STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SACRED HEART HEALTH SERVICES: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SACRED HEART HEALTH SERVICES (EIN 46-0225483)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202401359349309790
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T15:16:18-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460225483EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sacred Heart Health ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSACRBusinessNameControlTxt
Phone6056688000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 Summit StAddressLine1Txt
CityYanktonCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57078ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJulie LauttPersonNm
Person TitleCFO Avera HealthPersonTitleTxt
Phone6056688000PhoneNum
Signature2024-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJuliePersonFirstNm
Person LastLauttPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2024-05-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Avera Sacred Heart HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDouglas R EkerenPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 Summit StAddressLine1Txt
CityYanktonCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57078ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$148,707,624GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addressavera.org/locations/sacred-heart/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1911FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionPromotion of healthActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1263TotalEmployeeCnt
Total Volunteers155TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,615,771PYContributionsGrantsAmt
CY Contributions Grants$1,712,360CYContributionsGrantsAmt
PY Program Service Revenue$143,345,590PYProgramServiceRevenueAmt
CY Program Service Revenue$144,214,967CYProgramServiceRevenueAmt
PY Investment Income$3,884,270PYInvestmentIncomeAmt
CY Investment Income$2,220,031CYInvestmentIncomeAmt
PY Other Revenue$36,073PYOtherRevenueAmt
CY Other Revenue$276,288CYOtherRevenueAmt
PY Total Revenue$152,881,704PYTotalRevenueAmt
CY Total Revenue$148,423,646CYTotalRevenueAmt
PY Grants And Similar Paid$44,736PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$166,155CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$73,231,926PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$75,590,685CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,780CYTotalFundraisingExpenseAmt
PY Other Expenses$70,007,784PYOtherExpensesAmt
CY Other Expenses$68,715,869CYOtherExpensesAmt
PY Total Expenses$143,284,446PYTotalExpensesAmt
CY Total Expenses$144,472,709CYTotalExpensesAmt
PY Revenues Less Expenses$9,597,258PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,950,937CYRevenuesLessExpensesAmt
Total Assets BOY$382,193,873TotalAssetsBOYAmt
Total Assets EOY$399,640,005TotalAssetsEOYAmt
Total Liabilities BOY$54,490,946TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,584,411TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$327,702,927NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$350,055,594NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAvera 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$129,115,916ExpenseAmt
Grant$166,155GrantAmt
Revenue$144,233,913RevenueAmt
DescAvera Sacred Heart's mission is to provide healthcare services to Yankton, South Dakota residents and residents of the surrounding area. Avera Sacred Heart is a 501(c)(3) organization affiliated with Avera Health. Avera Sacred Heart consists of a 99-bed hospital and a 187-bed nursing home, congregate housing facility and a hospice house in Yankton, SD, a 23-bed critical access hospital and a 47-bed nursing home in Creighton, NE, and 15 physician clinics. The physician clinics include primary care, ob/gyn, pediatrics, orthopedics, general surgery, internal medicine, radiation, radiology, oncology, podiatry, therapy, dialysis, behavioral health, and palliative care. Following is a breakdown of these statistics by facility:Avera Sacred Heart Hospital 2,868 Acute inpatient discharges 486 Newborn patient discharges 71 Swing bed patient discharges 90,308 Outpatient visits 394 Swing-bed patient days 1,116 Newborn patient days 37,584 Clinic visitsAvera Sacred Heart Majestic Bluffs 273 Long term care patient discharges 63,224 Long-term care resident daysAvera Creighton Hospital (CAH) 79 Acute inpatient discharges 52 Swing bed patient discharges 7,814 Outpatient visits 594 Swing-bed patient days 19,604 Clinic visitsAvera Creighton Care Centre 34 Long term care patient discharges 12,755 Long-term care resident daysAvera Sacred Heart 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 $2,444,310.Avera Sacred Heart also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H. As a member of the Avera Health Network, Avera Sacred Heart upholds the vision of the Presentation and Benedictine Sisters to work through collaboration to provide quality, effective health ministry and to improve the healthcare of individuals and our communities through a regionally integrated network of persons and institutions. Avera Sacred Heart engages in activities designed to improve the health of individuals and communities in response to a calling to heal the sick, the elderly, and the oppressed.Desc
Total Program Service Expenses$129,115,916TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document168IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1263EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jamie A SchaeferBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6053223992PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 W Avera Dr Ste 300AddressLine1Txt
CitySioux FallsCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Douglas Ekeren
President/CEO42.007.00Yes (X)Yes (X)$0$704,190$46,432
Brian Steward
Chair2.000.00Yes (X)Yes (X)$0$0$0
Kathy Greeneway
Vice Chair2.000.00Yes (X)Yes (X)$0$0$0
Carolyn Becker
Board Member2.000.00Yes (X)$0$0$0
Bernie Hunhoff
Board Member2.000.00Yes (X)$0$0$0
Jack Hurley
Board Member2.000.00Yes (X)$0$0$0
Sr Debra Kolecka
Board Member2.006.00Yes (X)$0$0$0
Amy Leon
Board Member2.000.00Yes (X)$0$0$0
Tom Lorang EdD
Board Member2.000.00Yes (X)$0$0$0
Beth Mikkelsen MD
Board Member2.000.00Yes (X)$0$0$0
Steve Schindler
Board Member2.000.00Yes (X)$0$0$0
Steve Schmeichel
Board Member2.000.00Yes (X)$0$0$0
Sr Roxanne Seifert
Board Member2.007.00Yes (X)$0$0$0
Richard Strom MD
Board Member2.000.00Yes (X)$0$0$0
Sr Lucille Welbig
Board Member2.005.00Yes (X)$0$0$0
Julie Lautt
CFO Avera Health;Secretary/Treasurer0.1046.30Yes (X)$0$1,086,452$17,088
Anthony Erickson
VP - Senior Services40.000.00$204,761$0$36,273Yes (X)
Lindsay Flannery
VP - Patient Care Services40.000.00$211,601$0$10,864Yes (X)
Derrick Doolittle MD
Diagnostic Radiology & Radiology40.000.00$733,115$0$54,311Yes (X)
Steve Gutnik MD FACP
Gastroenterology & Internal Medicine40.000.00$869,935$0$27,270Yes (X)
Michael Peterson MD
Radiation Oncology & Oncology40.000.00$644,352$0$39,601Yes (X)
Ryan Sieg MD
Orthopedics,Surgery& Sports Medicine40.000.00$782,142$0$46,560Yes (X)
Adam Strehle MD
Family Medicine/OB40.000.00$677,569$0$46,461Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,123,475TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,790,642TotReportableCompRltdOrgAmt
