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Nonprofiteer
← AVERA HEALTH PLANS INC

Form 990 for tax year 2024

Filed by AVERA HEALTH PLANS INC.

Totals

Total revenue
$307,117,436
Total expenses
$293,221,455
Contributions and grants received
$196
Grants paid
$650,000
Program service revenue
$304,597,748
Investment income
$2,519,492
Other revenue
$0
Total assets, end of year
$97,099,522
Total liabilities, end of year
$35,064,136
Net assets or fund balances, end of year
$62,035,386
Program services expenses (Part IX)
$256,823,685
Management and general expenses
$36,397,770
Fundraising expenses
$0
Program service expenses (Part III)
$256,823,685

Program services were 87.6% 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.

  • 1e · Government grants (contributions)

    $196

  • 2a · Program service revenue: PREMIUM INCOME

    total $284,031,336 · related or exempt $284,031,336

  • 2b · Program service revenue: REIMBURSEMENTS BY UNINSURED PLANS

    total $10,438,444 · related or exempt $10,438,444

  • 2c · Program service revenue: COST CONTAINMENT ALLOCATIONS

    total $8,613,166 · related or exempt $8,613,166

  • 2d · Program service revenue: NONMEMBER ADMIN SERVICES

    total $416,608 · unrelated business $416,608

  • 2e · Program service revenue: COB AND SUBROGATION

    total $18,411 · related or exempt $18,411

  • 2f · All other program service revenue

    total $1,079,783 · related or exempt $1,025,776 · unrelated business $54,007

  • 3 · Investment income

    total $3,209,194 · excluded $3,209,194

  • 7a · Gross sales of assets other than inventory

    securities $14,435,214

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

    securities $15,124,916

  • 7c · Gain or loss

    securities -$689,702

  • 7d · Net gain or loss

    total -$689,702 · excluded -$689,702

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $650,000 · program services $650,000

  • 5 · Compensation of officers, directors and key employees

    total $2,150,009 · program services $930,108 · management and general $1,219,901

  • 7 · Other salaries and wages

    total $13,492,861 · program services $4,491,467 · management and general $9,001,394

  • 8 · Pension plan contributions

    total $534,443 · program services $178,713 · management and general $355,730

  • 9 · Other employee benefits

    total $2,420,653 · program services $1,626,896 · management and general $793,757

  • 10 · Payroll taxes

    total $969,906 · program services $334,444 · management and general $635,462

  • 11b · Fees: legal

    total $17,699 · management and general $17,699

  • 11c · Fees: accounting

    total $91,890 · management and general $91,890

  • 11f · Fees: investment management

    total $120,209 · management and general $120,209

  • 11g · Fees: other

    total $20,410,733 · program services $3,160,162 · management and general $17,250,571

  • 12 · Advertising and promotion

    total $1,369,787 · program services $2,792 · management and general $1,366,995

  • 13 · Office expenses

    total $896,737 · program services $457,654 · management and general $439,083

  • 14 · Information technology

    total $3,228 · management and general $3,228

  • 16 · Occupancy

    total $497,992 · management and general $497,992

  • 17 · Travel

    total $320,211 · program services $19,577 · management and general $300,634

  • 19 · Conferences, conventions and meetings

    total $16,198 · program services $9,805 · management and general $6,393

  • 22 · Depreciation, depletion and amortization

    total $275,956 · program services $275,956

  • 23 · Insurance

    total $214,307 · management and general $214,307

  • 24a · Other expenses: HOSPITAL AND MEDICAL

    total $231,523,087 · program services $231,523,087

  • 24b · Other expenses: CLAIMS ADJUSTMENT EXPEN

    total $9,226,601 · program services $9,226,601

  • 24c · Other expenses: PREMIUM TAXES

    total $2,927,358 · management and general $2,927,358

  • 24d · Other expenses: INCOME TAX EXPENSE

    total $5,070 · management and general $5,070

  • 24e · All other expenses

    total $5,086,520 · program services $3,936,423 · management and general $1,150,097

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $9,644,486 · end of year $19,849,643

  • 11 · Investments: publicly traded securities

    beginning of year $74,032,567 · end of year $70,488,765

  • 15 · Other assets

    beginning of year $10,456,809 · end of year $6,761,114

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,992,786 · end of year $7,796,554

  • 19 · Deferred revenue

    beginning of year $2,879,530 · end of year $5,194,783

  • 25 · Other liabilities

    beginning of year $38,410,056 · end of year $22,072,799

  • 29 · Capital stock, trust principal or current funds

    beginning of year $100 · end of year $100

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $73,325,239 · end of year $73,325,239

  • 31 · Retained earnings, endowment or other funds

    beginning of year -$26,473,849 · end of year -$11,289,953

Mission and programs · 2024

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)

PROVIDE LOW-COST, HIGH QUALITY HEALTH PLAN COVERAGE.

