AVERA ST LUKES: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- AVERA ST LUKES (EIN 46-0224598)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202511349349303671
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-14T14:17:42-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460224598 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera St Luke's | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AVER | BusinessNameControlTxt |
| Phone | 6056225272 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 South State Street | AddressLine1Txt |
| City | Aberdeen | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Julie Lautt | PersonNm |
| Person Title | CFO Avera Health | PersonTitleTxt |
| Phone | 6056225272 | PhoneNum |
| Signature | 2025-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2025-04-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Daniel Bjerknes | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 South State Street | AddressLine1Txt |
| City | Aberdeen | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $208,985,079 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | See Schedule O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1901 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Promotion of health | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1306 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | -$180,695 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $720,538 | PYContributionsGrantsAmt |
| CY Contributions Grants | $569,579 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $196,613,050 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $196,779,327 | CYProgramServiceRevenueAmt |
| PY Investment Income | $191,456 | PYInvestmentIncomeAmt |
| CY Investment Income | $570,203 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,603,735 | PYOtherRevenueAmt |
| CY Other Revenue | -$777,696 | CYOtherRevenueAmt |
| PY Total Revenue | $200,128,779 | PYTotalRevenueAmt |
| CY Total Revenue | $197,141,413 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,020 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,569 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $111,776,241 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $111,805,521 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,814 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $97,383,165 | PYOtherExpensesAmt |
| CY Other Expenses | $87,997,915 | CYOtherExpensesAmt |
| PY Total Expenses | $209,172,426 | PYTotalExpensesAmt |
| CY Total Expenses | $199,815,005 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,043,647 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,673,592 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $155,386,406 | TotalAssetsBOYAmt |
| Total Assets EOY | $150,122,754 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $76,429,350 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $72,116,047 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $78,957,056 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $78,006,707 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Avera 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $185,755,251 | ExpenseAmt |
| Grant | $11,569 | GrantAmt |
| Revenue | $196,381,277 | RevenueAmt |
| Desc | Avera St. Luke's mission is to provide healthcare services to Aberdeen, South Dakota residents and residents of the surrounding area. Avera St. Luke's is a 501(c)(3) organization affiliated with Avera Health. Avera St. Luke's consists of 50 acute beds, 10 inpatient behavioral health beds, an 81-bed nursing home in Aberdeen, SD, a 56-bed nursing home in Eureka, SD, a 2-bed surgical center in Aberdeen, SD, and 18 physician clinics. The physician clinics include primary care, ob/gyn, pediatrics, orthopedics, general surgery, radiation, radiology, oncology, therapy, urology, hematology, psychiatry, pulmonology, nephrology, podiatry, ear nose and throat, pain management, and cardiology. Avera St. Luke's provides acute care and long-term healthcare services. Avera St. Luke's Hospital 3,658 Acute patient discharges 367 Newborn patient discharges 38 Swing bed patient discharges 153,025 Outpatient visits 300 Swing-bed patient days 614 Newborn patient days 148,921 Clinic visits 46,530 Nursing home resident days 116 Long Term Care patient dischargesAvera St. Luke's 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 $33,361,688.Avera St. Luke's also provides community benefit health activities at less than or at no cost to support those in the area served, see Schedule H. As a member of the Avera Health Network, Avera St. Luke's 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 St. Luke's 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 | $185,755,251 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 144 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1306 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jamie Schaefer | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053223992 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 W Avera Dr Ste 300 | AddressLine1Txt |
| City | Sioux Falls | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57108 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Daniel Bjerknes | |||||||||
| President/CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $503,084 | $50,471 | ||
| Heidi Golz | |||||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Herman | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sr Kathleen Bierne | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kristen Fauth | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Shane Franks | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Fritz MD | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Inman | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Paula Jensen | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Marietta Kerkvliet | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Adam LeFebvre MD | |||||||||
| Board Member/Anesthesiology | 41.00 | 0.00 | Yes (X) | $518,726 | $0 | $50,241 | |||