Total Other Compensation$324,860TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K91IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Avera Health
3900 W Avera Dr Ste 301Sioux FallsSD57108Shared Services$14,432,570
AMN Healthcare Inc
12400 High Bluff DrSan DiegoCA92130Staffing Services$2,299,672
Yankton Medical Clinic PC
1104 W 8th StYanktonSD57078Physician Services$1,725,170
Wilcockson Eye Association
PO Box 819YanktonSD57078Medical Services$1,152,598
Restorix Health Inc
3445 N Causeway Blvd Ste 600MetairieLA70002Professional Services$775,341
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Related Organizations$83,769RelatedOrganizationsAmt
Government Grants$1,584,985GovernmentGrantsAmt
All Other Contributions$43,606AllOtherContributionsAmt
Total Contributions$1,712,360TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$139,405,391$139,405,391
Pharmacy Revenue456110$1,456,886$1,456,886
Patient and Clinic Revenue621110$346,569$346,569

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,006,121TotalRevenueColumnAmt
Related Or Exempt Func Income$3,006,121RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$144,214,967TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,725TotalRevenueColumnAmt
Exclusion$61,725ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$541,320RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$283,978RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$257,342RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$257,342TotalRevenueColumnAmt
Exclusion$257,342ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,128,863SecuritiesAmt
Other$29,443OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,128,863SecuritiesAmt
Other$29,443OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,158,306TotalRevenueColumnAmt
Exclusion$2,158,306ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescA/R Interest IncomeDesc
Business900099BusinessCd
Total Revenue Column$18,946TotalRevenueColumnAmt
Related Or Exempt Func Income$18,946RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$18,946OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$148,423,646TotalRevenueColumnAmt
Related Or Exempt Func Income$144,233,913RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,477,373ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$166,155TotalAmt
Program Services$166,155ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$489,670TotalAmt
Management And General$489,670ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$306,046TotalAmt
Program Services$306,046ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$59,196,993TotalAmt
Program Services$58,537,331ProgramServicesAmt
Management And General$659,662ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,211,207TotalAmt
Program Services$2,160,021ProgramServicesAmt
Management And General$51,186ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,403,694TotalAmt
Program Services$9,220,603ProgramServicesAmt
Management And General$183,091ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,983,075TotalAmt
Program Services$3,849,681ProgramServicesAmt
Management And General$133,394ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,253TotalAmt
Management And General$22,253ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,542TotalAmt
Management And General$7,542ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,182,153TotalAmt
Program Services$19,541,868ProgramServicesAmt
Management And General$9,640,256ManagementAndGeneralAmt
Fundraising$29FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,447TotalAmt
Program Services$9,720ProgramServicesAmt
Management And General$2,727ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,527,231TotalAmt
Program Services$1,158,959ProgramServicesAmt
Management And General$367,864ManagementAndGeneralAmt
Fundraising$408FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$514,645TotalAmt
Program Services$465,554ProgramServicesAmt
Management And General$49,091ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,074,401TotalAmt
Program Services$2,872,019ProgramServicesAmt
Management And General$202,382ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$325,316TotalAmt
Program Services$313,579ProgramServicesAmt
Management And General$11,737ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$225,374TotalAmt
Program Services$204,274ProgramServicesAmt
Management And General$21,100ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,553,728TotalAmt
Program Services$438,069ProgramServicesAmt
Management And General$1,115,659ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,150,782TotalAmt
Program Services$5,500,643ProgramServicesAmt
Management And General$1,648,211ManagementAndGeneralAmt
Fundraising$1,928FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$691,158TotalAmt
Program Services$156,338ProgramServicesAmt
Management And General$534,820ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$22,995,582$22,964,502$31,080
Equipment Lease/Rental$110,940$108,169$2,771

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,322,317TotalAmt
Program Services$1,142,385ProgramServicesAmt
Management And General$171,517ManagementAndGeneralAmt
Fundraising$8,415FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$144,472,709TotalAmt
Program Services$129,115,916ProgramServicesAmt
Management And General$15,346,013ManagementAndGeneralAmt
Fundraising$10,780FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,699,257BOYAmt
EOY$1,509,292EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,223,179BOYAmt
EOY$18,726,513EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,562,008BOYAmt
EOY$2,712,631EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,064,659BOYAmt
EOY$836,106EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$176,879,224LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$121,350,112LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$59,102,374BOYAmt
EOY$55,529,112EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$288,812,533BOYAmt
EOY$311,089,730EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,075,779BOYAmt
EOY$1,900,608EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,897,639BOYAmt
EOY$6,827,460EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$756,445BOYAmt
EOY$508,553EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$382,193,873BOYAmt
EOY$399,640,005EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,211,735BOYAmt
EOY$9,405,538EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$671,150BOYAmt
EOY$88,899EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,629,381BOYAmt
EOY$38,970,243EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$104,880BOYAmt
EOY$56,259EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,873,800BOYAmt
EOY$1,063,472EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,490,946BOYAmt
EOY$49,584,411EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$315,209,674BOYAmt
EOY$336,728,564EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,493,253BOYAmt
EOY$13,327,030EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$327,702,927BOYAmt
EOY$350,055,594EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$382,193,873BOYAmt
EOY$399,640,005EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,950,937ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$17,147,736NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,253,994OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,542OtherActivitiesAmt
