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Iowa · Nonprofit

Avera Holy Family

Avera Holy Family (Iowa) receives grants from 2 organizations whose IRS filings report $19,021 to it, the largest being Elderbridge Agency on Aging ($18,886). 2 of them have funded it in more than one year.

Revenue FY2025
$38M
Funders on record
2
Grants received
$19k
Net assets
$76M
2/2 repeat funderspeak grant-dependency 0%
01What it does

What Avera Holy Family does

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.

As stated on its FY2025 Form 990.

Program

  1. Avera Holy Family's mission is to provide healthcare services to Estherville, Iowa residents and residents of the surrounding area. Avera Holy Family is a 501(c)(3) organization affiliated with Avera Health. Avera Holy Family consists of a 25-bed critical access hospital and a clinic in Estherville, Iowa. The program services offered include primary care, general surgery, ENT, orthopedic and ophthalmology surgical services, wound care, pain management, emergency, imaging services, laboratory, behavioral health, speech therapy, physical therapy, and occupational therapy. Avera Holy Family provides acute healthcare services. Following is a breakdown of these statistics by facility:Avera Holy Family Hospital 275 Acute inpatient discharges 94 Swing-bed patient discharges 29,393 Outpatient visits 790 Swing-bed patient days 14,734 Clinic visitsAvera Holy Family 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 $395,176.Avera Holy Family also…

    $26,865,782 spentof which $9,936 as grants$35,867,385 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $26,865,782.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($29M) Expenses 100 ($26M) Net assets 100 ($35M)2018 Revenue 104 ($30M) Expenses 104 ($27M) Net assets 114 ($39M)2019 Revenue 94 ($27M) Expenses 94 ($25M) Net assets 119 ($41M)2020 Revenue 100 ($29M) Expenses 98 ($26M) Net assets 130 ($45M)2021 Revenue 105 ($31M) Expenses 99 ($26M) Net assets 158 ($55M)2022 Revenue 105 ($31M) Expenses 103 ($27M) Net assets 150 ($52M)2023 Revenue 98 ($29M) Expenses 101 ($27M) Net assets 163 ($56M)2024 Revenue 123 ($36M) Expenses 114 ($30M) Net assets 192 ($66M)2025 Revenue 131 ($38M) Expenses 119 ($31M) Net assets 221 ($76M)
'17'18'19'20'21'22'23'24'25
Revenue (131)Expenses (119)Net assets (221)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $68M to $79M (+16%).

$42M
$46M
$48M
$58M
$62M
$58M
$60M
$68M
$79M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 8% · 2021 0% · 2022 2% · 2023 3% · 2024 0% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of Avera Holy Family’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.

$3.0M
’17
$3.1M
’18
$2.7M
’19
$3.4M
’20
$4.6M
’21
$3.5M
’22
$1.9M
’23
$6.0M
’24
$7.1M
’25
0.0
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Board chair

Yas Mata

Chair

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2018 and FY2019 filings.

'17'18'19'20'21'22'23'24'25
Listed161614141512151615
Joined·+3+5+3+7+2+7+5+4
No longer listed·37365445
03Who funds it

Who funds it, year by year

2017 → 2023: the base held at 1 funder, grant income fell $10k → $40.

Funder
'17
'18
'20
'21
'22
'23
total
funders
1
1
1
1
1
1

1 of 2 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 1% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $1.8M from 3 payers (the payer shares this organization's board, largest Holy Family Hospital Foundation). These are real filings, and they are not money Avera Holy Family raised.

From the IRS filings of Avera Holy Family’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Avera Holy Family leans on a few funders — its largest provides 99% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Avera Holy Family.

99%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2017 100% · 2018 100% · 2020 100% · 2021 100% · 2022 100% · 2023 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of Avera Holy Family's grant income comes from Iowa funders.

IA

In-state vs out-of-state, by year

’17
’18
Iowa out of state home

Funder states come from each funder’s own filing. $135 arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Avera Holy Family runs a healthier operating margin than three-quarters of the 2,843 health nonprofits its size.

Operating margin18% · top quartile
Months of reserve0.0mo · bottom quartile
Revenue growth (annualized)3% · below the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding Avera Holy Family receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $99k on record.

Federal$99k
grants $99kcontracts $0
Top agencies
  • Department of Health and Human Services$99k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like Avera Holy Family

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Iowa

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

86% of spending goes to programs.

Program 86%Management 14%Fundraising 0%

Governance

8
board members
88%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 33 related entities

  • Avera Health · exempt
  • Avera McKennan · exempt
  • Avera at Home · exempt
  • Avera Health Plans Inc · exempt
  • Avera Marshall · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Avera Holy Family: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Avera Holy Family?
Avera Holy Family (Iowa) receives grants from 2 organizations whose IRS filings report $19,021 to it, the largest being Elderbridge Agency on Aging ($18,886). 2 of them have funded it in more than one year.
How many funders does Avera Holy Family have?
IRS filings report 2 organizations giving $19,021 in grants to Avera Holy Family, 2 of which have funded it in more than one year.
Who is the largest funder of Avera Holy Family?
Elderbridge Agency on Aging is the largest funder on record, with $18,886 in grants. The full list of funders is on this page.
How can an organization like Avera Holy Family find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Iowa. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 2 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing