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← AVERA HOLY FAMILY

Form 990 for tax year 2023

Filed by AVERA HOLY FAMILY.

Totals

Total revenue
$35,903,728
Total expenses
$29,854,766
Contributions and grants received
$25,968
Grants paid
$11,937
Program service revenue
$35,123,681
Investment income
$722,151
Other revenue
$31,928
Total assets, end of year
$68,362,497
Total liabilities, end of year
$2,203,623
Net assets or fund balances, end of year
$66,158,874
Program services expenses (Part IX)
$26,049,617
Management and general expenses
$3,805,149
Fundraising expenses
$0
Program service expenses (Part III)
$26,049,617

Program services were 87.3% 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

    $5,258

  • 1e · Government grants (contributions)

    $13,210

  • 1f · All other contributions, gifts and grants

    $7,500

  • 2a · Program service revenue: Patient Service Revenue

    total $31,776,706 · related or exempt $31,776,706

  • 2b · Program service revenue: Pharmacy Revenue

    total $3,227,654 · related or exempt $3,227,654

  • 2c · Program service revenue: Patient and Clinic

    total $25,503 · related or exempt $25,503

  • 2f · All other program service revenue

    total $93,818 · related or exempt $93,818

  • 3 · Investment income

    total $14,784 · excluded $14,784

  • 6a · Gross rents

    real property $23,629

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $23,629

  • 6d · Net rental income or loss

    total $23,629 · excluded $23,629

  • 7a · Gross sales of assets other than inventory

    securities $707,167 · other assets $200

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $707,167 · other assets $200

  • 7d · Net gain or loss

    total $707,367 · excluded $707,367

  • 11a · Other revenue: AR Interest Income

    total $8,299 · related or exempt $8,299

  • 11e · Other revenue, total

    $8,299

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $11,937 · program services $11,937

  • 7 · Other salaries and wages

    total $10,345,327 · program services $10,054,918 · management and general $290,409

  • 8 · Pension plan contributions

    total $424,920 · program services $410,842 · management and general $14,078

  • 9 · Other employee benefits

    total $1,709,160 · program services $1,658,843 · management and general $50,317

  • 10 · Payroll taxes

    total $728,558 · program services $710,357 · management and general $18,201

  • 11c · Fees: accounting

    total $1,800 · management and general $1,800

  • 11d · Fees: lobbying

    total $2,198 · management and general $2,198

  • 11g · Fees: other

    total $7,908,443 · program services $5,689,099 · management and general $2,219,344

  • 12 · Advertising and promotion

    total $4,871 · program services $115 · management and general $4,756

  • 13 · Office expenses

    total $279,012 · program services $232,562 · management and general $46,450

  • 14 · Information technology

    total $127,197 · program services $126,207 · management and general $990

  • 16 · Occupancy

    total $469,285 · program services $429,046 · management and general $40,239

  • 17 · Travel

    total $37,136 · program services $34,705 · management and general $2,431

  • 19 · Conferences, conventions and meetings

    total $34,536 · program services $31,011 · management and general $3,525

  • 22 · Depreciation, depletion and amortization

    total $1,456,299 · program services $1,313,190 · management and general $143,109

  • 23 · Insurance

    total $102,609 · program services $18,564 · management and general $84,045

  • 24a · Other expenses: Medical Supplies

    total $5,014,823 · program services $5,000,755 · management and general $14,068

  • 24b · Other expenses: Equipment Lease/Rental

    total $74,804 · program services $27,720 · management and general $47,084

  • 24c · Other expenses: Bad Debt

    total $5,048 · program services $5,048

  • 24e · All other expenses

    total $1,116,803 · program services $294,698 · management and general $822,105

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $459,758 · end of year -$38,351