Total Lobbying Expenditures$7,542TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationSacred Heart Health Services paid dues to organizations which have a portion of the dues attributed to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$807,800BeginningYearBalanceAmt
Contributions$8,389ContributionsAmt
Other Expenditures$14OtherExpendituresAmt
End Year Balance$816,175EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$799,040BeginningYearBalanceAmt
Contributions$9,465ContributionsAmt
Other Expenditures$705OtherExpendituresAmt
End Year Balance$807,800EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$778,088BeginningYearBalanceAmt
Contributions$21,096ContributionsAmt
Other Expenditures$144OtherExpendituresAmt
End Year Balance$799,040EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$747,239BeginningYearBalanceAmt
Contributions$31,029ContributionsAmt
Other Expenditures$180OtherExpendituresAmt
End Year Balance$778,088EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$713,075BeginningYearBalanceAmt
Contributions$37,964ContributionsAmt
Other Expenditures$3,800OtherExpendituresAmt
End Year Balance$747,239EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.82848PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.17152TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,355,594OtherCostOrOtherBasisAmt
Book Value$4,355,594BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,961,194OtherCostOrOtherBasisAmt
Depreciation$80,693,820DepreciationAmt
Book Value$38,267,374BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,371,301OtherCostOrOtherBasisAmt
Depreciation$35,451,022DepreciationAmt
Book Value$10,920,279BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,191,135OtherCostOrOtherBasisAmt
Depreciation$5,205,270DepreciationAmt
Book Value$1,985,865BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$55,529,112TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Avera Pooled Investments$296,397,083F
Interest in Avera Health Foundation$14,692,647F
FieldValueIRS element (for citing)
Total Book Value Securities$311,089,730TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Derivative Liability$130,658
Intercompany Liabilities$780,837
Right of Use Operating Lease Obligations$29,636
Security Deposits$85,000
Other liabilities$37,341
FieldValueIRS element (for citing)
Total Liability$1,063,472TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:Resident trust funds are held on behalf of the residents.
Part V, Line 4:The Organization's endowment consists of various individual funds established for a variety of purposes. Its endowment represents donor-restricted endowment funds. As required by generally accepted accounting principles, net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. The endowment fund calculation was changed in current year and all amounts for prior years have been updated to properly reflect the new calculation.
Part X, Line 2:Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$611,504TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$611,504NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,536,948TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,536,274DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,000,674NetCommunityBenefitExpnsAmt
Total Expense0.03460TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$190,790TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,497NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,339,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,637,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,701,675NetCommunityBenefitExpnsAmt
Total Expense0.03940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$422,022TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$422,022NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,665TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,665NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,242,547TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,946NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,763TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$109,763NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,810,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,780,396NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,150,239TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,668,168DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,482,071NetCommunityBenefitExpnsAmt
Total Expense0.05180TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,400NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$113,837TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$113,837NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,000NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,351TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,351NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$300TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$300NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$195,888TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$195,888NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,567,497BadDebtExpenseAmt
Reimbursed By Medicare$34,410,418ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$32,082,776CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,327,642MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDescCritical Access HospitalCriticalAccessHospitalInd
Avera Sacred Heart Hospital
1501 Summit StreetYanktonSD57078See Part V Section C10576Yes (X)Yes (X)Yes (X)7 provider based clinics
Avera Creighton Hospital
21503 Main StreetCreightonNE68729See Part V Section C490001Yes (X)Yes (X)Yes (X)1 provider based clinic and 5 RHC'sYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndOther Actions TakenOtherActionsTakenIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Avera Sacred Heart Hospital
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)00Yes (1)Yes (X)See part V Section CYes (X)See Part V Section CYes (X)Yes (1)21Yes (1)See Part V Section C0Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Part V Section CYes (X)See Part V Section CYes (X)See Part V Section CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
Avera Creighton Hospital
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)21Yes (1)0Yes (1)Yes (1)Yes (X)See Part V Section CYes (X)See Part V Section CYes (X)Yes (1)21Yes (1)See Part V Section C0Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Part V Section CYes (X)See Part V Section CYes (X)See Part V Section CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Avera Sacred Heart HospitalPart V, Section B, Line 5: Avera Sacred Heart utilized aspects of the Community Health Needs Assessment and Implementation Planning toolkit developed by the South Dakota Department of Health and focus groups conducted by Maximizing Excellence, LLC to conduct the FY2022 Community Health Needs Assessment. The process involved determining the participant's opinions on the community's strengths, weaknesses, resources, and improvements. Careful consideration was taken to ensure that input gathered was representative of the community at large including the medically underserved, low-income or minority populations.
