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Nonprofiteer
← ASTERA HEALTH

Form 990 for tax year 2023

Filed by ASTERA HEALTH.

Totals

Total revenue
$88,734,132
Total expenses
$90,495,090
Contributions and grants received
$2,006,708
Grants paid
$61,443
Program service revenue
$84,437,670
Investment income
$804,196
Other revenue
$1,485,558
Total assets, end of year
$124,970,316
Total liabilities, end of year
$72,128,388
Net assets or fund balances, end of year
$52,841,928
Program services expenses (Part IX)
$71,929,258
Management and general expenses
$18,291,230
Fundraising expenses
$274,602
Program service expenses (Part III)
$71,929,258

Program services were 79.5% 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.

  • 1c · Fundraising events

    $93,858

  • 1e · Government grants (contributions)

    $1,077,395

  • 1f · All other contributions, gifts and grants

    $835,455

  • 2a · Program service revenue: PATIENT SERVICE FEES

    total $79,571,501 · related or exempt $79,571,501

  • 2b · Program service revenue: PHARMACY

    total $4,234,832 · related or exempt $4,234,832

  • 2c · Program service revenue: CMDI INCOME

    total $606,925 · related or exempt $606,925

  • 2d · Program service revenue: INDUSTRIAL BILLING

    total $24,412 · unrelated business $24,412

  • 3 · Investment income

    total $46,697 · excluded $46,697

  • 6a · Gross rents

    real property $688,829

  • 6b · Less rental expenses

    real property $96,609

  • 6c · Rental income or loss

    real property $592,220

  • 6d · Net rental income or loss

    total $592,220 · excluded $592,220

  • 7a · Gross sales of assets other than inventory

    securities $616,001 · other assets $141,498

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $616,001 · other assets $141,498

  • 7d · Net gain or loss

    total $757,499 · excluded $757,499

  • 8a · Fundraising events: gross income

    $34,054

  • 8a · Fundraising events: contributions included on line 1c

    $93,858

  • 8b · Fundraising events: direct expenses

    $102,884

  • 8c · Net income from fundraising events

    total -$68,830 · excluded -$68,830

  • 9a · Gaming: gross income

    $10,228

  • 9b · Gaming: direct expenses

    $2,139

  • 9c · Net income from gaming

    total $8,089 · excluded $8,089

  • 11a · Other revenue: MISCELLANEOUS

    total $633,551 · excluded $633,551

  • 11b · Other revenue: EMPLOYEE/GUEST MEALS

    total $194,635 · excluded $194,635

  • 11c · Other revenue: CLINIC REVENUE

    total $118,123 · excluded $118,123

  • 11d · All other revenue

    total $7,770 · excluded $7,770

  • 11e · Other revenue, total

    $954,079

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $38,192 · program services $38,192

  • 2 · Grants to domestic individuals

    total $23,251 · program services $23,251

  • 5 · Compensation of officers, directors and key employees

    total $2,107,721 · program services $569,890 · management and general $1,537,831

  • 7 · Other salaries and wages

    total $32,147,672 · program services $27,251,374 · management and general $4,777,794 · fundraising $118,504

  • 8 · Pension plan contributions

    total $507,979 · program services $433,274 · management and general $74,705

  • 9 · Other employee benefits

    total $7,074,487 · program services $5,858,319 · management and general $1,216,168

  • 10 · Payroll taxes

    total $2,183,876 · program services $1,779,840 · management and general $404,036

  • 11c · Fees: accounting

    total $173,217 · management and general $173,217

  • 11d · Fees: lobbying

    total $8,425 · management and general $8,425

  • 11g · Fees: other

    total $16,578,060 · program services $14,822,201 · management and general $1,755,859

  • 12 · Advertising and promotion

    total $560,977 · management and general $560,977

  • 13 · Office expenses

    total $1,190,828 · program services $381,464 · management and general $657,756 · fundraising $151,608

