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Avera Health Plans Inc

Learn about this cause: Is it Legit? Do I like the mission? What is the CEO's salary?

EIN: 460451539 ✦ Sioux falls, SD ✦ Designated as a 501(c)(4)

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Overview

What is Avera Health Plans Inc?

Avera Health Plans Inc is a nonprofit health insurance organization based in Sioux Falls, South Dakota, with a service area linked to Avera Health. They provide affordable, high-quality health coverage to a diverse population, including the elderly, low-income individuals, and those in rural areas. Approximately 40% of their 80,000 members are individuals or employees of small groups, with nearly 10,000 being Medicare supplement members. Avera Health Plans participates in the Federal Health Insurance Exchange/Marketplace and has community-rated premiums. Despite not covering all their costs, they remain financially viable due to significant support from Avera Health, a 501(c)(3) organization. Averas mission is to make a positive impact on the lives and health of persons and communities by providing quality services rooted in Christian values. Additionally, they sponsor various health education events open to the public.


Official website here: www.averahealthplans.com

Is Avera Health Plans Inc legitimate?

Avera Health Plans Inc is a legitimate nonprofit organization registered as a 501(c)(4) entity. Avera Health Plans Inc submitted a form 990, which is a tax form used by tax-exempt organizations in the U.S., indicating its operational transparency and adherence to regulatory requirements. Donations to this organization are tax deductible.


Heare are some key statistics you may want to consider:

Executive Compensation: $2,591,384
Professional Fundraising Fees: $0
Other Salaries and Wages: $10,543,739

For more financial information, click here


Official website here: www.averahealthplans.com

What is the mission statement of Avera Health Plans Inc?

Avera Health Plans Inc is dedicated to providing affordable, high-quality health plan coverage with a mission rooted in Christian values. As part of the Avera Health integrated delivery plan, Avera Health Plans aims to make a positive impact on the health and lives of individuals and communities, implementing quality services guided by these values. The health plans conduct a substantial portion of their activities within their service area, but also extend beyond to ensure adequate rural healthcare. They serve an underserved population, including the elderly, low-income, high-risk, and medically underserved individuals, with approximately 40% consisting of individuals or employees of small groups. Approximately 21,200 members are individuals, and over 90.9% of Health Care Exchange enrollees in the individual category were eligible for an advance premium tax credit, meaning they were below 400% of the federal poverty limit. Avera Health Plans distinguishes itself from for-profit plans by participating in the Federal Health Insurance Exchange/Marketplace and offering community-rated premiums that are market competitive. Significant financial support from Avera Health, a 501(c)(3), allows Avera Health Plans to remain financially viable. Additionally, they sponsor health education forums, open houses, and webinars open to the public.


Official website here: www.averahealthplans.com

Who is the CEO of Avera Health Plans Inc?

Bob Sutton is the President of Avera Health Plans Inc. The CEO's salary of Avera Health Plans Inc is $576,242 and their total compensation is $600,251.


Official website here: www.averahealthplans.com

What is the revenue of Avera Health Plans Inc?

Avera Health Plans Inc's revenue in 2022 was $337,041,127.


Official website here: www.averahealthplans.com

Who are the executives of Avera Health Plans Inc and what are their salaries?

The average compensation at Avera Health Plans Inc during 2022 was $75,926. There are 173 employees and 9 volunteers at Avera Health Plans Inc.


Here are 20 key members and their salaries (Avera Health Plans Inc's CEO's salary is $576,242 and their total compensation is $600,251):


Bob Sutton (President)
  • Compensation: $0
  • Related: $2,078,032
  • Other: $55,784
Julie Lautt (Sec/Treasurer)
  • Compensation: $0
  • Related: $1,086,452
  • Other: $17,088
Doug Ekeren (Director)
  • Compensation: $0
  • Related: $704,190
  • Other: $46,432
Debra Muller (Director; Ceo)
  • Compensation: $576,242
  • Related: $0
  • Other: $24,009
Gary Gaspar (Director Until 02/2022)
  • Compensation: $0
  • Related: $0
  • Other: $0
Dr Clark Likness (Director)
  • Compensation: $0
  • Related: $0
  • Other: $0
Michael Bender (Director)
  • Compensation: $0
  • Related: $0
  • Other: $0
Clark Sinclair (Director)
  • Compensation: $0
  • Related: $0
  • Other: $0
Andrew Ellsworth (Director; Physician)
  • Compensation: $0
  • Related: $200,589
  • Other: $51,329
Rich Korman (Vice President)
  • Compensation: $0
  • Related: $798,780
  • Other: $46,532
Dr Preston Renshaw (Cmo)
  • Compensation: $412,626
  • Related: $0
  • Other: $53,470
Jordan Anderson (Vice President Of Sales)
  • Compensation: $327,325
  • Related: $0
  • Other: $53,690
Christopher Jessen (Cfo)
  • Compensation: $269,568
  • Related: $0
  • Other: $53,960
Lisa Carlson (Coo)
  • Compensation: $216,806
  • Related: $0
  • Other: $45,873
Greg Jasmer (Cao)
  • Compensation: $225,483
  • Related: $0
  • Other: $48,345
Luke Merkel (Director Of Pharmacy)
  • Compensation: $199,747
  • Related: $0
  • Other: $47,838
Renee Schroeder (Medical Director)
  • Compensation: $268,033
  • Related: $0
  • Other: $43,962
Jill Jaacks (Dir. Of Operations Until 10/2022)
  • Compensation: $216,801
  • Related: $0
  • Other: $31,743
Ann Deweerd (Dir. Of Self-Funded Until 10/2022)
  • Compensation: $208,022
  • Related: $0
  • Other: $38,772
Anthony Pistono (Director Of Risk Mgmt)
  • Compensation: $156,352
  • Related: $0
  • Other: $42,621


