STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

AVERA GRANITE FALLS: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
AVERA GRANITE FALLS (EIN 84-3156881)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-15
IRS object ID
202611359349301796
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)
Return2026-05-15T09:25:54-05:00ReturnTs
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)
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
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
Preparation2026-05-04PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$31,429,469GrossReceiptsAmt
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 Independent3VotingMembersIndependentCnt
Total Employee235TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$481,084PYContributionsGrantsAmt
CY Contributions Grants$222,368CYContributionsGrantsAmt
PY Program Service Revenue$30,247,956PYProgramServiceRevenueAmt
CY Program Service Revenue$30,508,692CYProgramServiceRevenueAmt
PY Investment Income$209,007PYInvestmentIncomeAmt
CY Investment Income$663,845CYInvestmentIncomeAmt
PY Other Revenue$18,066PYOtherRevenueAmt
CY Other Revenue$22,693CYOtherRevenueAmt
PY Total Revenue$30,956,113PYTotalRevenueAmt
CY Total Revenue$31,417,598CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,025CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,117,316PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,305,324CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,161,276PYOtherExpensesAmt
CY Other Expenses$14,290,457CYOtherExpensesAmt
PY Total Expenses$28,278,592PYTotalExpensesAmt
CY Total Expenses$29,603,806CYTotalExpensesAmt
PY Revenues Less Expenses$2,677,521PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,813,792CYRevenuesLessExpensesAmt
Total Assets BOY$30,187,089TotalAssetsBOYAmt
Total Assets EOY$34,493,938TotalAssetsEOYAmt
Total Liabilities BOY$10,364,844TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,944,169TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,822,245NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,549,769NetAssetsOrFundBalancesEOYAmt
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$25,192,332ExpenseAmt
Grant$8,025GrantAmt
Revenue$30,520,832RevenueAmt
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 102 Acute patient discharges 53 Swing bed patient discharges 19,112 Outpatient visits 445 Swing-bed patient days 18,232 Clinic visitsAvera Granite Falls Care Center 17,083 Long-term resident days 40 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 $468,358.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$25,192,332TotalProgramServiceExpensesAmt
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 MemYes (1)BusinessRlnWithFamMemInd
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 Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee235EmployeeCnt
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 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 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 (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Julie Lautt
CFO Avera Health;Secretary/Treasurer0.1046.30Yes (X)$0$1,274,363$20,218
Debbie Streier
Regional President & CEO2.0044.00Yes (X)$0$578,020$18,180Yes (X)
Rosa Rios Avendano MD
Board Member/Family Medicine/OB2.0040.00$0$343,861$36,520Yes (X)
Thomas Kooiman
Board Member/Administrator42.000.00Yes (X)$313,271$0$37,926Yes (X)
Deena Aus
Director - Patient Care Services40.000.00$149,612$0$45,944Yes (X)
Jennifer Ann Jager
Director - Ambulance40.000.00$137,661$0$18,774Yes (X)
Seth Streblow
Assistant Director - Ambulance40.000.00$120,960$0$29,119Yes (X)
Troy L Mansell
Radiology Technologist II40.000.00$120,529$0$9,134Yes (X)
Jennifer Varpness
RN - Clinical Informaticist40.000.00$119,231$0$18,582Yes (X)
Stephen Crim
Board Member/Ministerial Juridic1.0043.00$0$57,309$0Yes (X)
LaVonne Koenen
Chair2.003.00Yes (X)$0$0$0Yes (X)
Mark Jensen
Board Member2.000.00$0$0$0Yes (X)
Sister Lucille Welbig
Board Member/System Member2.0010.00$0$0$0Yes (X)
Dan Barber
Board Member1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$961,264TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,253,553TotReportableCompRltdOrgAmt
Total Other Compensation$234,397TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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 W Avera DriveSioux FallsSD57108Shared Services$2,557,447
Big Stone Therapies Inc
500 Cross StBig Stone CitySD57216Therapy Services$1,025,525
Central Minnesota Diagnostic Inc
PO Box 64756St PaulMN55164Radiology Services$326,406
AMN Healthcare Inc
2735 Collection Center DrChicagoIL60693Contracted Services$246,036
Heart Institute of North Dakota
1191 S Columbia RdGrand ForksND58201Contracted Services$217,002
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$38,025RelatedOrganizationsAmt
Government Grants$184,343GovernmentGrantsAmt
Total Contributions$222,368TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621110$28,315,951$28,315,951
Pharmacy Revenue456110$1,637,782$1,637,782
Patient and Clinic Revenue621110$110,572$110,572

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$444,387TotalRevenueColumnAmt
Related Or Exempt Func Income$444,387RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$30,508,692TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$785TotalRevenueColumnAmt
Exclusion$785ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$22,424RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,871RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,553RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,553TotalRevenueColumnAmt
Exclusion$10,553ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$662,960SecuritiesAmt
Other$100OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$662,960SecuritiesAmt
Other$100OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$663,060TotalRevenueColumnAmt
Exclusion$663,060ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescA/R Interest IncomeDesc
Business900099BusinessCd
Total Revenue Column$12,140TotalRevenueColumnAmt
Related Or Exempt Func Income$12,140RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,140OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,417,598TotalRevenueColumnAmt
