AVERA MCKENNAN: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- AVERA MCKENNAN (EIN 46-0224743)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202141379349305229
- Schema version
- 2019v5.2
- 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 | 2021-05-17T13:17:02-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | 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 | 2019-07-01 | 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 | 2021-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2021-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | David Flicek | 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 | $1,235,051,992 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.averamckennan.org | 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 | 15 | VotingMembersIndependentCnt |
| Total Employee | 8880 | TotalEmployeeCnt |
| Total Volunteers | 2097 | TotalVolunteersCnt |
| Total Gross UBI | $9,636,239 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,121,267 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,270,026 | PYContributionsGrantsAmt |
| CY Contributions Grants | $56,248,619 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,049,156,777 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,041,084,876 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,632,739 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,026,643 | CYInvestmentIncomeAmt |
| PY Other Revenue | $60,872,804 | PYOtherRevenueAmt |
| CY Other Revenue | $72,401,938 | CYOtherRevenueAmt |
| PY Total Revenue | $1,128,932,346 | PYTotalRevenueAmt |
| CY Total Revenue | $1,174,762,076 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,004,588 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $949,201 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $564,139,370 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $614,205,401 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $19,260 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $13,560 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,377,451 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $537,998,124 | PYOtherExpensesAmt |
| CY Other Expenses | $566,660,979 | CYOtherExpensesAmt |
| PY Total Expenses | $1,103,161,342 | PYTotalExpensesAmt |
| CY Total Expenses | $1,181,829,141 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,771,004 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,067,065 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,220,148,914 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,409,144,457 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $555,607,348 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $752,454,389 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $664,541,566 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $656,690,068 | 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 | $985,929,613 | ExpenseAmt |
| Grant | $949,201 | GrantAmt |
| Revenue | $1,104,077,994 | 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 511-bed hospital, a 53-bed heart hospital and a 138-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, liver, and pancreas) and bone marrow transplant.(Continued on Schedule O)Avera McKennan owns or leases rural critical hospitals and nursing homes in South Dakota including a 25-bed critical access hospital and a 55-bed nursing home in Gregory, SD, a 21-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, a 25-bed critical access hospital in Miller (Hand County), SD and an 14-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 Hospital22,999 Acute patient discharges1,963 Newborn patient discharges350,454 Outpatient visits3,640 Newborn patient days981,702 Clinic visitsAvera Heart Hospital2,187 Acute patient discharges9,584 Outpatient visits59,024 Clinic visitsAvera Prince of Peace37,537 Long-term care resident days400 Long Term Care patient dischargesAvera Gregory Hospital (CAH)353 Acute patient discharges131 Swing bed patient discharges12,810 Outpatient visits835 Swing-bed patient days17,200 Clinic visitsAvera Rosebud Country Care Center12,787 Long-term care resident days33 Long Term Care patient dischargesAvera Milbank Hospital (CAH)279 Acute patient discharges39 Newborn patient discharges79 Swing bed patient discharges25,772 Outpatient visits61 Newborn patient days432 Swing-bed patient days21,570 Clinic visitsAvera Dell Rapids Hospital (CAH)126 Acute patient discharges36 Swing bed patient discharges8,770 Outpatient visits323 Swing-bed patient days13,217 Clinic visitsAvera Flandreau Hospital (CAH)124 Acute patient discharges20 Swing Bed patient discharges14,070 Outpatient visits280 Swing-bed patient days9,248 Clinic visitsAvera Hand County Hospital (CAH)161 Acute patient discharges45 Swing Bed patient discharges11,318 Outpatient visits265 Swing-bed patient days8,144 Clinic visitsAvera Merrill Pioneer Hospital (CAH) 64 Acute patient discharges28 Swing Bed patient discharges7,852 Outpatient visits269 Swing-bed patient days4,389 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 $70,441,911.Avera McKennan also provides community benefit health activities at less than or at no cost to support those in the area served, see Schedule H. As a member of the Avera Health Network, Avera 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 | $985,929,613 | 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 | 541 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 8880 | 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 | 15 | 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 (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Todd Zimprich MD | ||||||||||
| Neurology | 40.00 | 0.00 | Yes (X) | $1,630,085 | $0 | $44,062 | ||||
| Brian Knutson MD | ||||||||||
| Dermatology | 40.00 | 0.00 | Yes (X) | $1,241,257 | $0 | $44,495 | ||||
| David Flicek | ||||||||||
| President | 40.00 | 0.00 | $0 | $1,224,706 | $47,164 | Yes (X) | Yes (X) | |||
| Michael Puumala MD | ||||||||||
| Neurosurgery/Surgery | 40.00 | 0.00 | Yes (X) | $1,205,043 | $0 | $45,172 | ||||
| Arvin Santos MD | ||||||||||
| Nephrology | 40.00 | 0.00 | Yes (X) | $1,188,222 | $0 | $48,494 | ||||
| Michael Devish MD | ||||||||||
| Surgery/Orthopedics | 40.00 | 0.00 | Yes (X) | $1,178,271 | $0 | $32,543 | ||||
| Jim Breckenridge-Left 42020 | ||||||||||
| CFO Avera Health; Sec/Treas | 0.10 | 41.30 | $0 | $1,018,166 | $36,856 | Yes (X) | ||||
| Cristina Hill Jensen MD | ||||||||||
| Board Trustee/Gastroenterology | 40.00 | 0.00 | $913,950 | $0 | $44,723 | Yes (X) | ||||
| Julie Lautt - Joined 42020 | ||||||||||
| CFO Avera Health; Sec/Treas | 0.10 | 40.70 | $0 | $518,454 | $35,583 | Yes (X) | ||||
| Michael Elliott - Sr Vice | ||||||||||
| President Medical Affairs | 40.00 | 0.00 | $507,366 | $0 | $44,835 | Yes (X) | ||||
| Lori Popkes | ||||||||||
| Sr Vice President | 40.00 | 0.00 | $366,059 | $0 | $44,533 | Yes (X) | ||||
| Katherine Wang MD | ||||||||||
| Board Trustee/Neonatology | 40.00 | 0.00 | $382,411 | $0 | $14,000 | Yes (X) | ||||
| Curtis Hohman | ||||||||||
| Sr Vice President | 40.00 | 1.00 | $110,775 | $253,489 | $25,515 | Yes (X) | ||||
| Rick Kooima MD | ||||||||||
| Chief of Staff | 40.00 | 0.00 | $280,223 | $0 | $44,723 | Yes (X) | ||||
| Steve Petersen - Former Key Employe | ||||||||||
| VP-Pharmacy | 0.00 | 40.00 | $0 | $268,076 | $31,068 | Yes (X) | ||||
| Mary Leedom | ||||||||||
| AVP of Surgical Services | 40.00 | 0.00 | $210,149 | $0 | $34,020 | Yes (X) | ||||
| Hugh Venrick | ||||||||||
| Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| Mary Dally | ||||||||||
| Vice Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| Thomas McDowell | ||||||||||
| Foundation Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Sister Carmella Luke | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Sister Joan Reichelt | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Sister Mary Carole Curran | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Sister Lucille Welbig PBVM | ||||||||||
| Board Trustee | 2.00 | 3.00 | $0 | $0 | $0 | Yes (X) | ||||
| Cindy Walsh | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Tom Biegler | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Van Fishback | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| J Pat Costello | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Laurie Knutson | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Alejandro Ramirez | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Raed Sulaiman MD | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Carol Twedt | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Randy Knecht | ||||||||||
| Board Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,213,811 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,282,891 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $617,786 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 982 | 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 & eCare services | $137,392,461 |
| Surgical Institute of South Dakota PC | |||||
| 911 E 20th St 700 | Sioux Falls | SD | 57105 | Medical Dir & Prof Fees | $3,744,459 |
| AMN Healthcare Inc | |||||
| 12400 High Bluff Dr | San Diego | CA | 92130 | Medical staffing | $3,528,673 |
| Physicians Laboratory Ltd | |||||
| 1301 S Cliff Ave Suite 700 | Sioux Falls | SD | 57105 | Pathology | $2,087,523 |
| Anesthesiology Associates Inc | |||||
| PO Box 2756 | Sioux Falls | SD | 57117 | Anesthesiology | $1,486,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $34,200 | FederatedCampaignsAmt |
| Related Organizations | $2,312,533 | RelatedOrganizationsAmt |
| Government Grants | $51,870,476 | GovernmentGrantsAmt |
| All Other Contributions | $2,031,410 | AllOtherContributionsAmt |
| Total Contributions | $56,248,619 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient service revenue | 622110 | $917,838,541 | $917,838,541 | |