| Sr Mary Kay Panowicz | |||||||||
| Board Member | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| Diana Reynen | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Seyer | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Garrett Wobst MD | |||||||||
| Board Member/Orthopedics/Surgery | 41.00 | 0.00 | Yes (X) | $625,813 | $0 | $44,459 | |||
| Julie Lautt | |||||||||
| CFO Avera Health;Secretary/Treasurer | 0.10 | 46.30 | Yes (X) | $0 | $1,203,675 | $19,401 | |||
| Tom J Snyder | |||||||||
| VP - Strategy Network Ops (End 03/2024) | 40.00 | 0.00 | $222,455 | $0 | $28,549 | Yes (X) | |||
| Brandon Fites MD | |||||||||
| Sports Medicine, Surgery & Orthopedics | 40.00 | 0.00 | $2,999,342 | $0 | $53,017 | Yes (X) | |||
| Daniel Fritz MD | |||||||||
| Radiology | 40.00 | 0.00 | $1,242,294 | $0 | $39,997 | Yes (X) | |||
| Ryan Gnesda MD | |||||||||
| Radiology | 40.00 | 0.00 | $1,477,815 | $0 | $53,521 | Yes (X) | |||
| Susheel Gundewar MD | |||||||||
| Cardiology | 40.00 | 0.00 | $1,913,170 | $0 | $59,633 | Yes (X) | |||
| Leslie Lenter MD | |||||||||
| Interventional Radiology & Radiology | 40.00 | 0.00 | $1,550,096 | $0 | $41,735 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,549,711 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,706,759 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $441,024 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 137 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Avera Health | |||||
| 3900 W Avera Dr Ste 301 | Sioux Falls | SD | 571085721 | Shared services | $17,456,804 |
| AMN Healthcare Inc | |||||
| 12400 High Bluff Dr | San Diego | CA | 92130 | Contract labor | $5,862,582 |
| ProLink Healthcare LLC | |||||
| 10700 Montgomery Rd Ste 226 | Cincinnati | OH | 45242 | Contract labor | $1,049,945 |
| Concord Physician Solutions LLC | |||||
| 5900 Balcones Dr Ste 8686 | Austin | TX | 78731 | Locum Fees | $987,472 |
| Huff Construction Inc | |||||
| 11 N Dakota St | Aberdeen | SD | 57401 | Construction | $952,964 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $168,249 | RelatedOrganizationsAmt |
| Government Grants | $401,330 | GovernmentGrantsAmt |
| Total Contributions | $569,579 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621110 | $190,905,715 | $190,363,557 | $542,158 |
| Patient and Clinic Revenue | 621110 | $1,523,151 | $1,523,151 | |
| Investment in Partnership | 900099 | $807,716 | $807,716 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,542,745 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,542,745 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $196,779,327 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $301,384 | TotalRevenueColumnAmt |
| Exclusion | $301,384 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $419,286 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $618,237 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$198,951 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$198,951 | TotalRevenueColumnAmt |
| Exclusion | -$198,951 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $304,763 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $35,944 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $304,763 | SecuritiesAmt |
| Other | -$35,944 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $268,819 | TotalRevenueColumnAmt |
| Exclusion | $268,819 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $10,374,037 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $11,189,485 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$815,448 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$92,595 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$722,853 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | A/R Interest Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $236,703 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $236,703 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $236,703 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $197,141,413 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $196,381,277 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$180,695 | UnrelatedBusinessRevenueAmt |
| Exclusion | $371,252 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,569 | TotalAmt |
| Program Services | $11,569 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,401,017 | TotalAmt |
| Program Services | $1,217,575 | ProgramServicesAmt |
| Management And General | $183,442 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,356,158 | TotalAmt |
| Program Services | $1,356,158 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,475,385 | TotalAmt |
| Program Services | $87,843,669 | ProgramServicesAmt |
| Management And General | $1,631,716 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,938,807 | TotalAmt |
| Program Services | $2,875,121 | ProgramServicesAmt |
| Management And General | $63,686 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,378,712 | TotalAmt |
| Program Services | $11,084,405 | ProgramServicesAmt |
| Management And General | $294,307 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,255,442 | TotalAmt |
| Program Services | $5,142,796 | ProgramServicesAmt |
| Management And General | $112,646 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,941 | TotalAmt |
| Management And General | $24,941 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,603 | TotalAmt |
| Management And General | $5,603 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,048,895 | TotalAmt |
| Program Services | $29,383,842 | ProgramServicesAmt |
| Management And General | $9,664,620 | ManagementAndGeneralAmt |
| Fundraising | $433 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,923 | TotalAmt |
| Program Services | $11,774 | ProgramServicesAmt |
| Management And General | $6,149 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,351,125 | TotalAmt |
| Program Services | $1,144,170 | ProgramServicesAmt |
| Management And General | $205,614 | ManagementAndGeneralAmt |
| Fundraising | $1,341 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,746 | TotalAmt |
