AVERA MCKENNAN: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- AVERA MCKENNAN (EIN 46-0224743)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202531349349308693
- 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 | 2025-05-14T14:21:21-05:00 | 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 | 460224743 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera McKennan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AVER | BusinessNameControlTxt |
| Phone | 6053228000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1325 South Cliff Ave | AddressLine1Txt |
| City | Sioux Falls | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175045 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Julie Lautt | PersonNm |
| Person Title | CFO - Avera Health | PersonTitleTxt |
| Phone | 6053228000 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2025-05-12 | 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 | Dr Ronald Place | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1325 South Cliff Ave | AddressLine1Txt |
| City | Sioux Falls | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175045 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,841,827,784 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | avera.org/locations/mckennan/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Promotion of health | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 9770 | TotalEmployeeCnt |
| Total Volunteers | 1469 | TotalVolunteersCnt |
| Total Gross UBI | $15,304,471 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $5,759,127 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $30,014,546 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,424,006 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,342,613,645 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,555,760,564 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,224,248 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,766,915 | CYInvestmentIncomeAmt |
| PY Other Revenue | $112,016,264 | PYOtherRevenueAmt |
| CY Other Revenue | $127,499,062 | CYOtherRevenueAmt |
| PY Total Revenue | $1,488,868,703 | PYTotalRevenueAmt |
| CY Total Revenue | $1,712,450,547 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $504,592 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,285,250 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $743,369,320 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $796,205,485 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $199,161 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $713,900,826 | PYOtherExpensesAmt |
| CY Other Expenses | $781,640,493 | CYOtherExpensesAmt |
| PY Total Expenses | $1,457,774,738 | PYTotalExpensesAmt |
| CY Total Expenses | $1,579,131,228 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $31,093,965 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $133,319,319 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,411,648,717 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,820,643,330 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $597,392,160 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $814,768,536 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $814,256,557 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,005,874,794 | 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 and guided by Christian values. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,463,044,124 | ExpenseAmt |
| Grant | $1,285,250 | GrantAmt |
| Revenue | $1,672,811,645 | RevenueAmt |
| Desc | Avera McKennan's mission is to provide healthcare services to Sioux Falls, South Dakota residents and residents of the surrounding area. Avera McKennan is a 501(c)(3) organization affiliated with Avera Health. Avera McKennan consists of a 618-bed hospital, a 53-bed heart hospital and a 126-bed nursing home in Sioux Falls, SD. Major service lines include oncology, surgery, obstetrics, pediatrics, neonatology, emergency and trauma, critical care including EICU, radiology and diagnostic imaging, psychiatry, pulmonary, orthopedics, neurology, cardiology, and gastroenterology. Transplant services include solid organ (kidney and pancreas) and bone marrow transplant.Avera McKennan owns or leases rural critical hospitals and a nursing home in South Dakota including a 17-bed critical access hospital and a 30-bed nursing home in Gregory, SD, a 25-bed critical access hospital in Milbank, SD, a 23-bed critical access hospital in Dell Rapids, SD, an 18-bed critical access hospital in Flandreau, SD, an 11-bed critical access hospital in Miller, SD (Hand County), and an 11-bed critical access hospital in Rock Rapids, IA. Services offered by the rural critical access hospitals include radiology and imaging, colonoscopy and endoscopy, therapy and rehabilitation, 24-hour emergency care, chemotherapy, orthopedics, cardiovascular testing, surgery, dialysis, and obstetrics.In addition, Avera McKennan provides clinical care, secondary and primary, through physician clinics in South Dakota, Northwest Iowa, Southwest Minnesota, and Northeastern Nebraska. The physician clinics provide primary care and urgent care, and specialties such as cardiology, dermatology, endocrinology, gastroenterology, hematology, hepatology, infectious disease, internal medicine, neonatology, nephrology, neurology, ob/gyn, oncology, ophthalmology, pediatrics, orthopedics, pain management, psychiatry, pulmonology, general surgery, and vascular services. Following is a breakdown of these statistics by facility:Avera McKennan Hospital 26,244 Acute patient discharges 1,903 Newborn patient discharges 493,038 Outpatient visits 3,615 Newborn patient days 895,624 Clinic visitsAvera Heart Hospital 2,858 Acute patient discharges 19,106 Outpatient visits 78,166 Clinic visitsAvera Prince of Peace 39,891 Long-term care resident days 392 Long-term care patient dischargesAvera Gregory Hospital (CAH) 271 Acute patient discharges 90 Swing-bed patient discharges 11,435 Outpatient visits 645 Swing-bed patient days 15,152 Clinic visitsAvera Rosebud Country Care Center 9,998 Long-term care resident days 25 Long-term care patient dischargesAvera Milbank Hospital (CAH) 294 Acute patient discharges 42 Newborn patient discharges 82 Swing-bed patient discharges 18,433 Outpatient visits 60 Newborn patient days 608 Swing-bed patient days 20,246 Clinic visitsAvera Dell Rapids Hospital (CAH) 135 Acute patient discharges 44 Swing-bed patient discharges 10,671 Outpatient visits 355 Swing-bed patient days 13,699 Clinic visitsAvera Flandreau Hospital (CAH) 145 Acute patient discharges 19 Swing-bed patient discharges 8,157 Outpatient visits 198 Swing-bed patient days 8,235 Clinic visitsAvera Hand County Hospital (CAH) 157 Acute patient discharges 37 Swing-bed patient discharges 10,410 Outpatient visits 242 Swing-bed patient days 7,656 Clinic visitsAvera Merrill Pioneer Hospital (CAH) 74 Acute patient discharges 40 Swing-bed patient discharges 8,884 Outpatient visits 372 Swing-bed patient days 5,737 Clinic visitsAvera McKennan 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 $85,289,932.Avera McKennan also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H. As a member of the Avera Health Network, Avera McKennan 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 McKennan 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 | $1,463,044,124 | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | 558 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 9770 | 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jamie Schaefer | PersonNm |
| 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 (30 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Ronald Place MD | ||||||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $726,858 | $17,030 | |||
| Tom Biegler | ||||||||||
| Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| J Pat Costello | ||||||||||
| Vice Chair | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Jennifer Bunkers | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Candyce Chrystal | ||||||||||
| Board Member | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Mary Carole Curran | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Van Fishback | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jeff Gordon Board Member | ||||||||||
| Philanthropy Council Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cristina Hill Jensen MD | ||||||||||
| Board Member/Gastroenterology | 42.00 | 0.00 | Yes (X) | $999,555 | $0 | $58,002 | ||||
| Brenda Kallemeyn MD Board Member | ||||||||||
| /Chief of Staff/ OB & Gyn | 42.00 | 0.00 | Yes (X) | $487,438 | $0 | $32,855 | ||||
| Jennifer Kirby | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Randy Knecht | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Laurie Knutson | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jawad Nazir MD Board Member | ||||||||||
| Infectious Disease & Internal Med | 42.00 | 0.00 | Yes (X) | $660,028 | $0 | $53,291 | ||||
| Alejandro Ramirez | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Alisa Reindl MD | ||||||||||
| Board Member/Family Medicine | 2.00 | 0.00 | Yes (X) | $230,904 | $0 | $24,403 | ||||
| Sister Roxanne Seifert | ||||||||||
| Board Member | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Benjamin Solomon MD | ||||||||||
| Board Member/Oncology & Hematology | 42.00 | 0.00 | Yes (X) | $733,736 | $0 | $60,683 | ||||
| Sister Lucille Welbig | ||||||||||
| Board Member | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Harriet Yocum | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Julie Lautt | ||||||||||
| CFO Avera Health;Secretary | 0.10 | 46.30 | Yes (X) | $0 | $1,203,675 | $19,401 | ||||
| Michael Elliott | ||||||||||
| Sr VP - Chief Medical Officer | 24.00 | 0.00 | $338,905 | $0 | $17,123 | Yes (X) | ||||
| Curtis Hohman | ||||||||||
| Sr VP - Network Hospitals | 24.00 | 1.00 | $235,720 | $0 | $28,157 | Yes (X) | ||||
| Tamera Larsen Engelkes | ||||||||||
| Chief Nursing Officer | 40.00 | 0.00 | $301,739 | $0 | $17,400 | Yes (X) | ||||
| Jonathan Gilhooly MD | ||||||||||
| Neurosurgery | 40.00 | 0.00 | $1,636,142 | $0 | $50,241 | Yes (X) | ||||
| Geoffrey Haft MD | ||||||||||
| Orthopedics/Surgery | 40.00 | 0.00 | $1,790,622 | $0 | $57,633 | Yes (X) | ||||
| Travis Liddell MD | ||||||||||
| Orthopedics/Surgery | 40.00 | 0.00 | $1,615,249 | $0 | $57,633 | Yes (X) | ||||
| Alex Linn MD | ||||||||||
| Neurology | 40.00 | 0.00 | $1,598,451 | $0 | $50,241 | Yes (X) | ||||
| Todd Zimprich MD | ||||||||||
| Neurology | 40.00 | 0.00 | $2,050,262 | $0 | $52,240 | Yes (X) | ||||
| David Flicek | ||||||||||
| Former President & CEO | 0.00 | 40.00 | $0 | $1,371,591 | $45,097 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,678,751 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,302,124 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $641,430 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1290 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 West Avera Drive | Sioux Falls | SD | 57108 | Shared Services | $128,385,349 |
| Journey Group Companies | |||||
| 4500 W 58th St | Sioux Falls | SD | 57108 | Construction Services | $16,069,023 |
| AMN Healthcare Inc | |||||
| 12400 High Bluff Dr | San Diego | CA | 92130 | Contract Labor | $14,574,252 |
| Surgical Institute of South Dakota PC | |||||
| 911 E 20th St 700 | Sioux Falls | SD | 57105 | Medical Dir & Prof Fees | $5,819,380 |
| Sanford School of Medicine | |||||
| 1400 W 22nd St Ste 329C | Sioux Falls | SD | 57105 | Medical Dir & Purch Svcs | $4,726,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 88 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $53,478 | FederatedCampaignsAmt |
| Related Organizations | $1,190,606 | RelatedOrganizationsAmt |
| Government Grants | $17,669,789 | GovernmentGrantsAmt |
| All Other Contributions | $4,510,133 | AllOtherContributionsAmt |
| Total Contributions | $23,424,006 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Service Revenue | 621110 | $1,374,937,377 | $1,371,692,112 | $3,245,265 |
| Pharmacy Revenue | 456110 | $118,360,832 | $118,360,832 | |
| Patient and Clinic Revenue | 621500 | $11,869,428 | $11,566,101 | $303,327 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,592,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $50,592,927 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,555,760,564 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,952,890 | TotalRevenueColumnAmt |
