Critical access hospital · Granite Falls, Minnesota · 25 beds · CMS certification number 241343
Avera Granite Falls Health Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 12, 2025. 24 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $2.9M in its first year on file (2002) to $28.7M in 2025.
- Its result from patient care: $19K (2023), $596K (2024), −$907K (2025).
- 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 1.4% of its inpatient days and Medicare for 60.9%.
- AVERA HEALTH holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
24 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in Minnesota with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Avera Granite Falls Health Center | 25 | $28,694,421 | $29,601,122 | −3.2% |
| CCM Health, Montevideo | 25 | $72,369,462 | $75,837,744 | −4.8% |
| Lakewood Health System, Staples | 25 | $153,924,280 | $170,270,412 | −10.6% |
| Madelia Health, Madelia | 25 | $23,038,187 | $24,835,605 | −7.8% |
| Riverwood Health Care Center, Aitkin | 25 | $99,605,141 | $120,986,513 | −21.5% |
| Sanford Bagley Medical Center, Bagley | 25 | $15,624,155 | $14,799,767 | 5.3% |
Patients and payers
- Discharges
- 97S-3 line 14, col 15
- Inpatient days
- 718S-3 line 14, col 8
- Beds in use, on an average day
- 2.0days ÷ days in year
- Occupancy
- 7.9%days ÷ bed days
- Medicare share of days
- 60.9%S-3 cols 6 ÷ 8
- Medicaid share of days
- 1.4%S-3 cols 7 ÷ 8
Who owns it
- AVERA HEALTH100%
- AVERA MARSHALL100%
Related organizations on its own cost report: CMDI (0%), radiology svcs; AVERA MARSHALL (100%), healthcare.
Other hospitals with the same owner: Avera Merrill Pioneer Hospital (IA), Avera Holy Family Hospital (IA), Avera Tyler Hospital (MN), Avera Marshall Regional Medical Center (MN), Avera St. Anthonys Hospital (NE), Avera Creighton Hospital (NE).
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
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.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 241343. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 12, 2025.