| Patient and clinic | 621500 | $97,572,069 | $92,764,240 | $4,807,829 |
| Inc from subsidiaries | 423000 | $3,739,605 | $3,739,605 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,934,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,934,661 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,041,084,876 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,006,977 | TotalRevenueColumnAmt |
| Exclusion | $1,006,977 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,450,114 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,677,533 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$227,419 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$227,419 | TotalRevenueColumnAmt |
| Exclusion | -$227,419 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,697,668 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $678,002 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,697,668 | SecuritiesAmt |
| Other | -$678,002 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,019,666 | TotalRevenueColumnAmt |
| Exclusion | $4,019,666 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $120,566,966 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $56,934,381 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,632,585 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,977,708 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,654,877 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Gain on insurance proceeds | 900099 | $6,749,466 | $6,749,466 | |
| Sports program | 900099 | $1,243,846 | $1,243,846 | |
| Commercial testing | 621500 | $929,687 | $929,687 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,773 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,773 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,996,772 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,174,762,076 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,104,077,994 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,636,239 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,799,224 | 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 | $526,735 | TotalAmt |
| Program Services | $526,735 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,466 | TotalAmt |
| Program Services | $422,466 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,801,877 | TotalAmt |
| Program Services | $1,243,308 | ProgramServicesAmt |
| Management And General | $1,558,569 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,309,075 | TotalAmt |
| Program Services | $1,309,075 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,538,645 | TotalAmt |
| Program Services | $462,040,284 | ProgramServicesAmt |
| Management And General | $21,948,421 | ManagementAndGeneralAmt |
| Fundraising | $549,940 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,598,134 | TotalAmt |
| Program Services | $29,154,732 | ProgramServicesAmt |
| Management And General | $1,414,480 | ManagementAndGeneralAmt |
| Fundraising | $28,922 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,939,997 | TotalAmt |
| Program Services | $55,123,072 | ProgramServicesAmt |
| Management And General | $5,726,625 | ManagementAndGeneralAmt |
| Fundraising | $90,300 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,017,673 | TotalAmt |
| Program Services | $32,002,559 | ProgramServicesAmt |
| Management And General | $1,974,046 | ManagementAndGeneralAmt |
| Fundraising | $41,068 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,812 | TotalAmt |
| Program Services | $9,557 | ProgramServicesAmt |
| Management And General | $409,255 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805 | TotalAmt |
| Program Services | $30 | ProgramServicesAmt |
| Management And General | $775 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,155 | TotalAmt |
| Management And General | $96,155 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,560 | TotalAmt |
| Fundraising | $13,560 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,689,832 | TotalAmt |
| Program Services | $69,279,167 | ProgramServicesAmt |
| Management And General | $128,308,156 | ManagementAndGeneralAmt |
| Fundraising | $102,509 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $914,260 | TotalAmt |
| Program Services | $428,871 | ProgramServicesAmt |
| Management And General | $286,957 | ManagementAndGeneralAmt |
| Fundraising | $198,432 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,744,604 | TotalAmt |
| Program Services | $7,897,922 | ProgramServicesAmt |
| Management And General | $3,592,275 | ManagementAndGeneralAmt |
| Fundraising | $254,407 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,864,063 | TotalAmt |
| Program Services | $4,641,593 | ProgramServicesAmt |
| Management And General | $3,192,610 | ManagementAndGeneralAmt |
| Fundraising | $29,860 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,806,853 | TotalAmt |
| Program Services | $12,720,000 | ProgramServicesAmt |
| Management And General | $8,041,453 | ManagementAndGeneralAmt |
| Fundraising | $45,400 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,419,831 | TotalAmt |
| Program Services | $3,129,691 | ProgramServicesAmt |
| Management And General | $285,771 | ManagementAndGeneralAmt |
| Fundraising | $4,369 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,506,435 | TotalAmt |
| Program Services | $2,407,704 | ProgramServicesAmt |
| Management And General | $96,643 | ManagementAndGeneralAmt |
| Fundraising | $2,088 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,419,600 | TotalAmt |
| Program Services | $11,685,445 | ProgramServicesAmt |
| Management And General | $2,734,155 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,399,389 | TotalAmt |
| Program Services | $41,806,499 | ProgramServicesAmt |
| Management And General | $6,592,067 | ManagementAndGeneralAmt |
| Fundraising | $823 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,770,830 | TotalAmt |
| Program Services | $3,037,074 | ProgramServicesAmt |
| Management And General | $1,733,756 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical supplies | $219,527,084 | $218,579,212 | $942,751 | $5,121 |
| Repairs and maintenance | $20,513,098 | $19,598,197 | $913,609 | $1,292 |
| Research | $3,370,790 | $3,370,790 | ||
| Property expense | $2,756,654 | $2,756,654 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,441,884 | TotalAmt |
| Program Services | $2,758,976 | ProgramServicesAmt |
| Management And General | $4,673,548 | ManagementAndGeneralAmt |
| Fundraising | $9,360 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,181,829,141 | TotalAmt |
| Program Services | $985,929,613 | ProgramServicesAmt |
| Management And General | $194,522,077 | ManagementAndGeneralAmt |
| Fundraising | $1,377,451 | 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 | $24,017,416 | BOYAmt |
| EOY | $126,080,356 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,345,957 | BOYAmt |
| EOY | $3,837,719 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,160,916 | BOYAmt |
| EOY | $140,862,632 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,101,718 | BOYAmt |
| EOY | $1,887,164 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,669,360 | BOYAmt |
| EOY | $41,383,718 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,122,761 | BOYAmt |
| EOY | $6,236,531 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,080,632,543 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $494,590,867 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,058,039 | BOYAmt |
| EOY | $586,041,676 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,977,878 | BOYAmt |
| EOY | $28,647,791 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,881,315 | BOYAmt |
| EOY | $295,967,056 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,698,921 | BOYAmt |
| EOY | $14,953,610 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,333,669 | BOYAmt |
| EOY | $38,635,602 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,780,964 | BOYAmt |
| EOY | $124,610,602 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,220,148,914 | BOYAmt |
| EOY | $1,409,144,457 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,027,112 | BOYAmt |
| EOY | $94,952,928 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,046,529 | BOYAmt |
| EOY | $25,669,252 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,890,744 | BOYAmt |
| EOY | $403,975,465 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,327,369 | BOYAmt |
| EOY | $79,190,445 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,315,594 | BOYAmt |
| EOY | $148,666,299 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,607,348 | BOYAmt |
| EOY | $752,454,389 | 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 | $646,280,961 | BOYAmt |
| EOY | $638,727,798 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,260,605 | BOYAmt |
| EOY | $17,962,270 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,541,566 | BOYAmt |
| EOY | $656,690,068 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,220,148,914 | BOYAmt |
| EOY | $1,409,144,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,067,065 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,437,480 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,653,047 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $96,155 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $96,155 | 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. South Dakota Association of Healthcare Organizations $76,175 Catholic Health Association 6,212 Sioux Falls Chamber of Commerce 13,768 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $10,481 | BeginningBalanceAmt |
| Additions During Year | $51,536 | AdditionsDuringYearAmt |
| Distributions During Year | $51,648 | DistributionsDuringYearAmt |
