AVERA GRANITE FALLS: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
AVERA GRANITE FALLS (EIN 84-3156881)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202431359349309688
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T15:11:30-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN843156881EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Avera Granite FallsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAVERBusinessNameControlTxt
Phone3205646200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1345 10th AveAddressLine1Txt
CityGranite FallsCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56241ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJulie LauttPersonNm
Person TitleCFO Avera HealthPersonTitleTxt
Phone3205646200PhoneNum
Signature2024-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJuliePersonFirstNm
Person LastLauttPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2024-05-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Avera Granite Falls Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDebbie StreierPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1345 10th AveAddressLine1Txt
CityGranite FallsCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56241ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,631,112GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSee Schedule OWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionPromotion of healthActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee228TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,382,678PYContributionsGrantsAmt
CY Contributions Grants$282,689CYContributionsGrantsAmt
PY Program Service Revenue$27,740,373PYProgramServiceRevenueAmt
CY Program Service Revenue$29,236,790CYProgramServiceRevenueAmt
PY Investment Income$59,014PYInvestmentIncomeAmt
CY Investment Income$66,049CYInvestmentIncomeAmt
PY Other Revenue$60,744PYOtherRevenueAmt
CY Other Revenue$23,213CYOtherRevenueAmt
PY Total Revenue$29,242,809PYTotalRevenueAmt
CY Total Revenue$29,608,741CYTotalRevenueAmt
PY Grants And Similar Paid$35PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,371,387PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,290,603CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,946,941PYOtherExpensesAmt
CY Other Expenses$14,196,246CYOtherExpensesAmt
PY Total Expenses$28,318,363PYTotalExpensesAmt
CY Total Expenses$28,486,949CYTotalExpensesAmt
PY Revenues Less Expenses$924,446PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,121,792CYRevenuesLessExpensesAmt
Total Assets BOY$26,933,854TotalAssetsBOYAmt
Total Assets EOY$27,905,891TotalAssetsEOYAmt
Total Liabilities BOY$12,629,986TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,803,697TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,303,868NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,102,194NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAvera 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 and guided by Christian values.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,421,899ExpenseAmt
Grant$100GrantAmt
Revenue$29,252,673RevenueAmt
DescAvera Granite Falls' mission is to provide healthcare services to Granite Falls, Minnesota residents and residents of the surrounding area. Avera Granite Falls is a 501(c)(3) organization affiliated with Avera Health and controlled by Avera Marshall. Avera Granite Falls consists of a 25-bed critical access hospital, a 48-bed nursing home, a 28-unit senior living facility in Granite Falls, Minnesota, and one physician clinic. The program services offered include primary care, med/surg, lab, imaging, physical therapy, speech therapy, occupational therapy, respiratory therapy, ambulance, special transportation, ER, telehealth, infusion, general surgery, chemotherapy, cardiac rehab, long term care and independent living. Following is a breakdown of these statistics by facility:Avera Granite Falls Health Center 157 Acute patient discharges 6 Newborn patient discharges 57 Swing bed patient discharges 18,748 Outpatient visits 302 Swing-bed patient days 9 Newborn patient days 18,825 Clinic visitsAvera Granite Falls Care Center 17,235 Long-term resident days 35 Long Term Care patient dischargesAvera Granite Falls 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 $24,066.Avera Granite Falls 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 Granite Falls 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 Granite Falls 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.Desc
Total Program Service Expenses$24,421,899TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee228EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jamie SchaeferBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6053223992PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 W Avera Dr Ste 300AddressLine1Txt
CitySioux FallsCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Debbie Streier
Regional President & CEO2.0044.00Yes (X)Yes (X)$0$470,488$38,557
LaVonne Koenen
Chair2.003.00Yes (X)Yes (X)$0$0$0
Mark Jensen
Vice Chair2.000.00Yes (X)Yes (X)$0$0$0
Thomas J Kooiman
Board Member/Administrator42.000.00Yes (X)Yes (X)$280,835$0$42,668
Stephen Crim
Board Member2.0043.00Yes (X)$0$48,817$0
Sharon Pazi Zea
Board Member2.000.00Yes (X)$0$0$0
Rosa Rios Avendano MD
Board Member/Family Medicine/OB42.000.00Yes (X)$0$324,352$30,277
Sister Lucille Welbig
Board Member2.005.00Yes (X)$0$0$0
Julie Lautt
CFO Avera Health;Secretary/Treasurer0.1046.30Yes (X)$0$1,086,452$17,088
Deena Aus
Director - Patient Care Services40.000.00$112,900$0$45,453Yes (X)
Jennifer Ann Jager
Director - Ambulance40.000.00$137,385$0$17,615Yes (X)
Seth Streblow
Assistant Director - Ambul40.000.00$118,544$0$26,921Yes (X)
Lorie Tjaden
Director - Nursing Services40.000.00$109,965$0$30,926Yes (X)
Jennifer Varpness
RN - Clinical Informaticist40.000.00$105,020$0$15,975Yes (X)
Valerie Hoffman
Former CFO (Left 09/2022)40.000.00$208,657$0$21,748Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,073,306TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,930,109TotReportableCompRltdOrgAmt
Total Other Compensation$287,228TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Avera Marshall
300 S Bruce StreetMarshallMN56258Shared Services$2,283,078
Big Stone Therapies Inc
500 Cross StBig Stone CitySD57216Therapy Services$1,181,356
AMN Healthcare
2738 Collection Center DrChicagoIL60693Contracted Services$998,392
Central Minnesota Diagnostic Inc
525 10th St NE PO Box 158MilacaMN56353Radiology Services$375,392
CentraCare Health
1406 6th Ave NSt CloudMN56303Physician Services$212,710
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$10,169RelatedOrganizationsAmt
Government Grants$120,492GovernmentGrantsAmt
All Other Contributions$152,028AllOtherContributionsAmt
Total Contributions$282,689TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$28,169,648$28,169,648
Pharmacy Revenue456110$570,200$570,200
Patient and Clinic Revenue621110$86,625$86,625