Related Or Exempt Func Income$30,520,832RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$674,398ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,025TotalAmt
Program Services$8,025ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$355,290TotalAmt
Management And General$355,290ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$111,953TotalAmt
Program Services$111,953ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,777,579TotalAmt
Program Services$11,580,244ProgramServicesAmt
Management And General$197,335ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$430,930TotalAmt
Program Services$425,988ProgramServicesAmt
Management And General$4,942ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,785,756TotalAmt
Program Services$1,771,592ProgramServicesAmt
Management And General$14,164ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$843,816TotalAmt
Program Services$833,678ProgramServicesAmt
Management And General$10,138ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$330TotalAmt
Management And General$330ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,942,766TotalAmt
Program Services$4,999,077ProgramServicesAmt
Management And General$1,943,689ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,788TotalAmt
Program Services$3,384ProgramServicesAmt
Management And General$2,404ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$366,041TotalAmt
Program Services$147,745ProgramServicesAmt
Management And General$218,296ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$173,566TotalAmt
Program Services$173,476ProgramServicesAmt
Management And General$90ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$682,246TotalAmt
Program Services$579,985ProgramServicesAmt
Management And General$102,261ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136,379TotalAmt
Program Services$127,939ProgramServicesAmt
Management And General$8,440ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$49,638TotalAmt
Program Services$42,106ProgramServicesAmt
Management And General$7,532ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$881,901TotalAmt
Program Services$566,229ProgramServicesAmt
Management And General$315,672ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$131,578TotalAmt
Program Services$100ProgramServicesAmt
Management And General$131,478ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$3,445,185$3,441,309$3,876
Equipment Lease/Rental$16,691$16,691

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,458,348TotalAmt
Program Services$362,811ProgramServicesAmt
Management And General$1,095,537ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,603,806TotalAmt
Program Services$25,192,332ProgramServicesAmt
Management And General$4,411,474ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY-$507,195BOYAmt
EOY$48,673EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,588,605BOYAmt
EOY$3,573,543EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$350,979BOYAmt
EOY$362,287EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$177,177BOYAmt
EOY$205,282EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,469,851LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,646,428LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,963,247BOYAmt
EOY$2,823,423EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,074,605BOYAmt
EOY$17,965,929EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$104,628BOYAmt
EOY$117,338EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,435,043BOYAmt
EOY$9,397,463EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,187,089BOYAmt
EOY$34,493,938EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,659,148BOYAmt
EOY$1,601,352EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$95,690BOYAmt
EOY$291,745EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$8,832BOYAmt
EOY$5,759EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$8,948,819EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,601,174BOYAmt
EOY$1,096,494EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,364,844BOYAmt
EOY$11,944,169EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,587,046BOYAmt
EOY$22,252,919EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$235,199BOYAmt
EOY$296,850EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,822,245BOYAmt
EOY$22,549,769EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,187,089BOYAmt
EOY$34,493,938EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,813,792ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$844,198NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$69,534OtherChangesInNetAssetsAmt
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$330OtherActivitiesAmt
Total Lobbying Expenditures$330TotalLobbyingExpendituresAmt
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$363,983OtherCostOrOtherBasisAmt
Depreciation$64,367DepreciationAmt
Book Value$299,616BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,607,667OtherCostOrOtherBasisAmt
Depreciation$4,246,734DepreciationAmt
Book Value$2,360,933BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$498,201OtherCostOrOtherBasisAmt
Depreciation$335,327DepreciationAmt
Book Value$162,874BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,823,423TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Avera Pooled Investments$17,272,412F
Investments in Affiliated Organizations$366,568F
Interest in Avera Health Foundation$326,949F
FieldValueIRS element (for citing)
Total Book Value Securities$17,965,929TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Right of Use Asset$9,202,862
Intercompany Assets$194,601
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,397,463TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Intercompany Payables$436,469
Right of Use Operating Lease Obligations$478,392
Security Deposits$12,159
Third Party Payor Settlements$169,474
FieldValueIRS element (for citing)
Total Liability$1,096,494TotalLiabilityAmt
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$184,827TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$184,827NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,948,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,779,928DirectOffsettingRevenueAmt
