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← AVERA QUEEN OF PEACE

Form 990 for tax year 2022

Filed by AVERA QUEEN OF PEACE.

Totals

Total revenue
$133,510,856
Total expenses
$129,039,907
Contributions and grants received
$389,291
Grants paid
$44,405
Program service revenue
$130,773,538
Investment income
$682,898
Other revenue
$1,665,129
Total assets, end of year
$169,784,455
Total liabilities, end of year
$41,104,298
Net assets or fund balances, end of year
$128,680,157
Program services expenses (Part IX)
$118,323,044
Management and general expenses
$10,658,159
Fundraising expenses
$58,704
Program service expenses (Part III)
$118,323,044

Program services were 91.7% 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

    $168,553

  • 1e · Government grants (contributions)

    $220,738

  • 2a · Program service revenue: Net Patient & Resident Services

    total $120,179,178 · related or exempt $120,179,178

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

    total $1,731,868 · related or exempt $1,731,868

  • 2c · Program service revenue: Pharmacy Revenue

    total $95,594 · related or exempt $95,594

  • 2f · All other program service revenue

    total $8,766,898 · related or exempt $8,766,898

  • 3 · Investment income

    total $80,559 · excluded $80,559

  • 6a · Gross rents

    real property $1,528,700

  • 6b · Less rental expenses

    real property $354,746

  • 6c · Rental income or loss

    real property $1,173,954

  • 6d · Net rental income or loss

    total $1,173,954 · excluded $1,173,954

  • 7a · Gross sales of assets other than inventory

    securities $587,632 · other assets $14,707

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $587,632 · other assets $14,707

  • 7d · Net gain or loss

    total $602,339 · excluded $602,339

  • 10a · Gross sales of inventory

    $1,376,467

  • 10b · Cost of goods sold

    $932,408

  • 10c · Net income from sales of inventory

    total $444,059 · related or exempt $374,386 · unrelated business $69,673

  • 11a · Other revenue: A/R Interest

    total $25,688 · related or exempt $25,688

  • 11b · Other revenue: Sports Programs

    total $21,428 · related or exempt $21,428

  • 11e · Other revenue, total

    $47,116

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $42,005 · program services $42,005

  • 2 · Grants to domestic individuals

    total $2,400 · program services $2,400

  • 5 · Compensation of officers, directors and key employees

    total $1,709,315 · program services $1,709,315

  • 6 · Compensation of disqualified persons

    total $81,590 · program services $81,590

  • 7 · Other salaries and wages

    total $54,051,087 · program services $52,980,541 · management and general $1,070,546

  • 8 · Pension plan contributions

    total $2,037,644 · program services $1,988,263 · management and general $49,381

  • 9 · Other employee benefits

    total $7,997,150 · program services $7,867,580 · management and general $129,570

  • 10 · Payroll taxes

    total $3,448,892 · program services $3,386,668 · management and general $62,224

  • 11b · Fees: legal

    total $26,128 · management and general $26,128

  • 11d · Fees: lobbying

    total $3,972 · management and general $3,972

  • 11g · Fees: other

    total $22,593,575 · program services $15,627,166 · management and general $6,955,854 · fundraising $10,555

  • 12 · Advertising and promotion

    total $11,785 · program services $4,456 · management and general $7,179 · fundraising $150

  • 13 · Office expenses

    total $1,123,233 · program services $850,773 · management and general $245,760 · fundraising $26,700

  • 14 · Information technology

    total $663,556 · program services $586,081 · management and general $77,475

  • 16 · Occupancy

    total $1,752,906 · program services $1,641,004 · management and general $111,369 · fundraising $533

  • 17 · Travel

    total $321,253 · program services $314,358 · management and general $6,895

  • 19 · Conferences, conventions and meetings

    total $142,220 · program services $142,101 · management and general $119

  • 20 · Interest

    total $1,208,444 · program services $1,043,268 · management and general $165,176

  • 22 · Depreciation, depletion and amortization

    total $5,436,021 · program services $4,498,923 · management and general $936,908 · fundraising $190