| Ending Balance | $10,369 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,797,240 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $672,587 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,469,827 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,256,565 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $540,675 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,797,240 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,764,520 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $492,045 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,256,565 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,174,562 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $589,958 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,764,520 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,828,539 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $346,023 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,174,562 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | 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 | $25,255,096 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $27,541,989 | OtherCostOrOtherBasisAmt |
| Book Value | $52,797,085 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,653,243 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $629,736,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $256,466,035 | DepreciationAmt |
| Book Value | $376,923,359 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,025,692 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,204,531 | DepreciationAmt |
| Book Value | $1,821,161 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $348,025,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $229,867,278 | DepreciationAmt |
| Book Value | $118,158,627 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,394,467 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,053,023 | DepreciationAmt |
| Book Value | $36,341,444 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $586,041,676 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Assets Limited as to Use - Avera Pooled Investments | $250,037,860 | F |
| Interest in Avera Health Foundation | $14,734,217 | F |
| Investment in Avera HME | $1,560,136 | F |
| Investment in Heart Hospital of South Dakota, LLC | $24,353,713 | F |
| Investments in affiliated companies | $5,281,130 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $295,967,056 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $5,853,230 |
| Other Receivables | $57,242,778 |
| Due from Related party | $1,250,000 |
| Right of use assets | $60,264,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $124,610,602 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $6,174,861 |
| Due to other Organizations | $1,847,280 |
| Market value of interest swap | $9,010,757 |
| Estimated third-party payor settlements | $6,693,668 |
| Minority interest | $4,118,440 |
| Medicare advance payments | $113,458,837 |
| Deferred payroll taxes | $7,362,456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $148,666,299 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 1b: | The Organization holds funds in trust on behalf of its long-term care residents. Many small dollar transactions flow in and out of this account. The account is managed by the nursing home staff. The state has strict guidelines on how these accounts are managed. |
| 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 |
| Percent150 | Yes (X) | Percent150Ind |
| 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 | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,914,319 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,914,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,250,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $57,247,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,003,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02370 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,870,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,625,153 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,245,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,034,976 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,872,447 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,162,529 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04080 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,231,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $504,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,726,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,408,181 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,865,908 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,542,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,416,893 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,450,531 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,966,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,940,821 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,246,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,694,780 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,456,895 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,456,895 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,454,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,067,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,386,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $185,489,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,939,884 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,549,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06650 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,432 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,432 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,656 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $164,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,472 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,120 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,120 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,664 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $242,084 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $242,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $30,199,214 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $235,153,420 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $295,931,208 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$60,777,788 | 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 | www.avera.org/mckennan | 10563 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 36 Provider Based Clinics | |
| Heart Hospital of South Dakota LLC | ||||||||||||||
| 2 | 4500 W 69th Street | Sioux Falls | SD | 57108 | www.avera.org/heart-hospital | 41953 | Yes (X) | Yes (X) | Yes (X) | 2/3 Owner in Joint Venture | ||||
| Avera Milbank Area Hospital | ||||||||||||||
| 3 | 901 Virgil Ave | Milbank | SD | 57252 | www.avera.org/milbank | 48451 | Yes (X) | Yes (X) | Yes (X) | 2 Provider Based Clinics & 2 Rural Health PB Clinics | Yes (X) | |||
| Avera Gregory Healthcare Center | ||||||||||||||
| 4 | 400 Park Ave | Gregory | SD | 57533 | www.avera.org/gregory-hospital | 54875 | Yes (X) | Yes (X) | Yes (X) | 2 Provider Based Clinics & 2 Rural Health PB Clinics | Yes (X) | |||
| Avera Dells Area Health Center | ||||||||||||||
| 5 | 909 N Iowa Avenue | Dell Rapids | SD | 57022 | www.avera.org/dell-rapids | 50754 | Yes (X) | Yes (X) | Yes (X) | 3 Provider Based Clinics | Yes (X) | |||
| Avera Flandreau Medical Center | ||||||||||||||
| 6 | 214 N Prairie | Flandreau | SD | 57028 | www.avera.org/flandreau-medical | 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 | www.avera.org/miller | 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 | www.avera.org/locations/profile/avera- | 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) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See Part V, Page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, Page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, Page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 18 | Yes (1) | See Part V, page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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) | 17 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V, page 8 | Yes (X) | Yes (1) | 17 | Yes (1) | See Part V, page 8 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | Yes (X) | www.avera.org/patients-visitors/charity-patient-assistance-programs/ | 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 (54 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 March 2018. Key informant individual interviews were conducted in May and June 2018. 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 March 2018. Key informant individual interviews were conducted in May and June 2018. 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 assessment began with the gathering of primary data for Avera Gregory Hospital's service area. To ensure accurate input and representation from the service area, primary data collection included engagement of local community members of which represented a broad range of interests. Representatives from various community groups were invited to participate in the survey process. Avera Medical group Gregory Medical Staff, Avera Medical Group Clinic Manager, Avera Gregory Hospital Administrator and Director of Nursing as well as Gregory County Community Health Services Manager represented the Medical background. The Avera Gregory Hospital Advisory Board approved the Community Health Needs Assessment. |
| Avera Milbank Area Hospital | Part V, Section B, Line 5: Community input was solicited through surveys and personal interviews. The facility surveyed community members using printed surveys. Personal interviews were conducted with the community health nurse and the Director of Inter-Lakes Community Action Partnership. |