Avera Creighton HospitalPart V, Section B, Line 5: Avera Creighton Hospital, in collaboration with the North Central District Health Department (NCDHD), used community stakeholder meetings, a focus group meeting and surveys to determine the community's strengths, weaknesses, resources and improvements. Those providing community input represented the medically underserved, low-income and minority populations as they serve with these populations through their activities.
Avera Creighton HospitalPart V, Section B, Line 6b: North Central District Health DepartmentHolt County Economic DevelopmentNorthstarValentine Community SchoolCentral Nebraska Community Action PartnershipProteus, Inc. Services to Empower FarmworkersLegal Aid of NebraskaO'Neill Public Schools
Avera Sacred Heart HospitalPart V, Section B, Line 11: Avera Sacred Heart conducted a community health needs assessment during FY2022. Two significant needs were identified and prioritized in the community health needs assessment process: Behavioral health and substance abuse/addiction and workforce and health care capacity.The following actions were identified and prioritized community health needs:BEHAVIORAL HEALTH AND SUBSTANCE ABUSE/ADDICTIONIncrease community resources relating to behavioral health with special focus on substance abuse and addiction issues.*Analyze the feasibility of an inpatient behavioral health unit at Avera Sacred Heart Hospital.*Advocate for and support the Lewis and Clark Behavioral Health Services, Inc. residential chemical dependency program and unit. Avera Sacred Heart worked with Lewis and Clark Behavioral Health Services, Inc. to create space for their new C.O.R.E. Center located in the Avera Sacred Heart Benedictine Center. C.O.R.E. is an acronym for Crisis Outreach Response Engagement. C.OR.E. opened in FY23 with five beds including one pediatric bed. It is designed to provide immediate, short term Crisis Intervention Services to individuals who have mental health and/or substance use problems. Lewis and Clark Behavioral Health Services, Inc. is working toward offering a detox unit.*Advocate for and support the Lewis and Clark Behavioral Health Services, Inc. as they seek to build a new facility. Lewis and Clark Behavioral Health Services, Inc. broke ground on their new campus in FY23 with an estimated completion timeline for FY25.*Actively recruit psychologists and/or psychiatrists with specialties in behavioral health. *Implement the Avera's "Ask the Question: Are you thinking about suicide" campaign. The campaign has been integrated into the care delivery model at Avera Sacred Heart in FY23. *Implement strategies identified through the Communities that Care grant program as appropriate and feasible. Due to the inability to recruit a grant coordinator, Avera Sacred Heart returned the grant dollars for the Communities that Care program.*Implemented SBIRT (Screening, Brief Intervention, and Referral to Treatment), an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs.*Implement the Edinburgh Scale for depression and suicide screening for OB patients. Avera Sacred Heart implemented the Edinburgh Scale for depression and suicide screening for OB patients in FY23. WORKFORCE AND HEALTH CARE CAPACITYIncrease workforce and health care capacity to adequately prepare Avera Sacred Heart to meet the future needs of the community.*Further develop and implement an Avera Sacred Heart version of Avera Academy that fits the Yankton community. Avera Sacred Heart created the Avera Academy Camp in conjunction with the Yankton School District, Mount Marty University, and Yankton Thrive for high school students with two cohorts (eleven students) who have completed the camp so far.*Further develop and implement the Avera Scholars program with Mount Marty University. Twelve nursing students were selected as Avera Scholars in FY23.*Develop and implement an Avera Nurse Residency Program at Avera Sacred Heart for new college graduates. All eight new nurses who graduated in the Spring of 2022 participated in the new Avera Nurse Residency Program in FY23. To date, all are still with Avera Sacred Heart. The second cohort of new graduate nurses is currently participating in the program. *Develop and implement a Nurse Recruitment Team with the Avera Sacred Heart Endowed Chair of Nursing recipient at Mount Marty University. The Avera Director of Talent Management and the Endowed Chair of Nursing at Mount Marty University have regularly scheduled meetings that began in FY23.*Utilize Build Dakota Scholarships to build a workforce for Avera Sacred Heart in difficult to recruit positions. ASHH was unsucessful in FY23 recruiting students interested in the Build Dakota Scholarships. ASHH had success in previous years with Surgical Tech and Lab Tech students. ASHH will continue to recruit students for this opportunity.*Continue to promote the Avera Student Loan Program benefit and evaluate critical needs for eligibility with the program. Seventy staff members enrolled in the program in FY23. Three hundred seventy-nine job codes were identified as eligible for the program.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment.The following health needs were identified but were not selected for focus: Transportation and affordability. Avera Sacred Heart is committed to providing high quality health care services to meet the needs of its service area. Although not the focus, Avera Sacred Heart is actively implementing cost saving initiatives to contain or minimize costs and will continue to advocate for increased transportation availability in the community.