  • 23 · Insurance

    total $715,266 · program services $296,003 · management and general $419,263

  • 24a · Other expenses: Medical Supplies

    total $24,502,835 · program services $24,477,214 · management and general $24,388 · fundraising $1,233

  • 24b · Other expenses: Equipment Lease/Rental

    total $45,065 · program services $33,208 · management and general $108 · fundraising $11,749

  • 24e · All other expenses

    total $1,123,565 · program services $750,127 · management and general $365,844 · fundraising $7,594

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $507,428 · end of year -$354,423

  • 4 · Accounts receivable

    beginning of year $15,140,544 · end of year $34,866,063

  • 8 · Inventories for sale or use

    beginning of year $1,953,646 · end of year $2,182,656

  • 9 · Prepaid expenses and deferred charges

    beginning of year $706,965 · end of year $526,741

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

    $124,146,572

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

    $77,328,073

  • 10c · Land, buildings and equipment, net

    beginning of year $50,042,502 · end of year $46,818,499

  • 12 · Investments: other securities

    beginning of year $92,256,310 · end of year $75,753,666

  • 13 · Investments: program-related

    beginning of year $853,464 · end of year $1,262,964

  • 14 · Intangible assets

    beginning of year $1,329,731 · end of year $1,270,104

  • 15 · Other assets

    beginning of year $1,095,375 · end of year $7,458,185

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,732,788 · end of year $8,143,344

  • 19 · Deferred revenue

    beginning of year $153,715 · end of year $59,996

  • 20 · Tax-exempt bond liabilities

    beginning of year $31,976,992 · end of year $31,359,174

  • 21 · Escrow or custodial account liability

    beginning of year $32,407 · end of year $9,334

  • 25 · Other liabilities

    beginning of year $4,142,598 · end of year $1,532,450

  • 27 · Net assets without donor restrictions

    beginning of year $115,535,406 · end of year $126,619,192

  • 28 · Net assets with donor restrictions

    beginning of year $3,312,059 · end of year $2,060,965

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 guided by Christian values.

Activities or mission (Part I)

Promotion of health

  • Avera Queen of Peace's mission is to provide healthcare services to Mitchell, South Dakota residents and residents of the surrounding area. Avera Queen of Peace is a 501(c)(3) organization affiliated with Avera Health. Avera Queen of Peace consists of a 25-bed critical access hospital and an 84-bed nursing home in Mitchell, SD, a 16-bed critical access hospital in Wessington Springs, SD, a 6-bed critical access hospital in De Smet, SD and 8 physician clinics. The program services offered include orthopedics, general surgery, internal medicine, radiation, laboratory, radiology, sleep lab, wound care, emergency, EKG, EEG, IP surgery, OP surgery, oncology, dermatology, physical therapy, occupational therapy, speech therapy, pharmacy, ophthalmology, and optometry. They provide acute care and long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Queen of Peace Hospital 1,682 Acute patient discharges 400 Newborn patient discharges 58 Swing Bed patient discharges91,776 Outpatient visits 483 Swing-bed patient days 824 Newborn patient days46,864 Clinic visitsAvera Brady Health and Rehabilitation 115 Long Term Care patient discharges25,052 Long-term care resident daysAvera Weskota Memorial Medical Center (CAH) 75 Acute patient discharges 28 Swing Bed discharges 4,856 Outpatient visits 341 Swing-bed patient daysAvera De Smet Memorial Hospital (CAH) 79 Acute patient discharges 14 Swing Bed patient discharges 9,909 Outpatient visits 101 Swing-bed patient days 4,334 Clinic visitsAvera Queen of Peace 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 $4,323,742.Avera Queen of Peace 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 Queen of Peace 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 Queen of Peace 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 $118,323,044 · Grants $44,405 · Revenue $131,195,040

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Douglas Ekeren

    Regional President & CEO

    Total calculated
    $750,622
    From this org
    $0
    From related orgs
    $704,190
    Other
    $46,432
    Hours/week
    5 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $686,463 related
    Bonus
    $0 + $725 related
    Other
    $0 + $17,002 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $31,182 related
    Filer's total
    $0 + $750,622 related

