FURP.ORG / PUBLIC DATA EXPLORER

AVERA AT HOME: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
AVERA AT HOME (EIN 46-0399291)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-15
IRS object ID
202621359349303922
Schema version
2024v5.5
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)
Return2026-05-15T09:25:53-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

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 Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460399291EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Avera at HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAVERBusinessNameControlTxt
Phone6053224597PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 S Broadband LaneAddressLine1Txt
CitySioux FallsCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJulie LauttPersonNm
Person TitleCFO Avera HealthPersonTitleTxt
Phone6053224597PhoneNum
Signature2026-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2026-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSandy DielemanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 S Broadband LaneAddressLine1Txt
CitySioux FallsCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$88,211,233GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.avera.org/avera-at-homeWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionDevelop programs for community based services: Home Health, Hospice Care, & Home Medical Equipment.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee669TotalEmployeeCnt
Total Volunteers154TotalVolunteersCnt
Total Gross UBI$412,743TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$130,474NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$541,456PYContributionsGrantsAmt
CY Contributions Grants$1,057,179CYContributionsGrantsAmt
PY Program Service Revenue$82,353,307PYProgramServiceRevenueAmt
CY Program Service Revenue$86,101,005CYProgramServiceRevenueAmt
PY Investment Income$321,650PYInvestmentIncomeAmt
CY Investment Income$1,048,396CYInvestmentIncomeAmt
PY Other Revenue$22,960PYOtherRevenueAmt
CY Other Revenue$4,653CYOtherRevenueAmt
PY Total Revenue$83,239,373PYTotalRevenueAmt
CY Total Revenue$88,211,233CYTotalRevenueAmt
PY Grants And Similar Paid$23PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$48CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,138,986PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$44,010,934CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$37,446,911PYOtherExpensesAmt
CY Other Expenses$41,103,930CYOtherExpensesAmt
PY Total Expenses$78,585,920PYTotalExpensesAmt
CY Total Expenses$85,114,912CYTotalExpensesAmt
PY Revenues Less Expenses$4,653,453PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,096,321CYRevenuesLessExpensesAmt
Total Assets BOY$41,508,046TotalAssetsBOYAmt
Total Assets EOY$72,801,965TotalAssetsEOYAmt
Total Liabilities BOY$9,559,249TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,142,010TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,948,797NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,659,955NetAssetsOrFundBalancesEOYAmt
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 guided by Christian values.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$70,787,259ExpenseAmt
Grant$48GrantAmt
Revenue$85,692,915RevenueAmt
DescAvera at Home provides a variety of home care services that make it possible for individuals to remain in their home rather than long-term residential or nursing home facilities. Avera at Home is a full-service, accredited home medical equipment provider offering a variety of medical and health-related items for purchase or rent. Additionally, it provides quality home health care with a full range of skilled nursing, therapy, and home health aide services.Finally, Avera at Home provides hospice care for people facing a life-limiting illness or injury. Quality, compassionate care is provided in the patient's home or within a 16-bed residential and inpatient care hospice facility in Sioux Falls, South Dakota.Desc
Total Program Service Expenses$70,787,259TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
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 Hospital0OperateHospitalInd
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 EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document72IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee669EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
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 (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Julie Lautt
CFO Avera Health;Secretary/Treasurer0.1046.30Yes (X)$0$1,274,363$20,218
Dr Magdalene Fiddler
Board Member/Hospitalist1.0040.00$0$681,546$36,507Yes (X)
Douglas Ekeren Board
Member/Pres Sacred Heart (Until May)1.0042.00$0$639,691$50,728Yes (X)
Dr Matthew Winkelbauer Board
Member/Family Med/OB(Until June)1.0040.00$0$638,406$52,408Yes (X)
Debra Streier Board
Member/Regional President/CEO Marshall1.0045.00$0$578,021$18,180Yes (X)
Dr Shawna Schmidt
Board Member/Pain Management1.0040.00$0$537,747$52,462Yes (X)
Sandra Dieleman
President/CEO41.000.00Yes (X)$0$421,522$53,946Yes (X)
Dr Chad Thury
Board Member/Family Medicine1.0040.00$0$278,346$53,848Yes (X)
Curtis Hohman
Former Board Chair0.000.00$0$244,848$28,704Yes (X)
Karen Gallagher
Former Vice Chair/VP Mission0.0040.00$0$234,558$26,737Yes (X)
