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← AVERA QUEEN OF PEACE

Form 990 for tax year 2024

Filed by AVERA QUEEN OF PEACE.

Totals

Total revenue
$159,924,028
Total expenses
$148,662,322
Contributions and grants received
$558,811
Grants paid
$13,070
Program service revenue
$152,540,578
Investment income
$5,115,322
Other revenue
$1,709,317
Total assets, end of year
$223,057,999
Total liabilities, end of year
$63,912,659
Net assets or fund balances, end of year
$159,145,340
Program services expenses (Part IX)
$137,187,443
Management and general expenses
$11,442,122
Fundraising expenses
$32,757
Program service expenses (Part III)
$137,187,443

Program services were 92.3% 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

    $502,502

  • 1e · Government grants (contributions)

    $56,309

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

    total $139,382,111 · related or exempt $139,382,111

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

    total $1,620,070 · related or exempt $1,620,070

  • 2c · Program service revenue: Pharmacy Revenue

    total $1,109,819 · related or exempt $1,109,819

  • 2f · All other program service revenue

    total $10,428,578 · related or exempt $10,428,578

  • 3 · Investment income

    total $564 · excluded $564

  • 6a · Gross rents

    real property $1,486,904

  • 6b · Less rental expenses

    real property $306,729

  • 6c · Rental income or loss

    real property $1,180,175

  • 6d · Net rental income or loss

    total $1,180,175 · excluded $1,180,175

  • 7a · Gross sales of assets other than inventory

    securities $5,099,092 · other assets $23,993

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

    securities $0 · other assets $8,327

  • 7c · Gain or loss

    securities $5,099,092 · other assets $15,666

  • 7d · Net gain or loss

    total $5,114,758 · excluded $5,114,758

  • 10a · Gross sales of inventory

    $1,797,951

  • 10b · Cost of goods sold

    $1,690,313

  • 10c · Net income from sales of inventory

    total $107,638 · related or exempt $95,593 · unrelated business $12,045

  • 11a · Other revenue: A/R Interest

    total $406,338 · related or exempt $406,338

  • 11b · Other revenue: Sports Programs

    total $15,166 · related or exempt $15,166

  • 11e · Other revenue, total

    $421,504

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $13,070 · program services $13,070

  • 5 · Compensation of officers, directors and key employees

    total $1,276,211 · program services $1,276,211

  • 6 · Compensation of disqualified persons

    total $184,765 · program services $184,765

  • 7 · Other salaries and wages

    total $65,017,608 · program services $64,255,239 · management and general $762,369

  • 8 · Pension plan contributions

    total $2,509,404 · program services $2,477,053 · management and general $32,351

  • 9 · Other employee benefits

    total $8,026,528 · program services $7,929,709 · management and general $96,819

  • 10 · Payroll taxes

    total $4,088,175 · program services $4,038,319 · management and general $49,856

  • 11b · Fees: legal

    total $4,241 · program services $320 · management and general $3,921

  • 11c · Fees: accounting

    total $6,000 · management and general $6,000

  • 11d · Fees: lobbying

    total $3,018 · management and general $3,018

  • 11g · Fees: other

    total $26,716,551 · program services $18,387,415 · management and general $8,329,106 · fundraising $30

  • 12 · Advertising and promotion

    total $16,641 · program services $7,104 · management and general $8,623 · fundraising $914

  • 13 · Office expenses

    total $1,139,438 · program services $907,887 · management and general $210,921 · fundraising $20,630

  • 14 · Information technology

    total $831,715 · program services $831,715

  • 16 · Occupancy

    total $2,166,625 · program services $1,833,037 · management and general $333,588

  • 17 · Travel

    total $313,132 · program services $302,461 · management and general $10,671

  • 19 · Conferences, conventions and meetings

    total $256,593 · program services $255,679 · management and general $914

  • 20 · Interest

    total $1,269,466 · program services $1,154,445 · management and general $115,021

  • 22 · Depreciation, depletion and amortization

    total $4,684,577 · program services $3,857,965 · management and general $826,422 · fundraising $190

  • 23 · Insurance

    total $227,889 · program services $20,155 · management and general $207,734

  • 24a · Other expenses: Medical Supplies

    total $28,527,922 · program services $28,475,219 · management and general $50,322 · fundraising $2,381

  • 24b · Other expenses: Equipment Lease/Rental

    total $64,532 · program services $58,890 · management and general $4,771 · fundraising $871

  • 24e · All other expenses

    total $1,318,221 · program services $920,785 · management and general $389,695 · fundraising $7,741

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year -$1,536,438 · end of year -$289,985

  • 4 · Accounts receivable

    beginning of year $16,323,509 · end of year $17,746,680

  • 8 · Inventories for sale or use

    beginning of year $2,502,788 · end of year $2,649,411

  • 9 · Prepaid expenses and deferred charges

    beginning of year $423,849 · end of year $550,284

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

    $129,001,030

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

    $85,918,942

  • 10c · Land, buildings and equipment, net

    beginning of year $42,920,592 · end of year $43,082,088

  • 12 · Investments: other securities

    beginning of year $107,332,149 · end of year $124,712,297

  • 13 · Investments: program-related

    beginning of year $1,559,382 · end of year $1,997,802

  • 14 · Intangible assets

    beginning of year $1,241,707 · end of year $1,576,464

  • 15 · Other assets

    beginning of year $9,872,425 · end of year $31,032,958

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,759,764 · end of year $9,052,739