| Exclusion | $2,952,890 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,542,067 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,398,557 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$4,856,490 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,856,490 | TotalRevenueColumnAmt |
| Exclusion | -$4,856,490 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,800,128 | SecuritiesAmt |
| Other | $13,897 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,800,128 | SecuritiesAmt |
| Other | $13,897 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,814,025 | TotalRevenueColumnAmt |
| Exclusion | $2,814,025 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $246,021,189 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $120,978,680 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $125,042,509 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119,114,005 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,928,504 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Commercial Testing | 541380 | $3,480,898 | $3,480,898 | |
| Sports Programs | 611600 | $2,837,013 | $2,346,477 | $490,536 |
| A/R Interest Income | 900099 | $995,132 | $995,132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,313,043 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,712,450,547 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,672,811,645 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $15,304,471 | UnrelatedBusinessRevenueAmt |
| Exclusion | $910,425 | 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 | $838,611 | TotalAmt |
| Program Services | $838,611 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,639 | TotalAmt |
| Program Services | $446,639 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,304,881 | TotalAmt |
| Program Services | $3,119,057 | ProgramServicesAmt |
| Management And General | $1,185,824 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,301 | TotalAmt |
| Program Services | $87,301 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,572,460 | TotalAmt |
| Program Services | $641,235,188 | ProgramServicesAmt |
| Management And General | $8,337,272 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,551,057 | TotalAmt |
| Program Services | $24,132,451 | ProgramServicesAmt |
| Management And General | $418,606 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,790,374 | TotalAmt |
| Program Services | $74,503,810 | ProgramServicesAmt |
| Management And General | $1,286,564 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,899,412 | TotalAmt |
| Program Services | $41,171,961 | ProgramServicesAmt |
| Management And General | $727,451 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,761 | TotalAmt |
| Program Services | $46,441 | ProgramServicesAmt |
| Management And General | $438,320 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,768 | TotalAmt |
| Management And General | $42,768 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,895,970 | TotalAmt |
| Program Services | $192,103,816 | ProgramServicesAmt |
| Management And General | $82,728,746 | ManagementAndGeneralAmt |
| Fundraising | $63,408 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,627 | TotalAmt |
| Program Services | $764,591 | ProgramServicesAmt |
| Management And General | $148,227 | ManagementAndGeneralAmt |
| Fundraising | $94,809 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,832,942 | TotalAmt |
| Program Services | $11,999,866 | ProgramServicesAmt |
| Management And General | $1,817,168 | ManagementAndGeneralAmt |
| Fundraising | $15,908 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,892,133 | TotalAmt |
| Program Services | $7,763,754 | ProgramServicesAmt |
| Management And General | $128,379 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,555,286 | TotalAmt |
| Program Services | $18,291,386 | ProgramServicesAmt |
| Management And General | $6,263,900 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,797,714 | TotalAmt |
| Program Services | $4,678,665 | ProgramServicesAmt |
| Management And General | $118,081 | ManagementAndGeneralAmt |
| Fundraising | $968 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,373,809 | TotalAmt |
| Program Services | $3,221,955 | ProgramServicesAmt |
| Management And General | $151,854 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,836,422 | TotalAmt |
| Program Services | $13,860,555 | ProgramServicesAmt |
| Management And General | $2,975,867 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,953,424 | TotalAmt |
| Program Services | $51,911,461 | ProgramServicesAmt |
| Management And General | $5,041,963 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,185,127 | TotalAmt |
| Program Services | $2,606,756 | ProgramServicesAmt |
| Management And General | $2,578,371 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $353,801,889 | $352,760,189 | $1,026,442 | $15,258 |
| Provision for Income Ta | $2,373,793 | $2,373,793 | ||
| Equipment Lease/Rental | $2,171,147 | $1,785,641 | $379,012 | $6,494 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,435,681 | TotalAmt |
| Program Services | $13,340,237 | ProgramServicesAmt |
| Management And General | $93,128 | ManagementAndGeneralAmt |
| Fundraising | $2,316 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,579,131,228 | TotalAmt |
| Program Services | $1,463,044,124 | ProgramServicesAmt |
| Management And General | $115,887,943 | ManagementAndGeneralAmt |
| Fundraising | $199,161 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,573,834 | BOYAmt |
| EOY | -$1,022,710 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,011,971 | BOYAmt |
| EOY | $217,273,949 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,678,370 | BOYAmt |
| EOY | $45,142,751 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,497,439 | BOYAmt |
| EOY | $5,792,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,220,932,244 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $636,311,387 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,021,682 | BOYAmt |
| EOY | $584,620,857 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,090,724 | BOYAmt |
| EOY | $61,463,668 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,211,113 | BOYAmt |
| EOY | $609,254,394 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,999,486 | BOYAmt |
| EOY | $19,424,488 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,788,434 | BOYAmt |
| EOY | $35,922,144 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,923,332 | BOYAmt |
| EOY | $242,771,539 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,411,648,717 | BOYAmt |
| EOY | $1,820,643,330 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,739,230 | BOYAmt |
| EOY | $95,290,765 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,098,705 | BOYAmt |
| EOY | $771,666 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,885,268 | BOYAmt |
| EOY | $606,958,977 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,721 | BOYAmt |
| EOY | $17,120 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,909,565 | BOYAmt |
| EOY | $15,152,894 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,736,671 | BOYAmt |
| EOY | $96,577,114 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,392,160 | BOYAmt |
| EOY | $814,768,536 | 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 | $790,871,784 | BOYAmt |
| EOY | $978,656,050 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,384,773 | BOYAmt |
| EOY | $27,218,744 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $814,256,557 | BOYAmt |
| EOY | $1,005,874,794 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,411,648,717 | BOYAmt |
| EOY | $1,820,643,330 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $133,319,319 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $29,386,992 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,579,774 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $30,491,700 | 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 | $42,768 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $42,768 | 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 McKennan participates through various hospital organizations to promote legislation that would result in strengthening health care delivery systems on a national, regional, and local level. Dues were paid to the following organizations and a portion is attributable to lobbying. $29,609 South Dakota Association of Healthcare Organizations 4,997 Sioux Falls Chamber of Commerce 965 Iowa Hospital Association 1,365 National Association for Behavioral Healthcare 2,000 Association of Air Medical Services 315 National Home Infusion Association (NHIA) 3,517 340b Healthcare | 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 | $8,248,494 | BeginningYearBalanceAmt |
| Contributions | $397,618 | ContributionsAmt |
| Investment Earnings Or Losses | $793,335 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $246,660 | OtherExpendituresAmt |
| End Year Balance | $9,192,787 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,562,405 | BeginningYearBalanceAmt |
| Contributions | $409,240 | ContributionsAmt |
| Investment Earnings Or Losses | $540,911 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $264,062 | OtherExpendituresAmt |
| End Year Balance | $8,248,494 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,837,855 | BeginningYearBalanceAmt |
| Contributions | $904,132 | ContributionsAmt |
| Investment Earnings Or Losses | -$975,298 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $204,284 | OtherExpendituresAmt |
| End Year Balance | $7,562,405 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,708,176 | BeginningYearBalanceAmt |
| Contributions | $189,307 | ContributionsAmt |
| Investment Earnings Or Losses | $1,182,839 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $242,467 | OtherExpendituresAmt |
| End Year Balance | $7,837,855 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,327,970 | BeginningYearBalanceAmt |
| Contributions | $650,360 | ContributionsAmt |
| Investment Earnings Or Losses | -$65,383 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $204,771 | OtherExpendituresAmt |
| End Year Balance | $6,708,176 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.05881 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.78241 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.15878 | 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 | $29,165,207 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $33,151,719 | OtherCostOrOtherBasisAmt |
| Book Value | $62,316,926 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,459,982 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $739,957,775 | OtherCostOrOtherBasisAmt |
| Depreciation | $344,893,895 | DepreciationAmt |
| Book Value | $399,523,862 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $384,563,827 | OtherCostOrOtherBasisAmt |
| Depreciation | $283,473,553 | DepreciationAmt |
| Book Value | $101,090,274 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,633,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,943,939 | DepreciationAmt |
| Book Value | $21,689,795 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $584,620,857 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Avera Pooled Investments | $555,292,653 | F |
| Interest in Avera Health Foundation | $30,261,703 | F |
| Investment in Alucent | -$3,956,200 | F |
| Investment in Heart Hospital of South Dakota, LLC | $24,981,908 | F |
| Investments in Affiliated Companies | $2,674,330 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $609,254,394 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $6,100,055 |
| Right of Use Assets | $74,010,813 |
| Intercompany Assets | $162,660,671 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $242,771,539 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Derivative Liability | $1,436,216 |
| Estimated third-party payor settlements | $9,996,496 |
| Minority interest | $3,926,357 |
| Other Liabilities | $3,589,092 |
| Right of Use Capital Lease Obligations | $77,607,930 |
| Security Deposits | $21,023 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $96,577,114 | 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 on behalf of its residents. |