  • 4 · Accounts receivable

    beginning of year $3,091,147 · end of year $3,590,555

  • 8 · Inventories for sale or use

    beginning of year $567,626 · end of year $606,429

  • 9 · Prepaid expenses and deferred charges

    beginning of year $109,441 · end of year $85,220

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

    $36,375,516

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

    $23,880,254

  • 10c · Land, buildings and equipment, net

    beginning of year $12,763,584 · end of year $12,495,262

  • 12 · Investments: other securities

    beginning of year $43,149,255 · end of year $50,538,253

  • 13 · Investments: program-related

    beginning of year $114,911 · end of year $152,336

  • 15 · Other assets

    beginning of year $20,870 · end of year $932,793

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,662,984 · end of year $1,368,946

  • 19 · Deferred revenue

    beginning of year $9,660 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,427,007 · end of year $834,677

  • 27 · Net assets without donor restrictions

    beginning of year $55,285,391 · end of year $65,080,193

  • 28 · Net assets with donor restrictions

    beginning of year $891,550 · end of year $1,078,681

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 Holy Family's mission is to provide healthcare services to Estherville, Iowa residents and residents of the surrounding area. Avera Holy Family is a 501(c)(3) organization affiliated with Avera Health. Avera Holy Family consists of a 25-bed critical access hospital and a clinic in Estherville, Iowa. The program services offered include primary care, general surgery, orthopedic and ophthalmology surgical services, nuclear medicine, wound care, emergency, ultrasound, speech therapy, physical therapy, and occupational therapy. Avera Holy Family provides acute healthcare services. Following is a breakdown of these statistics by facility:Avera Holy Family Hospital 243 Acute inpatient discharges 98 Swing-bed patient discharges 28,328 Outpatient visits 757 Swing-bed patient days 15,064 Clinic visitsAvera Holy Family 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 $2,546,868.Avera Holy Family 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 Holy Family 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 Holy Family 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 $26,049,617 · Grants $11,937 · Revenue $35,131,980

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

Listed in Part VII

  • Deb Herzberg

    President/CEO

    Total calculated
    $234,898
    From this org
    $0
    From related orgs
    $207,039
    Other
    $27,859
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $203,649 related
    Bonus
    $0
    Other
    $0 + $3,390 related
    Deferred
    $0 + $10,458 related
    Nontaxable benefits
    $0 + $17,401 related
    Filer's total
    $0 + $234,898 related

  • Yas Mata

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Mike Cornwall

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Trudy Ahrens

    Board Member (Beg 01/2024)

    Total calculated
    $0
    Hours/week
    1

  • Sr Candyce Chrystal

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 7 related

  • Bob Jensen

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Sr Janet Schumacher

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Molly Struve

    Board Member (End 08/2023)

    Total calculated
    $0
    Hours/week
    1

  • Jim Rosendahl

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Penny Clayton

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • 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

  • Linda Adams

    Nurse Manager

    Total calculated
    $135,245
    From this org
    $116,117
    From related orgs
    $0
    Other
    $19,128
    Hours/week
    40

  • Martin Bergstrom

    Chief Nursing Officer

    Total calculated
    $148,503
    From this org
    $109,249
    From related orgs
    $0
    Other
    $39,254
    Hours/week
    40

  • Nancy Diekmann

    Nurse Manager

    Total calculated
    $142,967
    From this org
    $118,840
    From related orgs
    $0
    Other
    $24,127
    Hours/week
    40

  • April Sue Krull

    Pharmacist

    Total calculated
    $173,745
    From this org
    $128,334
    From related orgs
    $0
    Other
    $45,411
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,617
    Bonus
    $255
    Other
    $462
    Deferred
    $6,873
    Nontaxable benefits
    $38,538
    Filer's total
    $173,745

  • Kristi Hough

    Manager - Pharmacy

    Total calculated
    $213,134
    From this org
    $164,291
    From related orgs
    $0
    Other
    $48,843
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,694
    Bonus
    $440
    Other
    $6,157
    Deferred
    $8,746
    Nontaxable benefits
    $40,098
    Filer's total
    $213,135

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
Linda Adams received a severance payment of $57,013. Nancy Diekmann received a severance payment of $62,246.
Schedule J, Part I, Line 3:
The President/CEO's compensation is paid by a related organization, Avera McKennan. Avera Holy Family 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

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
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202511349349308691

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