  • AS AN ESSENTIAL COMPONENT OF THE AVERA HEALTH INTEGRATED DELIVERY PLAN, AVERA HEALTH PLANS (AHP) PROVIDES COVERAGE AND CONDUCTS OTHER ACTIVITIES THAT INCREASE THE HEALTH OF THE COMMUNITY IN ITS SERVICE AREA. AHP CONDUCTS SUBSTANTIALLY ALL OF ITS ACTIVITIES WITHIN THE SERVICE AREA OF AVERA HEALTH BUT DOES CONDUCT A SMALL PORTION BEYOND THE AVERA HEALTH SERVICE AREA TO FULFILL ITS MISSION OF MAKING A POSITIVE IMPACT IN THE COMMUNITIES IT SERVES BY ENSURING ADEQUATE RURAL HEALTH CARE IS AVAILABLE. AHP PROVIDES HEALTH INSURANCE COVERAGE TO AN UNDERSERVED POPULATION INCLUDING ELDERLY AND LOW INCOME, HIGH RISK AND MEDICALLY UNDERSERVED PERSONS. OF THE 70,500 TOTAL MEMBERS SERVED IN 2024, 9,635 OF THESE MEMBERS WERE MEDICARE SUPPLEMENT MEMBERS AND APPROXIMATELY 49% CONSISTS OF INDIVIDUALS OR EMPLOYEES OF SMALL GROUPS. APPROXIMATELY 17,743 MEMBERS ARE INDIVIDUALS AND MORE THAN 96.1% OF THE HEALTH CARE EXCHANGE ENROLLEES IN THE INDIVIDUAL CATEGORY WERE ELIGIBLE TO RECEIVE AN ADVANCE PREMIUM TAX CREDIT, WHICH MEANS THEY WERE BELOW 400% OF THE FEDERAL POVERTY LIMIT. AVERA HEALTH PLANS IS FURTHER DISTINGUISHED FROM THE FOR-PROFIT PLANS BY ITS PARTICIPATION IN THE FEDERAL HEALTH INSURANCE EXCHANGE/MARKETPLACE. AHP HAS AFFORDABLE, COMMUNITY-RATED PREMIUMS WHICH ARE MARKET COMPETITIVE, AND THEY DO NOT COVER AHP'S COSTS INCLUDING CLAIMS AND ADMINISTRATIVE EXPENSES. NET MEDICAL AND PHARMACY CLAIMS EXPENSE RESULTED IN A MEDICAL INCOME RATIO (MIR) AVERAGE OF 80.6% FOR 2024. SIGNIFICANT FINANCIAL SUPPORT BY AVERA HEALTH (501(C)(3)) ALLOWS AHP TO REMAIN FINANCIALLY VIABLE.AHP ALSO SPONSORS HEALTH EDUCATION OPEN FORUMS, OPEN HOUSES, AND WEBINARS THAT ARE OPEN TO THE PUBLIC.

    Expenses $256,823,685 · Grants $650,000 · Revenue $304,127,133

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • James Dover

    DIRECTOR; PRESIDENT/CEO AVERA HEALTH

    Total calculated
    $2,504,735
    From this org
    $0
    From related orgs
    $2,453,843
    Other
    $50,892
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,312,616 related
    Bonus
    $0 + $76,501 related
    Other
    $0 + $64,726 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $33,642 related
    Filer's total
    $0 + $2,504,735 related

  • Julie Lautt

    SECRETARY/TREASURER

    Total calculated
    $1,294,581
    From this org
    $0
    From related orgs
    $1,274,363
    Other
    $20,218
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,226,098 related
    Bonus
    $0 + $41,964 related
    Other
    $0 + $6,301 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $2,968 related
    Filer's total
    $0 + $1,294,581 related

