Avera Holy Family

EIN: 420680370 501(c)(3) Health Care

Estherville, IA

Total Revenue
$35,903,728
Total Expenses
$29,854,766
Total Assets
$68,362,497
Net Assets
$66,158,874
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
1996
Legal Domicile
IA
Principal Officer
Michelle Majerus
Phone
7123626519
Tax Period
2023-07-01 to 2024-06-30

Avera Holy Family, founded in 1996, is a mid-sized nonprofit in the Health Care sector that reported $35.9M in total revenue in fiscal year 2023. Revenue surged 26% from the prior year, signaling strong growth momentum. The organization ran a surplus of $6.0M, a strong 17% operating margin.

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%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $25,968
Program Service Revenue $35,123,681
Investment Income $722,151
Other Revenue $31,928
TOTAL REVENUE $35,903,728

Expense Breakdown

Grants Paid $11,937
Salaries & Benefits $13,207,965
Fundraising Expenses $0
Program Expenses $26,049,617
Other Expenses $16,634,864
TOTAL EXPENSES $29,854,766

Year-over-Year Comparison

2023 2022 Change
Revenue $35,903,728 $28,545,704 +0.3%
Expenses $29,854,766 $26,647,358 +0.1%
Net Income $6,048,962 $1,898,346 +2.2%
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

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Governance

Voting Members
9
Independent Members
8
Employees
190
Volunteers
8

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
4
$1,457,974
Total Directors
10
$234,898
Key Employees
0
$0
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
Deb Herzberg President/CEO 40.00
Officer Director
$0 $27,859 $234,898
Yas Mata Chair 1.00
Officer Director
$0 $0 $0
Mike Cornwall Vice Chair 1.00
Officer Director
$0 $0 $0
Trudy Ahrens Board Member (Beg 01/2024) 1.00
Director
$0 $0 $0
Sr Candyce Chrystal Board Member 1.00
Director
$0 $0 $0
Bob Jensen Board Member 1.00
Director
$0 $0 $0
Sr Janet Schumacher Board Member 1.00
Director
$0 $0 $0
Molly Struve Board Member (End 08/2023) 1.00
Director
$0 $0 $0
Jim Rosendahl Board Member 1.00
Director
$0 $0 $0
Penny Clayton Board Member 1.00
Director
$0 $0 $0
Julie Lautt CFO Avera Health;Secretary/Treasurer 0.10
Officer
$0 $19,401 $1,223,076
Linda Adams Nurse Manager 40.00
Highest
$116,117 $19,128 $135,245
Martin Bergstrom Chief Nursing Officer 40.00
Highest
$109,249 $39,254 $148,503
Nancy Diekmann Nurse Manager 40.00
Highest
$118,840 $24,127 $142,967
April Sue Krull Pharmacist 40.00
Highest
$128,334 $45,411 $173,745
Kristi Hough Manager - Pharmacy 40.00
Highest
$164,291 $48,843 $213,134
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 $35,903,728 $29,854,766 $68,362,497 $6,048,962
2023 $28,545,704 $26,647,358 $60,276,592 $1,898,346
2022 $30,648,640 $27,141,163 $57,552,066 $3,507,477
2021 $30,600,480 $25,963,968 $61,816,340 $4,636,512
2020 $29,197,784 $25,767,898 $58,037,598 $3,429,886
2019 $27,404,428 $24,699,692 $47,595,359 $2,704,736
2018 $30,388,470 $27,324,090 $45,730,184 $3,064,380
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