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$410,317TotalRevenueColumnAmt
Related Or Exempt Func Income$410,317RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$29,236,790TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$874TotalRevenueColumnAmt
Exclusion$874ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$29,701RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$22,371RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,330RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,330TotalRevenueColumnAmt
Exclusion$7,330ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$64,336SecuritiesAmt
Other$839OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$64,336SecuritiesAmt
Other$839OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,175TotalRevenueColumnAmt
Exclusion$65,175ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescA/R Interest IncomeDesc
Business900099BusinessCd
Total Revenue Column$15,883TotalRevenueColumnAmt
Related Or Exempt Func Income$15,883RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,883OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,608,741TotalRevenueColumnAmt
Related Or Exempt Func Income$29,252,673RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$73,379ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100TotalAmt
Program Services$100ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$356,465TotalAmt
Management And General$356,465ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,977,360TotalAmt
Program Services$10,798,312ProgramServicesAmt
Management And General$179,048ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$402,798TotalAmt
Program Services$394,086ProgramServicesAmt
Management And General$8,712ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,783,559TotalAmt
Program Services$1,764,449ProgramServicesAmt
Management And General$19,110ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$770,421TotalAmt
Program Services$758,342ProgramServicesAmt
Management And General$12,079ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$331TotalAmt
Management And General$331ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,239,279TotalAmt
Program Services$4,739,663ProgramServicesAmt
Management And General$1,499,616ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,596TotalAmt
Program Services$175ProgramServicesAmt
Management And General$1,421ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$423,717TotalAmt
Program Services$190,144ProgramServicesAmt
Management And General$233,573ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$143,247TotalAmt
Program Services$110,613ProgramServicesAmt
Management And General$32,634ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$669,423TotalAmt
Program Services$594,837ProgramServicesAmt
Management And General$74,586ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$119,695TotalAmt
Program Services$112,234ProgramServicesAmt
Management And General$7,461ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$53,867TotalAmt
Program Services$51,904ProgramServicesAmt
Management And General$1,963ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$835,942TotalAmt
Program Services$447,875ProgramServicesAmt
Management And General$388,067ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$133,324TotalAmt
Program Services$26,402ProgramServicesAmt
Management And General$106,922ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMedical SuppliesDesc
Total$3,718,539TotalAmt
Program Services$3,717,592ProgramServicesAmt
Management And General$947ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,857,286TotalAmt
Program Services$715,171ProgramServicesAmt
Management And General$1,142,115ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,486,949TotalAmt
Program Services$24,421,899ProgramServicesAmt
Management And General$4,065,050ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$792,418BOYAmt
EOY$223,450EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,389,064BOYAmt
EOY$2,592,303EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$461,980BOYAmt
EOY$396,477EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$177,097BOYAmt
EOY$173,241EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,328,693LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,966,267LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,465,545BOYAmt
EOY$3,362,426EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,536,502BOYAmt
EOY$11,473,987EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$25,663EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,086,248BOYAmt
EOY$9,658,344EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,933,854BOYAmt
EOY$27,905,891EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,843,981BOYAmt
EOY$1,527,025EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$10,098BOYAmt
EOY$7,714EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,775,907BOYAmt
EOY$10,268,958EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,629,986BOYAmt
EOY$11,803,697EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,165,251BOYAmt
EOY$15,917,212EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$138,617BOYAmt
EOY$184,982EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,303,868BOYAmt
EOY$16,102,194EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,933,854BOYAmt
EOY$27,905,891EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,121,792ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$564,762NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$111,772OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$331OtherActivitiesAmt
Total Lobbying Expenditures$331TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationAvera Granite Falls paid dues to organizations which have a portion of the dues attributed to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,945OtherCostOrOtherBasisAmt
Depreciation$22,828DepreciationAmt
Book Value$53,117BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,233,905OtherCostOrOtherBasisAmt
Depreciation$2,943,439DepreciationAmt
Book Value$3,290,466BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,843OtherCostOrOtherBasisAmt
Book Value$18,843BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,362,426TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Avera Pooled Investments$10,906,735F
Investments in Affiliated Organizations$369,709F
Interest in Avera Health Foundation$197,543F
FieldValueIRS element (for citing)
Total Book Value Securities$11,473,987TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRight of Use AssetDesc
Book Value$9,658,344BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,658,344TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Capital Lease Obligations$3,351
Intercompany Payables$189,934
Right of Use Operating Lease Obligations$9,882,007
Security Deposits$12,044
Third Party Payor Settlements$181,622
FieldValueIRS element (for citing)
Total Liability$10,268,958TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The Organization holds funds on behalf of its residents.
