2022-11-14T15:22:49-06:00 2021-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2021-01-01 460451539 AVERA HEALTH PLANS INC AVER 6053224500 5300 S BROADBAND LN SIOUX FALLS SD 57108 CHRISTOPHER JESSEN CFO 6053224500 2022-11-11 1 CHRISTOPHER JESSEN 999009999 LAURIE HANSON CPA P00851848 6053391999 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BOB SUTTON 5300 S BROADBAND LN SIOUX FALLS SD 57108 403006736 0 X AVERAHEALTHPLANS.COM X 1999 SD PROVIDE LOW-COST, HIGH QUALITY HEALTH PLAN COVERAGE. 9 2 180 10 1268603 0 10759 0 323732805 335626713 3201722 9187858 0 0 326945286 344814571 500000 550000 0 0 13268510 15575231 0 0 0 285398873 367210661 299167383 383335892 27777903 -38521321 110420388 89852085 45940073 56185936 64480315 33666149 X AVERA IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES. 0 0 352616459 550000 33562713 AS AN ESSENTIAL COMPONENT OF THE AVERA HEALTH INTEGRATED DELIVERY PLAN, AVERA HEALTH PLANS (AHP) PROVIDES COVERAGE AND CONDUCTS OTHER ACTIVITIES THAT INCREASE THE HEALTH OF THE COMMUNITY IN ITS SERVICE AREA. AHP CONDUCTS SUBSTANTIALLY ALL OF ITS ACTIVITIES WITHIN THE SERVICE AREA OF AVERA HEALTH, BUT DOES CONDUCT A SMALL PORTION BEYOND THE AVERA HEALTH SERVICE AREA TO FULFILL ITS MISSION OF MAKING A POSITIVE IMPACT IN THE COMMUNITIES IT SERVES BY ENSURING ADEQUATE RURAL HEALTH CARE IS AVAILABLE. AHP PROVIDES HEALTH INSURANCE COVERAGE TO AN UNDERSERVED POPULATION INCLUDING ELDERLY AND LOW INCOME, HIGH RISK AND MEDICALLY UNDERSERVED PERSONS. OF THE 89,000 TOTAL MEMBERS SERVED IN 2021, 10,283 OF THESE MEMBERS WERE MEDICARE SUPPLEMENT MEMBERS AND APPROXIMATELY 33.3% CONSISTS OF INDIVIDUALS OR EMPLOYEES OF SMALL GROUPS. APPROXIMATELY 21,600 MEMBERS ARE INDIVIDUALS AND MORE THAN 93.2% OF THE HEALTH CARE EXCHANGE ENROLLEES IN THE INDIVIDUAL CATEGORY WERE ELIGIBLE TO RECEIVE AN ADVANCE PREMIUM TAX CREDIT, WHICH MEANS THEY WERE BELOW 400% OF THE FEDERAL POVERTY LIMIT.AVERA HEALTH PLANS IS FURTHER DISTINGUISHED FROM FOR-PROFIT PLANS BY ITS PARTICIPATION IN THE FEDERAL HEALTH INSURANCE EXCHANGE/MARKETPLACE. AHP HAS AFFORDABLE, COMMUNITY-RATED REMIUMSWHICH ARE MARKET COMPETITIVE, AND THAT DO NOT COVER AHP'S COSTS. NET MEDICAL AND PHARMACY CLAIMS EXPENSE RESULTED IN A MEDICAL INCOME RATIO (MIR) AVERAGE OF 102% FOR 2021. SIGNIFICANT FINANCIAL SUPPORT BY AVERA HEALTH (501(C)(3)) ALLOWS AHP TO REMAIN FINANCIALLY VIABLE.IN ADDITION TO PROVIDING LOW-COST INSURANCE COVERAGE, AHP CONDUCTS FREE AND/OR LOW COST MEDICAL SCREENINGS AT THE LOCATION OF ITS EMPLOYER GROUPS FOR THE BENEFIT OF ALL EMPLOYEES. AHP ALSO SPONSORS HEALTH EDUCATION OPEN FORUMS, OPEN HOUSES, AND WEBINARS THAT ARE OPEN TO THE PUBLIC. 