Mitchell Butler
VP - Home Medical Equipment40.000.00$193,910$0$32,479Yes (X)
John Decker
Physical Therapist40.000.00$188,109$0$38,866Yes (X)
Lindsay Weber Board
Member/Regional Pres. St. Benedict1.0042.00$0$159,923$41,743Yes (X)
Rhonda Wiering
VP - Clinical Growth & Innovation40.003.00$155,368$0$42,847Yes (X)
Bethany Eichelberger
Supervisor - Agency40.000.00$142,800$0$9,540Yes (X)
Jill Angela Cragoe
Director - Patient Care40.000.00$142,650$0$45,826Yes (X)
Talli Raske
Board Member/Administrator1.0040.00$0$138,459$9,427Yes (X)
Kayleen Lee
Board Member1.0040.00$0$55,163$0Yes (X)
Sr Kathryn Burt
Board Member1.000.00$0$0$0Yes (X)
Cynthia Senger
Board Member1.000.00$0$0$0Yes (X)
Sr Lucille Welbig
Board Member1.0011.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$822,837TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,882,593TotReportableCompRltdOrgAmt
Total Other Compensation$614,466TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
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 Health
3900 West Avera DriveSioux FallsSD57108Shared Services$5,611,575
Good Samaritan Society
3700 S Kiwanis Ave Ste 4Sioux FallsSD57105Purchased Services$1,794,686
Avera Queen of Peace
525 Foster StMitchellSD57301Purchased Services$1,141,678
BrighTree LLC
125 Technology ParkwayPeachtree CornersGA30092Billing Services & Software$837,021
Avera St Benedict Health Center
401 W Glynn DrParkstonSD57366Purchased Services$793,489
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Related Organizations$605,054RelatedOrganizationsAmt
Government Grants$452,125GovernmentGrantsAmt
Total Contributions$1,057,179TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Revenue621610$82,694,476$82,652,203$42,273
Home Medical Equipment Revenue621610$597,119$594,911$2,208

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,809,410TotalRevenueColumnAmt
Related Or Exempt Func Income$2,441,148RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$368,262UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$86,101,005TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$984,941SecuritiesAmt
Other$63,455OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$984,941SecuritiesAmt
Other$63,455OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,048,396TotalRevenueColumnAmt
Exclusion$1,048,396ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescAR InterestDesc
Business621610BusinessCd
Total Revenue Column$4,653TotalRevenueColumnAmt
Related Or Exempt Func Income$4,653RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,653OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,211,233TotalRevenueColumnAmt
Related Or Exempt Func Income$85,692,915RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$412,743UnrelatedBusinessRevenueAmt
Exclusion$1,048,396ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$48TotalAmt
Program Services$48ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,986,363TotalAmt
Program Services$30,311,946ProgramServicesAmt
Management And General$3,674,417ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,276,047TotalAmt
Program Services$1,141,664ProgramServicesAmt
Management And General$134,383ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,323,557TotalAmt
Program Services$5,607,729ProgramServicesAmt
Management And General$715,828ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,424,967TotalAmt
Program Services$2,155,221ProgramServicesAmt
Management And General$269,746ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,839TotalAmt
Management And General$10,839ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,277TotalAmt
Management And General$7,277ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,464,227TotalAmt
Program Services$10,195,085ProgramServicesAmt
Management And General$7,269,142ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$38,094TotalAmt
Program Services$22,458ProgramServicesAmt
Management And General$15,636ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,124,794TotalAmt
Program Services$478,620ProgramServicesAmt
Management And General$646,174ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$313,492TotalAmt
Program Services$89,954ProgramServicesAmt
Management And General$223,538ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,500,332TotalAmt
Program Services$1,294,434ProgramServicesAmt
Management And General$205,898ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,507,712TotalAmt
Program Services$1,425,589ProgramServicesAmt
Management And General$82,123ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$62,075TotalAmt
Program Services$17,203ProgramServicesAmt
Management And General$44,872ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,366,710TotalAmt
Program Services$1,178,894ProgramServicesAmt
Management And General$187,816ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$194,027TotalAmt
Management And General$194,027ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$16,225,200$15,658,405$566,795
Equipment Lease/Rental$1,009,225$1,008,211$1,014
Provision for Income Ta$14,181$14,181

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$265,745TotalAmt
Program Services$187,617ProgramServicesAmt
Management And General$78,128ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$85,114,912TotalAmt