Avera Creighton HospitalPart V, Section B, Line 11: Avera Creighton conducted a community health needs assessment during FY2022. The priority areas to be addressed by Avera Creighton include: Behavioral Health and Heart Health.BEHAVIORAL HEALTHFY2023 Update:*Avera Creighton continued the screenings, education, counseling, transportation and other programs implemented under previous health need assessments.*Avera has opened a behavioral health urgent care in Sioux Falls which has helped improve access.*Avera Creighton also utilizes eEmergency for emergent behavioral health assessments in the ED to determine if the patient truly needs to be transferred to a behavioral health center or is able to follow-up closely as an outpatient. *Avera Creighton provided behavioral health education for health care providers and nursing staff through Avera Learning Center as well as regular discussions at medical staff and nursing staff meetings. *Avera Creighton provided behavioral health education for the community at local farm and home shows as well as our health fair. Avera Creighton collaborated with the local school to provide behavioral health education on suicide at a health fair during a basketball game. *Avera Creighton utilized media outlets to increase awareness of Mental Health and Suicide- through Avera's "Ask the Question" campaign that launched last fall.HEART HEALTHFY2023 Update:*Avera Creighton continued screenings and programs implemented under previous health need assessments.*Avera Creighton offered free blood pressure screenings at local farm and home shows as well as our health fair. *Avera Creighton offered a patient education campaign focused on definition and treatment of hypertension at the local farm and home shows as well as the health fair.*Avera Creighton collaborated with Northeast Community College on different classes they are able to offer in our community to increase the number of CPR certified members of the community.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment.The following health needs were identified but will not be addressed; however, Avera Creighton Hospital will continue to assess and monitor the need through planning efforts to serve the health and well-being of the service area of the communities.*No after-hours care options for non-emergent conditions outside of Emergency DepartmentAvera Creighton Hospital has limited staffing availability to expand clinic hours in the evening, which leaves the Emergency Department as the only option for after-hours care in the area.*Unable to bring Planet Heart to our community at this time due to needing an expensive interface for our CT scanner to perform the calcium scoring. Will continue to consider in the future.
Avera Sacred Heart HospitalPart V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide.
Avera Creighton HospitalPart V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide.
Avera Sacred Heart HospitalPart V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, and admissions office and included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility.
Avera Creighton HospitalPart V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, and admissions office and included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility.
Avera Sacred Heart HospitalPart V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility.
Avera Creighton HospitalPart V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility.
Avera Sacred Heart HospitalPart V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Avera Creighton HospitalPart V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Part V, Section A organization's websiteThe website for Avera Sacred Heart Hospital is:avera.org/locations/sacred-heart/The website for Avera Creighton Hospital is:avera.org/locations/profile/avera-creighton-hospital
Part V, Section B, Line 7a, 7b, and 10a:www.avera.org/about/community-health-needs-assessments/#sacredwww.avera.org/about/community-health-needs-assessments/#creighton
Part V, Section B, Line 16a, 16b, and 16c:avera.org/patients-visitors/charity-patient-assistance-programs/financial-assistance-forms/
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Avera Sister James Care Center
2111 W 11th StreetYanktonSD57078Skilled nursing facility
2 - Avera Sacred Heart Majestic Bluffs
2111 W 11th StreetYanktonSD57078Assisted living
3 - Avera Sacred Heart Hospital-Swing Bed
501 Summit StreetYanktonSD57078Swing Bed
4 - Avera Creighton Care Centre
1603 Main StreetCreightonNE687292999Long Term Care
5 - Avera Sacred Heart Hospital-Dialysis
501 Summit StreetYanktonSD57078Dialysis Unit
6 - AMG Gastroenterology
1104 West 8th StreetYanktonSD57078Gastroenterology clinic
7 - AMG Willcockson Eye Associates
415 W ThirdYanktonSD57078Optical/Eye Clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive charity care may be applied in situations where all other avenues have been exhausted.
Part I, Line 6a:The community benefit report is prepared by a related organization, Avera Health, and is available to the public at https://www.avera.org/about/annual-report/.
Part I, Line 7:A combination of costing methodology was used to calculate the amounts reported in the table. A cost accounting system was used to calculate Medicaid and Means-tested Government Program expenses and shortfalls and Subsidized Health Services for our tertiary medical center. A cost to charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to calculate charity care at cost for all entities and Medicaid and Means-tested Government Program expenses and shortfalls and Subsidized Health Services for any operations outside of the tertiary medical center. For all other amounts, costs and revenues as reflected by the general ledger system were used.