Part X, Line 2:Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,667TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,667NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,532,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,208,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$324,293NetCommunityBenefitExpnsAmt
Total Expense0.01140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,551,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,208,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$342,960NetCommunityBenefitExpnsAmt
Total Expense0.01210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,585TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,585NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,789TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,789NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,196,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,364,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,832,161NetCommunityBenefitExpnsAmt
Total Expense0.20470TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,211,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,364,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,846,535NetCommunityBenefitExpnsAmt
Total Expense0.20520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,762,267TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,572,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,189,495NetCommunityBenefitExpnsAmt
Total Expense0.21730TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,843TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,369DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,474NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,843TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,369DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,474NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,111,495BadDebtExpenseAmt
Reimbursed By Medicare$4,927,070ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,931,477CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,407MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Avera Granite FallsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1345 10th AvenueAddressLine1Txt
CityGranite FallsCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56241ZIPCd
FieldValueIRS element (for citing)
Website AddressSee Part VWebsiteAddressTxt
State License395031StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other1 Provider Based ClinicOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Avera Granite FallsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V Section COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Avera Granite FallsPart V, Section B, Line 5: The Avera Granite Falls Community Health Needs Assessment (CHNA) was conducted in collaboration and partnership with community members, community organizations, stakeholders from local public health and internal stakeholders. These partners assisted in the development and analysis of assessment information through a series of data collection processes. In addition, Avera Marshall Region (Avera Marshall, Avera Tyler, and Avera Granite Falls hospitals) partnered with Southwest Health and Human Services (SWHHS) to provide a more comprehensive look into the social determinants of health and wellness in the communities we serve. SWHHS shared their draft of their 2019 Quality of Life Survey with us, which allowed us to incorporate the perspectives of 488 individuals on what defines a healthy community. In addition, we talked to 82 community members of diverse backgrounds and used a five member CHNA advisory committee that represented various aspects of our service area: academic, governmental, non-profit, industry, and vulnerable populations. Care was taken to consider the perspectives of the underserved populations: Karen, Hispanic/Latino, African American, and Somali. We also consulted with Vondie Woodbury of The Woodbury Group.
Avera Granite FallsPart V, Section B, Line 6a: The Avera Marshall region has three hospitals: Avera Marshall, Avera Tyler, and Avera Granite Falls. As it is that all three hospitals are in the Avera Health system, share equally the same demographic and geographic area, and have shared senior leadership, the conducted CHNA was a regional CHNA that was inclusive of all three hospitals. Additionally, the implementation plan established applies to all three facilities.
Avera Granite FallsPart V, Section B, Line 6b: Southwest Health and Human Services
Avera Granite FallsPart V, Section B, Line 11: A new community health needs assessment was completed in FY2022. The following community health priority areas were identified: Cultural barriers that impact healthcare, including but not limited to interpretive services; Mental Health; and Transportation, as it relates to access for healthcare services. Avera Marshall developed an implementation plan for each of these three priorities. Mental Health: Avera Granite Falls' goal around mental health will be to lower depression rates and engage in issues around suicide prevention. Partners we are working with: Public Health, Clergy, Community Groups, Southwest Mental Health, AMG general practice providers, schools, and AMG Mental health providers. Steps we are taking: OB patients are being screened for mental health needs and connected to our mental health services as needed. Avera Medical Group (AMG) tracks depression amongst our inpatient and outpatient Medicaid populations. AMG providers discuss depression with patients who show signs of depression and help connect them with our mental health services. Working with Southwest Mental Health by informing mental health patients of the resources provided by the agency, especially their mobile mental health crisis team. Utilizing Minnesota Department of Health (MDH) resources related to the 988 mental health hotline in our community education events. Conducting a community wide suicide prevention campaign called, "Ask the Question" to provide community members information about how to talk to friends and family about suicide in order to reduce the risk of suicide. This program is engaging public health, providing education to church leaders, and delivering public service messages. Cultural barriers that impact healthcare, including but not limited to interpretive services:Avera Granite Falls' goal around cultural barriers is to improve interpretive services, provide assistance in navigating the healthcare system, and educate our traditionally underserved