| Avera Dells Area Health Center | Part V, Section B, Line 5: Community input was solicited using a variety of methods. In November of 2018, three focus groups representing a variety of community residents were held. An individual interview was held with the Moody County Community Services Manager. Data was also gathered from Avera Medical Group Dell Rapids Medical Staff and Clinic Manager, and Avera Dells Area Hospital Administrator and Director of Nursing. |
| Avera Flandreau Medical Center | Part V, Section B, Line 5: Community input was solicited using a variety of methods. In November of 2018, three focus groups representing a variety of community residents were held. An individual interview was held with the Moody County Community Services Manager. |
| 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. The hospital used a survey tool to begin the process of qualitative data collection. Surveys were distributed to Hand County Memorial Hospital Auxiliary and patients at Avera Medical Group-Miller. Interviews were conducted with three groups: Community Health Nurse, Coordinated Care Team, and Miller High School Counselor. 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: Community input was solicited using a variety of methods. An online survey was developed by public health experts and reviewed by the Minnesota Health Department. The survey was posted on Facebook and a survey link was emailed to members of the community. Asset mapping was conducted to find the community resources available to address the assessed needs. The Community Health Needs Assessment was conducted in FY2018 by Sanford Health Network operating a hospital in Rock Rapids, Iowa as Sanford Medical Center Rock Rapids. As of May 1, 2019 the Rock Rapids Hospital became a member of the Avera Health System. The facility began operating under the name Avera Merrill Pioneer Hospital. The transition of operations occurred during the three year community health needs assessment cycle, thus, Avera Merrill Pioneer Hospital adopted the Community Health Needs Assessment developed for the Rock Rapids Hospital. |
| Avera McKennan | Part V, Section B, Line 6a: The CHNA was conducted with Heart Hospital of South Dakota, LLC and Sanford USD Medical Center. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 6a: The CHNA was conducted with Avera McKennan Hospital and University Health 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 tax year 2018. The community health priority areas identified were: Access to Care, Behavioral Health and Substance Abuse, and Chronic Disease Prevention. The following actions and programs were included in the implementation strategy to address the community health priorities.ACCESS TO CAREExpand patient transportation program. Review current partnerships and explore new opportunities with transportation providers.Workforce transportation pilot program. Conduct a pilot program to assist qualified staff with transportation on a case-by-case basis.FY2020 Update: Avera's transportation program slowed during Covid due to the lack of drivers in the market and the transition of in-person visits to virtual care. Overall however, Avera's transportation program has expanded to include additional departments and users and continues to be an important community health benefit directed at reducing barriers to care. Avera's workforce transportation program has continued and is utilized on a case-by-case basis for qualifying employees in high-needs areas. Additionally, Avera applied for and received grant funding to supplement paratransit services for patients accessing health care services located outside paratransit service boundaries. The paratransit transportation program will begin service in fall 2021.BEHAVIORAL HEALTH AND SUBSTANCE ABUSEInvestigate adding a 4th wing at Avera Behavioral HealthFY2020 Update: Avera Behavioral Health has explored adding a 4th wing due to the community health needs assessment determining there is need for more access to behavioral health substance abuse treatment. The new wing is currently under construction and will be completed in the spring of 2022. The new wing will increase access to services for all ages and specifically include an additional child behavioral health unit, an adolescent addiction inpatient residential unit, bringing the senior unit onto the campus, adding four new adult beds, expanding the partial hospital program, and implementing a brand new psychiatric urgent care unit.Expand navigation and case management services. Create one call number as entry point for services.FY2020 Update: Avera Behavioral Health is expanding navigation services through a partnership with the Avera Continuing Care Team and has gone from 0.6 FTE to 1.6 FTE in navigation by the end of the year. Additionally a grant has been submitted for another 1.6 FTE which would allow us to cover 16 hours a day, seven days a week if the grant is approved. Navigation services are not billable so raising dollars through philanthropy or grants is essential.Partner with Community-Based Triage Center. Support the development of a community-based triage center to assist residents in accessing resourced for addiction treatment, behavioral health, and other needs.FY2020 Update: Avera has partnered with Sanford, City of Sioux Falls, and Minnehaha County to jointly fund a community triage center that will be named "The Link." It is set to open in June 2021. This collaboration put out a RFP to determine who would operate The Link. Avera McKennan was selected to operate The Link for at least a three year period.Partner with Mental Health Awareness Campaign. Develop a community-wide awareness campaign to reduce behavioral health stigma and increase earlier access to care.FY2020 Update: Avera McKennan has partnered with local officials to push out a Mental Health Campaign called "Anyone. Anywhere. Even Here." This includes billboards, commercials, press conferences and media attention to this important campaign on mental health and addiction issues. CHRONIC DISEASE PREVENTIONOne Sioux Falls Project. Address social determinants of health, seek opportunities to actively support the One Sioux Falls framework that includes accessible housing, engaging people, health and safety, and workforce development.FY2020 Update: The One Sioux Falls Project initiative engages with businesses community wide. Avera is at the table for many of the strategies. One Sioux Falls established a guiding framework for addressing social determinants of health and improving the quality of life in the Sioux Falls area. The framework included four core elements: engaging people, workforce, safety & health, and accessible housing.Starfish Housing Pilot. Explore utilizing Avera-owned housing to pilot a new health program that addresses chronic health conditions for qualified individuals in Avera's Coordinated Care Program.FY2020 Update: The Starfish Housing pilot project continued in FY2020 but is scheduled to end in August 2021 and will not be renewed.Workforce Housing Pilot. Explore utilizing Avera-owned housing to encourage/attract potential employees who previously experience affordable housing as a barrier to employment in the community.FY2020 Update: Pilot program was in investigatory stage in FY2020. The Workforce Housing Pilot started in January 2021 on a very small scale and in conjunction with a new housing initiate with the Lincoln County court system. Healthy Food Program. Pursue program designed to prevent and limit weight gain and improve overall physical health for qualified individuals in Avera's Coordinated Care Program.Food Education Program. Create education programming focused on selecting, storing and utilizing healthier food options.Partner with Healthy Weight Project. Pursue policy, system and environmental changes to maintain or increase the percentage of people living at a healthy body weight.FY2020 Update: Avera is committed to being our patients' partner in good health. Healthy eating and maintaining a healthy weight are important steps in good health. Avera has adopted policies to encourage healthy eating. All Avera McKennan kitchens offer healthier meal options at all times including, but not limited to, lean entrees, salads, sides and desserts. Food vendors must meet specific criteria to ensure the health and safety of customers and patients. Avera looks for local, fresh and sustainable products to promote health and wellness of patients and the community. Vending machine operators are encouraged to offer healthier options. Avera has developed and promoted various healthy eating and weight loss education materials. Education materials can be found on the Avera website, in physician clinics, Avera hospitals, as well as, various locations around the community. Avera hosts and participates in community events to educate and promote healthy eating and healthy weight lifestyles. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 11: The community health needs assessment was completed during the tax year 2018. The community health priority areas identified were: Access to Care, Behavioral Health and Substance Abuse, and Chronic Disease Prevention. The following actions and programs were included in the implementation strategy to address the community health priorities.ACCESS TO CARE Expand patient transportation program. Review current partnerships and explore new opportunities with transportation providers. Workforce transportation pilot program. Conduct a pilot program to assist qualified staff with transportation on a case-by-case basis.FY2020 Update: Avera's transportation program slowed during Covid due to the lack of drivers in the market and the transition of in-person visits to virtual care. Overall however, Avera's transportation program has expanded to include additional departments and users and continues to be an important community health benefit directed at reducing barriers to care. Avera's workforce transportation program has continued and is utilized on a case-by-case basis for qualifying employees in high-needs areas. Additionally, Avera applied for and received grant funding to supplement paratransit services for patients accessing health care services located outside paratransit service boundaries. The paratransit transportation program will begin service in fall 2021.BEHAVIORAL HEALTH AND SUBSTANCE ABUSE Investigate adding a 4th wing at Avera Behavioral HealthFY2020 Update: Avera Behavioral Health has explored adding a 4th wing due to the community health needs assessment determining there is need for more access to behavioral health substance abuse treatment. The new wing is currently under construction and will be completed in the spring of 2022. The new wing will increase access to services for all ages and specifically include an additional child behavioral health unit, an adolescent addiction inpatient residential unit, bringing the senior unit onto the campus, adding four new adult beds, expanding the partial hospital program, and implementing a brand new psychiatric urgent care unit. Expand navigation and case management services. Create one call number as entry point for services.FY2020 Update: Avera Behavioral Health is expanding navigation services through a partnership with the Avera Continuing Care Team and has gone from 0.6 FTE to 1.6 FTE in navigation by the end of the year. Additionally a grant has been submitted for another 1.6 FTE which would allow us to cover 16 hours a day, seven days a week if the grant is approved. Navigation services are not billable so raising dollars through philanthropy or grants is essential. Partner with Community-Based Triage Center. Support the development of a community-based triage center to assist residents in accessing resourced for addiction treatment, behavioral health, and other needs.FY2020 Update: Avera has partnered with Sanford, City of Sioux Falls, and Minnehaha County to jointly fund a community triage center that will be named "The Link." It is set to open in June 2021. This collaboration put out a RFP to determine who would operate The Link. Avera McKennan was selected to operate The Link for at least a three year period. Partner with Mental Health Awareness Campaign. Develop a community-wide awareness campaign to reduce behavioral health stigma and increase earlier access to care.FY2020 Update: Avera McKennan has partnered with local officials to push out a Mental Health Campaign called "Anyone. Anywhere. Even Here." This includes billboards, commercials, press conferences and media attention to this important campaign on mental health and addiction issues. CHRONIC DISEASE PREVENTION One Sioux Falls Project. Address social determinants of health, seek opportunities to actively support the One Sioux Falls framework that includes accessible housing, engaging people, health and safety, and workforce development.FY2020 Update: The One Sioux Falls Project initiative engages with businesses community wide. Avera is at the table for many of the strategies. One Sioux Falls established a guiding framework for addressing social determinants of health and improving the quality of life in the Sioux Falls area. The framework included four core elements: engaging people, workforce, safety & health, and accessible housing. Starfish Housing Pilot. Explore utilizing Avera-owned housing to pilot a new health program that addresses chronic health conditions for qualified individuals in Avera's Coordinated Care Program.FY2020 Update: The Starfish Housing pilot project continued in FY2020 but is scheduled to end in August 2021 and will not be renewed. Workforce Housing Pilot. Explore utilizing Avera-owned housing to encourage/attract potential employees who previously experience affordable housing as a barrier to employment in the community.FY2020 Update: Pilot program was in investigatory stage in FY2020. The Workforce Housing Pilot started in January 2021 on a very small scale and in conjunction with a new housing initiate with the Lincoln County court system. Healthy Food Program. Pursue program designed to prevent and limit weight gain and improve overall physical health for qualified individuals in Avera's Coordinated Care Program. Food Education Program. Create education programming focused on selecting, storing and utilizing healthier food options. Partner with Healthy Weight Project. Pursue policy, system and environmental changes to maintain or increase the percentage of people living at a healthy body weight.FY2020 Update: Avera is committed to being our patients' partner in good health. Healthy eating and maintaining a healthy weight are important steps in good health. Avera has adopted policies to encourage healthy eating. All Avera McKennan kitchens offer healthier meal options at all times including, but not limited to, lean entrees, salads, sides and desserts. Food vendors must meet specific criteria to ensure the health and safety of customers and patients. Avera looks for local, fresh and sustainable products to promote health and wellness of patients and the community. Vending machine operators are encouraged to offer healthier options. Avera has developed and promoted various healthy eating and weight loss education materials. Education materials can be found on the Avera website, in physician clinics, Avera hospitals, as well as, various locations around the community. Avera hosts and participates in community events to educate and promote healthy eating and healthy weight lifestyles. |
| Avera Gregory Healthcare Center | Part V, Section B, Line 11: The community health needs assessment was completed during tax year 2018. Two needs were identified in the CHNA: public awareness of hospital/clinic services and nutrition education. Public awareness of health services offered was addressed through marketing campaigns to provide education on adult and childhood obesity in our community. We worked with our public schools and our contracted dietician to educate children on the importance of healthy eating habits. The following health needs/priorities emerged but will not be directly addressed by Avera Gregory as they are beyond the scope of the facility or are addressed by other community organizations:Convenience to careTobacco education/cessationMental HealthPhysical activityOutreach servicesTransportation |
| Avera Milbank Area Hospital | Part V, Section B, Line 11: The community health needs assessment was completed during tax year 2018. Three needs were identified in the CHNA: continued recruitment of primary care physicians, mental health, and outreach to ethnic minority patients. The following includes fiscal year 2020 actions taken.Recruitment of physicians We signed a family medicine physician during this time frame who began employment with us September 2020. We also signed another physician who is still in training and she will join us in 2023.Mental Health Services Through the support of NAMI and a local group we partner with, two group sessions were held for adults with youth who are challenged with mental health issues. The multi-week sessions provide understanding, encouragement and resources to aid their family member. Greater outreach to ethnic minority patients We planned a community POD (point of dispensing) event which was held November 2020 for administration of flu vaccine to the Hispanic population in our community. This challenged us to work to meet their needs regarding reaching this segment of population via appropriate communication and making them comfortable accessing medical care with our facility. |
| Avera Dells Area Health Center | Part V, Section B, Line 11: The community health needs assessment was completed during tax year 2018. Two needs were identified in the CHNA: public awareness of health care services and nutrition education for community members. The following includes fiscal year 2020 actions taken.Avera Dells Area Hospital has set the following goals to address the community health needs:1. Improve public awareness of local health care service options, which will improve community engagement around health and wellness. Awareness can be improved and generated through the new Avera Dells Area Hospital webpage, as well as through other social media avenues and public events. 2. Continue to promote free dietary consultations to all community members living in the Avera Dells Area Hospital service area.Six identified needs are not being addressed: convenience to care, tobacco education, mental health, physical activity, outreach services, and transportation. Those needs were presented to community leaders during the prioritization process and it was felt that the two identified needs that are being addressed will be more impactful. |
| Avera Flandreau Medical Center | Part V, Section B, Line 11: The community health needs assessment was completed during tax year 2018. Two needs were identified in the CHNA: mental health and chemical dependency. The following includes fiscal year 2020 actions taken.Mental HealthContinue to provide, promote, and support mental health awareness, education, and services for all community members living within our service area. Chemical DependencyImprove public awareness of health care service options for patients suffering with chemical dependency, as well as look to provide/offer local chemical dependency services. Eight other significant needs were identified and will not be addressed. These needs are public awareness and use, nutrition education, health care education in Spanish, insurance education, tobacco education/cessation, transportation, physical activity, and outreach services. Each of the non-addressed needs were presented to community leaders who felt the two identified needs that will be addressed will have a greater level of impact. |