Part II, Community Building Activities:The community building activities include monetary assistance to organizations that focus their efforts on providing furniture for low income families, neighborhood improvement projects in high needs areas, children and youth development programs, local economic development, and job creation and training programs.
Part III, Line 2:The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents.
Part III, Line 4:The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 19 and 20.
Part III, Line 8:Sacred Heart Health Services provides services to patients under the Medicare program knowing they may not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, in years the costs associated with services provided under the Medicare program are not completely covered, the Medicare shortfall is considered a community benefit. Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
Part III, Line 9b:If the patient qualifies for the organization's financial assistance policy for low-income, uninsured patients and is cooperating with the organization with regard to efforts to settle an outstanding bill within current self-pay collection policy guidelines and timeframes, the organization or its agent shall not send, nor intimate that it will send, the unpaid bill to any outside collection agency. Avera organizations will allow all individuals 120 days from the first post discharge statement to apply for financial assistance before sending the uncollected account to an outside collection agency. Avera will provide the patient with a statement or final notice that contains a listing of the specific collection action(s) it intends to initiate, and a deadline after which they may be initiated no earlier than 30 days before action is initiated. If the patient qualifies for 100% charity care, no further bills will be sent. A letter will be sent instead indicating that the patient's bill has been completely forgiven.
Part VI, Line 2:Avera Sacred Heart Hospital includes community members on committees, boards, and advisory groups to allow community reaction and input in the actions we take. We also review all data provided by the health departments regarding disease rates, mortality, morbidity, population changes, etc. The hospital also conducts focus groups, consumer perception studies, and patient satisfaction surveys to identify primary needs of the community and responds with preventative/educational information or activities for the community.
Part VI, Line 3:Uninsured patients who hold an inpatient status are counseled by a Patient Advocate to screen them for coverage eligibility and to assist in payer source enrollment. Those that are not eligible are provided a charity care application along with instructions on how to fill out the application. All patients receive statements that indicate who to contact should they need financial assistance. In addition, all patients receive a summary of financial assistance upon registration, as well as in their final statement. Should a patient contact Patient Financial Services and indicate inability to pay, they are transferred to a financial counselor to assist them with the financial assistance application process. Also, inpatient and same day surgery patients receive a brochure in their admissions packet. Pre-collection letters also include information regarding the financial assistance and uninsured programs.
Part VI, Line 4:Avera Sacred Heart is a 99-bed hospital in Yankton, South Dakota. Avera Sacred Heart primarily serves the city and county of Yankton and the counties of Bon Homme, Charles Mix, Hutchinson and Clay in South Dakota and counties of Knox and Cedar in Nebraska. The majority of discharges are from Yankton County. According to the U.S. Census Bureau Quick Facts 2021 data, the estimated population of Yankton County as of July 1, 2021 is 23,297 and is predominately white at 91.6%. It is estimated that 20.1% of the population is 65 years and over. The median household income is $61,878 with a 10.4% poverty rate. Uninsured individuals under age 65 is estimated at 12.6%.
Part VI, Line 5:The Hospital board is comprised of individuals who represent the interests of the community served by the organization. The Hospital offers staff privileges to all qualified physicians in the community. Selected services such as Radiation Oncology and Swing-bed Services would not be available in our service area unless provided by the organization. The Hospital serves all individuals regardless of their ability to pay, providing 24 hours a day emergency service. The facility participates in the education of medical students from The University of South Dakota through their Yankton location. The Hospital also offers a 2-year Radiology Technologist program that graduates approximately 6 students per year. Sacred Heart Hospital also provides clinical education for Mount Marty University students. The Hospital is also proud of the fact that 128 individuals chose to volunteer at the hospital facility in Yankton during fiscal year 2023.
