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Nonprofiteer
← AVERA ST MARYS

Form 990 for tax year 2022

Filed by AVERA ST MARYS.

Totals

Total revenue
$108,673,352
Total expenses
$114,138,300
Contributions and grants received
$210,022
Grants paid
$23,205
Program service revenue
$106,036,186
Investment income
$258,432
Other revenue
$2,168,712
Total assets, end of year
$94,524,377
Total liabilities, end of year
$35,239,544
Net assets or fund balances, end of year
$59,284,833
Program services expenses (Part IX)
$106,440,315
Management and general expenses
$7,681,853
Fundraising expenses
$16,132
Program service expenses (Part III)
$106,440,315

Program services were 93.3% 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.

  • 1a · Federated campaigns

    $37,000

  • 1d · Related organizations

    $96,859

  • 1e · Government grants (contributions)

    $63,742

  • 1f · All other contributions, gifts and grants

    $12,421

  • 2a · Program service revenue: Patient Service Revenue

    total $100,861,334 · related or exempt $100,861,334

  • 2b · Program service revenue: Pharmacy Revenue

    total $3,671,014 · related or exempt $3,671,014

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

    total $369,048 · related or exempt $369,048

  • 2f · All other program service revenue

    total $1,134,790 · related or exempt $1,134,790

  • 3 · Investment income

    total $8,437 · excluded $8,437

  • 6a · Gross rents

    real property $76,286

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $76,286

  • 6d · Net rental income or loss

    total $76,286 · excluded $76,286

  • 7a · Gross sales of assets other than inventory

    securities $230,508 · other assets $19,487

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $230,508 · other assets $19,487

  • 7d · Net gain or loss

    total $249,995 · excluded $249,995

  • 10a · Gross sales of inventory

    $4,162,051

  • 10b · Cost of goods sold

    $2,090,905

  • 10c · Net income from sales of inventory

    total $2,071,146 · related or exempt $1,666,444 · unrelated business $404,702

  • 11a · Other revenue: A/R Interest

    total $21,280 · related or exempt $21,280

  • 11e · Other revenue, total

    $21,280

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $23,205 · program services $23,205

  • 5 · Compensation of officers, directors and key employees

    total $222,156 · management and general $222,156

  • 6 · Compensation of disqualified persons

    total $68,396 · program services $68,396

  • 7 · Other salaries and wages

    total $49,293,160 · program services $48,711,256 · management and general $581,904

  • 8 · Pension plan contributions

    total $1,732,576 · program services $1,707,141 · management and general $25,435

  • 9 · Other employee benefits

    total $6,051,051 · program services $5,966,320 · management and general $84,731

  • 10 · Payroll taxes

    total $2,963,028 · program services $2,910,787 · management and general $52,241

  • 11b · Fees: legal

    total $36 · management and general $36

  • 11d · Fees: lobbying

    total $3,255 · management and general $3,255

  • 11g · Fees: other

    total $21,880,982 · program services $16,392,751 · management and general $5,483,024 · fundraising $5,207

  • 12 · Advertising and promotion

    total $7,015 · program services $4,000 · management and general $1,771 · fundraising $1,244

  • 13 · Office expenses

    total $888,299 · program services $803,461 · management and general $83,089 · fundraising $1,749

  • 14 · Information technology

    total $471,926 · program services $469,409 · management and general $2,517

  • 16 · Occupancy

    total $1,585,445 · program services $1,505,857 · management and general $79,588

  • 17 · Travel

    total $134,061 · program services $108,383 · management and general $25,597 · fundraising $81

  • 19 · Conferences, conventions and meetings

    total $223,943 · program services $222,842 · management and general $1,101

  • 20 · Interest

    total $1,142,849 · program services $948,420 · management and general $194,429

  • 22 · Depreciation, depletion and amortization

    total $5,309,854 · program services $4,864,811 · management and general $445,043

  • 23 · Insurance

    total $677,750 · program services $380,744 · management and general $297,006

  • 24a · Other expenses: Medical Supplies

    total $20,248,121 · program services $20,201,948 · management and general $39,994 · fundraising $6,179