| Program Services | $731,636 | ProgramServicesAmt |
| Management And General | $60 | ManagementAndGeneralAmt |
| Fundraising | $50 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,252,454 | TotalAmt |
| Program Services | $2,049,159 | ProgramServicesAmt |
| Management And General | $203,295 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,208 | TotalAmt |
| Program Services | $354,503 | ProgramServicesAmt |
| Management And General | $20,705 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,188 | TotalAmt |
| Program Services | $273,484 | ProgramServicesAmt |
| Management And General | $10,704 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,366,899 | TotalAmt |
| Program Services | $1,952,128 | ProgramServicesAmt |
| Management And General | $414,771 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,396,312 | TotalAmt |
| Program Services | $5,908,674 | ProgramServicesAmt |
| Management And General | $486,940 | ManagementAndGeneralAmt |
| Fundraising | $698 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $974,970 | TotalAmt |
| Program Services | $414,725 | ProgramServicesAmt |
| Management And General | $560,245 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $32,662,571 | $32,612,520 | $49,098 | $953 |
| Equipment Lease/Rental | $192,816 | $192,816 | ||
| Provision for income ta | $60,000 | $60,000 | ||
| Bad Debt | $5,012 | $5,012 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,252 | TotalAmt |
| Program Services | $1,129,515 | ProgramServicesAmt |
| Management And General | $117,398 | ManagementAndGeneralAmt |
| Fundraising | $339 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,815,005 | TotalAmt |
| Program Services | $185,755,251 | ProgramServicesAmt |
| Management And General | $14,055,940 | ManagementAndGeneralAmt |
| Fundraising | $3,814 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,670 | BOYAmt |
| EOY | -$16,557 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,031,852 | BOYAmt |
| EOY | $23,439,653 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,028,788 | BOYAmt |
| EOY | $4,113,300 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,034,330 | BOYAmt |
| EOY | $891,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $191,903,983 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $130,285,541 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,914,775 | BOYAmt |
| EOY | $61,618,442 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,871,473 | BOYAmt |
| EOY | $16,494,586 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,367,227 | BOYAmt |
| EOY | $1,446,442 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,350,782 | BOYAmt |
| EOY | $41,108,248 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,745,509 | BOYAmt |
| EOY | $1,027,055 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,386,406 | BOYAmt |
| EOY | $150,122,754 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,608,812 | BOYAmt |
| EOY | $13,271,564 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,876 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,470,223 | BOYAmt |
| EOY | $57,980,674 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,964 | BOYAmt |
| EOY | $16,682 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,221,475 | BOYAmt |
| EOY | $847,127 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,429,350 | BOYAmt |
| EOY | $72,116,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,841,229 | BOYAmt |
| EOY | $74,275,235 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,115,827 | BOYAmt |
| EOY | $3,731,472 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,957,056 | BOYAmt |
| EOY | $78,006,707 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,386,406 | BOYAmt |
| EOY | $150,122,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,673,592 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $846,646 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $876,597 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,603 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,603 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Avera St. Luke's paid dues to organizations which have a portion attributable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,545,178 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $158,364 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,083 | OtherExpendituresAmt |
| End Year Balance | $1,659,459 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,465,145 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $100,544 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $20,511 | OtherExpendituresAmt |
| End Year Balance | $1,545,178 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,635,977 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$170,630 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $202 | OtherExpendituresAmt |
| End Year Balance | $1,465,145 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,391,327 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $244,663 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13 | OtherExpendituresAmt |
| End Year Balance | $1,635,977 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,407,609 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$5,119 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,163 | OtherExpendituresAmt |
| End Year Balance | $1,391,327 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.39585 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.33755 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.26660 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,115,700 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,653,892 | OtherCostOrOtherBasisAmt |
| Book Value | $5,769,592 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $134,526,798 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,816,075 | DepreciationAmt |
| Book Value | $44,710,723 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,216,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,589,260 | DepreciationAmt |
| Book Value | $9,626,965 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,391,368 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,880,206 | DepreciationAmt |
| Book Value | $1,511,162 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,618,442 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Avera Pooled Investments | $11,168,656 | F |
| Investment in Avera Health Foundation | $4,926,228 | F |
| Investment in Subsidiaries | $399,702 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $16,494,586 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Payor Settlements | $397,564 |
| Derivative Liability | $279,707 |
| Right of Use Operating Lease Obligations | $116,756 |
| Security Deposits | $53,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $847,127 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The organization holds funds in trust on behalf of its residents. |
| Part V, Line 4: | The Organization's endowments consist of a portion of their interest in the net assets of the Avera Health Foundation. The Avera Health Foundation includes endowment funds which have been established for a variety of purposes. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the Board of Directors to function as endowments (if any), are classified and reported based on the existence or absence of donor-imposed restrictions. The Organization's permanently restricted endowment funds are donor restricted. |
| 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,703,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,703,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04360 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,524,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,099,983 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,424,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01710 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $268,559 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,014 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $162,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,496,570 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,205,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,290,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,451 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,710,431 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,513,799 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,196,632 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,825,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,399 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,783,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,589,790 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,556,198 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,033,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,086,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,762,195 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,324,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08670 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,867 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $65 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,932 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $58,404,672 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $68,189,435 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,784,763 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Surgical Associates Endoscopy Clinic LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Endoscopy Procedures | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera St Luke's | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 South State Street | AddressLine1Txt |
| City | Aberdeen | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | See Part V Section C | WebsiteAddressTxt |
| State License | 10525 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 14 provider based clinics, 1 rural health clinic | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera St Luke's | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Avera St. Luke's | Part V, Section B, Line 5: Avera St. Luke's CHNA data was obtained by way of an online survey that launched on April 7, 2022. This was followed by personal meetings with our Public Health providers, as well as emails and communications to regional and community organizations and the public inviting their participation in the survey. The survey was also posted to and available through Avera St. Luke's Facebook page. The survey closed April 15, 2022. The hospital invited a vast array of groups and approximately 80 businesses in Aberdeen and the surrounding area to participate, which included: *Aberdeen Chamber of Commerce, which included the survey in their Monday morning Chamber email *Aberdeen Chamber committees *Aberdeen Area Fire and Rescue *Social Work Department, which sent the survey to all the organizations and food banks they work with such as the Salvation Army and Journey Home*Mission and Chaplaincy, which forwarded on to all area priests in our region *Boys and Girls Club families *United Way, which sent it to organizations and board members *Aberdeen City Council *City of Aberdeen via its Human Resource Department *Brown County Health*ASL employees *ASL Facebook page, which is open to the public *ASL Patient and Family Advisory Committee *Presentation Sisters*Aberdeen Area Diversity Coalition |