Net Community Benefit Expns$168,554NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,133,309TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,779,928DirectOffsettingRevenueAmt
Net Community Benefit Expns$353,381NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,635TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,635NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,355NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,247,888TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,062,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,185,683NetCommunityBenefitExpnsAmt
Total Expense0.10760TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,452TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,452NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,294,330TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,062,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,232,125NetCommunityBenefitExpnsAmt
Total Expense0.10920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,427,639TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,842,133DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,585,506NetCommunityBenefitExpnsAmt
Total Expense0.12110TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,730TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,865NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,730TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,865NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$420,720BadDebtExpenseAmt
Reimbursed By Medicare$2,141,838ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,140,532CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,306MedicareSurplusOrShortfallAmt

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 Conducted24CHNAConductedYr
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 Adpt24ImplementationStrategyAdptYr
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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Avera Granite FallsPart V, Section B, Line 5: To develop the 2025 Community Health Needs Assessment (CHNA), the Avera Marshall Region gathered input directly from community members, public health representatives, and local organizations across Lincoln, Lyon, Chippewa, and Yellow Medicine counties. Feedback was collected through surveys, focus groups, and partnerships with local agencies to ensure that diverse voices were represented, including medically underserved and minority populations.A community survey consisting of eight questions was available for four weeks in March 2025, both online and in paper format. The paper version was distributed at the Avera Marshall Thrift Store and translated into Spanish to improve accessibility. A total of 154 residents completed the survey, sharing perspectives on personal and community health, barriers to care, and ideas for improvement.Two focus groups provided deeper insight into community needs. One group, held in April 2025, included members of the white ethnic community representing education, law enforcement, and social services. The second, held in December 2024, included women from the Karen community, one of the largest minority groups in the region. Participants discussed mental health, transportation, access to care, interpreter services, and provider communication.In addition, Southwest Health and Human Services (SWHHS) shared its 2024 health report and provided input on community health priorities. Input was also gathered from community health workers, faith leaders, and local employers of minority populations.
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: The community health needs assessment was completed during FY2025. The hospital has not taken specific actions with respect to the FY2025 implementation strategy. The following community health priority areas were identified and the following actions will be taken by the hospital during future years. - Cancer - Dental Health - Mental HealthThe Avera Marshall Region developed a three-year implementation strategy to address priority health needs identified through the FY2025 Community Health Needs Assessment (CHNA). The plan focuses on cancer, dental health, and mental health, with goals, resources, community partners, and measurable outcomes defined for each area.Cancer initiatives aim to keep patients closer to home, expand access to research trials, develop a high-risk breast cancer clinic, and increase education and fundraising for cancer care.Dental health goals include building partnerships with local dentists, providing oral health education through community health workers, and distributing dental kits to schools and local nonprofits.Mental health strategies emphasize collaboration with schools, social service agencies, and local organizations to strengthen youth and adolescent support, expand access to care, recruit staff, and develop creative therapeutic programs.Progress will be reviewed annually and shared in the next CHNA cycle. The implementation plan was approved by the boards of Avera Marshall, Avera Tyler, and Avera Granite Falls in September 2025 and is publicly available on the Avera website.Avera Granite Falls will not be directly addressing other areas of concern, such as aging problems, domestic violence and child abuse, heart disease, obesity, and housing issues, identified through the assessment process. While the leadership team recognizes that other concerns exist, the hospital does not have the resources or expertise to address at this time.Avera Granite Falls continued to address the community health needs identified in the community health needs assessment completed in FY2022. Avera Granite Falls maintained its implementation plan for the following priorities 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. 