| Part V, Line 4: | The Organization's endowment consists of a portion of their interest in the net assets of 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. The Organization currently does not have any board designated endowment funds. |
| Part X, Line 2: | Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| 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 | $25,979,587 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,979,587 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01650 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $117,090,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,014,140 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,076,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02350 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,154,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,783,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $371,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,224,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $81,797,406 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $63,427,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,065,316 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $789,452 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,275,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,324,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,739,105 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,585,695 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,975,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,863,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,111,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,189,596 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,749,081 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,440,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,960,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,960,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,515,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,141,364 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,374,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $237,740,467 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $139,938,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $97,801,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06200 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,072 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $730,713 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $730,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $455 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $752,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $752,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $31,212,107 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $288,385,763 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $307,319,032 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,933,269 | 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 |
| Hospital Facilities | 8 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (8 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera McKennan | ||||||||||||||
| 1 | 1325 S Cliff Ave | Sioux Falls | SD | 57117 | See Part V Section C | 10563 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 41 Provider Based Clinics | |
| Heart Hospital of South Dakota LLC | ||||||||||||||
| 2 | 4500 W 69th Street | Sioux Falls | SD | 57108 | See Part V Section C | 41953 | Yes (X) | Yes (X) | Yes (X) | 2/3 Owner in Joint Venture | ||||
| Avera Milbank Area Hospital | ||||||||||||||
| 3 | 901 Virgil Ave | Milbank | SD | 57252 | See Part V Section C | 48451 | Yes (X) | Yes (X) | Yes (X) | 1 Rural Health Provider Based Clinic | Yes (X) | |||
| Avera Gregory Healthcare Center | ||||||||||||||
| 4 | 110 S Logan Ave | Gregory | SD | 57533 | See Part V Section C | 54875 | Yes (X) | Yes (X) | Yes (X) | 1 Provider Based Clinics & 1 Rural Health PB Clinics | Yes (X) | |||
| Avera Dells Area Health Center | ||||||||||||||
| 5 | 909 N Iowa Avenue | Dell Rapids | SD | 57022 | See Part V Section C | 50754 | Yes (X) | Yes (X) | Yes (X) | 1 Provider Based Clinics | Yes (X) | |||
| Avera Flandreau Medical Center | ||||||||||||||
| 6 | 214 N Prairie | Flandreau | SD | 57028 | See Part V Section C | 10540 | Yes (X) | Yes (X) | Yes (X) | 1 Rural Health Provider Based Clinic | Yes (X) | |||
| Avera Hand County Memorial Hospital | ||||||||||||||
| 7 | 300 W 5th St | Miller | SD | 57362 | See Part V Section C | 53862 | Yes (X) | Yes (X) | Yes (X) | 1 Provider Based Clinic | Yes (X) | |||
| Avera Merrill Pioneer Hospital | ||||||||||||||
| 8 | 1100 S 10th Ave | Rock Rapids | IA | 51246 | See Part V Section C | 600118H | Yes (X) | Yes (X) | Yes (X) | 2 Rural Health Provider Based Clinics | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (8 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera McKennan | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Heart Hospital of South Dakota LLC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Gregory Healthcare Center | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Milbank Area Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Dells Area Health Center | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Flandreau Medical Center | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Hand County Memorial Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 7 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Merrill Pioneer Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | Yes (1) | 21 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | See Part V, Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (35 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Avera McKennan | Part V, Section B, Line 5: Avera McKennan solicited community input in a variety of methods. A survey of residents in the Sioux Falls Metropolitan Statistical area was conducted. Three focus groups were conducted in April 2021. Key informant individual interviews were conducted in May 2021. The process involved determining the participant's opinions on our community's strengths, weaknesses, resources, and improvements. Those providing community input represented the medically underserved, low-income and minority populations as they serve these populations through their activities. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 5: Heart Hospital of South Dakota, LLC solicited community input in a variety of methods. A survey of residents in the Sioux Falls Metropolitan Statistical area was conducted. Three focus groups were conducted in April 2021. Key informant individual interviews were conducted in May 2021. The process involved determining the participant's opinions on our community's strengths, weaknesses, resources, and improvements. Those providing community input represented the medically underserved, low-income, and minority populations as they serve these populations through their activities. |
| Avera Gregory Healthcare Center | Part V, Section B, Line 5: The Community Health Needs Assessment was completed in 2021. We used an outside consultation to bring together multiple community members and organizations to answer the question: "What health needs can our facility be a partner in addressing?" Our organization used primary evidence gathering techniques with one-on-one interviews, online surveys, and town hall events. We also met with local organizations including the lions club, rotary club, city council, county commissioners, the local EMS providers, the volunteer fire department, and various church organization that represented at risk community members. The Avera Gregory Hospital Advisory Board approved the Community Health Needs Assessment. |
| Avera Milbank Area Hospital | Part V, Section B, Line 5: The assessment process, initiated by Milbank Area Hospital Avera, is an effort to identify significant unmet health needs in the community. Community input was solicited through surveys and personal interviews with community members with special knowledge of the needs of the community. Throughout the data collection process, steps were taken to ensure the hospital's community health needs assessment took into account input from persons who represent the broad interests of the community, including the medically underserved, minority, senior citizens, children, and low-income populations. |
| Avera Dells Area Health Center | Part V, Section B, Line 5: Community input was solicited using a variety of methods. To gather a broad range of interests and ensure accurate community input and representation, individual personalized invitations went out to various groups and individuals. In addition, medically underserved, low income, and minority population groups were also invited. In addition, there were two weeks of community surveys conducted in July 2021. |
| Avera Flandreau Medical Center | Part V, Section B, Line 5: Community input was solicited using a variety of methods. The Avera Flandreau Hospital identified individuals, and the Avera Flandreau Hospital Advisory Board was instrumental in generating community member involvement. Personalized invitations were extended to engage individuals in the CHNA process. Involved individuals and organizations include: Food Pantry, Public Health, Senior Meals Program, the Ministerial Association, the Avera Medical Group Flandreau Medical Staff, Avera Medical Group Flandreau Clinic Manager, Avera Flandreau Hospital Administrator, and the Avera Flandreau Hospital Director of Nursing and focus groups and paper surveys from May 23, 2022 to June 13, 2022. |
| Avera Hand County Memorial Hospital | Part V, Section B, Line 5: The CHNA process began by defining the community and collecting secondary data and resources. Once that was completed, the process continued with primary data collection including online and paper surveys. The internal CHNA committee reviewed the data collected and identified the community health needs to improve overall health of the community. The needs were then prioritized. The Avera Hand County Memorial Hospital Board of Directors approved the Community Health Needs Assessment. |
| Avera Merrill Pioneer Hospital | Part V, Section B, Line 5: Avera Merrill Pioneer Hospital conducted a community survey to collect information and data across a broad demographic of the community. The survey was distributed using Facebook and paper copies at Avera Medical Group Clinics in Rock Rapids, George, and Larchwood. The survey overall goal is reaching a wide demographic representative of the overall county population. Key informant interviews were conducted to get a closer look at problem areas identified from a previous community health needs assessment and to connect with individuals serving vulnerable or medically underserved populations. The key informant interviews were conducted over the phone with Lyon County Public Health, Sioux Rivers Regional Disability Services Coordinator, Lyon County Ambulance Director, Rock Rapids Health Center Director of Nursing, the Central Lyon High School Superintendent, and West Lyon High School Superintendent. Throughout the data collection process, steps were taken to ensure the hospital's community health needs assessment considered input from persons who represent the broad interests of the community, including the medically underserved, minority, senior citizens, children, and low-income populations. |
| Avera McKennan | Part V, Section B, Line 6a: The CHNA was conducted with Heart Hospital of South Dakota, LLC, Sioux Falls VA Medical Center, and Sanford USD Medical Center. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 6a: The CHNA was conducted with Avera McKennan, Sioux Falls VA Medical Center, and Sanford USD Medical Center. |
| Avera McKennan | Part V, Section B, Line 6b: City of Sioux Falls Health Department |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 6b: City of Sioux Falls Health Department |
