3 associated locations — data as of November 8, 2026
Critical access hospital · GRANITE FALLS, MN
AVERA GRANITE FALLS
Taking partYesLast certifiedAugust 26, 2026
- 0Registered locations
- 3Associated locations
- 19Contract pharmacies
- 9With no end date
- September 29, 2010In 340B since
Where this record sits: among the 72 Critical access hospitals in Minnesota, the median open contract-pharmacy count is 4.5; this record’s open count ranks 16.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $60,663,492 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $31,969,071 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,694,421 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,601,122 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$906,701 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $504,254 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $285,917 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $562,594 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $255,389 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $541,306 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.4569 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 241343 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Avera Granite Falls (employer identification number 843156881) 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) | $6,189,495 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $18,667 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $324,293 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $342,960 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $5,846,535 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.2173 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202431359349309688. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Avera Granite Falls (employer identification number 843156881) 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 |
|---|---|---|---|---|---|
| Debbie Streier | Regional President & CEO | Trustee/director, Officer | $0 | $470,488 | $38,557 |
| Deena Aus | Director - Patient Care Services | Highest-compensated employee | $112,900 | $0 | $45,453 |
| Jennifer Ann Jager | Director - Ambulance | Highest-compensated employee | $137,385 | $0 | $17,615 |
| Jennifer Varpness | RN - Clinical Informaticist | Highest-compensated employee | $105,020 | $0 | $15,975 |
| Julie Lautt | CFO Avera Health;Secretary/Treasurer | Officer | $0 | $1,086,452 | $17,088 |
| LaVonne Koenen | Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Lorie Tjaden | Director - Nursing Services | Highest-compensated employee | $109,965 | $0 | $30,926 |
| Mark Jensen | Vice Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Rosa Rios Avendano MD | Board Member/Family Medicine/OB | Trustee/director | $0 | $324,352 | $30,277 |
| Seth Streblow | Assistant Director - Ambul | Highest-compensated employee | $118,544 | $0 | $26,921 |
| Sharon Pazi Zea | Board Member | Trustee/director | $0 | $0 | $0 |
| Sister Lucille Welbig | Board Member | Trustee/director | $0 | $0 | $0 |
| Stephen Crim | Board Member | Trustee/director | $0 | $48,817 | $0 |
| Thomas J Kooiman | Board Member/Administrator | Trustee/director, Officer | $280,835 | $0 | $42,668 |
| Valerie Hoffman | Former CFO (Left 09/2022) | Former | $208,657 | $0 | $21,748 |
E-file object id 202431359349309688. The IRS archive it was read from.
The full report for AVERA GRANITE FALLS
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 21stpercentile of 24 hospitals in MN, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
- 17thpercentile of 24 hospitals in MN, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
- 39thpercentile of 23 hospitals in MN, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 13thpercentile of 23 hospitals in MN, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 24 hospitals in MN, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
- 46thpercentile of 24 hospitals in MN, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Minnesota beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- September 29, 2010
- Certification date
- August 26, 2026
- Record last edited
- August 26, 2026
Identifiers
- 340B ID
- CAH241343-00
- Entity type as filed
- CAH
- CMS certification number
- 241343
- Rural
- Yes
345 10TH AVE, GRANITE FALLS MN 56241
Associated locations
| AVERA GRANITE FALLS | 345 10TH AVE | GRANITE FALLS MN 56241 |
| Avera Granite Falls | 345 10th Ave | Granite Falls MN 56241 |
| Avera Pharmacy Distribution Center | 4101 W Memory Circle, Ste 150 | Sioux Falls SD 57107 |
Pharmacy contracts
No end date filed9
| AVERA SPECIALTY PHARMACY | SIOUX FALLS, SD | January 17, 2023 | no end date filed |
| HY-VEE PHARMAACY 1400 | MARSHALL, MN | July 1, 2019 | no end date filed |
| THRIFTY WHITE DRUG #760 | GRANITE FALLS, MN | October 1, 2017 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | July 1, 2020 | no end date filed |
| WAL-MART PHARMACY 10-1722 | MARSHALL, MN | January 1, 2018 | no end date filed |
| WAL-MART PHARMACY 10-1858 | MONTEVIDEO, MN | January 1, 2018 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | July 1, 2020 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | April 1, 2023 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | January 1, 2024 | no end date filed |
An end date is filed10
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| OPTUM INFUSION SERVICES 305, LLC | LENEXA, KS | October 1, 2025 | September 15, 2025 |
| OPTUM PHARMACY 701, LLC | MESA, AZ | October 1, 2025 | September 15, 2025 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | October 1, 2025 | September 15, 2025 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | October 1, 2025 | September 15, 2025 |
| OPTUMRX | OVERLAND PARK, KS | October 1, 2025 | September 15, 2025 |
| SHOPKO PHARMACY #2025 | MARSHALL, MN | April 1, 2018 | December 19, 2018 |
| SHOPKO PHARMACY #2748 | PIPESTONE, MN | April 1, 2018 | January 1, 2020 |
| THRIFTY WHITE PARTNERS IN CARE | FARGO, ND | October 1, 2022 | June 10, 2026 |
| WHITE DRUG #52 | FARGO, ND | October 1, 2017 | June 27, 2022 |
| WHITE DRUG #61 | FARGO, ND | October 1, 2017 | June 10, 2026 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 8, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261108_071011.xlsx, stamped by its publisher November 8, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261108_071011.xlsx, read November 8, 2026.