  • Douglas Ekeren

    DIRECTOR

    Total calculated
    $691,919
    From this org
    $0
    From related orgs
    $639,691
    Other
    $52,228
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $607,102 related
    Bonus
    $0 + $21,842 related
    Other
    $0 + $10,747 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $34,978 related
    Filer's total
    $0 + $691,919 related

  • Michael Bender

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Clark Sinclair

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Andrew Ellsworth

    DIRECTOR; PHYSICIAN

    Total calculated
    $273,176
    From this org
    $0
    From related orgs
    $220,263
    Other
    $52,913
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,084 related
    Bonus
    $0 + $38,504 related
    Other
    $0 + $675 related
    Deferred
    $0 + $11,641 related
    Nontaxable benefits
    $0 + $41,273 related
    Filer's total
    $0 + $273,177 related

  • Ryan Huber

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • David Lemperle

    PRESIDENT/CEO

    Total calculated
    $688,476
    From this org
    $0
    From related orgs
    $628,604
    Other
    $59,872
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $597,006 related
    Bonus
    $0 + $20,401 related
    Other
    $0 + $11,197 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $42,622 related
    Filer's total
    $0 + $688,476 related

  • Sarah Tuntland

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jacquelyn Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • David Flicek

    DIRECTOR

    Total calculated
    $1,497,202
    From this org
    $0
    From related orgs
    $1,450,140
    Other
    $47,062
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,382,300 related
    Bonus
    $0 + $47,730 related
    Other
    $0 + $20,110 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $29,812 related
    Filer's total
    $0 + $1,497,202 related

  • Richard Korman

    VICE PRESIDENT

    Total calculated
    $965,875
    From this org
    $0
    From related orgs
    $910,447
    Other
    $55,428
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $868,971 related
    Bonus
    $0 + $29,862 related
    Other
    $0 + $11,614 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $38,178 related
    Filer's total
    $0 + $965,875 related

  • Dr Preston Renshaw

    CMO

    Total calculated
    $492,847
    From this org
    $433,493
    From related orgs
    $0
    Other
    $59,354
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $431,884
    Bonus
    $270
    Other
    $1,339
    Deferred
    $17,250
    Nontaxable benefits
    $42,104
    Filer's total
    $492,847

  • Jordan Anderson

    VP - SALES/SR DIRECTOR - SALES

    Total calculated
    $385,183
    From this org
    $328,147
    From related orgs
    $0
    Other
    $57,036
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,943
    Bonus
    $120,000
    Other
    $204
    Deferred
    $15,712
    Nontaxable benefits
    $41,324
    Filer's total
    $385,183

  • Christopher Jessen

    CFO

    Total calculated
    $349,275
    From this org
    $305,246
    From related orgs
    $0
    Other
    $44,029
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,740
    Bonus
    $0
    Other
    $1,506
    Deferred
    $15,540
    Nontaxable benefits
    $28,489
    Filer's total
    $349,275

  • Lisa Carlson

    VP - PRODUCT STRATEGY & DEV

    Total calculated
    $278,331
    From this org
    $228,153
    From related orgs
    $0
    Other
    $50,178
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,816
    Bonus
    $0
    Other
    $337
    Deferred
    $11,618
    Nontaxable benefits
    $38,560
    Filer's total
    $278,331

  • Josephine Opong-Vaughn

    VP - NETWORK DEV (BEG MAR 2024)

    Total calculated
    $222,940
    From this org
    $205,668
    From related orgs
    $0
    Other
    $17,272
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,341
    Bonus
    $0
    Other
    $22,327
    Deferred
    $8,040
    Nontaxable benefits
    $9,232
    Filer's total
    $222,940

  • David Warsing

    COO (MAR-JUN)

    Total calculated
    $421,434
    From this org
    $395,113
    From related orgs
    $0
    Other
    $26,321
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $96,825
    Bonus
    $277,730
    Other
    $20,558
    Deferred
    $17,250
    Nontaxable benefits
    $9,071
    Filer's total
    $421,434

  • Renee Schroeder

    MEDICAL DIRECTOR

    Total calculated
    $336,699
    From this org
    $281,737
    From related orgs
    $0
    Other
    $54,962
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,198
    Bonus
    $0
    Other
    $539
    Deferred
    $14,358
    Nontaxable benefits
    $40,604
    Filer's total
    $336,699