352616459 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 2441 0 1 180 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 2 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 1 1 0 X CHRISTOPHER JESSEN CFO 6053224500 5300 S BROADBAND LN SIOUX FALLS SD 57108 BOB SUTTON PRESIDENT 1.00 40.00 X X 0 2049889 51910 JULIE LAUTT SEC/TREASURER 1.00 40.00 X X 0 1051228 16194 DOUG EKEREN DIRECTOR 1.00 40.00 X 0 689391 43702 DEBRA MULLER CEO 40.00 0.00 X X 553955 0 23057 GARY GASPAR DIRECTOR 1.00 0.00 X 0 0 0 DR THOMAS DEAN DIRECTOR UNTIL 08/2021 1.00 0.00 X 0 0 0 DR CLARK LIKNESS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL BENDER DIRECTOR 1.00 0.00 X 0 0 0 CLARK SINCLAIR DIRECTOR 1.00 0.00 X 0 0 0 ANDREW ELLSWORTH DIRECTOR FROM 08/2021; PHYSICIAN 1.00 40.00 X 0 204095 48465 RICH KORMAN VICE PRESIDENT 1.00 40.00 X 0 796087 45202 DR PRESTON RENSHAW CMO 40.00 0.00 X 397883 0 51130 JORDAN ANDERSON VICE PRESIDENT OF SALES 40.00 0.00 X 303226 0 50750 CHRISTOPHER JESSEN CFO 40.00 0.00 X 249519 0 51091 LISA CARLSON COO 40.00 0.00 X 209565 0 44669 GREG JASMER CAO 40.00 0.00 X 208462 0 47217 LUKE MERKEL DIRECTOR OF PHARMACY 40.00 0.00 X 177955 0 46145 TANNA GRIES DIRECTOR OF FINANCIAL RPTG 40.00 0.00 X 165234 0 11258 RENEE SCHROEDER MEDICAL DIRECTOR 40.00 0.00 X 234439 0 36277 SHELLIE REITZEL DIRECTOR OF SALES UNTIL 05/2021 40.00 0.00 X 213628 0 22549 DONALD BLADT MANAGER - PHARMACY 40.00 0.00 X 155577 0 22150 2869443 4790690 611766 31 0 1 0 BEECHER EVERGREEN MGD CARE 6 CONCOURSE PARKWAY STE 2300 ATLANTA GA 30328 CONSULTING SERVICES 3781601 FLEXTECH INC 445 BUTTERNUT DRIVE HOLLAND MI 49424 CONSULTING SERVICES 3514836 HEALTHEDGE SOFTWARE INC PO BOX 347589 PITTSBURGH PA 152514816 CONTRACTED SERVICES 2688059 MUTUAL MED INSURANCE SVC LLC 4321 E 60TH ST DAVENPORT IA 52807 COMMISSIONS 1337607 MILLIMAN 17335 GOLF PARKWAY STE 100 BROOKFIELD WI 53045 ACTUARIAL SERVICES 1027547 49 PREMIUM INCOME 524114 315217411 315217411 REIMBURSEMENTS BY UNINSURED PLANS 900099 12691742 12691742 COST CONTAINMENT ALLOCATIONS 900099 6416089 6416089 NONMEMBER ADMIN SERVICES 524114 1250352 1250352 COB AND SUBROGATION 900099 35141 35141 15978 -2273 18251 335626713 2051362 2051362 65328661 58192165 7136496 7136496 7136496 344814571 334358110 1268603 9187858 550000 550000 2190524 775977 1414547 10529079 3748259 6780820 457964 159404 298560 1564275 962094 602181 833389 295808 537581 38907 38907 144043 144043 135747 135747 17371137 2555437 14815700 375849 9016 366833 875978 303178 572800 54849 54849 443506 443506 48387 4482 43905 19593 3430 16163 298023 298023 104632 104632 HOSPITAL AND MEDICAL 327497697 327497697 CLAIMS ADJUSTMENT EXPEN 11155992 11155992 PREMIUM TAXES 3546577 3546577 STATE