Official website here: www.averahealthplans.com

Where can I find the form 990 for Avera Health Plans Inc?

Avera Health Plans Inc's most recent form 990 was submitted in 2022 and can be accessed here.


Official website here: www.averahealthplans.com

Learn more at the official website: www.averahealthplans.com

Mission Statement of Avera Health Plans Inc

Avera Health Plans Inc, a health ministry rooted in Christian values, is on a mission to make a positive impact on the lives and health of individuals and communities by providing quality services. This nonprofit organization is an essential component of Avera Health's integrated delivery plan and strives to make healthcare accessible to underserved populations, including the elderly, low-income, high-risk, and medically underserved persons.

With a member base of over 80,000 in 2022, Avera Health Plans serves a significant number of Medicare Supplement members, and approximately 40% of its members consist of individuals or employees of small groups. The organization's commitment to affordability is evident through its community-rated premiums, which are market competitive, and its participation in the Federal Health Insurance Exchange/Marketplace. Avera Health Plans also sponsors health education forums, open houses, and webinars that are open to the public.

Moreover, Avera Health Plans ensures that adequate rural healthcare is available by conducting a small portion of its activities beyond the Avera Health service area. Significant financial support from Avera Health (a 501(c)(3)) enables the organization to remain financially viable. Despite having net medical and pharmacy claims expenses that resulted in a Medical Income Ratio (MIR) average of 93% for 2022, Avera Health Plans does not cover its costs, including claims and administrative expenses. The organization's unwavering commitment to providing quality, affordable healthcare services to its members is a testament to its mission of making a positive impact on the health and wellbeing of the communities it serves.

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Impact




October, 2024

Avera Health Plans Inc. plays a vital role in enhancing community health by offering low-cost, high-quality health plan coverage. As an integral part of the Avera Health integrated delivery system, it aims to improve access to healthcare for underserved populations, including the elderly, low-income individuals, and those at heightened medical risk.

In 2022, Avera Health Plans served approximately 80,000 members, a significant portion of whom received Medicare Supplement coverage or were from small group employers. Notably, around 90.9% of individuals in the health care exchange category qualified for advance premium tax credits, indicating their economic vulnerability. Avera's community-rated, affordable premiums foster greater accessibility in the marketplace, allowing more people to obtain necessary medical services.

Their commitment extends beyond insurance coverage; Avera Health Plans actively engages in community health initiatives through educational forums, open houses, and webinars, promoting health literacy and awareness. The organization's strong financial backing from Avera Health ensures its sustainability and ability to meet community needs effectively.

Overall, Avera Health Plans Inc. is a crucial resource in its service area, addressing the gaps in healthcare access and contributing significantly to the overall well-being of the communities it serves.




This information is meant to be a general summary of Avera Health Plans Inc. Please take the time to review official sources before making any decisions based upon the content provided here.


Financials

This financial information is from Propublica.

Revenue
$337,041,127 (2022)
Expenses
$351,085,632 (2022)
Efficiency

Other financial information:

This information is from the most recently submitted tax form from this organization, which was in 2022.

  • Investment Income: $1,664,130
  • Program Service Revenue: $335,376,997
  • Gross Receipts: $352,054,295

Assets and Liabilities:

  • Total Assets: $99,399,851
  • Total Liabilities: $67,815,446
  • Net Assets: $31,584,405

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Programs

Programs are reported by nonprofits in their tax forms and are normally their tax-exempt activities.

PREMIUM INCOME

Revenue

$312,241,406

REIMBURSEMENTS BY UNINSURED PLANS

Revenue

$14,778,920

COST CONTAINMENT ALLOCATIONS

Revenue

$7,471,387

COB AND SUBROGATION

Revenue

$495,956

NONMEMBER ADMIN SERVICES

Revenue

$360,291

Organization Details

Founding Year

1999

Principal Officer

Bob Sutton

Main Address

5300 S BROADBAND LN, SIOUX FALLS, SD, 57108

NTEE Category

Code: E80 - Health

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