Skip to content
Nonprofiteer
← AVERA TYLER

Form 990 for tax year 2023

Filed by AVERA TYLER.

Totals

Total revenue
$14,792,186
Total expenses
$13,521,033
Contributions and grants received
$411,289
Grants paid
$2,169
Program service revenue
$14,255,413
Investment income
$120,008
Other revenue
$5,476
Total assets, end of year
$13,874,773
Total liabilities, end of year
$1,168,123
Net assets or fund balances, end of year
$12,706,650
Program services expenses (Part IX)
$12,341,722
Management and general expenses
$1,179,311
Fundraising expenses
$0
Program service expenses (Part III)
$12,341,722

Program services were 91.3% 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

    $2,516

  • 1e · Government grants (contributions)

    $405,273

  • 1f · All other contributions, gifts and grants

    $3,500

  • 2a · Program service revenue: Net Patient Revenue

    total $13,842,791 · related or exempt $13,842,791

  • 2b · Program service revenue: Pharmacy Revenue

    total $382,464 · related or exempt $382,464

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

    total $547 · related or exempt $547

  • 2f · All other program service revenue

    total $29,611 · related or exempt $29,611

  • 3 · Investment income

    total $1,248 · excluded $1,248

  • 6a · Gross rents

    real property $3,650

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $3,650

  • 6d · Net rental income or loss

    total $3,650 · excluded $3,650

  • 7a · Gross sales of assets other than inventory

    securities $122,471

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

    securities $0 · other assets $3,711

  • 7c · Gain or loss

    securities $122,471 · other assets -$3,711

  • 7d · Net gain or loss

    total $118,760 · excluded $118,760

  • 11a · Other revenue: A/R Interest Income

    total $1,826 · related or exempt $1,826

  • 11e · Other revenue, total

    $1,826

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,169 · program services $2,169

  • 7 · Other salaries and wages

    total $5,990,443 · program services $5,827,067 · management and general $163,376

  • 8 · Pension plan contributions

    total $212,433 · program services $207,749 · management and general $4,684

  • 9 · Other employee benefits

    total $874,161 · program services $863,856 · management and general $10,305

  • 10 · Payroll taxes

    total $401,374 · program services $393,671 · management and general $7,703

  • 11d · Fees: lobbying

    total $198 · management and general $198

  • 11g · Fees: other

    total $3,515,864 · program services $2,806,661 · management and general $709,203

  • 12 · Advertising and promotion

    total $2,008 · program services $600 · management and general $1,408

  • 13 · Office expenses

    total $96,652 · program services $68,944 · management and general $27,708

  • 14 · Information technology

    total $76,508 · program services $76,508

  • 16 · Occupancy

    total $183,118 · program services $136,408 · management and general $46,710

  • 17 · Travel

    total $30,984 · program services $27,213 · management and general $3,771

  • 19 · Conferences, conventions and meetings

    total $24,559 · program services $24,534 · management and general $25

  • 20 · Interest

    total $9 · program services $9

  • 22 · Depreciation, depletion and amortization

    total $389,388 · program services $374,639 · management and general $14,749

  • 23 · Insurance

    total $61,136 · program services $16,739 · management and general $44,397

  • 24a · Other expenses: Medical Supplies

    total $1,365,537 · program services $1,364,772 · management and general $765

  • 24b · Other expenses: Equipment Lease/Rental

    total $1,821 · program services $1,316 · management and general $505

  • 24e · All other expenses

    total $292,671 · program services $148,867 · management and general $143,804

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $329,884 · end of year $10,749