Part VI, Line 6:Avera is a sponsored ministry of the Benedictine and Presentation Sisters. The communities in which Avera operates all have unique health and community benefits needs. In keeping with Catholic Health Association guidelines, each Hospital strives to meet its community's identified needs. The corporate staff of Avera Health advocates for all members regarding community benefit related matters of state, regional and national importance.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Mount Marty University
1105 W 8th StreetYanktonSD57078460283336501(c)(3)$58,675$0Fieldhouse, Tobacco Grant, Palliative Care Grant
South Dakota State University
Morrill Hall 323 Box 2201BrookingsSD57007460273801501(c)(3)$104,119$0Palliative Care Grant
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization provides grants/contributions to other organizations which are tax-exempt under IRC Section 501(c)(3) and governmental divisions that benefit the community and region through programs and activities.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Julie Lautt
CFO Avera Health;Secretary/Treasurer$0$1,075,517$0$460$0$10,475$0$15,250$0$1,838$0$1,103,540$0$0
Steve Gutnik MD FACP
Gastroenterology & Internal Medicine$823,926$0$15,000$0$31,009$0$15,250$0$12,020$0$897,205$0$0$0
Ryan Sieg MD
Orthopedics,Surgery& Sports Medicine$692,801$0$16,000$0$73,341$0$15,250$0$31,310$0$828,702$0$0$0
Derrick Doolittle MD
Diagnostic Radiology & Radiology$504,502$0$205,525$0$23,088$0$15,250$0$39,061$0$787,426$0$0$0
Douglas Ekeren
President/CEO$0$686,463$0$725$0$17,002$0$15,250$0$31,182$0$750,622$0$0
Adam Strehle MD
Family Medicine/OB$344,306$0$300,946$0$32,317$0$15,250$0$31,211$0$724,030$0$0$0
Michael Peterson MD
Radiation Oncology & Oncology$620,149$0$15,000$0$9,203$0$15,250$0$24,351$0$683,953$0$0$0
Anthony Erickson
VP - Senior Services$202,398$0$440$0$1,923$0$9,766$0$26,507$0$241,034$0$0$0
Lindsay Flannery
VP - Patient Care Services$211,154$0$0$0$447$0$10,558$0$306$0$222,465$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I Line 3:FormAndLineReferenceDesc
ExplanationThe President/CEO and CFO-Avera Health are compensated by Avera Health. Avera Sacred Heart relied on the related organization for determining the compensation for the President/CEO and CFO-Avera Health using the methods described in Part I, Line 3.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLawrence LeonPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSpouse of board memberRelationshipDescriptionTxt
Transaction$306,046TransactionAmt
TransactionEmployee compensation and benefitsTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Julie Lautt, Sr. Debra Kolecka, Sr. Roxanne Seifert and Douglas Ekeren have a business relationship.
Form 990, Part VI, Section A, line 6The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended.
Form 990, Part VI, Section A, line 7aAvera Health, as the sole member, has the power to appoint and remove, with or without cause, members of the board of directors.
Form 990, Part VI, Section A, line 7bAvera Health, as the sole member, has the following rights as the Member. 1) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of Corporation; 2) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Corporation, and to give final approval of any such action with respect thereto; 3) To approve and act upon the alienation of real property and precious artifacts under the canonical stewardship of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota ("Presentation Sisters") or the Benedictine Sisters of Sacred Heart Monastery ("Benedictine Sisters"), pursuant to the policies established by the Member; 4) To approve any plan of merger, consolidation or dissolution of the Corporation, or the divestiture of a sponsored work or ministry associated with the Corporation; 5) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of the Corporation; 6) To appoint and remove, with or without cause, the Board of Directors of the Corporation. 7) To appoint and/or remove, with or without cause, the President and Chief Executive Officer of the Corporation. 8) To approve operating/capital budgets and strategic plans of the Corporation. 9) To approve expenditures outside of operating and capital budgets exceeding defined thresholds according to policy which may be adopted from time to time by the Member. 10) To approve acquisitions, sales and leases, according to policy which may be adopted from time to time by the Member. 11) To establish and maintain employee benefit programs. 12) To establish and maintain insurance programs. 13) To approve major community fund drives. 14) To approve the appointment of auditors. 15) To adopt policies designed to effectuate the reserved powers of the Member.
Form 990, Part VI, Section B, line 11bThe Form 990 is prepared and reviewed by an independent accounting firm. The Form 990 is then reviewed by the Avera Health VP of Financial Reporting and Tax Manager. After initial internal review, the Form 990 is made available to various members of Avera Health Executive Management, including the Avera Health CFO, President/CEO and COO. In addition, the Form 990 is made available to the Facility CEO, other Operation Finance Leaders and the Facility Board members.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all Board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and board members. The information is maintained in a database and a report is provided to the Board.
Form 990, Part VI, Section B, line 15bThe CEO and CEO-Avera Health was compensated by Avera Health System. Annually the Compensation Committee of Avera Health, which is comprised of six (6) System Members appointed by the Religious Orders, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. Depending on the individuals's role with the organization, some officers and key employees are compensated by Avera Sacred Heart.
Form 990, Part VI, Section C, line 19The organization's governing documents and conflict of interest policy are not made available to the general public. The Organization's financial statements are attached to the Form 990 per IRS instructions and therefore available to the general public.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 8,270,005. Management and general expenses 730,775. Fundraising expenses 0. Total expenses 9,000,780. Medical Professional Fees: Program service expenses 3,886,265. Management and general expenses 590,672. Fundraising expenses 0. Total expenses 4,476,937. Repairs & Maintenance: Program service expenses 3,283,216. Management and general expenses 137,968. Fundraising expenses 29. Total expenses 3,421,213. Centralized Services: Program service expenses 4,102,382. Management and general expenses 8,180,841. Fundraising expenses 0. Total expenses 12,283,223.
Form 990, Part XI, line 9:Change in Interest in Avera Foundation 1,156,302. Change in Fair Value of Interest Rate Swap 97,692.
Form 990, Part XII, Line 2c:The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the audited financial statements for Avera Health, which includes Sacred Heart Health Services.
Form 990, Part VI, Line 16:There is no written policy or procedure. In the event of any such proposed transaction, the board or a committee with delegated authority reviews all materials, valuations and operational aspects for any proposed transaction. Such transaction would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Any transaction also would be approved by the board and the member.
