Avera Queen of Peace

Nonprofit profile at a glance

EIN
460224604
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Mitchell, SD, USA
Phone
6059966531
Rating
75
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Hospital, General

Reported finances

Revenue
$159,924,028
Expenses
$148,662,322
Assets
$223,057,999
Liabilities
$63,912,659

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • Douglas Ekeren (Former Regional President & CEO)
  • Hilary Rockwell MD (Regional President & CEO)

Highest reported compensation

  • Chris Krouse DO (Orthopedics & Sports Medicine): $1,368,628 total reported compensation
  • Julie Lautt (CFO Avera Health;Secretary/Treasurer): $1,294,581 total reported compensation
  • Brian Kampmann MD (Orthopedics & Sports Medicine): $1,227,296 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

What it reported doing in 2024

Avera Queen of Peace's mission is to provide healthcare services to Mitchell, South Dakota residents and residents of the surrounding area. Avera Queen of Peace is a 501(c)(3) organization affiliated with Avera Health. Avera Queen of Peace consists of a 25-bed critical access hospital and an 84-bed nursing home in Mitchell, SD, a 16-bed critical access hospital in Wessington Springs, SD, a 6-bed critical access hospital in De Smet, SD and 11 physician clinics. The program services offered include orthopedics, general surgery, internal medicine, radiation, laboratory, radiology, sleep lab, wound care, emergency, EKG, EEG, IP surgery, OP surgery, oncology, dermatology, pain management, physical therapy, occupational therapy, speech therapy, pharmacy, ophthalmology, and optometry. They provide acute care & long-term healthcare services. Following is a breakdown of these statistics by facility: Avera Queen of Peace Hospital 1,762 Acute patient discharges 456 Newborn patient discharges 8 Swing Bed patient discharges98,017 Outpatient visits 104 Swing-bed patient days 933 Newborn patient days47,161 Clinic visitsAvera Brady Health and Rehabilitation 111 Long Term Care patient discharges25,938 Long-term care resident daysAvera Weskota Memorial Medical Center (CAH) 64 Acute patient discharges 22 Swing Bed discharges 5,953 Outpatient visits 219 Swing-bed patient daysAvera De Smet Memorial Hospital (CAH) 60 Acute patient discharges 22 Swing Bed patient discharges10,617 Outpatient visits 104 Swing-bed patient days 4,815 Clinic visitsAvera Queen of Peace 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 $6,935,965.Avera Queen of Peace 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 Queen of Peace 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 Queen of Peace 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.

Operating model

Revenue model
Other-operating. 93% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 61
  • Accountability: 73
  • Sustainability: 55
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.7%; rating input score 89
  • Program expense ratio: 92.3%; rating input score 92
  • Fundraising efficiency: $17.06 raised per $1 spent on fundraising; rating input score 54; 54th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 85.7%; rating input score 86; 1st 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: Limited

Accountability

  • Independent voting board: 62.5%; rating input score 62; 17th 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: 7%; rating input score 64; 64th percentile among comparable filings
  • Total-asset coverage ratio: 1.5; rating input score 53; 53rd percentile among comparable filings
  • Liabilities to assets ratio: 0.29; rating input score 57; 57th percentile among comparable filings
  • Officer compensation ratio: 4.2%; rating input score 24; 24th percentile among comparable filings

Growth

  • Program expense growth: 4.5% per year; rating input score 100; 36th percentile among comparable filings
  • Revenue growth: 3.8% per year; rating input score 100; 31st percentile among comparable filings
  • Asset growth: 4.4% per year; rating input score 100; 31st percentile among comparable filings

Details

  • Where the money goes: 88.7% of revenue deployed · 92.3% of spending went to programs
  • Governance: 10 of 16 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $137.2M in reported program spending
  • Leadership: top reported pay $1.4M · 24 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $17.4M reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 33 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Financial Efficiency: Fundraising efficiency scored 54/100.
  • Review — Accountability: Governance controls: CEO compensation review process not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 53/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Officer compensation ratio scored 24/100.
  • Review — Sustainability: Liabilities to assets ratio scored 57/100.