AND FEDERAL ASSES 196177 196177 4903567 4297662 605905 383335892 352616459 30719433 0 24943256 -589128 78534392 72998737 6942740 17442476 110420388 89852085 6334802 6532186 4744222 3428348 34861049 46225402 45940073 56185936 X 100 100 44079053 54079053 20401162 -20413004 64480315 33666149 110420388 89852085 X -38521321 -4787680 12494835 X 0 1 X 1 0 0 PREMIUMS DUE AND UNPAID 2254743 INVESTMENT INCOME ACCRUED 235029 REINSURANCE RECOVERABLE ON PAID LOSSES 583389 RECEIVABLES FROM PARENT, SUBSIDIARIES, AND AFFILIATES 10218589 RECEIVABLES RELATING TO UNINSURED PLANS 1324 OTHER 4149402 17442476 ESTIMATED INCOMPLETE AND UNREPORTED CLAIMS PAYABLE, NET 31801102 UNPAID CLAIMS ADJUSTMENT EXPENSES 890000 AGGREGATE HEALTH POLICY RESERVE 13066380 PAYABLE TO PARENT, SUBSIDIARIES AND AFFILIATES 467920 46225402 X 325533344 0 325533344 135747 19145480 19281227 344814571 364054665 0 364054665 135747 19145480 19281227 383335892 PART X, LINE 2: THE PLAN BELIEVES THAT APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE COMPANY 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. FOR STATE INCOME TAX PURPOSES, THE COMPANY IS TAXED AS AN INSURANCE COMPANY. THE PLAN RECORDED PROVISIONS FOR UNRELATED BUSINESS INCOME TAX BENEFIT/(EXPENSE) OF $0 AND $($334) AS OF DECEMBER 31, 2021 AND 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: THIRD PARTY ADMINISTRATOR REVENUE OFFSET IN EXPENSE FOR AUDIT 12,691,742. COB AND SUBROGATION IN EXPENSE FOR AUDIT 35,141. COST CONTAINMENT ALLOCATIONS IN EXPENSE FOR AUDIT 6,416,089. REVENUE RECLASSIFICATION 2,508. PART XII, LINE 4B - OTHER ADJUSTMENTS: THIRD PARTY ADMINISTRATOR REVENUE OFFSET IN EXPENSE FOR AUDIT 12,691,742. COB AND SUBROGATION IN EXPENSE FOR AUDIT 35,141. COST CONTAINMENT ALLOCATIONS IN EXPENSE FOR AUDIT 6,416,089. REVENUE RECLASSIFICATION 2,508. 1 SOUTH DAKOTA PARTNERS IN EDUCATION 520 W 4TH ST SIOUX FALLS SD 57104 813704298 501(C)(3) 550000 0 SCHOLARSHIP 1 PART I, LINE 2: THE ORGANIZATION WAS INCENTED TO MAKE THE DONATION TO SOUTH DAKOTA PARTNERS IN EDUCATION TAX CREDIT PROGRAM WHICH WAS ENACTED IN THE 2016 STATE LEGISLATIVE SESSION. THE PROGRAM PROVIDES TAX CREDITS TO INSURANCE COMPANIES WHO DONATE TO A NONPROFIT SCHOLARSHIP GRANTING ORGANIZATION THAT PROVIDES PRIVATE SCHOOL SCHOLARSHIPS TO STUDENTS WHO MEET THE INCOME AND GRADE REQUIREMENTS. ORGANIZATIONS WHO DONATE ARE ELIGIBLE FOR A PREMIUM TAX CREDIT OF UP TO 100 PERCENT OF THE VALUE OF THE DONATION. THE ORGANIZATION PROVIDES AN ACKNOWLEDGMENT RECEIPT TO AHP CONFIRMING THAT THE DONATION WILL BE USED FOR SCHOLARSHIPS. 