populations in matters related to disease prevention and vaccinations. Partners we are working with: Public Health, Non-Avera Medical Providers, Churches, Community Groups, Local Employers, Medical Providers, ARCH Language Network, and Avera Staff. Steps we are taking: Hired a Spanish speaking provider who is able to provide both primary care and OB services in Spanish. Avera research conducted a focus group for the Karen community in Marshall to discuss cultural barriers to participating in clinical research trials. Working with local employers of traditionally underserved populations to improve understanding of insurance programs, the need for preventative medicine, and vaccinations. Signage was added to the chapel to reflect cardinal directions for those faiths that use directions for prayer. Karen community health worker is working with Avera pediatric clinic in Sioux Falls to provide continuity of care for regional Karen patients. Avera contracted with Language Line to have additional interpretation resources for those languages that are often difficult to find interpreters for such as: Karen, Somali, and ASL. Karen community health worker began working with the ARCH language network to recruit Karen speakers into their medical interpretation program. We applied for a grant with the State of Minnesota to hire two more community health workers. Though we did not receive this grant, we have applied for another grant with Blue Cross Blue Shield of Minnesota for the same purpose of hiring community health workers for our Hispanic and Somali populations. Preliminary investigation into the possibility of completing Form N648 for those seeking citizenship in our region. This would alleviate the burden of traveling 170 miles to meet with a physician able to complete this form. Provided health related education for the Karen community by presenting information about health-related topics prior to their Sunday worship services.Transportation, as it relates to access for healthcare services:Avera Granite Falls' goal is to improve transportation access for health care appointments for those who do not have transportation and develop stronger relationships with transportation services within our service area. Partners we are working with: Local and State Public Health, City of Marshall, United Community Action Partnership, Local Medical Transport Companies, and Avera Staff (CHW and Care Coordination.)Steps we are taking: Developed relationship with Southwest Minnesota Taxi to help with transportation needs that fall outside of other social services. Karen community health worker provides transportation coordination for Karen community as needed. This allows care coordination to focus on more complex cases and will allow the community health worker to provide more targeted intervention on transportation for Karen community members. Meeting with public health and local medical transportation companies (including volunteer programs) to engage in dialogue about how we can best work together to provide short and long-distance transportation for medical services throughout the region. When emergency medical transportation is utilized, providing clear directions to family and friends of the patient to the destination facility. Additionally, when those family and friends do not have transportation have social work/care coordination find a local transport company to bring at least one family member to the destination facility.There are needs identified in the Community Health Needs Assessment which Avera Granite Falls has not included in its priority implementation plan. These needs were not included in the priority needs implementation plan in order to focus resources on the three most urgent health care needs. The needs not being directly addressed in the CHNA implementation plan include: Alcohol and drug abuse Access to cancer center screening Issues related to aging problemsThough not in the implementation plan, we continue to address these needs throughout the Avera Marshall Region using the appropriate standards of care.
Avera Granite FallsPart V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide.
Avera Granite FallsPart V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, andAvera Granite Falls admissions office and included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility.
Avera Granite FallsPart V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms ofassistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility.
Avera Granite FallsPart V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Schedule H Part V, Section A organization's website:avera.org/locations/avera-granite-falls-health-center/
Part V, Section B, Lines 7a, 7b and 10a:https://www.avera.org/about/community-health-needs-assessments/#granitefalls
Schedule H Part V, Lines 16a, 16b, and 16c:avera.org/patients-visitors/charity-patient-assistance-programs/financial-assistance-forms/
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Avera Granite Falls Care Center
250 Jordan DrGranite FallsMN5624148-bed Skilled Nursing Facility
2 - Avera Granite Ridge Senior Living
500 Skyview DrGranite FallsMN5624128-unit Independent Living Apartments

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive charity care may be applied in situations where all other avenues have been exhausted.
Part I, Line 6a:The community benefit report is prepared by a related organization, Avera Health, and is available to the public at https://www.avera.org/about/annual-report/.
Part I, Line 7:Charity care was converted to cost using an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid was calculated using the costing methods to prepare the cost report. Subsidized health services were calculated based on a combination of the Medicare cost report and actual expenses recorded to the general ledger. Community health improvement services are reported based on actual expenses recorded to the general ledger. Cash and in-kind contributions are reported based on actual expenses recorded in the general ledger.
Part I, Line 7g:Provider based clinic costs are included in subsidized health services. Revenues of $2,683,849 and costs of $5,118,043 were included for a net community benefit of $2,434,194.
Part II, Community Building Activities:Avera Granite Falls participates in nonprofit organizations for the betterment of the community.
Part III, Line 2:The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents.
Part III, Line 4:The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 19 and 20.