  • 14 · Information technology

    total $39,480 · management and general $39,480

  • 16 · Occupancy

    total $1,100,767 · program services $1,029,812 · management and general $70,955

  • 17 · Travel

    total $167,494 · program services $142,481 · management and general $23,774 · fundraising $1,239

  • 20 · Interest

    total $1,279,568 · program services $1,279,568

  • 22 · Depreciation, depletion and amortization

    total $6,210,313 · program services $1,516,510 · management and general $4,693,803

  • 23 · Insurance

    total $433,893 · management and general $433,893

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $13,007,369 · program services $13,007,369

  • 24b · Other expenses: RENTAL & MAINTENANCE

    total $3,511,750 · program services $3,089,284 · management and general $422,466

  • 24c · Other expenses: TAXES

    total $1,175,634 · program services $451,977 · management and general $723,657

  • 24d · Other expenses: MEDICARE SURCHARGE

    total $452,358 · management and general $452,358

  • 24e · All other expenses

    total $521,779 · program services $254,452 · management and general $264,076 · fundraising $3,251

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $197,184 · end of year $615,616

  • 2 · Savings and temporary cash investments

    beginning of year $8,613,861 · end of year $2,663,526

  • 3 · Pledges and grants receivable

    beginning of year $564,067 · end of year $504,570

  • 4 · Accounts receivable

    beginning of year $11,997,191 · end of year $13,527,382

  • 5 · Loans and receivables from officers and key people

    beginning of year $3,148 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $1,645,044 · end of year $1,542,230

  • 8 · Inventories for sale or use

    beginning of year $791,892 · end of year $792,252

  • 9 · Prepaid expenses and deferred charges

    beginning of year $502,875 · end of year $499,977

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

    $122,761,318

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

    $44,660,273

  • 10c · Land, buildings and equipment, net

    beginning of year $76,078,987 · end of year $78,101,045

  • 11 · Investments: publicly traded securities

    beginning of year $22,808,343 · end of year $24,500,137

  • 12 · Investments: other securities

    beginning of year $2,393,794 · end of year $1,763,997

  • 15 · Other assets

    beginning of year $0 · end of year $459,584

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,383,339 · end of year $8,715,928

  • 20 · Tax-exempt bond liabilities

    beginning of year $53,171,113 · end of year $19,657,473

  • 23 · Secured mortgages and notes payable

    end of year $41,933,632

  • 25 · Other liabilities

    beginning of year $2,361,418 · end of year $1,821,355

  • 27 · Net assets without donor restrictions

    beginning of year $53,584,373 · end of year $52,777,435

  • 28 · Net assets with donor restrictions

    beginning of year $96,143 · end of year $64,493

Mission and programs · 2023

Mission

TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

ASTERA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE.