| Avera Hand County Memorial Hospital | Part V, Section B, Line 11: The community health needs assessment was completed during tax year 2018. Two needs were identified in the CHNA: disease prevention and maintenance and access to specialty care. The following includes fiscal year 2020 actions taken.Disease prevention and maintenanceTogether with AMG-Miller, a Facebook page was created to provide education for the public. Avera has assisted with educational information to be posted on a regular basis to keep the community informed. This tool has provided positive feedback in the past year with the pandemic. AHCMH & AMG-Miller participate in the annual Farm & Home Show. We have a booth set up and staffed to provide and answer questions from the community. In 2020 this did not occur due to COVID. The local Wellness center offered financial discounts to those with hardships to ensure they have an opportunity to attend and exercise.Access to Specialty CareThe need for more access to specialty providers and a local dialysis program were a top priority. While we have a number of specialists who do outreach here, there is a need for more. We implemented Avera eCare implemented access to social workers for mental health servcies and continued to work with Community Counseling services from Huron. The eConsult program was started to offer visits for specialty providers within the Avera system. A business plan has been completed for a local dialysis program to be started. AMG-Miller started virtual visits in 2020 to accommodate patients needing care during COVID. |
| Avera Merrill Pioneer Hospital | Part V, Section B, Line 11: As part of Avera Health System beginning May 1, 2019, Avera Merrill Pioneer continued to address the two needs identified in their FY2018 Implementation Strategy: obesity and chronic disease. The following includes fiscal year 2020 actions taken. These needs were addressed primarily through the Diabetic Education program and Care Coordination program. In addition, a significant emphasis is placed on chronic disease management and weight management during routine provider visits, annual physicals and annual wellness exams. A new addition is pharmacy consults for patients with chronic disease and many medications. These pharmacy consults are one on one with a licensed pharmacist to further educate patients on their medications to ensure they understand them and are taking them appropriately to best manage their chronic disease. The COVID-19 virus made addressing these community needs very challenging as it significantly limited education and in person opportunities. The following health needs/priorities emerged but will not be directly addressed by Avera Merrill Pioneer as they are beyond the scope or there is capability to address by other community organizations:1. Seatbelt and car seat safety2. Health care access3. Mental health and substance abuse |
| Avera McKennan | 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. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera Gregory Healthcare Center | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera Milbank Area 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. |
| Avera Dells Area Health Center | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera Flandreau Medical Center | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera Hand County Memorial 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. |
| 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. |
| 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. |
| Avera McKennan | 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. |
| Heart Hospital of South Dakota, LLC | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera Gregory Healthcare Center | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera Milbank Area Hospital | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera Dells Area Health Center | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera Flandreau Medical Center | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera Hand County Memorial Hospital | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera Merrill Pioneer Hospital | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. |
| Avera McKennan | 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. |
| Heart Hospital of South Dakota, LLC | 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. |
| Avera Gregory Healthcare Center | 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. |
| Avera Milbank Area Hospital | 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. |
| Avera Dells Area Health Center | 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. |
| Avera Flandreau Medical Center | 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. |
| Avera Hand County Memorial Hospital | 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. |
| Avera Merrill Pioneer Hospital | Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Part V, Section B, line 7a: | Hospital facility's website for CHNA:www.avera.org/about/community-health-needs-assessments/The CHNA for Avera Merrill Pioneer Hospital was/is available on the predecessor's website. |
| Part V, Section B, line 10a: | Hospital facility's website for Implementation Strategy:www.avera.org/about/community-health-needs-assessments/The Implementation Strategy for Avera Merrill Pioneer Hospital was/is available on the predecessor's website. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 42 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 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 - McKennan Regional Laboratory | ||||
| 1325 S Cliff Avenue | Sioux Falls | SD | 57105 | Laboratory services |
| 6 - Avera Medical Group Maternal Fetal Med | ||||
| 1417 South Cliff Avenue Suite 100 | Sioux Falls | SD | 57105 | High-risk pregnancy care clinic |
| 7 - Avera Medical Group Worthington | ||||
| 508 Tenth Street | Worthington | MN | 56187 | Primary care clinic |
| 8 - Avera Medical Group Pediatric Specialist | ||||
| 1417 S Cliff Avenue Suite 010 | Sioux Falls | SD | 57105 | Pediatric specialties clinic |
| 9 - Avera Rosebud Country Care Center | ||||
| 300 Park Avenue | Gregory | SD | 57533 | Skilled nursing facility |
| 10 - Avera McKennan Fitness Center | ||||
| 3400 S Southeastern Drive | Sioux Falls | SD | 57105 | Fitness center |
| 11 - Avera 69th Street Pharmacy - Behavioral | ||||
| 4400 W 69th St Suite 300 | Sioux Falls | SD | 57108 | Retail pharmacy |
| 12 - Avera Medical Group Windom | ||||
| 820 - 2nd Avenue | Windom | MN | 56101 | Primary care clinic |
| 13 - Avera McKennan Hosp & Univ Campus Pharm | ||||
| 1325 S Cliff Avenue | Sioux Falls | SD | 57105 | Retail pharmacy |
| 14 - Avera Institute for Human Genetics | ||||
| 4400 W 69th St Suite 200 | Sioux Falls | SD | 57108 | Genetic research program |
| 15 - Laurel Oaks Apartments | ||||
| 4510 S Prince of Peace Place | Sioux Falls | SD | 57103 | Independent living apartments |
| 16 - Avera Medical Group Sibley | ||||
| 600-9th Avenue North | Sibley | IA | 51249 | Primary care clinic |
| 17 - Avera Medical Group Comprehensive Breast | ||||
| 1000 East 23rd Street Suite 360 | Sioux Falls | SD | 57105 | Specialty clinic |
| 18 - Avera Research Institute | ||||
| 3720 W 69th St | Sioux Falls | SD | 57108 | Clinical research studies |
| 19 - Avera Medical Group Optometry | ||||
| 702 Tenth Street | Worthington | MN | 56187 | Ophthalmology and optometry clinic |
| 20 - Avera Dermatology Pharmacy | ||||
| 6701 South Minnesota Avenue | Sioux Falls | SD | 57108 | Retail pharmacy |
| 21 - Avera Medical Group Occupational Med | ||||
| 2100 S Marion Rd | Sioux Falls | SD | 57106 | Business and corporate health care clinic |
| 22 - Avera Medical Group Women's Midlife Care | ||||
| 911 East 20th Street - Suite 200 | Sioux Falls | SD | 57105 | Women's services clinic |
| 23 - Avera Medical Group Optometry | ||||
| 1006 4th Avenue | Windom | MN | 56101 | Ophthalmology and optometry clinic - closed 3/1/20 |
| 24 - Curaquick Avera Clinic | ||||
| 3000 S Minnesota Ave | Sioux Falls | SD | 57105 | Primary care clinic |
| 25 - Avera Medical Group Big Stone City | ||||
| 451 Main Street | Big Stone City | SD | 57216 | Primary care clinic |
| 26 - Hegg Medical Clinic Avera | ||||
| 2121 Hegg Drive | Rock Valley | IA | 51247 | Primary care clinic |
| 27 - Health Care Clinic | ||||
| 300 North Dakota Avenue Suite 117 | Sioux Falls | SD | 57104 | Free healthcare clinic |
| 28 - Community Blood Bank | ||||
| 1301 South Cliff Avenue Suite 3 | Sioux Falls | SD | 57105 | Community blood services |
| 29 - Yorkshire Eye Clinic | ||||
| 2311 Yorkshire Drive | Brookings | SD | 57006 | Ophthalmology and optometry clinic |
| 30 - Avera Medical Group Estherville | ||||
| 926 North 8th Street | Estherville | IA | 51334 | Primary care clinic |
| 31 - Rural Medical Clinics | ||||
| 301 South Walnut Street | Freeman | SD | 57029 | Primary care clinic |
| 32 - Dakota Family Medical Center | ||||
| 101 South Front PO Box 27 | Chamberlain | SD | 57325 | Primary care clinic |
| 33 - Pipestone Medical Group Avera | ||||
| 920 - 4th Avenue SW | Pipestone | MN | 56164 | Primary care clinic |
| 34 - Avera Medical Group McGreevy Salem | ||||
| 740 South Hill | Salem | SD | 57058 | Primary care clinic |
| 35 - Avera Medical Group Larchwood | ||||
| 916 Holder Street PO Box 8 | Larchwood | IA | 51241 | Primary care clinic |
| 36 - Avera Medical Group Butte | ||||
| 730 Wilson Street | Butte | NE | 68722 | Satellite primary care clinic |
| 37 - Avera Medical Group Elkton | ||||
| 203 Elk Street | Elkton | SD | 57026 | Satellite primary care clinic |
| 38 - Avera Medical Group Fulda | ||||
| 201 N St Paul Avenue | Fulda | MN | 56131 | Satellite primary care clinic |
| 39 - Avera Medical Group Lakefield | ||||
| 221 - 3rd Avenue | Lakefield | MN | 56150 | Satellite primary care clinic |
| 40 - Avera Medical Group Volga | ||||
