Critical access hospital · Estherville, Iowa · 22 beds · CMS certification number 161351
Avera Holy Family Hospital
Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. 22 years on file, all shown below. Also on the 340B covered-entity register.
Enrolled with Medicare by Avera Holy Family.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $11.7M in its first year on file (2004) to $32.4M in 2025.
- Its result from patient care: −$2.5M (2023), $1.9M (2024), $1.2M (2025).
- 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
- AVERA HEALTH holds 100% of it, on its Medicare enrollment.
22 years of filings
2004 reopened margin 11.2% $11.7M $10.4M
2005 settled with audit margin 9.7% $13.1M $11.9M
2006 reopened margin 7.1% $14.3M $13.3M
2007 settled margin 6.5% $15.1M $14.1M
2008 reopened margin 6.6% $16.7M $15.6M
2009 settled margin 4.1% $19.0M $18.3M
2010 settled margin 9.7% $21.5M $19.5M
2011 settled margin 2.8% $21.0M $20.4M
2012 settled with audit margin 0.3% $22.3M $22.3M
2013 settled margin 1.8% $23.1M $22.7M
2014 settled margin 0.9% $24.2M $24.0M
2015 settled margin 2.2% $23.3M $22.8M
2016 reopened margin 2.1% $24.5M $24.0M
2017 settled margin −2.0% $24.7M $25.2M
2018 settled margin −2.1% $26.1M $26.6M
2019 reopened margin −4.3% $23.5M $24.5M
2020 settled margin −9.8% $23.8M $26.1M
2021 settled margin 0.0% $26.2M $26.2M
2022 settled margin −0.4% $27.9M $28.0M
2023 settled margin −10.3% $24.5M $27.0M
2024 settled margin 6.0% $31.8M $29.8M
2025 as submitted margin 3.7% $32.4M $31.2M
Beside its peers
Critical access hospitals in Iowa with under 25 beds, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Avera Holy Family Hospital 22 $32,394,629 $31,187,781 3.7%
CHI Health Mercy Corning, Corning 22 $25,835,195 $23,860,252 7.6%
Iowa Specialty Hospital-Belmond, Belmond 22 $57,273,852 $56,019,609 2.2%
Kossuth Regional Health Center, Algona 24 $45,470,613 $46,931,197 −3.2%
Palo Alto County Hospital, Emmetsburg 24 $37,260,928 $35,451,665 4.9%
Washington County Hospital and Clinics, Washington 22 $50,710,526 $61,510,063 −21.3%
Patients and payers
- Discharges 270 S-3 line 14, col 15
- Inpatient days 1,603 S-3 line 14, col 8
- Beds in use, on an average day 4.4 days ÷ days in year
- Occupancy 20.0% days ÷ bed days
- Medicare share of days 56.7% S-3 cols 6 ÷ 8
Who owns it
- AVERA HEALTH100%
Related organizations on its own cost report: AVERA HEALTH, administrative; MCKENNAN HO, administrative; AMI, collections.
Other hospitals with the same owner: Avera Merrill Pioneer Hospital (IA), Avera Granite Falls Health Center (MN), Avera Marshall Regional Medical Center (MN), Avera Tyler Hospital (MN), Avera St. Anthonys Hospital (NE), Avera Creighton Hospital (NE).
Control: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Avera Holy Family (employer identification number 420680370) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $5,534,444 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $163,757 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $491,453 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $655,210 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $4,879,234 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.2076 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202431359349310033. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Avera Holy Family (employer identification number 420680370) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Alyson Gruhlke | Board Member | Trustee/director | $0 | $0 | $0 |
| April Krull | Pharmacist | Highest-compensated employee | $128,930 | $0 | $46,654 |
| Bob Jensen | Board Member | Trustee/director | $0 | $0 | $0 |
| Deb Herzberg | President/CEO | Trustee/director, Officer | $0 | $205,433 | $24,528 |
| Julie Lautt | CFO Avera Health;Secretary/Treasurer | Officer | $0 | $1,086,452 | $17,088 |
| Kathy Preston | Board Member | Trustee/director | $0 | $0 | $0 |
| Kristi Hough | Manager - Pharmacy | Highest-compensated employee | $170,335 | $0 | $43,214 |
| Lisa Schomaker | RN | Highest-compensated employee | $113,501 | $0 | $26,824 |
| Martin Bergstrom | Chief Nursing Officer | Highest-compensated employee | $105,811 | $0 | $37,336 |
| Michael Hanson | Manager - Ancillary Services | Highest-compensated employee | $105,252 | $0 | $25,013 |
| Mike Cornwall | Vice Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Molly Struve | Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Sr Candyce Chrystal | Board Member | Trustee/director | $0 | $0 | $0 |
| Sr Janet Schumacher | Board Member | Trustee/director | $0 | $0 | $0 |
| Yas Mata | Board Member | Trustee/director | $0 | $0 | $0 |
E-file object id 202431359349310033. The IRS archive it was read from.
Follow Avera Holy Family Hospital, free
More critical access hospitals in Iowa
File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 161351. Owners of 5% or more: CMS Hospital All Owners and Hospital Enrollments, Medicare enrollment October 1, 2026.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 10, 2025.
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