| Avera McKennan | Part V, Section B, Line 11: The community health needs assessment was completed during fiscal year 2022. The community health priority areas identified were: Active Living, Healthy Eating, Mental Health and Substance Use, Oral Health, and Preventative Care. The identified needs will be addressed through a three-year, collaborative Community Health Improvement Plan (CHIP). The CHIP is a multi-partner collaboration spearheaded by the Sioux Falls Health Department, Avera McKennan Hospital & University Health Center (including Avera Heart Hospital), Sanford USD Medical Center, and the Sioux Falls VA Health Care System. Lead agencies were identified to lead the three work groups established to address the five priority areas. Avera McKennan is co-leading efforts, in partnership with Sanford Health, to address Mental Health and Substance Abuse and Preventative Care strategies. In addition, Avera McKennan and the Avera Heart Hospital will participate in efforts to support strategies to improve Active Living, Healthy Eating, and Oral Health. PRIORITY AREA #1: ACTIVE LIVINGFY2024 Update: The Active Living workgroup has realized the following successes and continues to advance work to promote active living. - Began conducting a physical activity audit for Sioux Falls to understand where there are gaps in services. Whether that be proximity to parks or gyms, access to trails, or free/reduced price opportunities. - Looking at a potential new software that would help identify demographics of community members/guests utilizing parks, trails, events, etc. The idea is to better understand who is using the system and how to increase equitable access for populations underserved for activity access. - Currently exploring opportunities to centralize physical activity opportunities online. This is similar to 211 services, but specifically for active living/exercise opportunities. - Looking at sustainability options to take over hosting the Fall Prevention programming from Sanford. - Complete Streets evaluation was completed and presented to the Active Transportation Board, Bike Committee, and Pedestrian Committee.PRIORITY AREA #2: HEALTHY EATINGFY2024 Update: The Health Eating workgroup ultimately focused their efforts on collaboration with another non-profit, Sioux Falls Thrive, to develop and launch a Mobile Food Market. The following work has taken place: - The Eat Well Sioux Falls Mobile Market has officially launched as of October 2023. There are currently 6 spots located in and/or serving low-income, low-access areas in the community. - The market accepts SNAP benefits, as well as Avera's Food as Medicine benefits. - Mobile Market offers opportunities for community members to shop, volunteer, promote, and support either financially or through donations. - Sioux Falls Thrive's Food Security Action Team and the City's Food Policy Council have now officially merged into the Food Security and Healthy Eating Network Team. This group will oversee the EWSF Mobile Market, community engagement, policy workgroup, and general network team projects.PRIORITY AREA #3: MENTAL HEALTH AND SUBSTANCE USEFY2024 Update:The Mental Health Workgroup focused on supporting the 988 initiative and workgroup members leveraged their own organizations to promote this effort. By the end of FY2024, the Mental Health Workgroup agreed to disband and Avera continued with the following: - Avera continued to support the 988 initiative by continuing the award-winning "Ask the Question" campaign that encourages people to ask if someone exhibiting warning signs has thought about or is thinking about suicide. Asking the question is a critical starting point to getting help. - Campaign calls to action were directed to 988 first to promote this effort. - Campaign casts a broad net and includes multiple forms of media advertisement. Avera continues to support other key strategies, including providing education/training to schools and parents regarding mental health and substance abuse. PRIORITY AREA #4: ORAL HEALTHFY2024 Update:The Oral Health workgroup has conducted numerous events targeting improving childhood oral health including: - The three identified areas of work were established: Increase the number of Medicaid providers in the community, Increase workforce in the dental fields, and increase donated dental care. - 333 staff were trained to provide fluoride varnish at well-child visits. - Sioux Empire Smiles saw 130 children for free dental care. This resulted in $58k in donated care, 7 follow-up dental office visits, and 20 were identified to need surgery. Most of the children seen were undocumented and a few others were on Medicaid. - Oral health promotion through 4 community events seeing 7,000 children in October of 2023. - Avera Refugee and Immigrant back to school event- 175 attended, 48 had fluoride varnish applied, information provided for upcoming dental clinic. - Initiated Statewide workgroup for workforce development including focus on state technical schools, state universities, and dental organizations. The South Dakota Dental Association (SDDA) continued a campaign called Open the Door to Dental Care: - This statewide campaign encourages the increase in dental provider participation in Medicaid. - Reimbursement rates have increased to 70% of average billed charges. - Annual maximums have been raised to $2,000 and benefits have improved.PRIORITY AREA #5: PREVENTIVE CAREFY2024 Update:The Preventative Care workgroup, similar to the Mental Health Workgroup, collaborated to develop strategies, but leveraged their own agencies and systems to make the greatest impact.Avera continued to invest in the Community Health Worker program and expanded the Avera Community Health Resource Center. The following work has taken place during FY2024: - The Avera Community Health Resource Center includes 7 Community Health Workers who speak a total of 15 languages. - Strategic decision made to focus on closing the health equity gaps within a specific, vulnerable population. - Immigrant & Refugee population continues to have some of the greatest needs and numerous barriers to accessing care - especially preventative care. The Resource Center serves as a trusted space where community members can go for assistance in establishing primary care, specialty care, screenings, jobs, insurance enrollment, and other important quality-of-life services. Avera primary care clinics began utilizing a preventive care registry to monitor and increase preventive care visits. Avera McKennan and Avera Heart Hospital are addressing, or collaborating to address, all aspects of all top needs identified in the 2022 Community Health Needs Assessment. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 11: The community health needs assessment was completed during fiscal year 2022. The community health priority areas identified were: Active Living, Healthy Eating, Mental Health and Substance Use, Oral Health, and Preventative Care. The identified needs will be addressed through a three-year, collaborative Community Health Improvement Plan (CHIP). The CHIP is a multi-partner collaboration spearheaded by the Sioux Falls Health Department, Avera McKennan Hospital & University Health Center (including Avera Heart Hospital), Sanford USD Medical Center, and the Sioux Falls VA Health Care System. Lead agencies were identified to lead the three work groups established to address the five priority areas. Avera McKennan is co-leading efforts, in partnership with Sanford Health, to address Mental Health and Substance Abuse and Preventative Care strategies. In addition, Avera McKennan and the Avera Heart Hospital will participate in efforts to support strategies to improve Active Living, Healthy Eating, and Oral Health. PRIORITY AREA #1: ACTIVE LIVINGFY2024 Update: The Active Living workgroup has realized the following successes and continues to advance work to promote active living. - Began conducting a physical activity audit for Sioux Falls to understand where there are gaps in services. Whether that be proximity to parks or gyms, access to trails, or free/reduced price opportunities. - Looking at a potential new software that would help identify demographics of community members/guests utilizing parks, trails, events, etc. The idea is to better understand who is using the system and how to increase equitable access for populations underserved for activity access. - Currently exploring opportunities to centralize physical activity opportunities online. This is similar to 211 services, but specifically for active living/exercise opportunities. - Looking at sustainability options to take over hosting the Fall Prevention programming from Sanford. - Complete Streets evaluation was completed and presented to the Active Transportation Board, Bike Committee, and Pedestrian Committee.PRIORITY AREA #2: HEALTHY EATINGFY2024 Update: The Health Eating workgroup ultimately focused their efforts on collaboration with another non-profit, Sioux Falls Thrive, to develop and launch a Mobile Food Market. The following work has taken place: - The Eat Well Sioux Falls Mobile Market has officially launched as of October 2023. There are currently 6 spots located in and/or serving low-income, low-access areas in the community. - The market accepts SNAP benefits, as well as Avera's Food as Medicine benefits. - Mobile Market offers opportunities for community members to shop, volunteer, promote, and support either financially or through donations. - Sioux Falls Thrive's Food Security Action Team and the City's Food Policy Council have now officially merged into the Food Security and Healthy Eating Network Team. This group will oversee the EWSF Mobile Market, community engagement, policy workgroup, and general network team projects.PRIORITY AREA #3: ORAL HEALTHFY2024 Update:The Oral Health workgroup has conducted numerous events targeting improving childhood oral health including: - The three identified areas of work were established: Increase the number of Medicaid providers in the community, increase workforce in the dental fields, and increase donated dental care. - 333 staff were trained to provide fluoride varnish at well-child visits. - Sioux Empire Smiles saw 130 children for free dental care. This resulted in $58k in donated care, 7 follow-up dental office visits, and 20 were identified to need surgery. Most of the children seen were undocumented and a few others were on Medicaid. - Oral health promotion through 4 community events seeing 7,000 children in October of 2023. - Avera Refugee and Immigrant back to school event- 175 attended, 48 had fluoride varnish applied, information provided for upcoming free dental clinic. - Initiated Statewide workgroup for workforce development including focus on state technical schools, state universities, and dental organizations. The SDDA continued a campaign called Open the Door to Dental Care: - This statewide campaign encourages the increase in dental provider participation in Medicaid. - Reimbursement rates have increased to 70% of average billed charges. - Annual maximums have been raised to $2,000 and benefits have improved.Avera Heart Hospital is not addressing Mental health and substance abuse or Preventive care as those areas do not closely align with their focus. |