| 210 Kasan Avenue | Volga | SD | 57071 | Satellite primary care clinic |
| 41 - Avera on Louise Health Campus | ||||
| 6100 S Louise Ave | Sioux Falls | SD | 57108 | Inpatient & Outpatient Surgical Hospital |
| 42 - Avera Pharmacy - SF Louise Avenue | ||||
| 6100 S Louise Ave | Sioux Falls | SD | 57108 | Retail pharmacy |
Supplemental Information Detail SupplementalInformationDetail (14 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 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 are included in subsidized health services. Revenue of $824,703 and costs of $2,964,267 were included for a net community benefit of $2,139,564. Our facility is the principal provider of bone marrow, pancreas and liver transplant services throughout our service area, with the clinics as a crucial component of successful pre and post-transplant care. |
| Part II, Community Building Activities: | The community building activities include monetary assistance to organizations that focus their efforts on providing furniture for low income families, neighborhood improvement projects in high needs areas, children and youth development programs, local economic development, and job creation and training programs. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents. |
| Part III, Line 4: | The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 17 and 18. |
| 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 $9,076,370 of Medicare losses because they are included in Schedule H, Part 1, Line 7f or 7g. Including the Medicare percentage of disallowed costs, entitites 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 $117,173,768 as opposed to a shortfall of $60,777,788.Avera McKennan follows the Catholic Health Association guidelines in reporting community benefits and therefore any Medicare shortfall (as calculated including our non-cost report entities) is excluded from our community benefit report. However, Medicare is the Organization's largest payer and patients with Medicare coverage are accepted regardless of whether or not a surplus or deficit is realized from providing the services. This basis therefore means providing Medicare services promotes access to healthcare services which is a key advantage for our community.Medicare allowable costs of care are based on the Medicare cost report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare & Medicaid Services. |
| Part III, Line 9b: | If the patient qualifies for the organization's financial assistance policy for low-income, uninsured patients and is cooperating with the organization with regard to efforts to settle an outstanding bill within current self-pay collection policy guidelines and timeframes, the organization or its agent shall not send, nor intimate that it will send, the unpaid bill to any outside collection agency. Avera organizations will allow all individuals 120 days from the first post discharge statement to apply for financial assistance before sending the uncollected account to an outside collection agency. Avera will provide the patient with a statement or final notice that contains a listing of the specific collection action(s) it intends to initiate, and a deadline after which they may be initiated no earlier than 30 days before action is initiated. If the patient qualifies for 100% charity care, no further bills will be sent. A letter will be sent instead indicating that the patient's bill has been completely forgiven. |
| Part VI, Line 2: | 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 school district officials, state health department, and community health organizations. Leaders also serve on boards of various community organizations which seek to address the health and well-being of area citizens. Local governing boards at outlying facilities, who are members of the community, discuss and help direct resources to areas of targeted needs as well. |
| Part VI, Line 3: | Notices are posted in English and Spanish in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and outpatient service settings as well as the Organization website. Posted notices state that the Organization has a financial assistance policy for low-income uninsured patients who may not be able to pay their bill and that this policy provides for charity care and reduced payment for healthcare services. There is also identification of a contact phone number that a patient can call to obtain more information about the financial assistance policy and about how to apply for such assistance. Additionally, admitting staff makes available a brochure designed to help patients understand how we bill patients and provides summary information on financial assistance if you are unable to pay. Patient Advocates work with uninsured patients in our main tertiary facility to enroll them in applicable social programs and identify charity eligibility, eligibility and enrollment for county, state or federal risk pools, and eligibility for modified Medicare or Medicaid 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 located in a population center of over 183,000 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. The 2019 U.S. Census Bureau QuickFacts data estimates 7.95% 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 34,382 Emergency Department visits in FY 2020. 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 2,252 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 403 visits per month which is down from previous years primarily due to the slowdown in April and May due to Covid. 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 4,838visits in 2020, and was operated at an annual cost of $1,206,439. 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 2020, Avera McKennan had approximately 53 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 2020, 67 childbirth education classes were held with 190 attendees. The childbirth education classes moved to online classes only for March June 2020 due to Covid. A total of 4 parent and family education classes were held with 46 attendees. Due to Covid, Family Life Education classes were cancelled for March June 2020. A total of 49 car seats were issued through the South Dakota Child Safety Seat Distribution Program. Free burn education was provided to 2,988 students during presentations in schools.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 16 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 Spanish interpreters in-house, and 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. |
| 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 four 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 did see a decrease in demand for services, a direct result of the schools closing and the COVID-19 pandemic during 2020. We have plans to increase our staff to grow this program as we will see now more than ever, there is a need for these services due to the impact of COVID-19 and other stressors in our community, schools and families. 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. Eleven guest rooms are available. Avera McKennan also donates use of a 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 2020, the Walsh Family Village served 6,892 guests, staying in 4,007 nightly rooms, an 99.73 percent occupancy. Avera McKennan provides a subsidy of approximately $216,716 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 for 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. Community Connections: Avera McKennan reaches out to people and communities throughout eastern South Dakota, southwestern Minnesota and northwest Iowa through Home Town Connections. Providing a critical feedback link to local referring doctors, this program completes the communications links necessary to keep local health care providers current on the treatment of their patients at Avera McKennan.Support of the arts and cultural life: Avera McKennan hosts Sioux Falls' only indoor SculptureWalk, an extension of the community's downtown 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. There were some program limitation due to Covid in FY2020. All the programs did continue at least virtually. All of our partners were able to be nimble and deliver services in new and creative ways, always keeping safety at top of mind during the pandemic.Preschool vision and hearing screening: Avera McKennan provided free screening for 2,988 preschool and grade school children in fiscal year 2020. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| Family Visitation Center | ||||||||||
| 311 East 14th Street | Sioux Falls | SD | 57104 | 263654937 | 501(c)(3) | $35,004 | Book | Discount on services provided | Donation | |
| Southeast Technical College | ||||||||||
| 2320 N Career Ave | Sioux Falls | SD | 57107 | 466002586 | 501(c)(3) | Donation | $146,000 | |||
| East African Medical Assistance Foundation | ||||||||||
| 400 South 4th Street Suite 754E | Minneapolis | MN | 55415 | 363412789 | 501(c)(3) | Donation | $10,000 | |||
| Sioux Falls Area Community Foundation | ||||||||||
| 200 N Cherpa Pl | Sioux Falls | SD | 57103 | 311748533 | 501(c)(3) | Donation | $100,000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Scholarships | 27 | $22,505 |
| Assistance with medical expenses | 3578 | $330,511 |
| Employee tornado and COVID-19 recovery assistance | 212 | $69,449 |
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 | $893,098 | $0 | $709,819 | $0 | $27,168 | $0 | $14,000 | $0 | $30,062 | $0 | $1,674,147 | $0 | $0 | $0 |
| Brian Knutson MD | ||||||||||||||
| Dermatology | $1,069,710 | $0 | $163,832 | $0 | $7,715 | $0 | $14,000 | $0 | $30,495 | $0 | $1,285,752 | $0 | $0 | $0 |
| David Flicek | ||||||||||||||
| President | $0 | $1,184,996 | $0 | $480 | $0 | $39,230 | $0 | $14,000 | $0 | $33,164 | $0 | $1,271,870 | $0 | $0 |
| Michael Puumala MD | ||||||||||||||
| Neurosurgery/Surgery | $1,190,588 | $0 | $400 | $0 | $14,055 | $0 | $14,000 | $0 | $31,172 | $0 | $1,250,215 | $0 | $0 | $0 |