1 0 0 0 0 0 0 1 0 BOB SUTTON PRESIDENT 0 2035739 0 0 0 14150 0 14500 0 37410 0 2101799 0 0 JULIE LAUTT SEC/TREASURER 0 1032072 0 10440 0 8716 0 14500 0 1694 0 1067422 0 0 RICH KORMAN VICE PRESIDENT 0 770437 0 10000 0 15650 0 14500 0 30702 0 841289 0 0 DOUG EKEREN DIRECTOR 0 675177 0 700 0 13514 0 14500 0 29202 0 733093 0 0 DEBRA MULLER CEO 539576 0 440 0 13939 0 8496 0 14560 0 577011 0 0 0 DR PRESTON RENSHAW CMO 394414 0 225 0 3244 0 14500 0 36630 0 449013 0 0 0 JORDAN ANDERSON VICE PRESIDENT OF SALES 193940 0 107626 0 1660 0 14500 0 36250 0 353976 0 0 0 CHRISTOPHER JESSEN CFO 246623 0 0 0 2896 0 12960 0 38130 0 300609 0 0 0 RENEE SCHROEDER MEDICAL DIRECTOR 232701 0 0 0 1738 0 4802 0 31474 0 270715 0 0 0 GREG JASMER CAO 206179 0 225 0 2058 0 9947 0 37270 0 255679 0 0 0 LISA CARLSON COO 207510 0 0 0 2055 0 9958 0 34710 0 254233 0 0 0 ANDREW ELLSWORTH DIRECTOR FROM 08/2021; PHYSICIAN 0 162539 0 39480 0 2076 0 10675 0 37790 0 252560 0 0 SHELLIE REITZEL DIRECTOR OF SALES UNTIL 05/2021 39748 0 23531 0 150349 0 10819 0 11730 0 236177 0 0 0 LUKE MERKEL DIRECTOR OF PHARMACY 175947 0 0 0 2008 0 9432 0 36714 0 224101 0 0 0 DONALD BLADT MANAGER - PHARMACY 140604 0 0 0 14973 0 7961 0 14189 0 177727 0 0 0 TANNA GRIES DIRECTOR OF FINANCIAL RPTG 161463 0 400 0 3371 0 8231 0 3028 0 176493 0 0 0 PART I, LINE 3 THE PRESIDENT'S COMPENSATION IS PAID BY A RELATED ORGANIZATION, AVERA HEALTH. AVERA HEALTH PLANS, INC. RELIED ON THE RELATED ORGANIZATION FOR DETERMINING THE COMPENSATION FOR THE PRESIDENT USING THE METHODS DESCRIBED IN PART I, LINE 3. PART I, LINE 4A SHELLIE REITZEL RECEIVED A SEVERANCE PAYMENT OF $149,119.60. PART I, LINE 7 A FORMULA IS USED TO DETERMINE BONUSES PAID FOR NEW SALES AND RETENTION. MONTGOMERY FURNITURE ENTITY OWNED MORE THAN 35% BY BOARD MEMBER CLARK SINCLAIR 486823 HEALTH INSURANCE 0 INTERSTATE OFFICE PRODUCTS ENTITY OWNED MORE THAN 35% BY BOARD MEMBER GARY GASPAR 271089 HEALTH INSURANCE 0 INTERSTATE OFFICE PRODUCTS ENTITY OWNED MORE THAN 35% BY BOARD MEMBER GARY GASPAR 9108 OFFICE PRODUCTS 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE SHAREHOLDER OF THE ORGANIZATION IS AVERA HEALTH, A NONPROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF SOUTH DAKOTA AND EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. FORM 990, PART VI, SECTION A, LINE 7A AVERA HEALTH AS THE SOLE SHAREHOLDER HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B AVERA HEALTH AS THE SOLE SHAREHOLDER HAS THE POWER AT ALL TIMES TO CONDUCT BUSINESS WITH RESPECT TO THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE FORM 990 IN DEPTH PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. ANY DECLARATIONS OF CONFLICT OF INTEREST ARE 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 PRESIDENT IS 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 FOR