Avera Marshall

What it reported doing in 2024

Avera Marshall's mission is to provide healthcare services to Marshall, Minnesota residents and residents of the surrounding area. Avera Marshall is a 501(c)(3) organization affiliated with Avera Health. Avera Marshall consists of a 25-bed critical access hospital plus 10 behavioral health beds and a 76-bed nursing home in Marshall, Minnesota, seven physician clinics and five optometry clinics. The program services offered include primary care, general surgery, audiology, ENT, cardiology, neurology (via telemed), endocrinology, dermatology, pediatrics, orthopedics, OB/GYN, urology, oncology, palliative care, pulmonology, podiatry, psychiatry, nephrology, radiology, optometry, ophthalmology, wound care, level III trauma center, ICU, speech therapy, physical therapy, and occupational therapy. Avera Marshall provides acute care and long-term healthcare services. Following is a breakdown of these statistics by facility: Avera Marshall Hospital 1,306 Acute patient discharges 343 Newborn patient discharges 4 Swing bed patient discharges 85,673 Outpatient visits 36 Swing-bed patient days 525 Newborn patient days 56,640 Clinic visitsAvera Morningside Heights Care Center 26,814 Long-term resident days 140 Long Term Care patient dischargesAvera Marshall 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 $2,896,784.Avera Marshall 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 Marshall 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 Marshall 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: 89.4%; rating input score 89
• Program expense ratio: 91.5%; rating input score 91
• Fundraising efficiency: $688.55 raised per $1 spent on fundraising; rating input score 95; 95th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 63.6%; rating input score 64; 18th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.9%; rating input score 47; 47th percentile among comparable filings
• Total-asset coverage ratio: 0.65; rating input score 25; 25th percentile among comparable filings
• Liabilities to assets ratio: 0.23; rating input score 65; 65th percentile among comparable filings
• Officer compensation ratio: 3.6%; rating input score 30; 30th percentile among comparable filings

Growth

• Program expense growth: 9% per year; rating input score 100; 70th percentile among comparable filings
• Revenue growth: 7.9% per year; rating input score 100; 66th percentile among comparable filings
• Asset growth: 3.3% per year; rating input score 100; 22nd percentile among comparable filings