Part III, Line 8:Avera Granite Falls provides services to patients under the Medicare program knowing they may not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, in years the costs associated with services provided under the Medicare programs are not completely covered, the Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
Part III, Line 9b:If the patient qualifies for the organization's financial assistance policy for low-income, uninsured patients and is cooperating with the organization with regard to efforts to settle an outstanding bill within current self-pay collection policy guidelines and timeframes, the organization or its agent shall not send, nor intimate that it will send, the unpaid bill to any outside collection agency. Avera organizations will allow all individuals 120 days from the first post discharge statement to apply for financial assistance before sending the uncollected account to an outside collection agency. Avera will provide the patient with a statement or final notice that contains a listing of the specific collection action(s) it intends to initiate, and a deadline after which they may be initiated no earlier than 30 days before action is initiated. If the patient qualifies for 100% charity care, no further bills will be sent. A letter will be sent instead indicating that the patient's bill has been completely forgiven.
Part VI, Line 2:Avera Granite Falls uses many sources to assess the needs of the community, including their medical staff's daily interactions with their patients and the community. Additional sources include: federal, state, and county statistical information, public health data, internal data, and input from community members, businesses, city, and other local agencies. To gain community member input the following processes are used: interviews, focus groups, neighborhood canvassing, and surveys. Other sources have included a CHNA advisory committee that included representatives from multiple service areas in the community, including academic, governmental, non-profit, industry, and vulnerable populations. Care is taken with all information sourcing to make sure we gain the perspective of the underserved populations: Karen, Hispanic/Latino, African American, and Somali. Avera Marshall Region also partners with many area organizations, including Southwest Health and Human Services (SWHHS,) where we share information, such as their Quality of Life survey.
Part VI, Line 3:Uninsured patients who hold an inpatient status are counseled by a Patient Advocate to screen them for coverage eligibility and to assist in payer source enrollment. Those that are not eligible are provided a charity care application along with instructions on how to fill out the application. All patients receive statements that indicate who to contact should they need financial assistance. In addition, all patients receive a summary of financial assistance upon registration, as well as in their final statement. Should a patient contact Patient Financial Services and indicate inability to pay, they are transferred to a financial counselor to assist them with the financial assistance application process. Also, inpatient and same day surgery patients receive a brochure in their admissions packet. Pre-collection letters also include information regarding the financial assistance and uninsured programs.
Part VI, Line 4:Avera Granite Falls is a 25-bed critical access hospital in Granite Falls, Minnesota. The primary service area is defined as Chippewa and Yellow Medicine Counties, Minnesota, including the communities of Granite Falls, Hanley Falls, Cottonwood, Wood Lake, Echo, Sacred Heart, Maynard, and Clarkfield. Granite Falls is the county seat of Yellow Medicine County. According to the U.S. Census Bureau Quick Facts 2021 data, the estimated population of Yellow Medicine County as of July 1, 2021 is 9,411 and is predominately white at 93.0%. It is estimated that 22.2% of the population is 65 years and over. The median household income is $59,289 with an 8.6% poverty rate. Uninsured individuals under age 65 is estimated at 7.9%.According to the U.S. Census Bureau Quick Facts 2021 data, the estimated population of Chippewa County as of July 1, 2021 is 12,357 and is predominately white at 92.7%. It is estimated that 21.4% of the population is 65 years and over. The median household income is $57,301 with a 9.3% poverty rate. Uninsured individuals under age 65 is estimated at 8.0%.
Part VI, Line 5:Avera Granite Falls is one of the largest employers in the area and is committed to helping its community members get as much of their healthcare as close to home as possible. To this end, any surplus funds are reinvested in facilities to improve patient care, add/replace necessary equipment, and fund needed facility upgrades. Investments are made monthly to bring e-care services to the community so even if emergency, hospitalist, pharmacy, and long-term care specialists are not on site, they can be televised into the patient's room or local nursing/provider office. To further ensure local care, medical staff privileges are extended to all qualified physicians in the community.In addition, Avera Granite Falls is the sole provider for hospital inpatient care, the only 24/7 ER offering coverage no matter the ability to pay, birthing center, and surgery center. As a result of the mission statement, Avera Granite Falls provides numerous services which do not produce a profit. An example of this is Special Transportation Services (STS,) local ambulance service, and 24/7 fully staffed emergency center. Avera Granite Falls is committed to taking care of all individuals, no matter their ability to pay. Charity care is always available for those with a diminished ability to pay. We have staff available, who meet with patients with high deductible plans and high-cost medications to find drug programs to help cover a patient's out of pocket costs. They also work with patients to complete presumptive Medicaid, full Medicare applications, answer