| Avera Gregory Healthcare Center | Part V, Section B, Line 11: The community health needs assessment was completed during fiscal year 2022. Three needs were identified in the CHNA: need for new facilities in our area to administer healthcare, increase diagnostic capabilities of our imaging department to eliminate unnecessary travel, and increased need for dialysis in our community. FY2024 Update:The new Avera Gregory Hospital facility continues to accommodate local providers and visiting outreach specialists. The new facility doubled the space and accommodates the latest technology and evidence-based medical practices.With the new facility, Avera Gregory is able to offer expanded on-site services. There is on-site support for surgery and specialty needs. A 24-hour emergency room consists of one trauma room and one treatment room with access to emergency telemedicine services that offer immediate backup and support to the local team. The emergency room has direct indoor access to an ambulance garage and decontamination room in case of chemical spills. On the roof is a helipad for Careflight, Avera's air transport service. A magnetic resonance imaging (MRI) suite is new to the Gregory Hospital, with access to this diagnostic technology seven days a week instead of a once-weekly mobile service offered previously. Other diagnostic technology includes ultrasound, mammography, digital x-ray, and CT.An endoscopic room and large surgical suite allow providers and visiting outreach specialists to perform more procedures locally, preventing patients from having to travel when possible. The on-site dialysis center was expanded from four stations to five, and operates three days a week, with the option of expanding to six days a week to accommodate need. A therapy gym provides flexible space for physical and occupational therapy.Avera Gregory Hospital identified other topics through the assessment processes but were not chosen as a focus due to limited resources and feasibility; - COVID-19 concerns including noncompliance by community and vaccination and booster rates; - Housing options that are available for new people moving to the community, safe and affordable, assistance to the aging population; - Workforce concerns in how we will continue to keep the healthcare campus, local EMS service, and home health and hospice services adequately staffed, including recruitment of doctor of medicine and registered nurses to the community; and - Healthy eating options including access to fresh produce at the local grocery store, more restaurants with healthy food options, nutrition classes, and health snack options for staff on the healthcare campus. |
| Avera Milbank Area Hospital | Part V, Section B, Line 11: Milbank Area Hospital Avera conducted a community health needs assessment during FY2022. After review of the primary and secondary data, the Milbank Area Hospital Avera leadership team weighed the findings against available resources and potential sustainability. These criteria were used as they prioritized the identified needs.Based on the results of this assessment, Milbank Area Hospital Avera is committed to addressing the following identified significant community health need: - Addition of mental health services. - Greater outreach to ethnic minority patients. - Health education and health screenings.The following actions will be taken in future years to address the identified and prioritized community health needs:MENTAL HEALTH - Collaborate with local school and community to provide education to school-age children about mental health in a relatable way. - Mental health screenings of patients at clinic and hospital registration.FY2024 Update:- Recruitment efforts continue to add mental health personnel to our campus.- Continue to offer compassionate behavioral health services. - Continue to educate on understanding suicide and knowing the warning signs. Utilize the Avera "Ask the Question" Campaign.- Continue to offer the community grief support group. The grief support group is well-received and participation remains high. MINORITY POPULATION - Develop and strengthen relationships and partnerships with organizations currently serving ethnic minority populations. - Distribute information packages to a local corporation that employs a large number of individuals with Hispanic background. - Enhance offerings and activities to be inclusive of all local cultural groups. - When recruiting for various positions in the hospital and clinic, include the need for bilingual employees. - Develop a community health worker program - focus on health disparities and advance health equities within underserved populations.FY2024 Update:- We continue to partner with our local library to offer education sessions and provide health care related information to a minority population.HEALTH EDUCATION/SCREENINGS - Enhance offerings and activities to be inclusive of all local cultural groups. - Expand community health education and screenings, including lung, heart, and vascular screening. - Continue to provide bi-monthly radio interviews to educate on services available and promote health screenings such as mammograms and colon cancer screening.FY2024 Update:Avera Milbank Area Hospital, along with Avera Medical Group Milbank, provides education for the public through their Facebook page. Avera has assisted with educational information to be posted on a regular basis to keep the community informed. The Facebook page continues to be an excellent source to provide education to the public regarding disease prevention and health maintenance. The Facebook page is also used to promote community events for the betterment of health and well-being of the people of the community.Milbank Area Hospital Avera will not be directly addressing other areas of concern identified through the assessment process. While the leadership team recognizes that other concerns exist, the hospital does not have the resources to address at this time. |
| Avera Dells Area Health Center | Part V, Section B, Line 11: The community health needs assessment was completed during fiscal year 2022. Two needs were identified in the CHNA: Offer additional local healthcare services, and access/convenience to medical care.Offer additional local healthcare servicesFY2024 Update: Continued to use social media and online portals to promote local health care services available in the community. Participated in community events to promote local health services and educate the public on preventative health and wellness programs and opportunities. A zip code study of market services has been started for future planning in the greater market area.Access/convenience to medical careFY2024 Update:Continued to use community events to promote healthy eating and education on the benefits of good nutrition on health. A new dietician started in FY23 who is continuing to develop and promote nutrition health in the community. The dietician has coordinated some education classes at the local grocery store on reading food labels and how the various foods interact with their personal wellness goals.Avera Dells Area Hospital identified the following needs not being addressed in the 2022 Implementation Strategy: tobacco education/cessation, mental health, physical activity, outreach services, and nutrition education. Each of these needs were presented to the Avera Dells Area Medical Staff, Advisory Board, and Hospital Leadership Teams during the prioritization process, all of which felt there were other more impactful areas to focus on. |
| Avera Flandreau Medical Center | Part V, Section B, Line 11: The community health needs assessment was completed during fiscal year 2022. Two needs were identified in the CHNA: access to healthcare through affordability and chemical dependency. Access to Healthcare through Affordability - Avera is compliant with the Health Care Price Transparency Act and provides its pricing information to the public via its website. Avera has recently begun to provide out-of-pocket cost estimates for scheduled patients who will be paying for services with their own resources (not using a third-party payer). This process provides patients an estimate of what they will be responsible for after their visit. Avera is also nearing completion of a more automated process for all patients in which they will have an estimate of out-of-pocket costs they will incur for scheduled visits to Avera Flandreau Hospital and Avera Medical Group-Flandreau. - Avera offers charity care to those eligible for the service and for those who complete the necessary paperwork. Opportunities may exist to create greater awareness and greater ease of use of this process.Chemical Dependency Services - In 2020 Avera built the Avera Addiction Care Center in Sioux Falls. It is a residential addiction treatment facility which offers programming and residential life for adults 18 and older. It is hoped that the expansion of services will create greater access to chemical dependency services. - Avera Behavioral Health Urgent Care is another possible resource to address chemical dependency situations in a timely manner. - The Avera Behavioral Health Assessment Team is available to our patients 24/7; this is a free service to the public. - Moody County Cares mental health board is community based and run by county residents. Avera Flandreau employees are active on the mental health board and will look for ways to partner toward meeting our goal. - The opportunity exists to partner with Flandreau area law enforcement such as the Flandreau Police Department, Moody County Sheriff, and the Santee Sioux Tribal Police. FY2024 Update: Avera Flandreau continued to improve public awareness of health care service options for individuals dealing with mental health concerns or chemical dependency. Avera Flandreau provides space in the clinic for a community mental health counselor and routinely makes referrals to this professional. The mental health professional comes to Avera Flandreau twice a month. Avera Flandreau Hospital provides financial support for the Hope Squad for education on suicide prevention through the Flandreau High School. The hope-squad program is an educational-school based, peer to peer curriculum. Their goals are preventing suicide through public awareness and education, reducing the stigma, and serving as a resource to those touched by suicide. FY2024 Avera Flandreau provided a donation of T-Shirts for an event promotion.Avera Flandreau Hospital identified the following needs not being addressed in the 2022 Implementation Strategy: mental health, outreach services, and nutrition education. Each of these needs were presented to the Avera Flandreau Medical Staff, Advisory Board, and Hospital Leadership Team during the prioritization process, all which felt there were more impactful areas to focus on and utilize resources. |
| Avera Hand County Memorial Hospital | Part V, Section B, Line 11: Avera Hand County conducted a community health needs assessment during FY2022. After review of the primary and secondary data, the Hand County leadership team weighed the findings against available resources and potential sustainability. These criteria were used as they prioritized the identified needs.Based on the results of this assessment, Avera Hand County is committed to addressing the following prioritized community health needs: - Mental Health Access and Resources. - Health & Weight Management and Maintenance.Mental Health Access and ResourcesFY2024 Update:- Avera Hand County continues to utilize eServices allowing for more access to specialty care in the community. The specialties available through eConsult platform include hepatology, gynecology, and gastroenterology. Virtual Psychiatry services are available through eEmergency/eBehavioral Health in the emergency department. This includes 24/7 access to psychiatry assessment and consultation for emergency department patients.Health & Weight Management and MaintenanceFY2024 Update:- Avera Hand County Memorial Hospital, along with Avera Medical Group-Miller, continues to provide education for the public through their Facebook page. Avera has assisted with educational information to be posted on a regular basis to keep the community informed. The Facebook page continues to be an excellent source to provide education to the public regarding disease prevention and health maintenance. The hospital and clinic distributed at least one healthcare conditional topic per month.FY2024 Update:- In January 2024, the hospital and clinic participated in the local Farm and Home Show by offering immunization information, educational handouts on fall risk and balance impairments, and complimentary blood pressure checks. During the Farm and Home Show they offered a Wellness Membership special.FY2024 Update:- In an effort to service the health and well-being of our communities, Avera Hand County Memorial Hospital continues to provide 24-hour access to the wellness center using a person specific access code. |