| Avera St. Luke's | Part V, Section B, Line 11: The Community Health Needs Assessment survey was completed in FY2022. An internal team at Avera St. Luke's reviewed survey results and identified the top three health needs from the survey. This decision was based on the severity of the issue, our current involvement in these areas, and our professional outlook. Our overall focus is to review these opportunities and identify current programs already in place that will address the following health needs: Mental Health issues, Hospice and End of Life Care, and Access to Care/Urgent Care. 1. Mental Health: Avera St. Luke's completed the building project for a stand-alone behavioral health facility. This expansion will create growth for the system and meets the needs of the region. The Avera Behavioral Health Unit offers inpatient and outpatient counseling and therapy services, grief support services, memory care, and behavioral health support groups. The facility treats many mental health conditions, including anxiety, depression, bipolar disorder, conduct disorder, interpersonal problems, oppositional defiant disorder, personality disorders, psychosis, schizophrenia, and attention deficit hyperactivity disorder (ADHD). The Behavioral Health team has established successful ongoing partnerships that have provided high-quality care and decreased health disparities within this highly rural area. The Behavioral Health Unit treats both adults and adolescents in a unit consisting of 10 psychiatric beds. Avera Behavioral Health Unit has a demonstrated ability to and history of serving this target population, and successfully partnering with regional organizations like those proposed. Currently, the 4th floor is being renovated to move our Behavioral Health Services from its current location in Aberdeen, SD expanding from a 10-bed unit to an 18-bed unit. 2. Hospice Care: Our organization has been working on expanding our hospice beds in our community, as reflected as a need from our community needs health assessment. Partnering with Avera@Home, we are now able to offer inpatient hospice services at Avera St Luke's as of October of 2023. Three hospice rooms added at Avera Mother Joseph Manor LTC opened December 2023. 3. Access to Care/Urgent Care: We've expanded Urgent Care January 2024 and the Same Day Clinic has seen 894 patients through the end of June. The hours for the Same Day Clinic are Monday - Thursday 8am-5pm and Friday 8am-12pm. Our After-hours services expanded on Fridays from 1pm-7pm beginning in January of 2024 and have since seen 728 additional patients to date. The hours for the After-hours services are Monday - Thursday 5pm-7pm, Friday 1pm-7pm, and Saturday - Sunday 8am-2pm.There are needs identified in the Community Health Needs Assessment which Avera St. Luke's has not included in its priority implementation plan. These needs were not included in the priority needs implementation plan in order to focus resources on the three most urgent health care needs. We continue to address these needs throughout the Avera St. Luke's Region using the appopriate standards of care. |
| Avera St. Luke's | Part 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 St. Luke's | Part 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 is included in the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera St. Luke's | Part 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 St. Luke's | Part 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 website: | avera.org/locations/st-lukes-hospital/ |
| Part V, Section B, Line 7a, 7b and 10a: | avera.org/about/community-health-needs-assessments/ |
| Part V, Section B, Line 16a, 16b, and 16c: | avera.org/patients-visitors/pay-my-bill-online/financial-assistance-forms/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Avera Mother Joseph Manor | ||||
| 1002 N Jay Street | Aberdeen | SD | 57401 | Nursing Home, Assisted and Congregate Living |
| 2 - Avera Eureka Health Care Center | ||||
| E Hwy 10 | Eureka | SD | 57437 | Skilled Nursing Facility |
| 3 - AMG Pain Management Center | ||||
| 701 8th Ave NW Ste C | Aberdeen | SD | 57401 | Clinic |
| 4 - NSU Health Services | ||||
| 1200 S Jay St | Aberdeen | SD | 57401 | Clinic |
| 5 - AMG Oncology and Hematology | ||||
| 310 S Penn St Ste 106 | Aberdeen | SD | 57401 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 methodologies were used to calculate the amounts reported in the table. A cost-to-charge ratio derived from Worksheet 2, ratio of patient care cost-to-charges was used to calculate charity care at cost, unreimbursed Medicaid and Means-Tested Government Program expenses. Subsidized health was calculated based on actual cost/loss. For all other amounts, costs and revenues as reflected by the general ledger system were used. |
| Part II, Community Building Activities: | Avera St. Luke's donated to the Aberdeen Parks Recreation & Forestry to create an outdoor fitness space within Kuhnert Arboretum. |
| 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. During the year ended June 30, 2024, the Organization adjusted the qualifying criteria under the charity care policy, which resulted in a reclassification of accounts considered bad debt in previous years that now qualified as presumptive charity care under the adjusted policy. Implicit price concession for the year of $1,888,099 was reduced for prior year reclassifications of $25,581,173 resulting in a net negative implicit price concession of $23,693,074. Due to the negative implicit price concession per the general ledger, an amount of $0 has been reported on Line 2. |
| 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: | Avera St. Luke's 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 FY2023 Medicare cost report. The FY2023 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: | Health Care needs are assessed through various methods. Given Aberdeen is a regional center/hub and the third largest city in South Dakota, Avera St. Luke's is integrally involved with community organizations, universities/colleges, schools, state programs and local governments. Although another smaller hospital opened in Aberdeen during FY 2013, the next largest hospital is 100 miles from Aberdeen, and most of the towns within our region have a population of less than 2,000. By working with all in our region, we are able to determine health needs and provide programs and solutions where possible. Our fourth community health needs assessment (CHNA) was completed and posted to our website by June 30, 2022. The identified areas of need highlighted for further research and comparison are Mental Health issues, Hospice and End of Life Care and lastly Access to Care. The overall goal is to focus on removing all barriers to health. |