  • Sara Hansen - Senior Dir Of

    POPULATION HEALTH & CLINIC OPS

    Total calculated
    $221,493
    From this org
    $196,140
    From related orgs
    $0
    Other
    $25,353
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,974
    Bonus
    $0
    Other
    $166
    Deferred
    $4,014
    Nontaxable benefits
    $21,339
    Filer's total
    $221,493

  • Jason Bortmen

    BUSINESS DEVELOPMENT EXECUTIVE

    Total calculated
    $205,183
    From this org
    $160,489
    From related orgs
    $0
    Other
    $44,694
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $107,447
    Bonus
    $52,762
    Other
    $280
    Deferred
    $8,361
    Nontaxable benefits
    $36,333
    Filer's total
    $205,183

  • John Mohr - Director Of

    PROVIDER CONTRACTING (JAN-JUN)

    Total calculated
    $195,498
    From this org
    $184,549
    From related orgs
    $0
    Other
    $10,949
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $50,480
    Bonus
    $134,002
    Other
    $67
    Deferred
    $9,069
    Nontaxable benefits
    $1,879
    Filer's total
    $195,497

  • Michael Dooley

    DIRECTOR OF PROVIDER RELATIONS

    Total calculated
    $200,982
    From this org
    $155,467
    From related orgs
    $0
    Other
    $45,515
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,871
    Bonus
    $0
    Other
    $596
    Deferred
    $8,275
    Nontaxable benefits
    $37,241
    Filer's total
    $200,983

  • Bob Sutton

    FORMER PRESIDENT

    Total calculated
    $255,732
    From this org
    $0
    From related orgs
    $247,745
    Other
    $7,987
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $246,847 related
    Bonus
    $0
    Other
    $0 + $898 related
    Deferred
    $0 + $3,519 related
    Nontaxable benefits
    $0 + $4,467 related
    Filer's total
    $0 + $255,731 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

  • 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 3
THE PRESIDENT'S COMPENSATION IS PAID BY A RELATED ORGANIZATION, AVERA HEALTH. AVERA HEALTH PLANS, INC. RELIED ON THE RELATED ORGANIZATION FOR DETERMINING THE COMPENSATION FOR THE PRESIDENT USING THE METHODS DESCRIBED IN PART I, LINE 3.
PART I, LINE 4A
DAVID WARSING RECEIVED A SEVERANCE PAYMENT OF $277,730. JOHN MOHR RECEIVED A SEVERANCE PAYMENT OF $134,002.
PART I, LINE 7
A FORMULA IS USED TO DETERMINE BONUSES PAID FOR NEW SALES AND RETENTION.

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.

  • BROOKINGS HEALTH SYSTEM - AVERA HME LLC

    HEALTHCARE SERVICES · SD

  • AVERA HOME MEDICAL EQUIPMENT OF LAKES REGIONAL HEALTHCARE LLC

    MEDICAL SERVICES - HOME MEDICAL EQUIPMENT · SD

  • AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC

    MEDICAL SERVICES - HOME MEDICAL EQUIPMENT · SD

  • SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC

    SURGICAL ASSOCIATES · SD

  • AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER LLC

    MEDICAL SERVICES - HOME MEDICAL EQUIPMENT · SD

  • HEART HOSPITAL OF SOUTH DAKOTA LLC

    HEALTHCARE SERVICES · SD

  • AVERA HOME MEDICAL EQUIPMENT OF FLOYD VALLEY HOSPITAL 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

Related corporations and trusts

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

  • ACCOUNTS MANAGEMENT INC

    C · COLLECTION AGENCY · SD

  • AVERA PROPERTY INSURANCE INC

    C · INSURANCE · SD

  • VALLEY HEALTH SERVICES

    C · PROPERTY HOLDING COMPANY · SD

  • ALUCENT BIOMEDICAL INC

    C · BIOTECH RESEARCH · SD

  • SOUTH DAKOTA STATE MEDICAL HOLDING COMPANYINC

    C · INSURANCE · SD

  • DAKOTACARE ADMINISTRATIVE SERVICESINC

    C · INSURANCE · SD

  • KORE CARES IN HOME SERVICES LLC

    S · IN-HOME CARE SERVICES · SD

  • ALUCENT AUSTRALIA PTY LTD

    BIOTECH RESEARCH · AS

Provenance

Return type
form_990
Tax year
2024
Filed
7 October 2025
IRS schema version
2024v5.2
Source object
202532829349301368

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