questions on the MNSure insurance programs, help patients coordinate their insurance benefits and complete charity care applications for Avera. Avera Granite Falls pays the 1.8% MN Care Tax on gross receipts that the State of MN uses to fund the MinnesotaCare program, a state health care program for Minnesotans with low incomes. Avera Granite Falls offers a number of services that are free or low cost, including: classes such as childbirth and various other support groups, rape and sexual assault services not fully funded by the county, sharps and unused medical disposal services, transportation vouchers for patients without any options, SAGE program which insures access for female health to under and/or uninsured females, MN Vaccine for Children program to insure access to child vaccinations for all children ages 0-19 regardless of ability to pay, physicals for sports are given to students who have no means to pay but wish to participate in athletic school activities, impact testing is provided to local schools to help support concussion testing and ensure student athletes do not return before they are ready, standby ambulance at local football games, and in partnership with Big Stone Therapies, Avera provides athletic trainers to many high schools throughout the region with no cost to the school district. Avera also participates in community health events. In addition, a Chaplain and VP of Mission are employed to support patient and employee needs (work and non-work related;) this includes spaces that are offered throughout the facility to support spiritual well-being, such as meditation rooms.Community out-reach programs are done in partnership with local underserved communities and businesses. Avera supports the Upper Sioux Community by collaborating with initiatives like covid shots, provider CPR and First Responder Training, and EMR classes to the Upper Sioux Police. Avera Granite Falls also volunteers Ambulance hours to the Upper Sioux at their weekend long Pow Wow. In addition, virtual and other in person interpretation services are offered in several different languages. Plus, employees are being cross trained to help with medical interpretation for patients that speak Spanish, Karen, and Somali. Staff Care Coordinators are also available to help high-need patients navigate their health care needs. Educational experiences for school-aged children, students needing work study experience, and med student internships are offered, and educational classes are held for CPR. On an annual basis Avera provides scholarships for medical students and high-school students. Avera Granite Falls works closely with the Southwest Private industry Council and Minnesota West to promote early exposure to healthcare careers. In addition, Avera participates in a Reach Out and Read program which promotes early literacy for children ages 4 months to 5 years.The organization's governing body is comprised of volunteer members who reside in the community. Avera Granite Falls' leadership team, physicians, and general staff are encouraged to participate in civic and community organizations. Some of the boards and committees that employees are currently serving on include Middle Ground Haiti and Child Protection. Employees volunteer and donate in their community through programs such as United Way, Coats for Kids, stuff the bus (school supplies), and Christmas gifts for families in need. All fundraising activities go through Avera Health, a related organization. Avera also offers many opportunities for community members to volunteer within the hospital, long term care, home care, and hospice settings.
Part VI, Line 6:Avera is a sponsored ministry of the Benedictine and Presentation Sisters. The communities in which Avera operates all have unique health and community benefit needs. In keeping with the Catholic Healthcare Association guidelines, each hospital strives to meet its community's identified needs. The corporate staff of Avera Health advocates for all members regarding community benefit related matters of state, regional and national importance.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Julie Lautt
CFO Avera Health;Secretary/Treasurer$0$1,075,517$0$460$0$10,475$0$15,250$0$1,838$0$1,103,540$0$0
Debbie Streier
Regional President & CEO$0$460,875$0$420$0$9,193$0$15,250$0$23,307$0$509,045$0$0
Rosa Rios Avendano MD
Board Member/Family Medicine/OB$0$276,284$0$24,550$0$23,518$0$6,091$0$24,186$0$354,629$0$0
Thomas J Kooiman
Board Member/Administrator$279,378$0$0$0$1,457$0$11,475$0$31,192$0$323,502$0$0$0
Valerie Hoffman
Former CFO (Left 09/2022)$104,063$0$0$0$104,594$0$10,534$0$11,214$0$230,405$0$0$0
Deena Aus
Director - Patient Care Services$103,602$0$2,725$0$6,573$0$6,373$0$39,080$0$158,353$0$0$0
Jennifer Ann Jager
Director - Ambulance$124,301$0$10,497$0$2,587$0$6,949$0$10,666$0$155,000$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aValerie Hoffman, CFO, received a severance payment of $76,756.
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 Granite Falls relied on the related organization for determining the compensation for the President/CEO using the methods described in Part I, Line 3.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Item J:The organization's website is: avera.org/locations/avera-granite-falls-health-center/
Form 990, Part VI, Section A, line 2Julie Lautt, Debbie Streier, Stephen Crim and Sr Lucille Welbig have a business relationship. Julie Lautt, Debbie Streier, LaVonne Koenen, Stephen Crim and Rosa Rios Avendano, MD have a business relationship. Julie Lautt and Debbie Streier have a business relationship.
Form 990, Part VI, Section A, line 6The sole member of the Corporation is Avera Marshall, a nonprofit corporation organized and existing under the laws of the State of Minnesota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended.
Form 990, Part VI, Section A, line 7aAvera Marshall as the sole member, has the power to appoint and remove, with or without cause, members of the board of directors.