  • Jay Tolsma

    Chair

    Total calculated
    $0
    Hours/week
    2

  • Ryan Thompson

    Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Darlene Bergeleen

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Sister Kathleen Bierne

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • Jason Bradley

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Julie Brookbank

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Jessica Claussen MD

    Board Member/Opthalmology

    Total calculated
    $654,137
    From this org
    $599,987
    From related orgs
    $0
    Other
    $54,150
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $535,202
    Bonus
    $15,000
    Other
    $49,785
    Deferred
    $15,250
    Nontaxable benefits
    $38,900
    Filer's total
    $654,137

  • Sister Erin Colgan

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Stephanie Ellwein

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Ryan Huber

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Mark Hunhoff

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Jean Koehler

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Tracey Larson

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Hilary Rockwell MD

    Board Member/Emergency Medicine

    Total calculated
    $509,538
    From this org
    $442,654
    From related orgs
    $0
    Other
    $66,884
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $419,547
    Bonus
    $20,881
    Other
    $2,226
    Deferred
    $15,250
    Nontaxable benefits
    $51,634
    Filer's total
    $509,538

  • Jennifer Tegethoff MD

    Board Member/Pediatrics

    Total calculated
    $486,863
    From this org
    $437,453
    From related orgs
    $0
    Other
    $49,410
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $368,674
    Bonus
    $65,958
    Other
    $2,821
    Deferred
    $15,250
    Nontaxable benefits
    $34,160
    Filer's total
    $486,863

  • Brad Zomer

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • 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

  • Mandi Greenway Bietz MD

    Dermatology

    Total calculated
    $678,175
    From this org
    $631,312
    From related orgs
    $0
    Other
    $46,863
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $467,504
    Bonus
    $113,657
    Other
    $50,151
    Deferred
    $15,250
    Nontaxable benefits
    $31,613
    Filer's total
    $678,175

  • Matthew Finke MD FACEP MPH

    Emergency Medicine

    Total calculated
    $688,399
    From this org
    $631,407
    From related orgs
    $0
    Other
    $56,992
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $454,260
    Bonus
    $143,876
    Other
    $33,271
    Deferred
    $15,250
    Nontaxable benefits
    $41,742
    Filer's total
    $688,399

  • Brian Kampmann MD

    Orthopedics & Sports Medicine

    Total calculated
    $1,107,041
    From this org
    $1,053,377
    From related orgs
    $0
    Other
    $53,664
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,032,673
    Bonus
    $15,141
    Other
    $5,563
    Deferred
    $15,250
    Nontaxable benefits
    $38,414
    Filer's total
    $1,107,041

  • Chris Krouse DO

    Orthopedics & Sports Medicine

    Total calculated
    $1,349,220
    From this org
    $1,302,660
    From related orgs
    $0
    Other
    $46,560
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,109,419
    Bonus
    $184,701
    Other
    $8,540
    Deferred
    $15,250
    Nontaxable benefits
    $31,310
    Filer's total
    $1,349,220

  • Dennis Leland MD

    General Surgery

    Total calculated
    $687,032
    From this org
    $645,546
    From related orgs
    $0
    Other
    $41,486
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $448,316
    Bonus
    $184,262
    Other
    $12,968
    Deferred
    $15,250
    Nontaxable benefits
    $26,236
    Filer's total
    $687,032

  • Thomas Clark End 122022

    Former Regional President/CEO

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

    Schedule J breakdown matched by us

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

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 is compensated by Avera Health. Avera Queen of Peace 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 · 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

    Medical Services - Home Medical Equipment · 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

  • 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

  • Dr Donald & Marguerite Mabee Trust

    T · Investing · SD · 100% owned · share of income $3,360 · share of assets $747,628 · controlled entity

    Directly controlled by Avera Queen of Peace Hospital

  • Kore Cares In Home Services LLC

    S · In-home care services · SD

  • South Dakota State Medical Holding Inc

    C · Insurance · SD

  • Valley Health Services

    C · Rental real estate · SD

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202401359349309835

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