| 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 St Luke's includes a 50-bed hospital and a 10-bed mental health unit in Aberdeen, South Dakota. The primary service area is defined as Brown County, South Dakota, including the communities of Aberdeen, Frederick, Groton, Hecla, and Leola. Brown County is the focus of the Avera St. Luke's Community Health Needs Assessment. The total population estimate as of July 1, 2023, is 37,733, which places it as the fourth largest county in South Dakota. Brown County is also the most populated county in the Avera St. Luke's service area. 52% of residents served are between the ages of 18 and 64. 88.3% of Brown County's population consists of people who are of White Ethnicity. Brown County has seen an increase of people from other ethnic backgrounds. Because we are all created in God's image and belong to the same human family, Avera has worked hard to meet the growing need to address complex issues within our footprint. Through our system initiatives, Avera St. Luke's is committed to evaluating the health needs and priorities of all members of our community without regard to race or ethnicity. Programs and support are added to address the identified needs as appropriate. The unemployment rate in South Dakota is at 2.0% while the rate in Brown County is at 1.7%, both of which are better than the national average of 4.2%. According to the U.S. Census Bureau Quick Facts as of July 1, 2023 the income per capita for the county is $38,035 and the median household income is $70,379. However, the rate of persons below the poverty level in Brown County is 11.0%. Approximately 9.9% of the county's population is uninsured, while the State average is 10%. Although Brown County's numbers are slightly better than the state and national statistics in these categories, Avera has identified opportunities. |
| Part VI, Line 5: | Avera St. Luke's is a regional facility within Avera Health System. Each year, our operating and capital budgets are based on various assumptions that in the end provide the needed resources and considers charity care, patient care, technology, education, community services, employee benefit, and compensation plans and programs for meeting the region's needs. All surplus funds are used and maintained to provide for both current and future needs.Specific examples of how we further our exempt purpose include but are not limited to the following: a. The only inpatient psychiatric unit within 200 miles. b. Interventional Cardiology and Radiology services. These services allow us to meet patient needs when care is critical to their survival and must be delivered on a very timely basis. c. Air Ambulance to transport patients to our facility or 200 miles to tertiary facilities. d. End Stage Renal Disease program which serves our broad region with the next closest facility being 100 miles away. Additionally, we employ a part-time Nephrologist to care for the patients along with others who require intensive physician care. e. A 24-hour Emergency Room which treats all patients without regard to the ability to pay. The ER is staffed by physicians 24 hours per day. f. Provision of a multitude of educational and training programs for healthcare professionals and regional residents. The region was awarded an Area Health Education Center by the South Dakota School of Medicine and will be in Aberdeen. The award was based on applications and interviews within the State and was a collaborative effort of many healthcare and non-healthcare organizations within the region with two being 100 miles from Aberdeen. g. Avera St. Luke's is currently a Rural Referral Center. The nearest hospitals are tertiary facilities 200 miles away by ground and approximately 140 miles by air. h. Avera St. Luke's participates in many community organizations and efforts to better the region. Leadership of the organization is on boards of many exempt organizations (Aspire Foundation Board, College/University Advisory Boards, Area Health Education Center (AHEC), United Way and the YMCA). In conjunction with Aspire and the South Dakota Department of Vocational Rehabilitation, Avera St. Luke's participates in Project SEARCH, providing internships for high school students with disabilities in their last year of high school and assists in helping students attain work skills and prepare them for a job. Other community involvement includes National Night Out focusing on child safety, Junior Achievement, Northern Brown County Community Foundation, Diversity Committee, Aberdeen Hockey Association, Aberdeen Wings Billet Family, Aberdeen Downtown Association, Frederick Forward, LSS Board member, Aberdeen Development Corporation Board member, American Foundation for Suicide Prevention, and CoJourner for the Presentation Sisters (Lay Associate). i. Aid small rural hospitals (Critical Access Hospitals) within the region through various programs, management agreements, computer systems, education, and other services to assist in keeping their area's patients in the local community when possible. j. Recruitment of specialists in nephrology, neurology, cardiology, family medicine, orthopedic, pulmonology, radiation, oncology, pediatrics, general surgery, urology, rheumatology, internal medicine, and psychiatry to meet the region's needs in order to eliminate travel of 200 miles to obtain these services. k. Development and subsidy of various rural clinics to meet needs in those communities. l. Chemical Addiction services on an outpatient basis are provided to the region and State. Our Addiction Care program is well known and respected within the region and state and is the closest program within 150-200 miles. We contract with the State for patients who meet their qualification guidelines and work with governmental agencies within the region and State. m. Provide drug and alcohol prevention programs to the local schools through various contracts. Our involvement started when the previous provider discontinued their contract. |