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 taken: - The Avera Medical Group continues to track mental health needs among inpatient and outpatient populations. Providers regularly discuss depression with patients and integrate mental health screening into ongoing service lines, including routine OB care. These actions reflect an enduring commitment to early detection, continuity of care, and integrated behavioral health across departments. - The Avera Marshall region continued its "Ask the Question" initiative with a sustained focus on supporting the mental health of veterans. - Our Karen community health worker is providing continuity of service for Karen patients referred to Southwest Mental Health. This continuity of service includes helping patients complete admitting paperwork and attending initial intake evaluation appointments. - Pediatric patients and parents can participate in an approved Avera research study on pediatric mental health. Cultural barriers that impact healthcare, including but not limited to interpretive services:Avera Granite Falls' goal around cultural barriers is to improve interpretive services, aid 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, ARCH Language Network, and Avera Staff. Steps taken: - Avera maintains a continuous effort to expand access to in-person interpretation services for patients with limited English proficiency, recognizing the importance of cultural and linguistic responsiveness in health care. Efforts include having a Spanish speaking provider to provide in-person services, partnerships with Language Line and communication initiatives targeting Hispanic and Karen community members. - A Karen Community Health Worker (CHW) and Hispanic CHW continue to play an active role in outreach, health education, and interpretation. The CHW's certification and ongoing engagement exemplifies Avera's long-term commitment to cultural competency and equitable access to care. - Updated Religious Community Contact List to include religions other than Christianity. - Books from various religious traditions added to the chapel, Muslim prayer rug now available. - Avera Marshall Region is developing a health promotion program for employees at the local meat processing facility in Marshall, Minnesota, which employs approximately 450 workers representing diverse ethnic communities, including Karen, Somali, and Hispanic populations. The program is being designed to address diabetes prevention and management among this workforce, who experience multiple social determinants of health challenges such as limited access to care, language barriers, and high occupational stress. - CMO provides oversight for occupational health requirements at Turkey Valley Farms. - System health equity initiative established, and regional VP of Mission is assigned as health equity lead. - Quality and Mission join a Program with Stratis Health that has the goal to help CAH better understand how to bring Social Determinants of Health (SDOH) into operations. - The Clothed in Strength Program continues to operate year-round, providing essential clothing and supplies to patients in hospitals, long-term care facilities, and the broader community through the Avera Thrift Store. - The Dispensary of Hope project remains active regionwide, ensuring that low-income patients continue to have access to necessary medications through a sustainable, charitable distribution system. - The Avera Thrift Store collaborated with a wide network of local and international nonprofits, schools, faith communities, and service organizations to distribute clothing, household goods, and supplies to those experiencing need:Partner organizations included WRAP, UCAP, Central Africa Mission, Nan's Knits, Boulder Creek Assisted Living, Parkside Elementary, the Nigeria Supply Program (via Canby Catholic Church), Avera Tyler Sunrise Manor, Marshall Animal Clinic, Avera Marshall Behavioral Health Unit, Habitat for Humanity, Marshall High School, Lutheran World Relief, the Marshall High School Tennis Team, Go Creations, Reunited Halfway House, Southwest Health and Human Services, Western Mental Health, the Tyler Arts Council, Avera Morningside Heights, Holy Redeemer Catholic Church, Phase Industries, the Lyon County Master Gardeners, the Lakeside Companion Animal Clinic, Our Savior's Lutheran Church in Canby, Saint Edward's School, Saint Mary's Church, Canby Hospital, the Marshall Middle School Kindness Closet, Friends of the Library, Awake Journey, and Disabled American Veterans. Through these partnerships, the organization distributed a wide range of materials including clothing, shoes, blankets, towels, craft supplies, kitchenware, school items, vases, and sunglasses to support individuals and families in need, immigrants, students, and those in care facilities. Notable donations included 500 pairs of children's sunglasses to local parochial schools, 24 pairs of shoes to Disabled American Veterans, and CD players to hospice patients - Quality team to bring SDOH into their ongoing sepsis project. - The Avera Marshall Region continues several initiatives designed to provide lasting improvements in health access, equity, and community well-being. - New partnerships were initiated with leaders of the local Muslim community to explore culturally sensitive health promotion programs.Continued at end of Schedule H, Part V narratives.
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:avera.org/about/community-health-needs-assessments/
Schedule H Part V, Lines 16a, 16b, and 16c:avera.org/patients-visitors/pay-my-bill-online/financial-assistance-programs/
Part V, Section B, Line 11 (Cont'd):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 (Community Health Worker and Care Coordination).Steps taken: - Avera continues collaboration with the City of Marshall and public health partners to improve transportation access, including the addition of a bus stop at the Federally Qualified Health Center (FQHC) and partnerships with other agencies to ensure reliable transportation for medical appointments. These efforts represent a sustained commitment to addressing transportation as a social determinant of health. - 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. - 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, we have social work/care coordination find a local transport company to bring at least one family member to the destination facility. - Avera Marshall Region applied for a grant to expand special transportation services through Granite Falls Ambulance, with availability extending to the broader Marshall & Tyler communities.