COMPENSATION 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. THE CEO, CFO, CMO, VP OF SALES, CAO AND COO ARE COMPENSATED BY AVERA HEALTH PLANS. COMPENSATION IS DETERMINED BY AVERA HEALTH PLANS HUMAN RESOURCES BASED ON A MARKET ANALYSIS. THE COMPENSATION COMMITTEE APPROVES THE COMPENSATION OF THE CEO, CFO, CMO VP OF SALES, CAO AND COO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE MADE AVAILABLE THROUGH THE SECRETARY OF STATE'S WEBSITE. (HTTPS://SOS.SD.GOV) STATUTORY FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST BY CONTACTING THE SOUTH DAKOTA DIVISION OF INSURANCE. THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE UPON REQUEST. PART VI LINE 16B THE PURPOSE OF ANY COMPANY THAT AVERA HEALTH PLANS INVESTS IN IS REVIEWED TO ENSURE THAT IT WILL FURTHER THE MISSION OF OUR ORGANIZATION. FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS 2,494,835. CAPITAL CONTRIBUTED FROM PARENT COMPANY 10,000,000. AVERA HEALTH 3900 W AVERA DRIVE SUITE 300 SIOUX FALLS SD 57108 460422673 PROMOTION OF HEALTH SD 501(C)(3) LINE 10 N/A 0 AVERA ST ANTHONY'S HOSPITAL 300 N 2ND STREET ONEILL NE 68763 470463911 HEALTHCARE SERVICES NE 501(C)(3) LINE 3 AVERA HEALTH 0 AVERA HOLY FAMILY 826 NORTH 8TH STREET ESTHERVILLE IA 51334 420680370 HEALTHCARE SERVICES IA 501(C)(3) LINE 3 AVERA HEALTH 0 HOLY FAMILY HOSPITAL FOUNDATION 826 NORTH 8TH STREET ESTHERVILLE IA 51334 421317452 SUPPORT OF HOLY FAMILY HOSPITAL AND HOME HEALTH AGENCY IA 501(C)(3) LINE 10 AVERA HOLY FAMILY 0 STBENEDICT HEALTH CENTER 401 WEST GLYNN DRIVE PARKSTON SD 57366 460226738 HEALTHCARE SERVICES SD 501(C)(3) LINE 12A, I AVERA HEALTH 0 STBENEDICT HEALTH CENTER FOUNDATION WEST GLYNN DRIVE PO BOX B PARKSTON SD 57366 460458725 SUPPORT HEALTH RELATED SERVICES SD 501(C)(3) LINE 10 ST BENEDICT HEALTH CENTER 0 AVERA MCKENNAN 1325 S CLIFF AVE PO BOX 5045 SIOUX FALLS SD 57117 460224743 HEALTHCARE SERVICES SD 501(C)(3) LINE 3 AVERA HEALTH 0 AVERA QUEEN OF PEACE HOSPITAL 525 NORTH FOSTER MITCHELL SD 57301 460224604 HEALTHCARE SERVICES SD 501(C)(3) LINE 3 AVERA HEALTH 0 SACRED HEART HEALTH SERVICES 501 SUMMIT STREET YANKTON SD 57078 460225483 HEALTHCARE SERVICES SD 501(C)(3) LINE 3 AVERA HEALTH 0 AVERA GETTYSBURG 606 EAST GARFIELD GETTYSBURG SD 57442 460234354 HEALTHCARE SERVICES SD 501(C)(3) LINE 3 AVERA ST MARY'S 0 AVERA AT HOME 5116 S SOLBERG AVE SIOUX FALLS SD 57108 460399291 HOME SERVICES SD 501(C)(3) LINE 10 AVERA HEALTH 0 LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY 1000 W 4TH STREET SUITE 9 YANKTON SD 57078 460337013 HEALTHCARE EDUCATION SD 501(C)(3) LINE 10 SACRED HEART HEALTH SERVICES 0 AVERA STLUKE'S 305 SOUTH STATE STREET ABERDEEN SD 57401 460224598 HEALTHCARE