Form 990, Part VI, Section A, line 7bAvera Marshall, the Member of Avera Granite Falls, has the exclusive right: 1) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of the Corporation, provided that any such amendments or repeal shall be consistently applied systemwide to all similarly situated affiliates of the Member. 2) To approve the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of the Corporation; provided that any such amendments impacting the composition or powers of the Board of Directors of the Corporation, including its Community Directors, shall be recommended or approved by a supermajority of the Board of Directors pursuant to Section 4.14. 3) To appoint and/or remove, with or without cause, the President and Chief Executive Officer of the Corporation. 4) To appoint and remove members of the Board of Directors of the Corporation recommended for appointment by the Governance Committee and the Board of Directors; provided that (i) the Member's exercise of its approval authority with respect to a candidate for Community Director shall be considerate of the recommendation made by the Board of Directors and may not be arbitrarily or unreasonably withheld; and (ii) an appointed Community Director may not be removed by the Member absent the Community Director's significant illegal conduct, or conduct by or status of the Community Director that causes clear jeopardy to the corporation's continuing exemption under Section 501(c)(3) of the Internal Revenue Code. 5) To appoint and/or remove, with or without cause, the Administrator of the Corporation, subject to: (i) prior mutual agreement between the Member and the Board of Directors regarding the process of selecting the Administrator; (ii) the approval by the Board of Directors of the candidate proposed by the Member for appointment to be Administrator; and (iii) consultation by the Member with the Board of Directors prior to the Member's removal of the Administrator. Notwithstanding the foregoing and any other provision of these Bylaws to the contrary, if after consulting with the Member, the Board of Directors determines to remove the Administrator, then the Member will carry out such removal following such consultation. 6) To approve operating/capital budgets and strategic plans of the Corporation following a recommendation of the Board of Directors. 7) To approve expenditures recommended by the Board of Directors outside of operating and capital budgets exceeding defined thresholds according to policy which may be adopted from time to time by the Member. 8) To approve any acquisitions, merger, consolidation, liquidation, or dissolution of the Corporation (including the plan of dissolution), sale or lease, or other transfer, or mortgage or other grant of security interest (except as pledged through Section 2.2(o) and (p)), of or in, all or substantially all of the assets of this Corporation, following a recommendation of a supermajority of the Board of Directors pursuant to Section 4.14. 9) To establish and maintain employee benefit programs. 10) To establish and maintain insurance programs. 11) To approve major community fund drives. 12) To approve the appointment of auditors. 13) To adopt policies designed to effectuate the reserved powers of the Member not inconsistent with these Bylaws. 14) To initiate and give final approval to equity and asset transfers by and between the Member and the Corporation and any affiliates or subsidiaries of the Member; provided that any such transfers in excess of $1,000,000 per year from the Corporation shall be approved by a supermajority of the Board of Directors pursuant to Section 4.14. 15) To initiate and give final approval to (i) any and all issuances of obligations under any existing or future master indentures binding the Corporation, any indebtedness (including, without limitation, capitalized leases) in excess of dollar thresholds as may be from time to time established by the Member, and (ii) any pledges of collateral for such indebtedness and any pledges of real estate as collateral for any indebtedness regardless of amount. 16) Full and exclusive power to: (i) execute supplemental master indentures, including, without limitation, those authorizing the issuance of obligations or series of obligations, (ii) full and exclusive power to prepare, or authorize the preparation of, any and all documents, agreements, swap agreements, investment contracts, certificates and disclosure materials (including, without limitation, Official Statements and any supplements thereto) reasonably and ordinarily prepared in connection with the issuance of obligations thereunder, or related bonds associated therewith and to execute and deliver such items to the appropriate parties in connection therewith, and (iii) full and exclusive power to authorize the entrance of members to, or withdrawal of members from, any obligated group, subject to the other requirements of the applicable master indenture for such entrance or withdrawal.
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe Form 990 is prepared and reviewed by an independent accounting firm. The Form 990 is then reviewed by the Avera Health VP of Financial Reporting and Tax Manager. After initial internal review, the Form 990 is made available to various members of Avera Health Executive Management, including the Avera Health CFO, President/CEO and COO. In addition, the Form 990 is made available to the Facility CEO, other Operation Finance Leaders and the Facility Board members.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board.
Form 990, Part VI, Section B, line 15The CEO and CFO-Avera Health are compensated by Avera Health. Annually the Compensation Committee of Avera Health, which is comprised of six (6) System Members appointed by the Religious Orders, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. Depending on the individual's role with the organization, some officers are compensated by Avera Granite Falls.
Form 990, Part VI, Section C, line 19The Organization's governing documents and conflict of interest policy are not made available to the general public. The Organization's financial statements are attached to the Form 990 per IRS instructions and therefore available to the general public.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 3,537,063. Management and general expenses 5,523. Fundraising expenses 0. Total expenses 3,542,586. Medical Professional Fees: Program service expenses 32,022. Management and general expenses 0. Fundraising expenses 0. Total expenses 32,022. Repairs & Maintenance: Program service expenses 474,156. Management and general expenses 45,103. Fundraising expenses 0. Total expenses 519,259. Centralized Services: Program service expenses 696,422. Management and general expenses 1,448,990. Fundraising expenses 0. Total expenses 2,145,412.
Form 990, Part XI, line 9:Change in Interest in Avera Foundation 111,772.
Form 990, Part XII, Line 2c:The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the consolidated audited financial statements for Avera Health, which includes Avera Granite Falls.