  • 24b · Other expenses: Equipment Lease/Rental

    total $147,831 · program services $146,633 · management and general $1,198

  • 24c · Other expenses: Income Taxes

    total $56,000 · program services $56,000

  • 24e · All other expenses

    total $1,007,361 · program services $947,951 · management and general $57,738 · fundraising $1,672

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $756,728 · end of year -$356,923

  • 4 · Accounts receivable

    beginning of year $13,168,623 · end of year $12,548,144

  • 8 · Inventories for sale or use

    beginning of year $3,700,003 · end of year $3,553,979

  • 9 · Prepaid expenses and deferred charges

    beginning of year $295,098 · end of year $779,039

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

    $119,993,613

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

    $72,514,319

  • 10c · Land, buildings and equipment, net

    beginning of year $48,440,827 · end of year $47,479,294

  • 12 · Investments: other securities

    beginning of year $40,761,705 · end of year $26,869,530

  • 13 · Investments: program-related

    end of year $325,567

  • 14 · Intangible assets

    beginning of year $759,191 · end of year $687,521

  • 15 · Other assets

    beginning of year $111,972 · end of year $2,638,226

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,533,519 · end of year $6,112,054

  • 19 · Deferred revenue

    beginning of year $133,387 · end of year $63,206

  • 20 · Tax-exempt bond liabilities

    beginning of year $28,575,579 · end of year $20,960,425

  • 21 · Escrow or custodial account liability

    beginning of year $11,322 · end of year $4,932

  • 23 · Secured mortgages and notes payable

    end of year $6,920,387

  • 25 · Other liabilities

    beginning of year $8,769,186 · end of year $1,178,540

  • 27 · Net assets without donor restrictions

    beginning of year $59,283,306 · end of year $55,885,664

  • 28 · Net assets with donor restrictions

    beginning of year $3,687,848 · end of year $3,399,169

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 St. Mary's mission is to provide healthcare services to Pierre, South Dakota residents and residents of the surrounding area. Avera St. Mary's is a 501(c)(3) organization affiliated with Avera Health. Avera St. Mary's consists of a 50-bed hospital, an 80-bed nursing home, senior living apartments, and one physician clinic in Pierre, South Dakota. The program services offered include primary care, ob/gyn, pediatrics, orthopedics, general surgery, emergency, internal medicine, oncology, podiatry, urology, dermatology, pain management, ENT, speech therapy, occupational therapy, respiratory therapy, and wound care. Avera St. Mary's provides acute care and long-term healthcare services.Following is a breakdown of these statistics by facility:Avera St. Mary's Hospital 1,622 Acute patient discharges 438 Newborn patient discharges 96 Swing bed patient discharges 58,782 Outpatient visits 499 Swing-bed patient days 776 Newborn patient days 90,618 Clinic visitsAvera Maryhouse 19,260 Long-term resident days 101 Long Term Care patient dischargesAvera St. Mary's 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 $3,290,141.Avera St. Mary's 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 St. Mary's 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 St. Mary's 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 $106,440,315 · Grants $23,205 · Revenue $107,723,910

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

Listed in Part VII

  • Shantel Krebs

    Interim President/CEO (Beg 03/2023)

    Total calculated
    $112,712
    From this org
    $0
    From related orgs
    $107,215
    Other
    $5,497
    Hours/week
    42 + 2 related

  • Dr Mikel Holland

    Regional President/CEO (End 03/2023)

    Total calculated
    $451,868
    From this org
    $0
    From related orgs
    $397,658
    Other
    $54,210
    Hours/week
    42 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $392,025 related
    Bonus
    $0 + $460 related
    Other
    $0 + $5,173 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $38,960 related
    Filer's total
    $0 + $451,868 related