| 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 benefit needs. In keeping with the Catholic Healthcare 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Redfield Community Memorial | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 288 | AddressLine1Txt |
| City | Redfield | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57469 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 460433111 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Donation to EMS Center | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization provides grants/contributions to other organizations which are tax-exempt under IRC 501(c)(3) and governmental divisions that benefit the community and region through programs and activities. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brandon Fites MD | ||||||||||||||
| Sports Medicine, Surgery & Orthopedi | $2,118,832 | $0 | $874,360 | $0 | $6,150 | $0 | $16,500 | $0 | $36,517 | $0 | $3,052,359 | $0 | $0 | $0 |
| Susheel Gundewar MD | ||||||||||||||
| Cardiology | $1,580,220 | $0 | $330,182 | $0 | $2,768 | $0 | $16,500 | $0 | $43,133 | $0 | $1,972,803 | $0 | $0 | $0 |
| Leslie Lenter MD | ||||||||||||||
| Interventional Radiology & Radiology | $798,083 | $0 | $731,713 | $0 | $20,300 | $0 | $16,500 | $0 | $25,235 | $0 | $1,591,831 | $0 | $0 | $0 |
| Ryan Gnesda MD | ||||||||||||||
| Radiology | $842,714 | $0 | $633,488 | $0 | $1,613 | $0 | $16,500 | $0 | $37,021 | $0 | $1,531,336 | $0 | $0 | $0 |
| Daniel Fritz MD | ||||||||||||||
| Radiology | $523,626 | $0 | $717,591 | $0 | $1,077 | $0 | $15,729 | $0 | $24,268 | $0 | $1,282,291 | $0 | $0 | $0 |
| Julie Lautt | ||||||||||||||
| CFO Avera Health;Secretary/Treasurer | $0 | $1,197,590 | $0 | $480 | $0 | $5,605 | $0 | $16,500 | $0 | $2,901 | $0 | $1,223,076 | $0 | $0 |
| Garrett Wobst MD | ||||||||||||||
| Board Member/Orthopedics/Surgery | $452,214 | $0 | $172,438 | $0 | $1,161 | $0 | $16,500 | $0 | $27,959 | $0 | $670,272 | $0 | $0 | $0 |
| Adam LeFebvre MD | ||||||||||||||
| Board Member/Anesthesiology | $487,103 | $0 | $30,400 | $0 | $1,223 | $0 | $16,500 | $0 | $33,741 | $0 | $568,967 | $0 | $0 | $0 |
| Daniel Bjerknes | ||||||||||||||
| President/CEO | $0 | $498,188 | $0 | $0 | $0 | $4,896 | $0 | $16,500 | $0 | $33,971 | $0 | $553,555 | $0 | $0 |
| Tom J Snyder | ||||||||||||||
| VP - Strategy Network Ops (End 03/20 | $220,149 | $0 | $900 | $0 | $1,406 | $0 | $11,291 | $0 | $17,259 | $0 | $251,005 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I Line 3: | FormAndLineReferenceDesc |
| Explanation | The President/CEO was compensated by a related organization, Avera Health. Avera St. Luke's relied on the related organization for determining the compensation for the President/CEO using the methods described in Part I, Line 3. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Dr Matthew Reynen | |||
| Family member of board member Diana Reynen | $556,300 | Compensation and benefits as an employee | 0 |
| Daniel Fritz | |||
| Family member of board member John Fritz | $463,572 | Compensation and benefits as an employee | 0 |
| Bari Fritz | |||
| Family member of board member John Fritz | $247,487 | Compensation and benefits as an employee | 0 |
| Karin Bruns | |||
| Family member of board member Garrett Wobst | $88,802 | Compensation and benefits as an employee | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Item J | The organization's website is: avera.org/locations/st-lukes-hospital/ |
| Form 990, Part VI, Section A, line 2 | Julie Lautt, Daniel Bjerknes, and Sr. Mary Kay Panowicz have a business relationship. |
| Form 990, Part VI, Section A, line 6 | The 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 7a | Avera 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 7b | Avera 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 A, line 8b | There are no committees with the authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11b | The 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 12c | The 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 directors. The information is maintained in a database and a report is provided to the board. |
| Form 990, Part VI, Section B, line 15b | The CEO and CFO-Avera Health are compensated by Avera Health. 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 individual's role with the organization, some officers and key employees are compensated by Avera St. Luke's. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents and conflict of interest policy are not available to the general public. The organization's financial statements are attached to the Form 990 per IRS instructions and therefore are available to the general public. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 12,416,258. Management and general expenses 392,673. Fundraising expenses 97. Total expenses 12,809,028. Medical Professional Fees: Program service expenses 4,876,477. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,876,477. Repairs & Maintenance: Program service expenses 3,782,447. Management and general expenses 14,248. Fundraising expenses 336. Total expenses 3,797,031. Centralized Services: Program service expenses 8,308,660. Management and general expenses 9,257,699. Fundraising expenses 0. Total expenses 17,566,359. |
| Form 990, Part XI, line 9: | Change in Interest in Avera Foundation 736,784. Equity Transfers 139,813. |
| Form 990, Part XII, Line 2c: | The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the consolidated audited financial statements for Avera Health, which includes Avera St. Luke's. |
| Form 990, Part VI, Section B, Line 16b: | There is no written policy or procedure since 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 Sacred Heart, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg and Avera at Home. 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 (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Health | |||||||||||