  • 20 · Tax-exempt bond liabilities

    beginning of year $29,172,517 · end of year $28,585,319

  • 21 · Escrow or custodial account liability

    beginning of year $9,350 · end of year $9,761

  • 23 · Secured mortgages and notes payable

    beginning of year $1,392,179 · end of year $1,635,112

  • 25 · Other liabilities

    beginning of year $786,451 · end of year $24,629,728

  • 27 · Net assets without donor restrictions

    beginning of year $139,305,167 · end of year $156,372,267

  • 28 · Net assets with donor restrictions

    beginning of year $2,214,535 · end of year $2,773,073

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)

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 11 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, pain management, physical therapy, occupational therapy, speech therapy, pharmacy, ophthalmology, and optometry. They provide acute care & long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Queen of Peace Hospital 1,762 Acute patient discharges 456 Newborn patient discharges 8 Swing Bed patient discharges98,017 Outpatient visits 104 Swing-bed patient days 933 Newborn patient days47,161 Clinic visitsAvera Brady Health and Rehabilitation 111 Long Term Care patient discharges25,938 Long-term care resident daysAvera Weskota Memorial Medical Center (CAH) 64 Acute patient discharges 22 Swing Bed discharges 5,953 Outpatient visits 219 Swing-bed patient daysAvera De Smet Memorial Hospital (CAH) 60 Acute patient discharges 22 Swing Bed patient discharges10,617 Outpatient visits 104 Swing-bed patient days 4,815 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 $6,935,965.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 $137,187,443 · Grants $13,070 · Revenue $153,057,675

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

Listed in Part VII

  • Chris Krouse DO

    Orthopedics & Sports Medicine

    Total calculated
    $1,368,628
    From this org
    $1,313,171
    From related orgs
    $0
    Other
    $55,457
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,216,948
    Bonus
    $89,687
    Other
    $6,536
    Deferred
    $17,250
    Nontaxable benefits
    $38,207
    Filer's total
    $1,368,628
  • Julie Lautt

    CFO Avera Health;Secretary/Treasurer

    Total calculated
    $1,294,581
    From this org
    $0
    From related orgs
    $1,274,363
    Other
    $20,218
    Hours/week
    0.1 + 46.3 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
  • Brian Kampmann MD

    Orthopedics & Sports Medicine

    Total calculated
    $1,227,296
    From this org
    $1,167,363
    From related orgs
    $0
    Other
    $59,933
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,071,041
    Bonus
    $92,314
    Other
    $4,008
    Deferred
    $17,250
    Nontaxable benefits
    $42,683
    Filer's total
    $1,227,296
  • Michael Gedwill DO

    Radiology

    Total calculated
    $853,592
    From this org
    $807,111
    From related orgs
    $0
    Other
    $46,481
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $499,067
    Bonus
    $260,564
    Other
    $47,480
    Deferred
    $17,250
    Nontaxable benefits
    $29,231
    Filer's total
    $853,592
  • Kelly Smith MD

    Diagnostic Radiology & Radiology

    Total calculated
    $781,859
    From this org
    $739,545
    From related orgs
    $0
    Other
    $42,314
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $501,642
    Bonus
    $222,449
    Other
    $15,454
    Deferred
    $15,702
    Nontaxable benefits
    $26,612
    Filer's total
    $781,859
  • Douglas Ekeren

    Former Regional President & CEO

    Total calculated
    $690,419
    From this org
    $0
    From related orgs
    $639,691
    Other
    $50,728
    Hours/week
    0 + 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 + $33,478 related
    Filer's total
    $0 + $690,419 related
  • Dennis G Leland MD

    General Surgery

    Total calculated
    $660,855
    From this org
    $613,943
    From related orgs
    $0
    Other
    $46,912
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $478,931
    Bonus
    $124,605
    Other
    $10,407
    Deferred
    $17,250
    Nontaxable benefits
    $29,662
    Filer's total
    $660,855
  • Jessica Claussen MD

    Board Member/Opthalmology

    Total calculated
    $618,482
    From this org
    $563,348
    From related orgs
    $0
    Other
    $55,134
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $546,838
    Bonus
    $15,000
    Other
    $1,510
    Deferred
    $17,250
    Nontaxable benefits
    $37,884
    Filer's total
    $618,482
  • Jennifer Tegethoff MD FAAP

    Board Member/Pediatrics

    Total calculated
    $567,821
    From this org
    $512,213
    From related orgs
    $0
    Other
    $55,608
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $402,675
    Bonus
    $107,279
    Other
    $2,259
    Deferred
    $17,250
    Nontaxable benefits
    $38,358
    Filer's total
    $567,821
  • Hilary Rockwell MD

    Regional President & CEO

    Total calculated
    $557,277
    From this org
    $0
    From related orgs
    $501,643
    Other
    $55,634
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $0 + $483,647 related
    Bonus
    $0 + $16,579 related
    Other
    $0 + $1,417 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $38,384 related
    Filer's total
    $0 + $557,277 related
  • Ryan Thompson

    Chair

    Total calculated
    $0
    Hours/week
    2
  • Mark Puetz

    Vice Chair

    Total calculated
    $0
    Hours/week
    2
  • Sr Joyce Feteral

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Darlene Bergeleen

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Sr Vicky Larson

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Trevor Dierks

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Mark Hunhoff

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 1 related
  • Jean Koehler

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Tracey Larson

    Board Member (Until Sept.)

    Total calculated
    $0
    Hours/week
    2
  • Diane Sandhoff

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Nicole Stahle

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Brad Zomer

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Fredel Thomas

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Ann Buckmiller

    Board Member (Beg. Oct. 2024)

    Total calculated
    $0
    Hours/week
    2

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 · SD

  • 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 · NC

  • 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 $19,902 · share of assets $822,472 · 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
2024
Filed
11 May 2026
IRS schema version
2024v5.5
Source object
202601359349304105

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