Critical access hospital · Tyler, Minnesota · 20 beds · CMS certification number 241348
Avera Tyler Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 9, 2025. 22 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 $3.7M in its first year on file (2004) to $14.4M in 2025.
- Its result from patient care: $93K (2023), $308K (2024), −$81K (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.
- AVERA HEALTH holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
22 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 under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Avera Tyler Hospital | 20 | $14,360,599 | $14,441,352 | −0.6% |
| Community Memorial Hospital, Cloquet | 22 | $93,975,780 | $94,412,652 | −0.5% |
| Murray County Memorial Hospital, Slayton | 21 | $17,189,216 | $18,919,709 | −10.1% |
| Bigfork Valley Hospital, Bigfork | 20 | $24,953,935 | $31,303,544 | −25.4% |
| Riverview Health, Crookston | 21 | $64,329,882 | $71,420,099 | −11.0% |
| Ridgeview Sibley Medical Center, Arlington | 20 | $23,006,989 | $19,602,952 | 14.8% |
Patients and payers
- Discharges
- 99S-3 line 14, col 15
- Inpatient days
- 614S-3 line 14, col 8
- Beds in use, on an average day
- 1.7days ÷ days in year
- Occupancy
- 8.4%days ÷ bed days
- Medicare share of days
- 51.5%S-3 cols 6 ÷ 8
Who owns it
- AVERA HEALTH100%
- AVERA MARSHALL100%
Related organizations on its own cost report: AVERA MARSHALL (100%), healthcare.
Other hospitals with the same owner: Avera Merrill Pioneer Hospital (IA), Avera Holy Family Hospital (IA), Avera Granite Falls Health Center (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 Tyler (employer identification number 410853163) 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) | $2,286,840 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $63,320 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $430,651 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $493,971 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,792,869 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.1796 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202401359349309860. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Avera Tyler (employer identification number 410853163) 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 |
|---|---|---|---|---|---|
| Amanda Sieling | Vice Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Curtis Louwagie MD | Board Member/Ophthalmology | Trustee/director | $0 | $695,557 | $53,216 |
| Debbie Streier | Regional President & CEO | Trustee/director, Officer | $0 | $470,488 | $38,557 |
| George Jorgensen | Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Greg Goepferich | Board Member | Trustee/director | $0 | $0 | $0 |
| Jenna Schrunk | Manager - Radiology | Highest-compensated employee | $115,150 | $0 | $6,394 |
| Joan Devries | RN | Highest-compensated employee | $109,639 | $0 | $19,241 |
| Joyce Strootman | Board Member | Trustee/director | $0 | $0 | $0 |
| Julie Lautt | CFO Avera Health;Secretary/Treasurer | Officer | $0 | $1,086,452 | $17,088 |
| Laura Krog | RN | Highest-compensated employee | $106,498 | $0 | $26,492 |
| Laurie Johansen | Board Member | Trustee/director | $0 | $0 | $0 |
| LaVonne Koenen | Board Member | Trustee/director | $0 | $0 | $0 |
| Quentin Fixen | Board Member | Trustee/director | $0 | $0 | $0 |
| Sharon Williams | Former Sec/Treas & VP Finance | Former | $0 | $196,827 | $36,819 |
| Sr Jodie Zimmerman | Board Member | Trustee/director | $0 | $0 | $0 |
| Sr Mary Jaeger | Board Member | Trustee/director | $0 | $0 | $0 |
| Stephen Crim | Board Member | Trustee/director | $0 | $48,817 | $0 |
| Sybil Schultz | LPN | Highest-compensated employee | $104,132 | $0 | $19,817 |
| Todd Bock | Board Member | Trustee/director | $0 | $0 | $0 |
| Valerie Mollema | Supervisor - RN | Highest-compensated employee | $122,114 | $0 | $8,090 |
E-file object id 202401359349309860. 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 241348. 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 9, 2025.