  • ASTERA HEALTH IS A PRIVATE, NOT-FOR-PROFIT 18-BED CRITICAL ACCESS HEALTH SYSTEM COMMITTED TO PROVIDING PERSONALIZED SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. AN 11-MEMBER VOLUNTEER GOVERNING BOARD PRESIDES OVER THE HOSPITAL, WHICH IS ACCREDITED BY THE JOINT COMMISSION. ASTERA HEALTH IS EQUIPPED WITH INTENSIVE CARE UNITS, SURGERY SUITES, LABOR AND DELIVERY SUITES, AN INPATIENT UNIT, DIAGNOSTIC X-RAY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL AND OCCUPATIONAL THERAPY, CHIROPRACTIC, AND 24-HOUR EMERGENCY AND AMBULANCE CARE. ADDITIONALLY, ASTERA HEALTH OPERATES SIX CERTIFIED RURAL HEALTH CLINICS IN AREAS IDENTIFIED BY STATE AND FEDERAL AGENCIES AS HEALTH PROFESSIONAL SHORTAGE AREAS. AS ONE OF THE LARGEST EMPLOYERS IN WADENA COUNTY, OUR 368.9 (FTES) EMPLOYEES AND 98 VOLUNTEERS CONTRIBUTE TO OUR PATIENTS AND COMMUNITIES.ASTERA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES BY OFFERING SEVERAL CLASSES, EVENTS, AND SUPPORT GROUPS TO EDUCATE AND PROMOTE HEALTHY LIVING. EMS COURSES, INJURY PREVENTION FOR ATHLETES AND ADULT CLASSES, CPR CLASSES, PREGNANCY CLASSES, SUMMER INTERNSHIP PROGRAM, AND OUR BITE SIZE CONVERSATION MONTHLY LUNCH AND LEARN PROGRAM ARE JUST SOME OF THE FREE OFFERINGS AVAILABLE TO THE COMMUNITIES WE SERVE. THE ASTERA HEALTH FOUNDATION PROVIDES STUDENT AND STAFF SCHOLARSHIPS AS WELL AS COMMUNITY GRANTS TO IMPROVE HEALTH. OUR UNCOMPENSATED CARE (CHARITY CARE) PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. OUR FINANCIAL ASSISTANCE PROGRAM (FAP) IS PUBLISHED ONLINE, AND OUR PATIENT FINANCIAL ADVOCATES ASSIST THOSE IN NEED OF USING THE FAP.THE COMMUNITY PARAMEDIC OUTREACH PROGRAM SERVES PATIENTS AT RISK OF USING THE ER OR INPATIENT UNIT FOR PRIMARY CARE SERVICES. THE PROGRAM HELPS THEM FIND MORE APPROPRIATE RESOURCES FOR THEIR MEDICAL NEEDS, CONDUCTING 381 VISITS DURING 2023, REDUCING THE COST OF CARE FOR THOSE INDIVIDUALS. ASTERA HEALTH SERVES AS A CLINICAL ROTATION SITE FOR NURSING STUDENTS AND FOR RADIOLOGY AND LABORATORY TECHNICIANS FROM AREA TECHNICAL COLLEGES, PARTICIPATING AS PRECEPTOR SITES FOR MEDICAL SCHOOLS INCLUDING THE RURAL PHYSICIAN ASSOCIATE PROGRAM AND SUMMER INTERNSHIP IN MEDICINE, AS WELL AS PROVIDING CAMPUS-BASED PRECEPTOR PHYSICIANS TO THE UNIVERSITY OF MINNESOTA-DULUTH AND ST. CLOUD RESIDENCY PROGRAMS.

    Expenses $71,929,258 · Grants $61,443 · Revenue $84,413,258

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

Listed in Part VII

  • Matthew Van Bruggen

    BOARD MEMBER

    Total calculated
    $4,000
    From this org
    $4,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Terry Davis

    BOARD MEMBER

    Total calculated
    $583
    From this org
    $583
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Ryan Anderson

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Paul Drange

    BOARD VICE CHAIR

    Total calculated
    $4,000
    From this org
    $4,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Dave Fjeldheim

    BOARD MEMBER

    Total calculated
    $5,256
    From this org
    $5,256
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Jolene Johannes

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    4

  • Rachel Redig MD

    PHYSICIAN/BOARD MEMBER

    Total calculated
    $563,990
    From this org
    $520,672
    From related orgs
    $0
    Other
    $43,318
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $507,010
    Bonus
    $2,500
    Other
    $11,162
    Deferred
    $8,030
    Nontaxable benefits
    $35,288
    Filer's total
    $563,990

  • Steve Davis MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • Jackie Och

    BOARD MEMBER

    Total calculated
    $6,370
    From this org
    $6,370
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Shaneen Schmidt MD

    BOARD MEMBER

    Total calculated
    $32,208
    From this org
    $32,208
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • David Quincer

    BOARD MEMBER

    Total calculated
    $1,892
    From this org
    $1,892
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Joel Beiswenger

    CEO, PRESIDENT

    Total calculated
    $497,549
    From this org
    $457,143
    From related orgs
    $0
    Other
    $40,406
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $384,433
    Bonus
    $33,273
    Other
    $39,437
    Deferred
    $8,352
    Nontaxable benefits
    $32,054
    Filer's total
    $497,549