SERVICES SD 501(C)(3) LINE 3 AVERA HEALTH 0 AVERA STMARY'S 801 EAST SIOUX AVENUE PIERRE SD 57501 460230199 HEALTHCARE SERVICES SD 501(C)(3) LINE 3 AVERA HEALTH 0 AVERA MARSHALL 300 S BRUCE STREET MARSHALL MN 56258 410919153 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 AVERA HEALTH 0 AVERA TYLER 240 WILLOW STREET TYLER MN 56178 410853163 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 AVERA MARSHALL 0 AVERA GRANITE FALLS 345 10TH AVE GRANITE FALLS MN 56241 843156881 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 AVERA MARSHALL 0 BROOKINGS HEALTH SYSTEM - AVERA HME LLC 101 22ND AVE SUITE 101 BROOKINGS SD 57006 453204123 HEALTHCARE SERVICES SD N/A 0 0 AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC 2400 S MINNESOTA AVE SIOUX FALLS SD 57117 800619999 MEDICAL SERVICES - HOME MEDICAL EQUIPMENT SD N/A 0 0 SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC 310 S PENN ABERDEEN SD 57401 460461429 SURGICAL ASSOCIATES SD N/A 0 0 AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER LLC 38 19TH ST SW SIOUX CENTER IA 51250 753203100 MEDICAL SERVICES - HOME MEDICAL EQUIPMENT SD N/A 0 0 HEART HOSPITAL OF SOUTH DAKOTA LLC 4500 W 69TH STREET SIOUX FALLS SD 57108 562143771 HEALTHCARE SERVICES SD N/A 0 0 AVERA HOME MEDICAL EQUIPMENT OF FLOYD VALLEY HOSPITAL LLC 714 LINCOLN ST NE LEMARS IA 51031 820582350 MEDICAL SERVICES - HOME MEDICAL EQUIPMENT SD N/A 0 0 NATIONAL RURAL ACO 4 LLC DBA PRAIRIE HILLS CARE ORGANIZATION 7509 NW TIFFANY SPRINGS PARKWAY KANSAS CITY MO 64153 371780735 ACCOUNTABLE CARE ORGANIZATION KS N/A 0 0 AVERA HOME MEDICAL EQUIPMENT OF LAKES REGIONAL HEALTHCARE LLC 2301 HWY 71 SOUTH SPIRIT LAKE IA 51360 862949748 MEDICAL SERVICES - HOME MEDICAL EQUIPMENT IA N/A 0 0 CARAVAN HEALTH ACO 15 LLC DBA PRAIRIE VISTA CARE ORGANIZATION 7509 NW TIFFANY SPRINGS PARKWAY KANSAS CITY MO 61453 611843657 ACCOUNTABLE CARE ORGANIZATION MO N/A 0 0 ACCOUNTS MANAGEMENT INC 5132 S CLIFF AVE SUITE 101 SIOUX FALLS SD 57108 460373021 COLLECTION AGENCY SD N/A C 0 AVERA PROPERTY INSURANCE INC 1000 WEST 4TH ST SUITE 1 YANKTON SD 57078 460463155 INSURANCE SD N/A C 0 VALLEY HEALTH SERVICES 501 SUMMIT STREET YANKTON SD 57078 460357149 PROPERTY HOLDING COMPANY SD N/A C 0 ALUCENT MEDICAL INC 1325 S CLIFF AVENUE PO BOX 5045 SIOUX FALLS SD 571175045 471818349 BIOTECH RESEARCH SD N/A C 0 SOUTH DAKOTA STATE MEDICAL HOLDING COMPANYINC 5300 SOUTH BROADBAND LANE SIOUX FALLS SD 57108 460401087 INSURANCE SD N/A C 0 DAKOTACARE ADMINISTRATIVE SERVICESINC 2600 W 49TH STREET SIOUX FALLS SD 57105 460424322 INSURANCE SD N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 1 SCHEDULE R, PART III Q&M PROPERTIES, LLC DISSOLVED EFFECTIVE JUNE 30,2021.