Form 990, Part X, Line 20:The issue price includes the filing organization's share of the entire bond issue, which was issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg, Avera at Home, and Sacred Heart Health Services. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Avera Health's tax return (EIN 46-0422673.)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Avera Health
3900 West Avera Drive Suite 300Sioux FallsSD57108460422673Healthcare servicesSD501(c)(3)Line 10N/A0
Avera McKennan
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460224743Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera at Home
5300 S Broadband LaneSioux FallsSD57108460399291Home ServicesSD501(c)(3)Line 100Avera Health
Avera Health Plans Inc
3900 West Avera Drive Suite 101Sioux FallsSD57108460451539Health financing and health plans adminSD501(c)(4)0Avera Health
Avera Marshall
300 S Bruce StMarshallMN56258410919153Healthcare servicesMN501(c)(3)Line 30Avera Health
Avera Granite Falls
345 10th AveGranite FallsMN56241843156881Healthcare servicesMN501(c)(3)Line 30Avera Marshall
Avera Tyler
240 Willow StreetTylerMN56178410853163Healthcare servicesMN501(c)(3)Line 30Avera Marshall
Avera Queen of Peace Hospital
525 N Foster StreetMitchellSD57301460224604Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera St Anthony's Hospital
300 N 2nd StreetONeillNE68763470463911Healthcare servicesNE501(c)(3)Line 30Avera Health
Avera St Luke's
305 South State StreetAberdeenSD57401460224598Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera St Mary's
801 East Sioux AvenuePierreSD57501460230199Healthcare servicesSD501(c)(3)Line 30Avera Health
Avera Gettysburg
606 East GarfieldGettysburgSD57442460234354Healthcare servicesSD501(c)(3)Line 30Avera St Mary's
Avera Holy Family
826 North 8th StreetEsthervilleIA51334420680370Healthcare servicesIA501(c)(3)Line 30Avera Health
Holy Family Hospital Foundation
826 North 8th StreetEsthervilleIA51334421317452Support health related servicesIA501(c)(3)Line 100Avera Holy Family
Lewis and Clark Health Education and Service Agency
1000 W 4th Street Suite 9YanktonSD57078460337013Healthcare servicesSD501(c)(3)Line 100Avera Health
St Benedict Health Center
401 West Glynn DriveParkstonSD57366460226738Healthcare servicesSD501(c)(3)Line 30Avera Health
St Benedict Health Center Foundation
West Glynn Drive PO Box BParkstonSD57366460458725Support health related servicesSD501(c)(3)Line 12a, I0St Benedict Health Center

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Avera Home Medical Equipment of Floyd Valley Hospital LLC
714 Lincoln St NELemarsIA51031820582350Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Lakes Regional Healthcare LLC
2301 Hwy 71 South Ste DSpirit LakeIA51360862949748Medical services - home medical equipmentIAN/A00
Avera Home Medical Equipment of Sioux Center LLC
38 19th ST SWSioux CenterIA51250753203100Medical services - home medical equipmentSDN/A00
Avera Home Medical Equipment of Spencer Hospital LLC
2400 S MN Ave 102Sioux FallsSD57117800619999Medical services - home medical equipmentSDN/A00
Brookings Health System - Avera HME LLC
101 22nd Ave Suite 101BrookingsSD57006453204123Medical services - home medical equipmentSDN/A00
Caravan Health ACO 15 LLC dba Prairie Vista Care Organization
7509 NW Tiffany Springs Parkway SteKansas CityMO64153611843657Accountable care organizationMON/A00
Caravan Health ACO 41 LLC dba Prairie View Care Organization
7509 NW Tiffany Springs ParkwayKansas CityMO64153821447782Accountable care organizationMON/A00
Heart Hospital of South Dakota LLC
4500 W 69th StreetSioux FallsSD57108562143771Healthcare servicesSDN/A00
Surgical Associates Endoscopy Clinic LLC
310 S Pennsylvania StAberdeenSD57401460461429Surgical associatesSDN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Accounts Management Inc
5132 S Cliff Ave Suite 101Sioux FallsSD57108460373021Collection agencySDN/AC0
Alucent Australia Pty Ltd
Biotech ResearchN/A0Level 10 30 Collings StreetMelbourneVIC 3000ASAS
Alucent Biomedical Inc
1325 S Cliff Avenue PO Box 5045Sioux FallsSD571175045471818349Biotech ResearchSDN/AC0
Avera Property Insurance Inc
1000 West 4th Street Suite 1YanktonSD57078460463155InsuranceSDN/AC0
DakotaCare Administrative Services Inc
5300 South Broadband LaneSioux FallsSD57108460424322InsuranceSDN/AC0
Kore Cares In Home Services LLC
5300 South Broadband LaneSioux FallsSD57108882778902In-home care servicesSDN/AS0
South Dakota State Medical Holding Company Inc
5300 South Broadband LaneSioux FallsSD57108460401087InsuranceSDN/AC0
Valley Health Services Inc
501 Summit StreetYanktonSD57078460357149Rental real estateSDCYes (1)Sacred Heart Health Services-$116,634$1,049,0591.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Valley Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$110,575InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule R, Part IIFormAndLineReferenceDesc
ExplanationSt. Benedict Health Center Foundation dissolved as of December 31, 2022.ExplanationTxt