  • Kim Aagard

    CFO

    Total calculated
    $291,419
    From this org
    $259,515
    From related orgs
    $0
    Other
    $31,904
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,684
    Bonus
    $14,800
    Other
    $16,031
    Deferred
    $5,240
    Nontaxable benefits
    $26,664
    Filer's total
    $291,419

  • Thomas Pint

    CNO

    Total calculated
    $223,538
    From this org
    $219,027
    From related orgs
    $0
    Other
    $4,511
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,192
    Bonus
    $13,035
    Other
    $3,800
    Deferred
    $4,106
    Nontaxable benefits
    $405
    Filer's total
    $223,538

  • Teresa Johnson

    CHRO

    Total calculated
    $273,054
    From this org
    $237,962
    From related orgs
    $0
    Other
    $35,092
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,855
    Bonus
    $23,353
    Other
    $9,754
    Deferred
    $4,389
    Nontaxable benefits
    $30,703
    Filer's total
    $273,054

  • Medley Shamp

    CAO

    Total calculated
    $191,761
    From this org
    $155,137
    From related orgs
    $0
    Other
    $36,624
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,325
    Bonus
    $558
    Other
    $8,254
    Deferred
    $3,387
    Nontaxable benefits
    $33,237
    Filer's total
    $191,761

  • Bobbi Adams

    CMO

    Total calculated
    $1,200
    From this org
    $1,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Nathaniel Ronning MD

    PHYSICIAN

    Total calculated
    $780,567
    From this org
    $740,294
    From related orgs
    $0
    Other
    $40,273
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $683,883
    Bonus
    $2,500
    Other
    $53,911
    Deferred
    $10,327
    Nontaxable benefits
    $29,946
    Filer's total
    $780,567

  • Benjamin Robertson MD

    PHYSICIAN

    Total calculated
    $1,282,235
    From this org
    $1,226,409
    From related orgs
    $0
    Other
    $55,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,187,529
    Bonus
    $2,500
    Other
    $36,380
    Deferred
    $18,715
    Nontaxable benefits
    $37,111
    Filer's total
    $1,282,235

  • Travis Swartz MD

    PHYSICIAN

    Total calculated
    $590,397
    From this org
    $543,885
    From related orgs
    $0
    Other
    $46,512
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $511,402
    Bonus
    $2,500
    Other
    $29,983
    Deferred
    $10,444
    Nontaxable benefits
    $36,068
    Filer's total
    $590,397

  • Ryan Scott MD

    PHYSICIAN

    Total calculated
    $630,725
    From this org
    $583,665
    From related orgs
    $0
    Other
    $47,060
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $559,103
    Bonus
    $2,500
    Other
    $22,062
    Deferred
    $10,172
    Nontaxable benefits
    $36,888
    Filer's total
    $630,725

  • Wendy Gravelle

    CRNA

    Total calculated
    $373,577
    From this org
    $323,576
    From related orgs
    $0
    Other
    $50,001
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $317,493
    Bonus
    $2,500
    Other
    $3,583
    Deferred
    $6,156
    Nontaxable benefits
    $43,845
    Filer's total
    $373,577

  • Jose Alba

    FORMER OFFICER

    Total calculated
    $124,613
    From this org
    $122,201
    From related orgs
    $0
    Other
    $2,412
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $122,201
    Bonus
    $0
    Other
    $0
    Deferred
    $2,412
    Nontaxable benefits
    $0
    Filer's total
    $124,613

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
THE ORGANIZATION'S CHIEF OFFICERS MAY RECEIVE NON-FIXED PAYMENTS DEPENDING ON VARIOUS MEASURES THAT INCLUDE 1) QUALITY & SERVICE, 2) FINANCIAL MEANSURES - DEBT SERVICE COVERAGE RATIO AND DAYS CASH ON HAND, AND 3) GROWTH AND VOLUME.

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

Provenance

Return type
form_990
Tax year
2023
Filed
29 October 2024
IRS schema version
2023v5.1
Source object
202433049349301313

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