| Avera Merrill Pioneer Hospital | Part V, Section B, Line 11: Avera Merrill Pioneer conducted a community health needs assessment during FY2022. After review of the primary and secondary data, the Avera Merrill Pioneer leadership team weighed the findings against available resources and potential sustainability. These criteria were used as they prioritized the identified needs.Based on the results of this assessment, Avera Merrill Pioneer is committed to addressing the following identified significant community health needs: 1. Improving the mental health of the community 2. Obesity 3. Improve utilization of preventative careImprove access to Mental Health services in Lyon CountyFY2024 Update: - Flowstate has been fully implemented in the ER to support our patients with Behavioral Health needs. This includes evaluation to determine if outpatient or inpatient care is best for next steps. If inpatient care is determined as the next step, Flowstate supports finding appropriate placement. They have strong working relationships with area Behavioral Health services to best facilitate this process in a timely manner. - We provided table tents in our public areas including the Rapids Bistro, clinic waiting rooms, and hospital waiting rooms sharing local Behavioral Health Services in our area. - To identify patients with higher risk of depression, we continue screening in our clinics and emergency department utilizing the evidence based PHQ-9 questionnaire. - Avera Merrill Pioneer Hospital CEO is a member of the Lyon County Behavioral Health Team, which works to promote local behavioral health services within Lyon County and beyond. Provide services and promote a healthy lifestyleFY2024 Update: - AMG Rock Rapids has developed a comprehensive weight management program. This program works with patients to evaluate current situation, diet, activity, eating habits and comorbidities associated or exacerbated by excess weight. Together the patient, provider, dietitian, and other care team members as needed develop a holistic treatment plan that includes, diet, exercise, non-pharmacologic, and pharmacologic options. This approach is designed to best manage weight loss for the long-term in an effective and safe manner. - We continue to promote via patient education and online resources the importance of being physically active and encourage the community to take advantage of the walking trail and fitness stations. - In collaboration with the City of Rock Rapids and the Rock Rapids Development Corporation, continue to emphasize the importance of physical activity and expansion and improvement of the communities overall walking trail system. - Avera Merrill Pioneer Hospital CEO is an active member of the Lyon County Planning Council, which works to promote healthcare services in the Lyon County area and beyond. Provide preventative care services to promote the health of the community.FY2024 Update: - Through our Facebook page, Avera Merrill Pioneer and Avera Medical Group promote health screenings including sports physicals, immunizations, colonoscopy, mammography and more. - The hospital is currently providing space for Lyon County Public Health whose offices were destroyed during a flood. By providing this space, they can continue their work to promote health and provide services to the community in an appropriate setting. At this time, all of the identified Community Health Priorities are being supported in some way. We work hard to continue to advance our service to better meet the needs of our community. |
| Avera McKennan | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Heart Hospital of South Dakota, LLC | 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 included on the billing statement. |
| Avera Gregory Healthcare Center | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Milbank Area Hospital | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Dells Area Health Center | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Flandreau Medical Center | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Hand County Memorial Hospital | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Merrill Pioneer Hospital | 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 included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Part V, Section B, line 7a: | Hospital facility's website for CHNA:avera.org/about/community-health-needs-assessments/ |
| Part V, Section B, line 10a: | Hospital facility's website for Implementation Strategy:avera.org/about/community-health-needs-assessments/ |
| Part V, Section A website addresses: | Avera McKennanavera.org/locations/profile/avera-mckennan-hospital-university-health-center/Heart Hospital of South Dakota, LLCavera.org/locations/profile/avera-heart-hospital-sioux-falls/Avera Milbank Area Hospitalavera.org/locations/profile/milbank-area-health-care-campus/Avera Gregory Healthcare Centeravera.org/locations/profile/avera-gregory-hospital/Avera Dells Area Health Centeravera.org/locations/profile/avera-dells-area-hospital/Avera Flandreau Medical Centeravera.org/locations/profile/avera-flandreau-hospital/Avera Hand County Memorial Hospitalavera.org/locations/profile/avera-hand-county-memorial-hospital/Avera Merrill Pioneer Hospitalavera.org/locations/profile/avera-merrill-pioneer-hospital/ |
| 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. |
| Part V, Section B, Line 16a, 16b, and 16c: | avera.org/patients-visitors/pay-my-bill-online/financial-assistance-programs/ |
| 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. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 39 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Avera McKennan Behavioral Health Center | ||||
| 4400 W 69th St | Sioux Falls | SD | 57108 | Inpatient & Outpatient behavioral health services |
| 2 - Avera Plaza 2 Pharmacy | ||||
| 1301 S Cliff Avenue | Sioux Falls | SD | 57105 | Retail pharmacy |
| 3 - Avera Prince of Peace | ||||
| 4500 S Prince of Peace Place | Sioux Falls | SD | 57103 | Skilled nursing facility |
| 4 - Avera McKennan Home Infusion | ||||
| 1020 S Cliff Avenue | Sioux Falls | SD | 57105 | Comprehensive home infusion therapies & supplies |
| 5 - Avera Brookings Infusion | ||||
| 310 22nd Ave STE 101 | Brookings | SD | 57006 | Comprehensive home infusion therapies & supplies |
| 6 - McKennan Regional Laboratory | ||||
| 1325 S Cliff Avenue | Sioux Falls | SD | 57105 | Laboratory services |
| 7 - Avera Medical Group Worthington | ||||
| 1216 Ryans Road | Worthington | MN | 56187 | Primary care clinic |
| 8 - Avera Rosebud Country Care Center | ||||
| 300 Park Avenue | Gregory | SD | 57533 | Skilled nursing facility |
| 9 - Avera McKennan Fitness Center | ||||
| 3400 S Southeastern Drive | Sioux Falls | SD | 57105 | Fitness center |
| 10 - Avera 69th Street Pharmacy - Behavioral | ||||
| 4400 W 69th St Suite 300 | Sioux Falls | SD | 57108 | Retail pharmacy |
| 11 - Avera McKennan Hosp & Univ Campus Pharm | ||||
| 1325 S Cliff Avenue | Sioux Falls | SD | 57105 | Retail pharmacy |
| 12 - Avera Institute for Human Genetics | ||||
| 1301 S Cliff Avenue | Sioux Falls | SD | 57108 | Genetic research program |
| 13 - Laurel Oaks Apartments | ||||
| 4510 S Prince of Peace Place | Sioux Falls | SD | 57103 | Independent living apartments |
| 14 - Avera Medical Group Sibley | ||||
| 600-9th Avenue North | Sibley | IA | 51249 | Primary care clinic |
| 15 - Avera Research Institute | ||||
| 3720 W 69th St | Sioux Falls | SD | 57108 | Clinical research studies |
| 16 - Avera Dermatology Pharmacy | ||||
| 6701 South Minnesota Avenue | Sioux Falls | SD | 57108 | Retail pharmacy |
| 17 - Avera Medical Group Occupational Med | ||||
| 2100 S Marion Rd | Sioux Falls | SD | 57106 | Business and corporate health care clinic |
| 18 - Avera Medical Group Big Stone City | ||||
| 451 Main Street | Big Stone City | SD | 57216 | Primary care clinic |
| 19 - Hegg Medical Clinic Avera | ||||
| 2121 Hegg Drive | Rock Valley | IA | 51247 | Primary care clinic |
| 20 - Health Care Clinic | ||||
| 300 North Dakota Avenue Suite 117 | Sioux Falls | SD | 57104 | Free healthcare clinic |
| 21 - Community Blood Bank | ||||
| 1301 South Cliff Avenue Suite 3 | Sioux Falls | SD | 57105 | Community blood services |
| 22 - Yorkshire Eye Clinic | ||||
| 2311 Yorkshire Drive | Brookings | SD | 57006 | Ophthalmology and optometry clinic |
| 23 - Rural Medical Clinics | ||||
| 301 South Walnut Street | Freeman | SD | 57029 | Primary care clinic |
| 24 - Dakota Family Medical Center | ||||
| 101 South Front PO Box 27 | Chamberlain | SD | 57325 | Primary care clinic |
| 25 - Pipestone Medical Group Avera | ||||
| 920 - 4th Avenue SW | Pipestone | MN | 56164 | Primary care clinic |
| 26 - Avera Medical Group McGreevy Salem | ||||
| 740 South Hill | Salem | SD | 57058 | Primary care clinic |
| 27 - Avera Medical Group Larchwood | ||||
| 916 Holder Street PO Box 8 | Larchwood | IA | 51241 | Primary care clinic |
| 28 - Avera Medical Group Lakefield | ||||
| 221 3rd Avenue | Lakefield | MN | 56150 | Satellite primary care clinic |
| 29 - Avera Addiction Care Center | ||||
| 6140 S Curae Lane | Sioux Falls | SD | 57108 | Addiction care facility |
| 30 - Avera Human Performance | ||||
| 6800 S Louise Avenue | Sioux Falls | SD | 57108 | Sports medicine and training facility |
| 31 - AMG-McGreevy Dawley Farm Urgent Care | ||||
| 1600 South Highline Place | Sioux Falls | SD | 571101000 | Urgent care |
| 32 - AMG-McGreevy Family Hlth Ctr Urgent Care | ||||
| 2100 S Marion Rd | Sioux Falls | SD | 571063646 | Urgent care |
| 33 - Avera on Louise Health Campus | ||||
| 6100 S Louise Ave | Sioux Falls | SD | 57108 | Inpatient & Outpatient Surgical Hospital |
| 34 - Avera Pharmacy - SF Louise Avenue | ||||
| 6100 S Louise Ave | Sioux Falls | SD | 57108 | Retail pharmacy |
| 35 - Avera Medical Group Dermatology Aberdeen | ||||
| 105 S State Street Suite 202 | Aberdeen | SD | 57401 | Dermatology clinic |
| 36 - Avera Medical Group Dermatology Brookings | ||||
| 310 22nd Ave | Brookings | SD | 57006 | Dermatology clinic |
| 37 - Avera Medical Group Palliative Medicine | ||||
| 911 E 20th Street Suite 400 | Sioux Falls | SD | 57105 | Palliative Care Clinic |
| 38 - Avera Medical Group Oncology Aberdeen | ||||
| 310 S Penn St | Aberdeen | SD | 57401 | Oncology clinic |
| 39 - Avera Medical Group Oncology Mitchell | ||||
| 605 N Foster St | Mitchell | SD | 57301 | Oncology clinic |
Supplemental Information Detail SupplementalInformationDetail (15 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 methodology was used to calculate the amounts reported in the table. A cost accounting system was used to calculate Medicaid and Means-tested Government Program expenses and shortfalls and Subsidized Health Services for our tertiary medical center. A cost to charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to calculate charity care at cost for all entities and Medicaid and Means-tested Government Program expenses and shortfalls and Subsidized Health Services for any operations outside of the tertiary medical center. For all other amounts, costs and revenues as reflected by the general ledger system were used. |
| Part I, Line 7g: | Physician clinic costs for transplant services and behavioral health services are included in subsidized health services. Revenue of $9,892,852 and costs of $19,755,414 were included for a net community benefit of $9,862,562. Our facility is the principal provider of bone marrow, pancreas and kidney transplant services throughout our service area, with the clinics as a crucial component of successful pre- and post-transplant care. Similarly, our behavioral health clinics are key supports to patients whether as primary care for behavioral health needs or support in conjunction with inpatient treatment. |
| Part II, Community Building Activities: | The community building activities include monetary assistance to organizations that focus their efforts on providing neighborhood improvement projects in high needs areas, children and youth development programs, local economic development, and job creation and training programs. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents. |
| Part III, Line 4: | The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 19 and 20. |