  • 4 · Accounts receivable

    beginning of year $1,748,099 · end of year $1,754,353

  • 8 · Inventories for sale or use

    beginning of year $253,963 · end of year $244,423

  • 9 · Prepaid expenses and deferred charges

    beginning of year $102,813 · end of year $105,129

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

    $8,980,733

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

    $7,293,747

  • 10c · Land, buildings and equipment, net

    beginning of year $1,627,763 · end of year $1,686,986

  • 12 · Investments: other securities

    beginning of year $7,585,173 · end of year $9,842,494

  • 13 · Investments: program-related

    beginning of year $16,261 · end of year $33,835

  • 15 · Other assets

    beginning of year $515,894 · end of year $196,804

  • 17 · Accounts payable and accrued expenses

    beginning of year $811,081 · end of year $895,916

  • 19 · Deferred revenue

    beginning of year $2,820 · end of year $51,672

  • 21 · Escrow or custodial account liability

    beginning of year $2,003 · end of year $4,708

  • 24 · Unsecured notes and loans payable

    beginning of year $17,997

  • 25 · Other liabilities

    beginning of year $650,486 · end of year $215,827

  • 27 · Net assets without donor restrictions

    beginning of year $9,979,824 · end of year $11,837,732

  • 28 · Net assets with donor restrictions

    beginning of year $715,639 · end of year $868,918

Mission and programs · 2023

Mission

Avera Health is a ministry rooted in the gospel. Our mission is to make a postive 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 Tyler's mission is to provide healthcare services to Tyler, Minnesota residents and residents of the surrounding counties including Lincoln, Pipestone and Lyon. Avera Tyler is a 501(c)(3) organization affiliated with Avera Health and controlled by Avera Marshall. Avera Tyler consists of a 20-bed hospital, a Rural Health Clinic and a 30-bed nursing home in Tyler, Minnesota, and a Rural Health Clinic in Lake Benton, Minnesota. The program services offered include primary care, infusion, radiology, nuclear medicine, ultrasound, speech therapy, physical therapy, and occupational therapy. Avera Tyler provides acute care and long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Tyler Hospital 92 Acute patient discharges 28 Swing Bed patient discharges 9,681 Outpatient visits 303 Swing-bed patient days 7,988 Clinic visitsSunrise Manor 10,864 Long-term resident days 16 Long Term Care patient dischargesAvera Tyler 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 $390,877.Avera Tyler 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 Tyler 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 Tyler 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 $12,341,722 · Grants $2,169 · Revenue $14,257,239

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

Listed in Part VII

  • Debbie Streier

    Regional President & CEO

    Total calculated
    $506,835
    From this org
    $0
    From related orgs
    $489,400
    Other
    $17,435
    Hours/week
    1.5 + 44.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $481,234 related
    Bonus
    $0 + $440 related
    Other
    $0 + $7,726 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $935 related
    Filer's total
    $0 + $506,835 related

  • George Jorgensen

    Chair

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Amanda Sieling

    Vice Chair

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Stephen Crim

    Board Member/Ministerial Juridic

    Total calculated
    $64,095
    From this org
    $0
    From related orgs
    $64,095
    Other
    $0
    Hours/week
    1.5 + 43.5 related

  • Quentin Fixen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Greg Goepferich

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Sharon Hennen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Laurie Johansen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Sr Janice Klein

    Board Member (End 02/2024)

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • LaVonne Koenen

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 3.5 related

  • Curtis Louwagie MD

    Board Member/Ophthalmology

    Total calculated
    $903,972
    From this org
    $0
    From related orgs
    $846,339
    Other
    $57,633
    Hours/week
    1.5 + 41.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $652,244 related
    Bonus
    $0 + $191,293 related
    Other
    $0 + $2,802 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $41,133 related
    Filer's total
    $0 + $903,972 related

  • Tim O'Leary

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Joyce Strootman

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Jill Vroman DO

    Board Member/Family Medicine/OB

    Total calculated
    $561,364
    From this org
    $0
    From related orgs
    $510,393
    Other
    $50,971
    Hours/week
    1.5 + 41.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $474,773 related
    Bonus
    $0 + $27,000 related
    Other
    $0 + $8,620 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $34,471 related
    Filer's total
    $0 + $561,364 related

  • Sr Jodie Zimmerman

    Board Member

    Total calculated
    $0
    Hours/week
    1.5 + 1.5 related

  • Julie Lautt

    CFO Avera Health;Secretary/Treasurer

    Total calculated
    $1,223,076
    From this org
    $0
    From related orgs
    $1,203,675
    Other
    $19,401
    Hours/week
    0.1 + 46.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,197,590 related
    Bonus
    $0 + $480 related
    Other
    $0 + $5,605 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $2,901 related
    Filer's total
    $0 + $1,223,076 related

  • Kassandra Anderson

    Nurse Practitioner

    Total calculated
    $210,793
    From this org
    $167,716
    From related orgs
    $28,969
    Other
    $14,108
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $101,231 + $25,123 related
    Bonus
    $66,420 + $3,830 related
    Other
    $65 + $16 related
    Deferred
    $8,526 + $1,476 related
    Nontaxable benefits
    $3,392 + $714 related
    Filer's total
    $179,634 + $31,159 related

  • Joan Devries

    RN - III

    Total calculated
    $120,453
    From this org
    $100,762
    From related orgs
    $0
    Other
    $19,691
    Hours/week
    40

  • Valerie Mollema

    Nurse Manager

    Total calculated
    $112,034
    From this org
    $104,527
    From related orgs
    $0
    Other
    $7,507
    Hours/week
    40

  • Jenna Schrunk

    Manager - Radiology

    Total calculated
    $118,123
    From this org
    $109,218
    From related orgs
    $0
    Other
    $8,905
    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 serves Avera Marshall, Avera Tyler, and Avera Granite Falls and was compensated by a related organization, Avera Health. Avera Tyler 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

    Healthcare Services · SD

  • Caravan Health ACO 15 LLC dba Prairie Vista Care Organization

    Accountable Care Organization · TX

  • Caravan Health ACO 41 LLC dba Prairie View Care Organization

    Accountable Care Organization · TX

  • 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
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202511349349308411

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.