Avera Marshall (EIN 410919153) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1944

Legal Domicile

Principal Officer

Debbie Streier

Phone

5075329661

Tax Period

2022-07-01 to 2023-06-30

Avera Marshall, founded in 1944, is a major nonprofit in the Health Care sector that reported $138.6M in total revenue in fiscal year 2022.

Mission

Promotion of health

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2022)

Revenue Breakdown

Contributions & Grants $766,756

Program Service Revenue $137,508,574

Investment Income $166,465

Other Revenue $114,305

TOTAL REVENUE $138,556,100

Expense Breakdown

Grants Paid $7,371

Salaries & Benefits $64,889,641

Fundraising Expenses $1,074

Program Expenses $123,868,488

Other Expenses $69,954,268

TOTAL EXPENSES $134,851,280

Year-over-Year Comparison

	2022	2021	Change
Revenue	$138,556,100	$143,907,667	0.0%
Expenses	$134,851,280	$136,292,238	0.0%
Net Income	$3,704,820	$7,615,429	-0.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

831

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,612,585

Total Directors

$1,306,635

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Debbie Streier	Regional President & CEO	41.50	Officer Director	$0	$38,557	$509,045
George Jorgensen	Chair	1.50	Officer Director	$0	$0	$0
Amanda Sieling	Vice Chair	1.50	Officer Director	$0	$0	$0
Todd Bock	Board Member	1.50	Director	$0	$0	$0
Stephen Crim	Board Member	1.50	Director	$0	$0	$48,817
Quentin Fixen	Board Member	1.50	Director	$0	$0	$0
Greg Goepferich	Board Member	1.50	Director	$0	$0	$0
Sr Mary Jaeger	Board Member	1.50	Director	$0	$0	$0
Laurie Johansen	Board Member	1.50	Director	$0	$0	$0
LaVonne Koenen	Board Member	1.50	Director	$0	$0	$0
Curtis Louwagie MD	Board Member/Opthalmology	41.50	Director	$695,557	$53,216	$748,773
Joyce Strootman	Board Member	1.50	Director	$0	$0	$0
Sr Jodie Zimmerman	Board Member	1.50	Director	$0	$0	$0
Julie Lautt	CFO Avera Health;Secretary/Treasurer	0.10	Officer	$0	$17,088	$1,103,540
Emmy Ho MD	Orthopedics & Surgery	40.00	Highest	$905,882	$46,524	$952,406
Daniel Lister MD	Orthopedics & Surgery	40.00	Highest	$875,715	$41,586	$917,301
Jonna Maas MD	Internal Medicine & Hospitalist	40.00	Highest	$684,019	$45,397	$729,416
Timothy Michals MD	Pediatrics & Internal Medicine	40.00	Highest	$732,230	$15,250	$747,480
Arthur Rillo MD	Family Medicine/OB	40.00	Highest	$735,911	$46,560	$782,471
Sharon Williams	Former Sec/Treas & VP Finance	0.00		$0	$36,819	$233,646
Doris Derynck	Former VP Clinical Operations/CNO	0.00		$271,044	$20,032	$291,076

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	No data	No data	No data	No data
2023	$138,556,100	$134,851,280	$91,701,135	$3,704,820
2022	$143,907,667	$136,292,238	$101,604,276	$7,615,429
2021	$136,903,242	$129,466,898	$101,965,781	$7,436,344
2020	$115,156,245	$131,165,870	$102,725,540	$-16,009,625
2019	$98,024,289	$104,739,583	$107,934,459	$-6,715,294
2018	$89,820,262	$84,615,924	$92,846,576	$5,204,338

Avera Marshall