Form 990, Part X, Line 20:Avera Granite Falls is part of the Avera Obligated Group which consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Sacred Heart, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg and Avera at Home. Avera Granite Falls was not allocated any share of the bond issue, and thus does not have an amount on line 20.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Avera Health
3900 West Avera Drive Suite 101Sioux FallsSD57108460422673Healthcare servicesSD501(c)(3)Line 10N/A0
Avera McKennan
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460224743Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera at Home
5300 S Broadband LaneSioux FallsSD57108460399291Home servicesSD501(c)(3)Line 100Avera Health
Avera Health Plans Inc
3900 West Avera Drive Suite 101Sioux FallsSD57108460451539Health financing & health plan adminSD501(c)(4)Yes (1)Avera Health
Avera Marshall
300 S Bruce StreetMarshallMN56258410919153Healthcare servicesMN501(c)(3)Line 30Avera Health
Avera Tyler
240 Willow StreetTylerMN56178410853163Healthcare servicesMN501(c)(3)Line 30Avera Marshall
Avera Queen of Peace Hospital
525 North FosterMitchellSD57301460224604Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera St Anthony's Hospital
300 N 2nd StreetONeillNE68763470463911Healthcare servicesNE501(c)(3)Line 30Avera Health
Avera St Luke's
305 South State StreetAberdeenSD57401460224598Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera St Mary's
801 East Sioux AvenuePierreSD57501460230199Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera Gettysburg
606 East GarfieldGettysburgSD57442460234354Healthcare servicesSD501(c)(3)Line 30Avera St Mary's
Avera Holy Family
826 North 8th StreetEsthervilleIA51334420680370Healthcare servicesIA501(c)(3)Line 30Avera Health
Holy Family Hospital Foundation
826 North 8th StreetEsthervilleIA51334421317452Support health related servicesIA501(c)(3)Line 100Avera Holy Family
Sacred Heart Health Services
501 Summit StreetYanktonSD57078460225483Healthcare servicesSD501(c)(3)Line 30Avera Health
Lewis and Clark Health Education and Service Agency
1000 W 4th Street Suite 9YanktonSD57078460337013Healthcare servicesSD501(c)(3)Line 100Avera Health
St Benedict Health Center
401 West Glynn DriveParkstonSD57366460226738Healthcare servicesSD501(c)(3)Line 30Avera Health
St Benedict Health Center Foundation
West Glynn Drive PO Box BParkstonSD57366460458725Support health related servicesSD501(c)(3)Line 12a, I0St Benedict Health Center

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Avera Home Medical Equipment of Floyd Valley Hospital LLC
714 Lincoln St NELemarsIA51031820582350Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Lakes Regional Healthcare LLC
2301 Hwy 71 South Ste DSpirit LakeIA51360862949748Medical services - home medical equipmentIAN/A00
Avera Home Medical Equipment of Sioux Center LLC
38 19th St SWSioux CenterIA51250753203100Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Spencer Hospital LLC
2400 S Minnesota AveSioux FallsSD57117800619999Medical Services - home medical equipmentSDN/A00
Brookings Health System - Avera HME LLC
101 22nd Ave Suite 101BrookingsSD57006453204123Healthcare ServicesSDN/A00
Caravan Health ACO 15 LLC dba Prairie Vista Care Organization
7509 NW Tiffany Springs Parkway SteKansas CityMO64153611843657Accountable Care OrganizationMON/A00
Caravan Health ACO 41 LLC dba Prairie View Care Organization
7509 NW Tiffany Springs ParkwayKansas CityMO64153821447782Accountable Care OrganizationMON/A00
Heart Hospital of South Dakota LLC
4500 W 69th StreetSioux FallsSD57108562143771Healthcare ServicesSDN/A00
Surgical Associates Endoscopy Clinic LLC
310 S PennAberdeenSD57401460461429Surgical associatesSDN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Accounts Management Inc
5132 S Cliff Ave Suite 101Sioux FallsSD57108460373021Collection agencySDN/AC0
Alucent Australia Pty Ltd
Biotech ResearchN/A0Level 10 30 Collings StreetMelbourneVIC 3000ASAS
Alucent Biomedical Inc
1325 S Cliff Avenue PO Box 5045Sioux FallsSD571175045471818349Biotech ResearchSDN/AC0
Avera Property Insurance Inc
1000 West 4th Street Suite 1YanktonSD57078460463155InsuranceSDN/AC0
DakotaCare Administrative Services Inc
5300 South Broadband LaneSioux FallsSD57108460424322InsuranceSDN/AC0
Kore Cares In Home Services LLC
5300 South Broadband LaneSioux FallsSD57108882778902In-home care servicesSDN/AS0
South Dakota State Medical Holding Company Inc
5300 South Broadband LaneSioux FallsSD57108460401087InsuranceSDN/AC0
Valley Health Services
501 Summit StreetYanktonSD57078460357149Rental real estateSDN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule R, Part IIFormAndLineReferenceDesc
ExplanationSt. Benedict Health Center Foundation dissolved as of December 31, 2022.ExplanationTxt

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