| Arvin Santos MD | ||||||||||||||
| Nephrology | $804,877 | $0 | $380,145 | $0 | $3,200 | $0 | $14,000 | $0 | $34,494 | $0 | $1,236,716 | $0 | $0 | $0 |
| Michael Devish MD | ||||||||||||||
| Surgery/Orthopedics | $1,041,912 | $0 | $63,966 | $0 | $72,393 | $0 | $14,000 | $0 | $18,543 | $0 | $1,210,814 | $0 | $0 | $0 |
| Jim Breckenridge-Left 42020 | ||||||||||||||
| CFO Avera Health; Sec/Treas | $0 | $945,274 | $0 | $1,760 | $0 | $71,132 | $0 | $14,000 | $0 | $22,856 | $0 | $1,055,022 | $0 | $0 |
| Cristina Hill Jensen MD | ||||||||||||||
| Board Trustee/Gastroenterology | $746,697 | $0 | $163,786 | $0 | $3,467 | $0 | $14,000 | $0 | $30,723 | $0 | $958,673 | $0 | $0 | $0 |
| Julie Lautt - Joined 42020 | ||||||||||||||
| CFO Avera Health; Sec/Treas | $0 | $516,081 | $0 | $400 | $0 | $1,973 | $0 | $14,000 | $0 | $21,583 | $0 | $554,037 | $0 | $0 |
| Michael Elliott - Sr Vice | ||||||||||||||
| President Medical Affairs | $431,638 | $0 | $255 | $0 | $75,473 | $0 | $14,000 | $0 | $30,835 | $0 | $552,201 | $0 | $0 | $0 |
| Lori Popkes | ||||||||||||||
| Sr Vice President | $310,134 | $0 | $255 | $0 | $55,670 | $0 | $12,738 | $0 | $31,795 | $0 | $410,592 | $0 | $0 | $0 |
| Katherine Wang MD | ||||||||||||||
| Board Trustee/Neonatology | $322,774 | $0 | $57,930 | $0 | $1,707 | $0 | $14,000 | $0 | $0 | $0 | $396,411 | $0 | $0 | $0 |
| Curtis Hohman | ||||||||||||||
| Sr Vice President | $94,240 | $251,620 | $0 | $440 | $16,535 | $1,429 | $5,559 | $12,710 | $4,184 | $3,062 | $120,518 | $269,261 | $0 | $0 |
| Rick Kooima MD | ||||||||||||||
| Chief of Staff | $268,578 | $0 | $6,642 | $0 | $5,003 | $0 | $14,000 | $0 | $30,723 | $0 | $324,946 | $0 | $0 | $0 |
| Steve Petersen - Former Key Employe | ||||||||||||||
| VP-Pharmacy | $0 | $255,765 | $0 | $420 | $0 | $11,891 | $0 | $13,340 | $0 | $17,728 | $0 | $299,144 | $0 | $0 |
| Mary Leedom | ||||||||||||||
| AVP of Surgical Services | $202,557 | $0 | $725 | $0 | $6,867 | $0 | $10,762 | $0 | $23,258 | $0 | $244,169 | $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 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 (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Matthew Leedom | |||
| Family of Key Employee | $101,287 | Employee Compensation | 0 |
| Sarah Kappel | |||
| Family of Key Employee | $144,342 | Employee Compensation | 0 |
| Allison Leedom-Christensen | |||
| Family of Key Employee | $59,466 | Employee Compensation | 0 |
| Deann Matthiesen | |||
| Family of Key Employee | $143,091 | Employee compensation | 0 |
| Nick Christensen | |||
| Family of Key Employee | $79,416 | Employee compensation | 0 |
| Kristy Mickelson | |||
| Family of Key Employee | $54,815 | Employee compensation | 0 |
| Grant Flicek | |||
| Family of Officer and board member | $83,166 | Employee Compensation | 0 |
| Christine Maroun MD | |||
| Family of Board Member | $160,904 | Employee compensation | 0 |
| Heeyoung Wang | |||
| Family of Board Member | $483,588 | Employee compensation | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Jim Breckenridge, David Flicek, Steve Petersen, Julie Lautt and Curtis Hohman 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. |
| Form 990, Part VI, Section A, line 8b | Avera McKennan 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 reviewed by the Avera Health VP of Financial Reporting, Tax Manager, Facility CEO and Finance Committee (if applicable). After initial review the Form 990 is made available to the Board and other Operation Finance Leaders. |
| 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 | Centralized services: Program service expenses 0. Management and general expenses 124,034,028. Fundraising expenses 0. Total expenses 124,034,028. Management fees: Program service expenses 111,825. Management and general expenses 0. Fundraising expenses 0. Total expenses 111,825. Purchased services: Program service expenses 49,030,506. Management and general expenses 3,970,765. Fundraising expenses 102,509. Total expenses 53,103,780. Medical professional fees: Program service expenses 20,136,836. Management and general expenses 303,363. Fundraising expenses 0. Total expenses 20,440,199. |
| 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, net 1,864,938. Other changes in unrestricted net assets 124,920. Change in interest of Avera Health Foundation -422,948. Net assets released for capital 1,086,137. |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sioux Falls Hospital Management LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 562141521 | Management company of Heart Hospital | NC | $4,343,706 | $21,291,894 | West 69th Street LLC |
| West 69th Street LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 460224743 | Holding company | SD | $4,343,706 | $21,291,894 | Avera McKennan |
| Alumend LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 460224743 | Research and development | SD | -$3,370,785 | $30,902,868 | Avera McKennan |
| MRIS LLC | |||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 571175045 | 470874983 | Healthcare Services | SD | $0 | $0 | Avera McKennan |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| Avera Holy Family Foundation | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 421317452 | Support Health Related Services | IA | 501(c)(3) | Line 10 | Avera Holy Family | 0 | |
| St Benedict Health Center | |||||||||||
| 401 West Glynn Drive | Parkston | SD | 57366 | 460226738 | Healthcare Services | SD | 501(c)(3) | Line 3 | Avera Health | 0 | |
| St Benedict Health Center Foundation | |||||||||||
| West Glynn Drive PO Box B | Parkston | SD | 57366 | 460458725 | Support Health Related Services | SD | 501(c)(3) | Line 12a, I | St Benedict Health Center | 0 | |
| Avera Health | |||||||||||
| 3900 West Avera Drive STE 300 | Sioux Falls | SD | 57108 | 460422673 | Promotion of Health | SD | 501(c)(3) | Line 10 | 0 | N/A | |
| Avera Queen of Peace | |||||||||||
| 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 St Luke's | |||||||||||
| 305 South State Street | Aberdeen | SD | 57401 | 460224598 | Healthcare Services | SD | 501(c)(3) | Line 3 | Avera Health | 0 | |
| Avera St Mary'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 Health Plans Inc | |||||||||||
| 3900 West Avera Drive STE 300 | Sioux Falls | SD | 57108 | 460451539 | Health financing and health plan admin | SD | 501(c)(4) | Avera Health | 0 | ||
| Avera Granite Falls | |||||||||||
| 345 10th Ave | Granite Falls | MN | 56241 | 843156881 | Healthcare services | MN | 501(c)(3) | Line 3 | Avera Marshall | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Home Medical Equipment of Floyd LLC | ||||||||||||||
| 714 Lincoln St NE | Lemars | IA | 51031 | 820582350 | Medical Services - Home Medical Equipment | SD | N/A | |||||||
| 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 | |||||||
| Q&M Properties LLC | ||||||||||||||
| 525 North Foster | Mitchell | SD | 57301 | 731652049 | Medical Clinic Building | SD | Avera Queen of Peace | Excluded | $298,102 | 0 | 0 | 0.50000 | ||
| Surgical Associates Endoscopy Clinic LLC | ||||||||||||||
| 310 S Pennsylvania St | Aberdeen | SD | 57401 | 460461429 | Surgical Associates | SD | N/A | |||||||
| Avera HME of Spencer Hospital LLC | ||||||||||||||
| 2400 S Minnesota Avenue 102 | Sioux Falls | SD | 57117 | 800619999 | Medical Services - Home Medical Equipment | SD | N/A | |||||||
| Heart Hospital of South Dakota LLC | ||||||||||||||
| 4500 W 69th Street | Sioux Falls | SD | 57108 | 562143771 | Healthcare Services | SD | Avera McKennan | Related | $42,583,788 | 0 | 0 | 0.66670 | $8,687,412 | |
| Brookings Health System - Avera HME LLC | ||||||||||||||
| 101 22nd Ave Suite 101 | Brookings | SD | 57006 | 453204123 | Medical Services - Home Medical Equipment | SD | N/A | |||||||
| 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 | |||||||
| National Rural ACO 5 LLC dba Great Plains Care Organization | ||||||||||||||
| 7509 NW Tiffany Springs Parkway | Kansas City | MO | 64153 | 383958290 | Accountable Care Organization | KS | N/A | |||||||
| Caravan Health ACO 41 dba Prairie View Care Organization | ||||||||||||||
| 7509 NW Tiffany Springs Parkway | Kansas City | MO | 64153 | 821447782 | Accountable Care Organization | KS | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | 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 | ||||
| Avera Property Insurance Inc | |||||||||||||
| 1000 West 4th Street Suite 1 | Yankton | SD | 57078 | 460463155 | Insurance | SD | N/A | C | 0 | ||||
| Valley Health Services | |||||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460357149 | Rental Real Estate | SD | N/A | C | 0 | ||||
| Alucent Biomedical Inc | |||||||||||||
| 675 S Arapeen Dr Ste 102 | Salt Lake City | UT | 84108 | 471818349 | Biotechnology | SD | C | Yes (1) | Alumend LLC | -$8,559,224 | $3,037,615 | 1.00000 | |
| South Dakota State Medical Holding Company Inc | |||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 460401087 | 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 | ||||
| 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 | 0 | 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 | 0 | 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 | ||
| R | $2,956,025 | Intercompany detail from GL |
| Avera Heart Hospital of South Dakota LLC | ||
| S | $6,907,875 | Intercompany detail from GL |
| Avera Heart Hospital of South Dakota LLC | ||
| L | $2,259,357 | Intercompany detail from GL |
| Avera Heart Hospital of South Dakota LLC | ||
| P | $832,250 | Intercompany detail from GL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule R, Part V, Line 2, Column c | FormAndLineReferenceDesc |
| Explanation | The amounts reported in column c are reported based on a review of general ledger activity in intercompany accounts, and review of equity accounts for contributions and distributions. | ExplanationTxt |