  • Dr Amy Lueking - Board mbr

    to 03/2023)/VP of Med Affairs/CMO

    Total calculated
    $376,532
    From this org
    $0
    From related orgs
    $327,482
    Other
    $49,050
    Hours/week
    42 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,480 related
    Bonus
    $0 + $49,551 related
    Other
    $0 + $1,451 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $33,800 related
    Filer's total
    $0 + $376,532 related

  • Mike Weisgram

    Chair

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Sr Penny Bingham

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 7 related

  • Kristin Brost

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Jamie Cronin

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Dr Mark Hagy

    Board Member/Orthopedics

    Total calculated
    $857,212
    From this org
    $0
    From related orgs
    $827,282
    Other
    $29,930
    Hours/week
    42 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $732,133 related
    Bonus
    $0 + $32,160 related
    Other
    $0 + $62,989 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $14,680 related
    Filer's total
    $0 + $857,212 related

  • Michael Larson

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Meredith Lee

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Kim Olson

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Rena Robbennolt Beg 032023

    Board Member/Nurse Practioner

    Total calculated
    $137,984
    From this org
    $0
    From related orgs
    $95,041
    Other
    $42,943
    Hours/week
    2 + 30 related

  • Sr Lynn Marie Welbig

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 3 related

  • Robert Wylie

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • 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

  • Karna Pfeffer

    VP Patient Care

    Total calculated
    $209,406
    From this org
    $163,729
    From related orgs
    $0
    Other
    $45,677
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,335
    Bonus
    $2,625
    Other
    $3,769
    Deferred
    $7,530
    Nontaxable benefits
    $38,147
    Filer's total
    $209,406

  • Matthew Deichert

    CRNA

    Total calculated
    $291,428
    From this org
    $242,239
    From related orgs
    $0
    Other
    $49,189
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,013
    Bonus
    $7,275
    Other
    $8,951
    Deferred
    $11,140
    Nontaxable benefits
    $38,049
    Filer's total
    $291,428

  • Nick Jung

    CRNA

    Total calculated
    $260,494
    From this org
    $243,415
    From related orgs
    $0
    Other
    $17,079
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,326
    Bonus
    $8,700
    Other
    $3,389
    Deferred
    $6,252
    Nontaxable benefits
    $10,826
    Filer's total
    $260,493

  • Michael Murphy

    CRNA

    Total calculated
    $285,652
    From this org
    $245,608
    From related orgs
    $0
    Other
    $40,044
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,719
    Bonus
    $8,850
    Other
    $8,039
    Deferred
    $9,201
    Nontaxable benefits
    $30,842
    Filer's total
    $285,651

  • Scott Oswald

    CRNA

    Total calculated
    $309,290
    From this org
    $269,914
    From related orgs
    $0
    Other
    $39,376
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,577
    Bonus
    $17,325
    Other
    $26,012
    Deferred
    $10,394
    Nontaxable benefits
    $28,982
    Filer's total
    $309,290

  • Kevin Roark

    CRNA

    Total calculated
    $287,293
    From this org
    $246,154
    From related orgs
    $0
    Other
    $41,139
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,977
    Bonus
    $16,788
    Other
    $3,389
    Deferred
    $9,522
    Nontaxable benefits
    $31,616
    Filer's total
    $287,292

  • Todd Forkel

    Former President/CEO

    Total calculated
    $125,417
    From this org
    $0
    From related orgs
    $113,998
    Other
    $11,419
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $112,827 related
    Bonus
    $0
    Other
    $0 + $1,171 related
    Deferred
    $0 + $5,725 related
    Nontaxable benefits
    $0 + $5,694 related
    Filer's total
    $0 + $125,417 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:
President/CEO serves Avera St. Mary's and Avera Gettysburg and was compensated by a related organization, Avera McKennan. Avera St. Mary's 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

    Healthcare services · 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 Company 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
202441359349309764

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