| Part III, Line 8: | The Medicare revenues received (line 5), allowable costs (line 6), and the resulting loss (line 7) does not include a significant portion of the Organization's expenses. These lines require use of the Medicare cost report as prepared by the required guidelines which disallows numerous costs of hospitals, particularly if they are part of an integrated system such as Avera McKennan. In these cases, the entity must file a home office cost report which "steps down" overhead to non-cost report entities disproportionately to actual allowable share and essentially removes the costs from the hospital's cost report entirely. Examples of a portion of these overhead costs would be finance, business office, information technology, human resources, and administration. Examples of non-cost report entities operated by Avera McKennan include clinics, mobile imaging services, long-term care facilities, and other health care related businesses. There are also costs completely disallowed by cost report rules such as bad debt expense, hospitalists care, CRNA's, and interest expense. Avera McKennan also receives a Medicare Disproportionate Share Hospital (DSH) adjustment as part of the cost report due to its significant number of low-income patients served. Part III, line 5 requires inclusion of this revenue though expenses included are much lower. Schedule H instructions also require the exclusion of $11,008,208 of Medicare losses because they are included in Schedule H, Part 1, Line 7f or 7g. Including the Medicare percentage of disallowed costs, entities which don't file a cost report but nevertheless care for Medicare patients, and the impact of the home office cost report, the Medicare shortfall is $135,149,781 as opposed to a shortfall of $18,933,269. |
| 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: | Community needs assessment occurs at various points in the system. Through annual strategic planning sessions, community leaders are brought in to update and educate Avera McKennan board members and administrative council on the successes, challenges, and service gaps in the community. Examples include community health workers, community health program leaders, community non-profit leaders, school district officials, state health department officials, and community health organizations. Leaders also serve on boards of various community organizations which seek to address the health and well-being of community members. Local governing boards of outlying facilities, who are members of the community, discuss and help direct resources to areas of targeted needs as well. |
| 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 McKennan's service area is a largely rural population. Services are provided through a health care network of clinics, critical access hospitals and tertiary facilities covering communities in four states. The main tertiary facility is in a population center of over 206,400 served by another non-profit hospital of similar size, Veterans Administration Hospital, a hospital dedicated to diagnosis and treatment of heart disease, and a hospital for children with special health care needs. Outside of this population center, most of the communities served have less than 4,000 residents. The primary service area includes four counties covering approximately 2,600 square miles and contains seven federally designated medically underserved communities. Per the 2023 U.S. Census Bureau QuickFacts data, an average of 7.35% of residents in the primary service area are at or below the poverty level. Our secondary service area covers an additional 17 counties in South Dakota, Iowa, and Minnesota. |
| Part VI, Line 5: | Surplus funds are reinvested in facilities to improve patient care.Medical staff privileges are extended to all qualified physicians in the community. The Avera McKennan Board of Trustees is principally comprised of community members from the primary service area. Members come from a variety of backgrounds ranging from private industry and banking to healthcare.Avera McKennan is a verified Level II trauma center and was the first such Center in the State of South Dakota. Avera McKennan's Emergency Department is staffed 24 hours a day with board-certified emergency specialists and provides emergency care regardless of ability to pay. Avera McKennan had 44,577 Emergency Department visits in FY 2024. Operating both Fixed Wing and Helicopter medical air transports, Avera McKennan's flight teams cover a large geographic area providing state-of-the-art air transport services and access to critical care, with 2,755 flights in the past year.Health Care Clinic: In 1992, Avera McKennan established a Health Care Clinic to provide free care for people who are uninsured or underinsured in the community. The clinic is managed by a Registered Nurse and staffed by Registered Nurses, two midlevel providers, medical residents, and volunteer health care providers. The goal of the clinic is to prevent or treat patients' medical conditions before they become catastrophic. The clinic averages 379 visits per month. The clinic provides preventative care, diagnosis and treatment of illnesses and injuries, medication assistance and assistance in obtaining specialist care for patients with complex cases. The clinic also serves to train physicians, nurses, and other health care students. It provides a free evening clinic one evening per month, staffed by medical students under supervision of physicians. Avera McKennan is the only health care organization to provide free services such as this in the state of South Dakota. The clinic had 4,546 visits in 2024 and was operated at an annual cost of $1,217,580. Partnership in Live Well Sioux Falls: The City of Sioux Falls received a Community Health Transformation Grant from the South Dakota Department of Health, sparking a project to improve the health and well-being of the citizens of Sioux Falls. Guided by the City of Sioux Falls Health Department, this ongoing project is known as Live Well Sioux Falls. It involves more than 24 community partner organizations. Among these partners are Avera McKennan and the other major health care system in Sioux Falls, Sanford Health. Avera plans to work in partnership with the City of Sioux Falls and Sanford Health to address the priorities of Live Well Sioux Falls and arrive at solutions which are collaborative in nature.Avera McKennan collaborates with Live Well Sioux Falls to promote the Big Squeeze, a hypertension initiative in April to promote blood pressure screening and education, with the goal of diagnosing high blood pressure. One in three American adults have high blood pressure, but only half of them have it under control, adding to the risk of stroke, heart attack and vascular disease.Residency/Health Professions Training and Internships: In calendar year 2023, Avera McKennan had approximately 60 medical residents in training at Avera McKennan in Internal Medicine, Family Practice, Psychiatry, Geriatrics and Transitional Residency Programs offered in partnership with the University of South Dakota School of Medicine. Over 1,000 students in medicine, nursing, pharmacy, physician assistant programs, medical assisting, radiology, and respiratory therapy also completed clinical rotations at Avera McKennan. In non-clinical areas, Avera McKennan offers paid and nonpaid internships in the areas of research, finance, administration, therapies, exercise science and social work. Avera McKennan is currently legally affiliated with approximately 158 institutions of higher education.Patient and Community Education: Avera McKennan is a regional leader in offering educational programs for a variety of learners, leaders, and employees. Utilizing advanced technology, many of these programs are provided electronically throughout the tri-state area. Educational sessions are offered to medical staff, employees, health care professionals, students at all levels, and the general public. Utilizing Avera McKennan's Education Center, a broad cross-section of classes involving diverse audiences are provided as a community service each year. 1. Online resources: Avera McKennan offers vast free patient educational online resources on its public website on numerous health topics, with suggestions for lifestyle change, behavior modification and management for improved health. 2. To Be Well free education events were held on topics including orthopedics, cancer, diabetes, weight loss/healthy eating, multiple sclerosis, anxiety, and acupuncture. 3. Forums: The Avera Behavioral Health Center offers free Friday Forums, in which school counselors and therapists are invited to presentations on children's mental health topics such as conflict cycles, reactive attachment disorder, depression and bipolar disorder in children, and teen substance use, abuse and addiction. 4. The Avera Behavioral Health Center offers free monthly educational sessions on various topics followed by discussion for adults who have been impacted by a loved one's mental illness. Topics have included grief and loss, anxiety, and parenting strategies for managing challenging behaviors. 5. Women's & Children's Services: Avera McKennan's Women's & Children's Services offers a number of parenting and community education opportunities for free or at a minimal cost. In fiscal year 2024, 59 childbirth education classes were held with 179 attendees, as well as 99 participants online. Free burn education was provided to 9,000 students during presentations in schools as well as at the Washington Pavilion. 6. Daycare training: Free of charge, Avera McKennan offers two in-service training sessions per month to daycare providers through EmBe, with a total of 12 scheduled annually, and additional sessions for requested topics. Support groups: Avera McKennan offers approximately 10 free support groups. They range in topic from cancer to liver disease, diabetes, bone marrow transplant, stroke, and grief and loss. The organization provides free meeting space as well as speakers and leaders. Information and Assistance: Avera McKennan operates a 24-hour Medical Call Center, through which patients have access to nurse triage at no cost to the patient. Patients can call a toll-free number and talk personally with a Registered Nurse to ask health questions or receive general health information. Avera McKennan's web site also provides an extensive health library that consumers can access free of charge.Interpreter service: Avera McKennan employs two full-time, two part-time and one PRN Spanish interpreter in-house, and also employs two Community Outreach Consultants that can serve as interpreters for Arabic, Amharic, Oromo, Russian and Kunama. Their services are offered to patients free of charge. In addition, in cooperation with external agencies, Avera McKennan is able to handle 210 different languages and dialects through phone, video remote interpreting and other means. Interpretation services are available for patients when they are at Avera McKennan in person, or when they call by phone. All the above services are provided at no cost to the patient.Transport to Transplant: Avera McKennan developed the Transport to Transplant project, which removes transportation barriers for patients from rural areas which may prevent them from completing the evaluation and testing needed for kidney and/or pancreas transplant. A van funded through a grant from the Avera McKennan Foundation is used to transport patients who demonstrate a financial need. Patients are brought to the Avera Transplant Institute for a condensed multi-day evaluation with all testing and visits completed in less than one week. Ultimately, the project results in improved morbidity and mortality, as kidney transplant doubles patient survival as compared to remaining on dialysis.Continued below. |
| 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. |