Program Services$70,787,259ProgramServicesAmt
Management And General$14,327,653ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,499,467BOYAmt
EOY$1,190,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,688,687BOYAmt
EOY$9,801,598EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,290,657BOYAmt
EOY$2,114,274EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,102,127BOYAmt
EOY$280,932EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,303,833LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,427,695LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,275,693BOYAmt
EOY$3,876,138EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$21,412,892BOYAmt
EOY$23,175,583EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,811BOYAmt
EOY$75,697EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$75,044BOYAmt
EOY$75,044EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,157,668BOYAmt
EOY$32,212,199EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$41,508,046BOYAmt
EOY$72,801,965EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,649,808BOYAmt
EOY$4,684,248EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$533,329BOYAmt
EOY$578,605EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$786,602EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,376,112BOYAmt
EOY$30,092,555EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,559,249BOYAmt
EOY$36,142,010EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,948,797BOYAmt
EOY$36,098,752EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$561,203EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,948,797BOYAmt
EOY$36,659,955EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,508,046BOYAmt
EOY$72,801,965EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,096,321ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,053,634NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$561,203OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,954,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,498,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$672,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$541,456CurrentTaxYearMinus1YearAmt
Current Tax Year$1,057,179CurrentTaxYearAmt
Total$6,723,367TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$64,332,457CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,843,446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,961,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$82,564,812CurrentTaxYearMinus1YearAmt
Current Tax Year$85,692,915CurrentTaxYearAmt
Total$377,395,369TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,286,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,341,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75,633,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$83,106,268CurrentTaxYearMinus1YearAmt
Current Tax Year$86,750,094CurrentTaxYearAmt
Total$384,118,736TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$384,118,736PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,231CurrentTaxYearMinus2YearsAmt
Total$6,510TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,231CurrentTaxYearMinus2YearsAmt
Total$6,510TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$193,007CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,284CurrentTaxYearMinus1YearAmt
Current Tax Year$130,474CurrentTaxYearAmt
Total$342,765TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,287,085CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,341,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75,833,227CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$83,125,552CurrentTaxYearMinus1YearAmt
Current Tax Year$86,880,568CurrentTaxYearAmt
Total$384,468,011TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99910PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$7,277OtherActivitiesAmt
Total Lobbying Expenditures$7,277TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,417,042OtherCostOrOtherBasisAmt
Depreciation$3,670,866DepreciationAmt
Book Value$746,176BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$825,740OtherCostOrOtherBasisAmt
Depreciation$493,552DepreciationAmt
Book Value$332,188BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,548,269OtherCostOrOtherBasisAmt
Depreciation$6,801,881DepreciationAmt
Book Value$2,746,388BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$512,782OtherCostOrOtherBasisAmt
Depreciation$461,396DepreciationAmt
Book Value$51,386BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,876,138TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Affiliated Organizations$2,583,453F
Avera Pooled Investments$20,030,927F
Interest in Avera Health Foundation$561,203F
FieldValueIRS element (for citing)
Total Book Value Securities$23,175,583TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Deposits$9,131
Right of Use Assets$1,089,311
Intercompany Assets$31,113,757
FieldValueIRS element (for citing)
Total Book Value Other Assets$32,212,199TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Right of Use Capital Lease Obligation$318,399
Intercompany Liabilities$29,774,156
FieldValueIRS element (for citing)
Total Liability$30,092,555TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationAvera 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.ExplanationTxt