| 3900 West Avera Drive Suite 300 | Sioux Falls | SD | 57108 | 460422673 | Promotion of health | SD | 501(c)(3) | Line 10 | N/A | 0 | |
| Avera McKennan | |||||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 460224743 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera at Home | |||||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 460399291 | Home services | SD | 501(c)(3) | Line 10 | 0 | Avera Health | |
| Avera Health Plans Inc | |||||||||||
| 3900 West Avera Drive Suite 101 | Sioux Falls | SD | 57108 | 460451539 | Health financing and health plan admin | SD | 501(c)(4) | 0 | Avera Health | ||
| Avera Marshall | |||||||||||
| 300 S Bruce Street | Marshall | MN | 56258 | 410919153 | Healthcare services | MN | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Granite Falls | |||||||||||
| 345 10th Ave | Granite Falls | MN | 56241 | 843156881 | Healthcare services | MN | 501(c)(3) | Line 3 | 0 | Avera Marshall | |
| Avera Tyler | |||||||||||
| 240 Willow Street | Tyler | MN | 56178 | 410853163 | Healthcare services | MN | 501(c)(3) | Line 3 | 0 | Avera Marshall | |
| Avera Queen of Peace Hospital | |||||||||||
| 525 North Foster | Mitchell | SD | 57301 | 460224604 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera St Anthony's Hospital | |||||||||||
| 300 N 2nd Street | ONeill | NE | 68763 | 470463911 | Healthcare services | NE | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera St Mary's | |||||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Gettysburg | |||||||||||
| 606 East Garfield | Gettysburg | SD | 57442 | 460234354 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera St Mary's | |
| Avera Holy Family | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 420680370 | Healthcare services | IA | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Holy Family Hospital Foundation | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 421317452 | Support health related services | IA | 501(c)(3) | Line 10 | 0 | Avera Holy Family | |
| Sacred Heart Health Services | |||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460225483 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Lewis and Clark Health Education and Service Agency | |||||||||||
| 1000 W 4th Street Suite 9 | Yankton | SD | 57078 | 460337013 | Healthcare services | SD | 501(c)(3) | Line 10 | 0 | Avera Health | |
| St Benedict Health Center | |||||||||||
| 401 West Glynn Drive | Parkston | SD | 57366 | 460226738 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Home Medical Equipment of Floyd Valley Hospital LLC | ||||||||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 820582350 | Medical services - home medical equipment | SD | N/A | 0 | 0 | |||||
| Avera Home Medical Equipment of Lakes Regional Healthcare LLC | ||||||||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 862949748 | Medical services - home medical equipment | SD | N/A | 0 | 0 | |||||
| Avera Home Medical Equipment of Sioux Center LLC | ||||||||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 753203100 | Medical services - home medical equipment | SD | N/A | 0 | 0 | |||||
| Avera Home Medical Equipment of Spencer Hospital LLC | ||||||||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 800619999 | Medical services - home medical equipment | SD | N/A | 0 | 0 | |||||
| Brookings Health System - Avera Home Medical Equipment LLC | ||||||||||||||
| 300 22nd Ave | Brookings | SD | 57006 | 453204123 | Medical services - home medical equipment | SD | N/A | 0 | 0 | |||||
| Caravan Health ACO 15 LLC dba Prairie Vista Care Organization | ||||||||||||||
| 4055 Valley View Lane Ste 700 | Dallas | TX | 75244 | 611843657 | Accountable care organization | TX | N/A | 0 | 0 | |||||
| Caravan Health ACO 41 LLC dba Prairie View Care Organization | ||||||||||||||
| 4055 Valley View Lane Ste 700 | Dallas | TX | 75244 | 821447782 | Accountable care organization | TX | N/A | 0 | 0 | |||||
| Heart Hospital of South Dakota LLC | ||||||||||||||
| 4500 W 69th Street | Sioux Falls | SD | 57108 | 562143771 | Healthcare services | SD | N/A | 0 | 0 | |||||
| Surgical Associates Endoscopy Center LLC | ||||||||||||||
| 310 S Pennsylvania Street Suite 201 | Aberdeen | SD | 57401 | 460461429 | Surgical Associates/ Endoscopy Services | SD | Yes (1) | 0 | Avera St Luke's | Related | $1,006,437 | $280,789 | 0.51000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Accounts Management Inc | ||||||||||||||
| 5132 S Cliff Ave Suite 101 | Sioux Falls | SD | 57108 | 460373021 | Collection agency | SD | N/A | C | 0 | |||||
| Alucent Australia Pty Ltd | ||||||||||||||
| Biotech Research | N/A | 0 | Level 10 30 Collings Street | Melbourne | VIC 3000 | AS | AS | |||||||
| Alucent Biomedical Inc | ||||||||||||||
| 1325 S Cliff Avenue PO Box 5045 | Sioux Falls | SD | 571175045 | 471818349 | Biotech Research | SD | N/A | C | 0 | |||||
| Avera Property Insurance Inc | ||||||||||||||
| 1000 West 4th Street Suite 1 | Yankton | SD | 57078 | 460463155 | Insurance | SD | N/A | C | 0 | |||||
| DakotaCare Administrative Services Inc | ||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 460424322 | Insurance | SD | N/A | C | 0 | |||||
| Kore Cares In Home Services LLC | ||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 882778902 | In-home care services | SD | N/A | S | 0 | |||||
| South Dakota State Medical Holding Company Inc | ||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 460401087 | Insurance | SD | N/A | C | 0 | |||||
| Valley Health Services | ||||||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460357149 | Rental Real Estate | SD | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Surgical Associates Endoscopy Clinic LLC | ||
| A | $108,723 | General Ledger |
| Surgical Associates Endoscopy Clinic LLC | ||
| L | $172,022 | General Ledger |
| Surgical Associates Endoscopy Clinic LLC | ||
| O | $327,406 | General Ledger |
| Surgical Associates Endoscopy Clinic LLC | ||
| P | $58,800 | General Ledger |
| Surgical Associates Endoscopy Clinic LLC | ||
| S | $822,500 | K-1 Distribution |