OB

    Total calculated
    $354,629
    From this org
    $0
    From related orgs
    $324,352
    Other
    $30,277
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $0 + $276,284 related
    Bonus
    $0 + $24,550 related
    Other
    $0 + $23,518 related
    Deferred
    $0 + $6,091 related
    Nontaxable benefits
    $0 + $24,186 related
    Filer's total
    $0 + $354,629 related

  • Sister Lucille Welbig

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 5 related

  • Julie Lautt

    CFO Avera Health;Secretary/Treasurer

    Total calculated
    $1,103,540
    From this org
    $0
    From related orgs
    $1,086,452
    Other
    $17,088
    Hours/week
    0.1 + 46.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,075,517 related
    Bonus
    $0 + $460 related
    Other
    $0 + $10,475 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $1,838 related
    Filer's total
    $0 + $1,103,540 related

  • Deena Aus

    Director - Patient Care Services

    Total calculated
    $158,353
    From this org
    $112,900
    From related orgs
    $0
    Other
    $45,453
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $103,602
    Bonus
    $2,725
    Other
    $6,573
    Deferred
    $6,373
    Nontaxable benefits
    $39,080
    Filer's total
    $158,353

  • Jennifer Ann Jager

    Director - Ambulance

    Total calculated
    $155,000
    From this org
    $137,385
    From related orgs
    $0
    Other
    $17,615
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,301
    Bonus
    $10,497
    Other
    $2,587
    Deferred
    $6,949
    Nontaxable benefits
    $10,666
    Filer's total
    $155,000

  • Seth Streblow

    Assistant Director - Ambul

    Total calculated
    $145,465
    From this org
    $118,544
    From related orgs
    $0
    Other
    $26,921
    Hours/week
    40

  • Lorie Tjaden

    Director - Nursing Services

    Total calculated
    $140,891
    From this org
    $109,965
    From related orgs
    $0
    Other
    $30,926
    Hours/week
    40

  • Jennifer Varpness

    RN - Clinical Informaticist

    Total calculated
    $120,995
    From this org
    $105,020
    From related orgs
    $0
    Other
    $15,975
    Hours/week
    40

  • Valerie Hoffman

    Former CFO (Left 09/2022)

    Total calculated
    $230,405
    From this org
    $208,657
    From related orgs
    $0
    Other
    $21,748
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $104,063
    Bonus
    $0
    Other
    $104,594
    Deferred
    $10,534
    Nontaxable benefits
    $11,214
    Filer's total
    $230,405

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

  • 4a · Severance or change-of-control payment

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4a
Valerie Hoffman, CFO, received a severance payment of $76,756.
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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202431359349309688

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