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 (13 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 and health professions education 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 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 18 and 19.
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, community health workers for the Karen and Spanish communities, neighborhood canvassing, and surveys. Other sources have included a Mission and Planning Committee and our full governing board that includes 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 annual Health Report.
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 2025 data, the estimated population of Yellow Medicine County as of July 1, 2024 is 9,373 and is predominately white at 91.2%. It is estimated that 23.2% of the population is 65 years and over. The median household income is $74,000 with a 9.8% poverty rate. Uninsured individuals under age 65 is estimated at 5.6%.According to the U.S. Census Bureau Quick Facts 2025 data, the estimated population of Chippewa County as of July 1, 2024 is 12,299 and is predominately white at 90.6%. It is estimated that 22.1% of the population is 65 years and over. The median household income is $71,458 with a 12.4% poverty rate. Uninsured individuals under age 65 is estimated at 7.2%.
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, 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 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 911 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. Financial assistance 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 financial assistance 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: 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 reduced cost to the school district. Avera also participates in community health events. 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 & high-risk patients navigate their health care needs, as well as follow-up after discharge. 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 with Granite Falls Kiwanis 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. 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 Payment0SeverancePaymentInd
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$1,226,098$0$41,964$0$6,301$0$17,250$0$2,968$0$1,294,581$0$0
Debbie Streier
Regional President & CEO$0$550,926$0$18,936$0$8,158$0$17,250$0$930$0$596,200$0$0
Rosa Rios Avendano MD
Board Member/Family Medicine/OB$0$275,906$0$55,365$0$12,590$0$9,717$0$26,804$0$380,382$0$0
Thomas Kooiman
Board Member/Administrator$311,862$0$0$0$1,409$0$7,419$0$30,507$0$351,197$0$0$0
Deena Aus
Director - Patient Care Services$142,768$0$1,255$0$5,589$0$8,039$0$37,905$0$195,556$0$0$0
Jennifer Ann Jager
Director - Ambulance$125,248$0$12,330$0$83$0$6,983$0$11,790$0$156,434$0$0$0
Seth Streblow
Assistant Director - Ambulance$111,575$0$8,006$0$1,379$0$2,509$0$26,610$0$150,079$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3:FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMcKenzie FinkePersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily member of board memberRelationshipDescriptionTxt
Transaction$111,953TransactionAmt
TransactionEmployee compensation and benefitsTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

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, Sr Lucille Welbig and Debbie Streier have a business relationship. Julie Lautt, Sr Lucille Welbig and Stephen Crim have a business relationship. Julie Lautt, Debbie Streier, LaVonne Koenen, and Rosa Roja Rios Avendano MD 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 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 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 3,211,098. Management and general expenses 59,093. Fundraising expenses 0. Total expenses 3,270,191. Medical Professional Fees: Program service expenses 190,056. Management and general expenses 0. Fundraising expenses 0. Total expenses 190,056. Repairs & Maintenance: Program service expenses 598,713. Management and general expenses 79,370. Fundraising expenses 0. Total expenses 678,083. Centralized Services: Program service expenses 999,210. Management and general expenses 1,805,226. Fundraising expenses 0. Total expenses 2,804,436.
Form 990, Part XI, line 9:Change in Interest in Avera Foundation 7,884. Change in Assets with Donor Restrictions 61,650.
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 (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 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

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
5300 S Broadband LaneSioux FallsSD57108820582350Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Lakes Regional Healthcare LLC
5300 S Broadband LaneSioux FallsSD57108862949748Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Sioux Center LLC
5300 S Broadband LaneSioux FallsSD57108753203100Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Spencer Hospital LLC
5300 S Broadband LaneSioux FallsSD57108800619999Medical Services - home medical equipmentSDN/A00
Brookings Health System - Avera HME LLC
100 22nd Ave Suite 101BrookingsSD57006453204123Healthcare ServicesSDN/A00
Caravan Health ACO 15 LLC dba Prairie Vista Care Organization
20 Burton Hills Blvd Ste 100NashvilleTN37215611843657Accountable Care OrganizationMON/A00
Caravan Health ACO 41 LLC dba Prairie View Care Organization
20 Burton Hills Blvd Ste 100NashvilleTN37215821447782Accountable Care OrganizationMON/A00
Heart Hospital of South Dakota LLC
4500 W 69th StreetSioux FallsSD57108562143771Healthcare ServicesNCN/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 (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.