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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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$1,226,098$0$41,964$0$6,301$0$17,250$0$2,968$0$1,294,581$0$0
Dr Magdalene Fiddler
Board Member/Hospitalist$0$324,308$0$356,267$0$971$0$17,250$0$19,257$0$718,053$0$0
Douglas Ekeren Board
Member/Pres Sacred Heart (Until May)$0$607,102$0$21,842$0$10,747$0$17,250$0$33,478$0$690,419$0$0
Dr Matthew Winkelbauer Board
Member/Family Med/OB(Until June)$0$540,996$0$94,953$0$2,457$0$17,250$0$35,158$0$690,814$0$0
Debra Streier Board
Member/Regional President/CEO Marsha$0$550,926$0$18,936$0$8,159$0$17,250$0$930$0$596,201$0$0
Dr Shawna Schmidt
Board Member/Pain Management$0$462,462$0$73,576$0$1,709$0$17,250$0$35,212$0$590,209$0$0
Sandra Dieleman
President/CEO$0$403,503$0$13,951$0$4,068$0$17,250$0$36,696$0$475,468$0$0
Dr Chad Thury
Board Member/Family Medicine$0$260,074$0$17,573$0$699$0$14,456$0$39,392$0$332,194$0$0
Curtis Hohman
Former Board Chair$0$241,758$0$405$0$2,685$0$12,397$0$16,307$0$273,552$0$0
Karen Gallagher
Former Vice Chair/VP Mission$0$52,835$0$0$0$181,723$0$11,974$0$14,764$0$261,296$0$0
Mitchell Butler
VP - Home Medical Equipment$177,936$0$14,835$0$1,139$0$4,030$0$28,449$0$226,389$0$0$0
John Decker
Physical Therapist$70,595$0$117,355$0$159$0$9,879$0$28,988$0$226,976$0$0$0
Lindsay Weber Board
Member/Regional Pres. St. Benedict$0$158,753$0$1,000$0$170$0$3,939$0$37,804$0$201,666$0$0
Rhonda Wiering
VP - Clinical Growth & Innovation$151,224$0$2,414$0$1,730$0$8,293$0$34,554$0$198,215$0$0$0
Bethany Eichelberger
Supervisor - Agency$135,373$0$5,236$0$2,191$0$7,185$0$2,355$0$152,340$0$0$0
Jill Angela Cragoe
Director - Patient Care$141,664$0$650$0$336$0$7,693$0$38,133$0$188,476$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aKaren Gallagher received a severance payment of $181,178.
Part I, Line 7John Decker is a physical therapist on a pay-per-visit model and receives an incentive based on the number of patients seen each week.
Part I, Line 3:The top management officer's compensation is paid by a related organization, Avera Health. Avera at Home relied on the related organization for determining the compensation for the top management officer using the methods described in Part I, Line 3.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Julie Lautt, Douglas Ekeren, Sr. Lucille Welbig, Sandra Dieleman, and Debra Streier have a business relationship. Julie Lautt, Kayleen Lee, Karen Gallagher, Curtis Hohman, Shawna Schmidt, Chad Thury, Lindsay Weber, Matthew Winkelbaurer, Magdalene Fiddler, and Talli Raske have a business relationship.
Form 990, Part VI, Section A, line 6The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended.
Form 990, Part VI, Section A, line 7aAvera Health, 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 Health has the following rights as Member of the organization. (a) To approve the adoption, amendment or repeal of the statements of philosophy, mision and values of Corporation; (b) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Corporation, and to give final approval of any such action with respect thereto; (c) To approve and act upon the alienation of real property and precious artifacts under the canonical stewardship of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota ("Presentation Sisters") or the Benedictine Sisters of Sacred Heart Monastery ("Benedictine Sisters"), pursuant to the policies established by the Member; (d) To approve any plan of merger, consolidation or dissolution of the Corporation, or the divestiture of a sponsored work or ministry associated with the Corporation; (e) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of the Corporation; (f) To appoint and remove, with or without cause, the Board of Directors of the Corporation; (g) To appoint and/or remove, with or without cause, the President and Chief Executive Officer of the Corporation; (h) To approve operating/capital budgets and strategic plans of the Corporation; (i) To approve expenditures outside of operating and capital budgets exceeding defined thresholds according to policy which may be adopted from time to time by the Member; (j) To approve acquisitions, sales and leases, according to policy which may be adopted from time to time by the Member; (k) To establish and maintain employee benefit programs; (l) To establish and maintain insurance programs; (m) To approve major community fund drives; (n) To approve the appointment of auditors; (o) To adopt policies designed to effectuate the reserved powers of the Member; (p) 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; (q) 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; (r) (i) Full and exclusive power to 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 8bThe organization does not have a committee with authority to act on behalf of the governing board.
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, each board member is expected 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 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 15bThe CEO and CFO-Avera Health are compensated by Avera Health. Annually the Compensation Committee of Avera Health, which is comprised of the Caring for Life Catholic Health Ministries Members of Avera Health, 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 at Home.