| Part VI, Line 5, continued: | Avera Family Wellness: This program is designed to support families and children in need of early intervention mental health services. The families have direct access to mental health services when needed. This program combines positive activities like mental health therapy (our therapists are specifically trained in dealing with high need families, a variety of play therapies and addressing issues of childhood trauma), psychiatry, family and school coordination and classroom enrichment services. Referrals come from the early childhood program, as well as our partner elementary schools. The goal is to lessen the number of adverse childhood experiences to improve the chances for children living in poverty to be successful in school and in life. Families with the most difficult situations are being referred by the school district. We expanded our number of counselors for this program as the need has grown.The Walsh Family Village: This hospitality house complex adjacent to the Avera McKennan campus provides a home away from home for patients and their families who come for care at Avera McKennan from outside of Sioux Falls. The project was funded by donations and is operated by Avera McKennan. 25 guest rooms are available. Avera McKennan also donates use of the building in the complex for a Ronald McDonald House for families of pediatric patients. If they can afford it, guests are charged a low fee per night. Guests are not turned away due to inability to pay the fee. Employees regularly donate non-perishable food items to stock a food pantry for guests. In fiscal year 2024, the Walsh Family Village served 630 guests, staying in 7,207 nightly rooms, a 78% occupancy. Avera McKennan provides a subsidy of approximately $438,831.17 per year to operate the hospitality complex. Prevention and support of substance use disorder: Avera McKennan is a partner with Face it TOGETHER, Inc., a nonprofit organization which serves as the local face and voice of recovery from addiction through its recovery support services, advocacy and awareness programs. Avera has been a partner with Face it TOGETHER since its inception, and in a recent awareness campaign.Support of the arts and cultural life: Avera McKennan hosts Sioux Falls' only indoor SculptureWalk. Artists donate sculptures for one year, which are placed at locations throughout Avera McKennan's campus, in buildings connected by skywalks. Brochures contain a map, and visitors who follow the route suggested walk approximately 1 mile, making this a healthy as well as a cultural journey.Community Benefits: Avera McKennan provides additional community benefits including: support of youth programs; homeless programs; community arts programming; health prevention; awareness and education about cancer, heart disease and other conditions; and support of the Sioux Empire United Way and other services in the region. |
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 | Sioux Empire Triage Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 132 N Dakota Ave | AddressLine1Txt |
| City | Sioux Falls | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 844806781 | RecipientEIN |
| IRC Section | 501(c)3 | IRCSectionDesc |
| Cash Grant | $800,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Program Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Assistance with medical expenses | GrantTypeTxt |
| Recipient | 4263 | RecipientCnt |
| Cash Grant | $446,639 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The governing board and management develop programs which enhance the charitable mission of the Organization. Disbursement for grants or assistance for these programs are made in accordance with prescribed procedures and are subject to conditions established by the Organization's governing board and management, which are designed to ensure that individuals and organizations receiving grants or assistance are adequately investigated to ensure that they are qualified recipients. | 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Todd Zimprich MD | ||||||||||||||
| Neurology | $1,202,952 | $0 | $838,762 | $0 | $8,548 | $0 | $16,500 | $0 | $35,740 | $0 | $2,102,502 | $0 | $0 | $0 |
| Geoffrey Haft MD | ||||||||||||||
| Orthopedics/Surgery | $1,688,358 | $0 | $15,088 | $0 | $87,176 | $0 | $16,500 | $0 | $41,133 | $0 | $1,848,255 | $0 | $0 | $0 |
| Jonathan Gilhooly MD | ||||||||||||||
| Neurosurgery | $1,522,448 | $0 | $16,200 | $0 | $97,494 | $0 | $16,500 | $0 | $33,741 | $0 | $1,686,383 | $0 | $0 | $0 |
| Travis Liddell MD | ||||||||||||||
| Orthopedics/Surgery | $1,288,338 | $0 | $217,101 | $0 | $109,810 | $0 | $16,500 | $0 | $41,133 | $0 | $1,672,882 | $0 | $0 | $0 |
| Alex Linn MD | ||||||||||||||
| Neurology | $1,491,639 | $0 | $60,000 | $0 | $46,812 | $0 | $16,500 | $0 | $33,741 | $0 | $1,648,692 | $0 | $0 | $0 |
| David Flicek | ||||||||||||||
| Former President & CEO | $0 | $1,327,499 | $0 | $700 | $0 | $43,392 | $0 | $16,500 | $0 | $28,597 | $0 | $1,416,688 | $0 | $0 |
| Julie Lautt | ||||||||||||||
| CFO Avera Health;Secretary | $0 | $1,197,590 | $0 | $480 | $0 | $5,605 | $0 | $16,500 | $0 | $2,901 | $0 | $1,223,076 | $0 | $0 |
| Cristina Hill Jensen MD | ||||||||||||||
| Board Member/Gastroenterology | $782,930 | $0 | $213,834 | $0 | $2,791 | $0 | $16,500 | $0 | $41,502 | $0 | $1,057,557 | $0 | $0 | $0 |
| Benjamin Solomon MD | ||||||||||||||
| Board Member/Oncology & Hematology | $660,303 | $0 | $72,047 | $0 | $1,386 | $0 | $16,500 | $0 | $44,183 | $0 | $794,419 | $0 | $0 | $0 |
| Ronald Place MD | ||||||||||||||
| President & CEO | $0 | $676,736 | $0 | $30,000 | $0 | $20,122 | $0 | $16,500 | $0 | $530 | $0 | $743,888 | $0 | $0 |
| Jawad Nazir MD Board Member | ||||||||||||||
| Infectious Disease & Internal Med | $640,866 | $0 | $15,588 | $0 | $3,574 | $0 | $16,500 | $0 | $36,791 | $0 | $713,319 | $0 | $0 | $0 |
| Brenda Kallemeyn MD Board Member | ||||||||||||||
| /Chief of Staff/ OB & Gyn | $368,315 | $0 | $118,234 | $0 | $889 | $0 | $16,500 | $0 | $16,355 | $0 | $520,293 | $0 | $0 | $0 |
| Michael Elliott | ||||||||||||||
| Sr VP - Chief Medical Officer | $336,461 | $0 | $252 | $0 | $2,192 | $0 | $16,500 | $0 | $623 | $0 | $356,028 | $0 | $0 | $0 |
| Tamera Larsen Engelkes | ||||||||||||||
| Chief Nursing Officer | $299,371 | $0 | $1,675 | $0 | $693 | $0 | $15,085 | $0 | $2,315 | $0 | $319,139 | $0 | $0 | $0 |
| Curtis Hohman | ||||||||||||||
| Sr VP - Network Hospitals | $232,902 | $0 | $390 | $0 | $2,428 | $0 | $11,955 | $0 | $16,201 | $0 | $263,876 | $0 | $0 | $0 |
| Alisa Reindl MD | ||||||||||||||
| Board Member/Family Medicine | $211,267 | $0 | $19,155 | $0 | $482 | $0 | $11,676 | $0 | $12,727 | $0 | $255,307 | $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 and CEO is compensated by Avera Health. Avera McKennan relied on the related organization for determining the compensation for the President using the methods described in Part I, Line 3. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kelsey Knecht | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family of Board Member | RelationshipDescriptionTxt |
| Transaction | $87,301 | TransactionAmt |
| Transaction | Employee Compensation | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | David Flicek, Ronald Place, Julie Lautt, Sister Candyce Chrystal and Sister Roxanne Seifert 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 section 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, all 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. 16) To initiate and give final approval to equity and asset transfers by and between the Member and the Corporation and any affiliates or subsidiaries of the Member. 17) To initiate and give final approval to (i) any and all issuances of obligations under any existing or future master indentures binding the Corporation, any indebtedness (including, without limitation, capitalized leases) in excess of dollar thresholds as may be from time to time established by the Member, and (ii) any pledges of collateral for such indebtedness and any pledges of real estate as collateral for any indebtedness regardless of amount. 18) Full and exclusive power to execute supplemental master indentures, including, without limitation, those authorizing the issuance of obligations or series of obligations, (ii) full and exclusive power to prepare, or authorize the preparation of, any and all documents, agreements, swap agreements, investment contracts, certificates and disclosure materials (including, without limitation, Official Statements and any supplements thereto) reasonably and ordinarily prepared in connection with the issuance of obligations thereunder, or related bonds associated therewith and to execute and deliver such items to the appropriate parties in connection therewith and (iii) full and exclusive power to authorize the entrance of members to, or withdrawal of members from, any obligated group, subject to the other requirements of the applicable master indenture for such entrance or withdrawal. |
| Form 990, Part VI, Section A, line 8b | Avera does not have any committees with 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 McKennan. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents and conflict of interest policy are not made available to the general public. The Organization's financial statements are attached to the Form 990 per IRS instructions and therefore available to the general public. |
| Form 990, Part VI, Section B, Line 16b: | There is no written policy or procedure requiring the Organization to evaluate its participation in joint venture arrangements. 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 must be approved by the board and the member. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 86,177,776. Management and general expenses 5,345,323. Fundraising expenses 63,408. Total expenses 91,586,507. Medical Professional Fees: Program service expenses 24,940,504. Management and general expenses 29,940. Fundraising expenses 0. Total expenses 24,970,444. Repairs & Maintenance: Program service expenses 27,976,625. Management and general expenses 375,189. Fundraising expenses 0. Total expenses 28,351,814. Centralized Services: Program service expenses 53,008,911. Management and general expenses 76,978,294. Fundraising expenses 0. Total expenses 129,987,205. |
| 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.) |
| Form 990, Part XI, line 9: | Equity transfers 24,839,652. Other changes in net assets 1,539,331. Change in Interest of Avera Health Foundation 4,112,717. |
| Form 990, Part XII, Line 2c: | The Audit Committee of Avera Health, parent organization of Avera McKennan, selects the auditor and reviews the consolidated audited financial statements for Avera Health, which inclues Avera McKennan. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Alumend LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 460224743 | Research and development | SD | -$1,789,472 | -$3,956,200 | Avera McKennan |
| MRIS LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 470874983 | Healthcare Services | SD | $0 | $0 | Avera McKennan |
| Sioux Falls Hospital Management LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 562141521 | Management company of Heart Hospital | NC | $4,196,809 | $12,490,954 | West 69th Street LLC |
| West 69th Street LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 460224743 | Holding company | SD | $4,196,809 | $12,490,954 | Avera McKennan |
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 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 Street | 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 Luke's | |||||||||||
| 305 South State Street | Aberdeen | SD | 57401 | 460224598 | Healthcare Services | SD | 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 HME 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 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 | 0 | 0 | Avera McKennan | Related | $6,221,732 | $51,652,820 | 0.66670 | |
| Surgical Associates Endoscopy Clinic LLC | ||||||||||||||
| 310 S Pennsylvania St | Aberdeen | SD | 57401 | 460461429 | Surgical Associates | SD | N/A | 0 | 0 | |||||
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | Level 10 30 Collings Street | Melbourne | VIC 3000 | AS | AS | Alucent Biomedical Inc | $531,683 | $247,493 | 0.70200 | ||||||||
| Alucent Biomedical Inc | ||||||||||||||||||
| 675 S Arapeen Dr Ste 102 | Salt Lake City | UT | 84108 | 471818349 | Biotechnology | SD | C | Yes (1) | Alumend LLC | -$8,327,603 | $7,027,725 | 0.70200 | ||||||
| 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 | |||||||||
| 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 | |||||||||
| Kore Cares In Home Services LLC | ||||||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 882778902 | In-Home Care Services | SD | N/A | S | 0 | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | Yes (1) | 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 | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Avera Heart Hospital of South Dakota LLC | ||
| L | $3,315,640 | Intercompany detail from GL |
| Avera Heart Hospital of South Dakota LLC | ||
| Q | $2,928,075 | Intercompany detail from GL |
| Avera Heart Hospital of South Dakota LLC | ||
| R | $5,095,062 | Intercompany detail from GL |
| Avera Heart Hospital of South Dakota LLC | ||
| S | $9,232,108 | Intercompany detail from GL |