Avera Holy Family

What it reported doing in 2024

Avera Holy Family's mission is to provide healthcare services to Estherville, Iowa residents and residents of the surrounding area. Avera Holy Family is a 501(c)(3) organization affiliated with Avera Health. Avera Holy Family consists of a 25-bed critical access hospital and a clinic in Estherville, Iowa. The program services offered include primary care, general surgery, ENT, orthopedic and ophthalmology surgical services, wound care, pain management, emergency, imaging services, laboratory, behavioral health, speech therapy, physical therapy, and occupational therapy. Avera Holy Family provides acute healthcare services. Following is a breakdown of these statistics by facility: Avera Holy Family Hospital 275 Acute inpatient discharges 94 Swing-bed patient discharges 29,393 Outpatient visits 790 Swing-bed patient days 14,734 Clinic visitsAvera Holy Family 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 $395,176.Avera Holy Family 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 Holy Family 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 Holy Family 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.

Financial Efficiency

• Mission deployment rate: 74.8%; rating input score 75
• Program expense ratio: 86.1%; rating input score 86
• Fundraising efficiency: $31.89 raised per $1 spent on fundraising; rating input score 68; 68th percentile among comparable filings

Transparency & Controls

• Consistency checks: 85.7%; rating input score 86; 1st percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 75.5%; rating input score 75; 15th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 87.5%; rating input score 88; 20th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 18.5%; rating input score 80; 80th percentile among comparable filings
• Total-asset coverage ratio: 2.54; rating input score 70; 70th percentile among comparable filings
• Liabilities to assets ratio: 0.03; rating input score 86; 86th percentile among comparable filings
• Officer compensation ratio: 2.9%; rating input score 68; 68th percentile among comparable filings

Growth

• Program expense growth: 2% per year; rating input score 100; 20th percentile among comparable filings
• Revenue growth: 3% per year; rating input score 100; 26th percentile among comparable filings
• Asset growth: 6.3% per year; rating input score 100; 44th percentile among comparable filings