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← AVERA HOLY FAMILY

Form 990 for tax year 2022

Filed by AVERA HOLY FAMILY.

Totals

Total revenue
$28,545,704
Total expenses
$26,647,358
Contributions and grants received
$794,244
Grants paid
$23,758
Program service revenue
$27,411,839
Investment income
$315,215
Other revenue
$24,406
Total assets, end of year
$60,276,592
Total liabilities, end of year
$4,099,651
Net assets or fund balances, end of year
$56,176,941
Program services expenses (Part IX)
$24,463,517
Management and general expenses
$2,128,762
Fundraising expenses
$55,079
Program service expenses (Part III)
$24,463,517

Program services were 91.8% 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

    $53,644

  • 1e · Government grants (contributions)

    $730,093

  • 1f · All other contributions, gifts and grants

    $10,507

  • 2a · Program service revenue: Patient Service Revenue

    total $24,130,990 · related or exempt $24,130,990

  • 2b · Program service revenue: Pharmacy Revenue

    total $3,197,576 · related or exempt $3,197,576

  • 2f · All other program service revenue

    total $83,273 · related or exempt $83,273

  • 3 · Investment income

    total $5,050 · excluded $5,050

  • 6a · Gross rents

    real property $20,074

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $20,074

  • 6d · Net rental income or loss

    total $20,074 · excluded $20,074

  • 7a · Gross sales of assets other than inventory

    securities $276,165 · other assets $34,000

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $276,165 · other assets $34,000

  • 7d · Net gain or loss

    total $310,165 · excluded $310,165

  • 11a · Other revenue: AR Interest Income

    total $4,332 · related or exempt $4,332

  • 11e · Other revenue, total

    $4,332

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $23,758 · program services $23,758

  • 7 · Other salaries and wages

    total $10,507,611 · program services $10,209,103 · management and general $273,337 · fundraising $25,171

  • 8 · Pension plan contributions

    total $451,103 · program services $436,758 · management and general $13,032 · fundraising $1,313

  • 9 · Other employee benefits

    total $1,788,330 · program services $1,711,349 · management and general $71,083 · fundraising $5,898

  • 10 · Payroll taxes

    total $747,192 · program services $727,587 · management and general $17,686 · fundraising $1,919

  • 11d · Fees: lobbying

    total $3,333 · management and general $3,333

  • 11g · Fees: other

    total $5,967,758 · program services $5,222,562 · management and general $745,089 · fundraising $107

  • 12 · Advertising and promotion

    total $12,359 · program services $1,188 · management and general $11,171

  • 13 · Office expenses

    total $251,991 · program services $167,763 · management and general $68,357 · fundraising $15,871

  • 14 · Information technology

    total $622,623 · program services $80,132 · management and general $542,491

  • 16 · Occupancy

    total $487,911 · program services $444,306 · management and general $38,805 · fundraising $4,800

  • 17 · Travel

    total $32,824 · program services $26,186 · management and general $6,638

  • 19 · Conferences, conventions and meetings

    total $28,615 · program services $22,759 · management and general $5,856

  • 20 · Interest

    total -$4,531 · program services -$3,760 · management and general -$771

  • 22 · Depreciation, depletion and amortization

    total $1,473,745 · program services $1,327,447 · management and general $146,298

  • 23 · Insurance

    total $159,430 · program services $43,933 · management and general $115,497

  • 24a · Other expenses: Medical Supplies

    total $3,904,502 · program services $3,895,357 · management and general $9,145

  • 24b · Other expenses: Equipment Lease/Rental

    total $62,578 · program services $18,930 · management and general $43,648

  • 24e · All other expenses

    total $126,226 · program services $108,159 · management and general $18,067

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $777,128 · end of year $459,758

  • 4 · Accounts receivable

    beginning of year $2,462,165 · end of year $3,091,147

  • 8 · Inventories for sale or use

    beginning of year $603,167 · end of year $567,626

  • 9 · Prepaid expenses and deferred charges

    beginning of year $138,368 · end of year $109,441

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

    $35,533,481

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

    $22,769,897

  • 10c · Land, buildings and equipment, net

    beginning of year $13,234,498 · end of year $12,763,584

  • 11 · Investments: publicly traded securities

    beginning of year $1,572,258 · end of year $0

  • 12 · Investments: other securities

    beginning of year $38,772,402 · end of year $43,149,255

  • 13 · Investments: program-related

    end of year $114,911

  • 15 · Other assets

    beginning of year -$7,920 · end of year $20,870

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,740,704 · end of year $1,662,984

  • 19 · Deferred revenue

    beginning of year $524,727 · end of year $9,660

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,545,000 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,011,672 · end of year $2,427,007

  • 27 · Net assets without donor restrictions

    beginning of year $50,892,139 · end of year $55,285,391

  • 28 · Net assets with donor restrictions

    beginning of year $837,824 · end of year $891,550

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 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, cardiac rehab, nuclear medicine, ICU, emergency, ultrasound, speech therapy, physical therapy, and occupational therapy. Avera Holy Family provides acute care and long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Holy Family Hospital 305 Acute inpatient discharges 118 Swing-bed patient discharges 26,992 Outpatient visits 771 Swing-bed patient days 15,434 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 $334,653.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 $24,463,517 · Grants $23,758 · Revenue $27,416,171

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

Listed in Part VII

  • Deb Herzberg

    President/CEO

    Total calculated
    $229,961
    From this org
    $0
    From related orgs
    $205,433
    Other
    $24,528
    Hours/week
    2 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $200,701 related
    Bonus
    $0
    Other
    $0 + $4,732 related
    Deferred
    $0 + $8,781 related
    Nontaxable benefits
    $0 + $15,748 related
    Filer's total
    $0 + $229,962 related

  • Molly Struve

    Chair

    Total calculated
    $0
    Hours/week
    1.5

  • Mike Cornwall

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Sr Candyce Chrystal

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Alyson Gruhlke

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Bob Jensen

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Yas Mata

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Kathy Preston

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Sr Janet Schumacher

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • 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

  • Martin Bergstrom

    Chief Nursing Officer

    Total calculated
    $143,147
    From this org
    $105,811
    From related orgs
    $0
    Other
    $37,336
    Hours/week
    40

  • Michael Hanson

    Manager - Ancillary Services

    Total calculated
    $130,265
    From this org
    $105,252
    From related orgs
    $0
    Other
    $25,013
    Hours/week
    40

  • Kristi Hough

    Manager - Pharmacy

    Total calculated
    $213,549
    From this org
    $170,335
    From related orgs
    $0
    Other
    $43,214
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,098
    Bonus
    $420
    Other
    $4,817
    Deferred
    $8,841
    Nontaxable benefits
    $34,373
    Filer's total
    $213,549

  • April Krull

    Pharmacist

    Total calculated
    $175,584
    From this org
    $128,930
    From related orgs
    $0
    Other
    $46,654
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,386
    Bonus
    $240
    Other
    $3,304
    Deferred
    $7,033
    Nontaxable benefits
    $39,621
    Filer's total
    $175,584

  • Lisa Schomaker

    RN

    Total calculated
    $140,325
    From this org
    $113,501
    From related orgs
    $0
    Other
    $26,824
    Hours/week
    40

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'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.

  • Avera Home Medical Equipment of Floyd Valley Hospital LLC

    Medical services - home medical equipment · IA

  • 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 · IA

  • 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

  • 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
202431359349310033

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