Form 990, Part VI, Section C, line 19The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 9,887,696. Management and general expenses 1,038,737. Fundraising expenses 0. Total expenses 10,926,433. Medical Professional Fees: Program service expenses 99,108. Management and general expenses 0. Fundraising expenses 0. Total expenses 99,108. Repairs & Maintenance: Program service expenses 208,281. Management and general expenses 71,486. Fundraising expenses 0. Total expenses 279,767. Centralized Services: Program service expenses 0. Management and general expenses 6,158,919. Fundraising expenses 0. Total expenses 6,158,919.
Form 990, Part XI, line 9:Change in Assets with Donor Restrictions 561,203.
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 at Home.
Form 990, Part X, Line 20:Avera at Home 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 at Home was not allocated any share of the bond issue, and thus does not have an amount on line 20.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Avera Home Medical Equipment LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11325 S Cliff Ave PO Box 5045AddressLine1Txt
CitySioux FallsCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57117ZIPCd
FieldValueIRS element (for citing)
EIN460488198EIN
Primary ActivitiesMedical Services - Home Medical EquipmentPrimaryActivitiesTxt
Legal Domicile StateSDLegalDomicileStateCd
Total Income$38,406,423TotalIncomeAmt
End Of Year Assets$40,014,819EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Avera at HomeBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Avera Health
3900 W Avera Drive Suite 300Sioux FallsSD57108460422673Healthcare ServicesSD501(c)(3)Line 10N/A0
Avera McKennan
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460224743Healthcare ServicesSD501(c)(3)Line 30Avera Health
Avera Health Plans Inc
3900 W Avera Drive Suite 101Sioux FallsSD57108460451539Health Financing and Health Plan AdministrationSD501(c)(4)0Avera Health
Avera Marshall
300 S Bruce StMarshallMN56258410919153Healthcare ServicesMN501(c)(3)Line 30Avera Health
Avera Granite Falls
345 10th AveGranite FallsMN56241843156881Healthcare ServicesMN501(c)(3)Line 30Avera Marshall
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
Avera Home Medical Equipment of Floyd Valley Hospital LLC
5300 S Broadband LaneSioux FallsSD57108820582350Medical services - home medical equipmentSDAvera Home Medical Equipment LLCRelated$84,208$872,906000.50000
Avera Home Medical Equipment of Lakes Regional Healthcare LLC
5300 S Broadband LaneSioux FallsSD57108862949748Medical services - home medical equipmentSDAvera Home Medical Equipment LLCRelated$74,026$418,148000.50000
Avera Home Medical Equipment of Sioux Center LLC
5300 S Broadband LaneSioux FallsSD57108753203100Medical services - home medical equipmentSDAvera Home Medical Equipment LLCRelated$266,172$424,302000.50000
Avera Home Medical Equipment of Spencer Hospital LLC
5300 S Broadband LaneSioux FallsSD57108800619999Medical services - home medical equipmentSDAvera Home Medical Equipment LLCRelated$318,129$558,506000.50000
Brookings Health System - Avera HME LLC
100 22nd Ave Suite 101BrookingsSD57006453204123Medical services - home medical equipmentSDAvera Home Medical Equipment LLCRelated$260,077$505,294000.50000
Caravan Health ACO 15 LLC dba Prairie Vista Care Organization
20 Burton Hills Blvd Ste 100NashvilleTN37215611843657Accountable care organizationMO00N/A
Caravan Health ACO 41 LLC dba Prairie View Care Organization
20 Burton Hills Blvd Ste 100NashvilleTN37215821447782Accountable care organizationMO00N/A
Heart Hospital of South Dakota LLC
4500 W 69th StreetSioux FallsSD57108562143771Health care servicesNC00N/A
Surgical Associates Endoscopy Clinic LLC
310 S Pennsylvania StAberdeenSD57401460461429Surgical associatesSD00N/A

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 CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Accounts Management Inc
5132 S Cliff Ave Ste 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 servicesSDSYes (1)Avera at Home$368,262$976,1260.80000
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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Kore Cares
S$120,000Cost
Kore Cares
D$145,000Cost

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule R, Part II, Tax Exempt Organizations:Holy Family Hospital Foundation dissolved November 2024.
Form 990, Schedule R, Part IV, Corporation or Trust:Valley Health Services dissolved June 2025. Alucent Biomedical, Inc. dissolved May 2025. Alucent Australia Pty Ltd dissolved May 2025.