AVERA ST ANTHONYS HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- AVERA ST ANTHONYS HOSPITAL (EIN 47-0463911)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201641339349304154
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-12T14:11:08-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470463911 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera St Anthony's Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AVER | BusinessNameControlTxt |
| Phone | 4023365132 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 N 2nd Street | AddressLine1Txt |
| City | ONeill | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 687631569 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ronald Cork | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 4023365132 | PhoneNum |
| Signature | 2016-05-12 | 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 | 2016-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ronald Cork | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 N 2nd Street | AddressLine1Txt |
| City | ONeill | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 687631569 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,049,961 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.avera-sta.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | Promotion of health | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 302 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $98,254 | PYContributionsGrantsAmt |
| CY Contributions Grants | $116,957 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $33,671,508 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,609,729 | CYProgramServiceRevenueAmt |
| PY Investment Income | $203,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $312,982 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,400 | PYOtherRevenueAmt |
| CY Other Revenue | $10,293 | CYOtherRevenueAmt |
| PY Total Revenue | $33,975,969 | PYTotalRevenueAmt |
| CY Total Revenue | $37,049,961 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $20,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $60,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,170,872 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,076,649 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,657,101 | PYOtherExpensesAmt |
| CY Other Expenses | $16,257,261 | CYOtherExpensesAmt |
| PY Total Expenses | $33,847,973 | PYTotalExpensesAmt |
| CY Total Expenses | $33,394,110 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $127,996 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,655,851 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,658,535 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,277,802 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,771,582 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,468,296 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,886,953 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,809,506 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,303,745 | ExpenseAmt |
| Grant | $60,200 | GrantAmt |
| Revenue | $36,609,729 | RevenueAmt |
| Desc | For the year ended June 30, 2015, a total of 2,539 acute patient days were recorded, 849 swing bed patient days were recorded and 296 newborn patient days were recorded. Charity care is also provided by the facility. For the year ended June 30, 2015, the facility provided $667,816.60 in charity care, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients.The Hospital also provides community benefit health activities at less than or at no cost to support those in the area served. These activities include community education programs; special programs for the elderly, handicapped, and medically underserved; and a variety of broad community support activities. During the years ended June 30, 2015 and 2014, specific activities included health fair; meeting facilities; programs for patients and families suffering from cancer, diabetes, breathing disorders, mental illness, and others; transportation services; emergency healthcare providers; wellness programs; and overnight housing for families of hospitalized patients. | Desc |
| Total Program Service Expenses | $28,303,745 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 302 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Garman | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4023365132 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 N 2nd Street | AddressLine1Txt |
| City | ONeill | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 687631569 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Ed North | ||||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jack Hurley | ||||||||
| Vice-Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Lisa Lind | ||||||||
| Secretary/Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Richard Fitch MD | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Randy Hupp | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jim Rabe | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Joe Krotter | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Deb Kelly | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sister Kathryn Burt OSB | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sister Janet Schumacher PBVM | ||||||||
| Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sister Mary Jaeger PBVM | ||||||||
| Member | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||
| Mark Meyer MD | ||||||||
| Pres of Med Staff/Physicia | 1.00 | 0.00 | Yes (X) | $578,511 | $0 | $11,597 | ||
| Ronald Cork | ||||||||
| President & CEO | 50.00 | 0.00 | Yes (X) | Yes (X) | $0 | $225,772 | $33,925 | |
| Michael Garman | ||||||||
| Sec/Treas & SrVP Finance | 40.00 | 0.00 | Yes (X) | $165,482 | $0 | $28,496 | ||
| Edwin N Cook DO | ||||||||
| Radiologist | 40.00 | 0.00 | $578,791 | $0 | $18,314 | Yes (X) | ||
| Cameron Everitt | ||||||||
| Director of PT/OT | 40.00 | 0.00 | $171,289 | $0 | $16,439 | Yes (X) | ||
| Kevin Loecker | ||||||||
| CRNA | 40.00 | 0.00 | $204,880 | $0 | $21,749 | Yes (X) | ||
| Wendell Spencer | ||||||||
| Director of Anesthesia | 40.00 | 0.00 | $247,568 | $0 | $17,307 | Yes (X) | ||
| Anthony Akainda MD | ||||||||
| General Surgeon | 40.00 | 0.00 | $406,892 | $0 | $31,377 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,353,413 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $225,772 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $179,204 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sacred Heart Health Services | |||||
| 501 Summit St | Yankton | SD | 57078 | Management, Support & Lab Services | $4,504,066 |
| Cardinal Health | |||||
| 2901 Enloe St | Hudson | WI | 54016 | Equipment Maintenance & Support | $1,884,804 |
| Trane | |||||
| PO Box 98167 | Chicago | IL | 60693 | Equipment Maintenance & Support | $579,655 |
| Avera Health | |||||
| 3900 W Avera Drive Suite 300 | Sioux Falls | SD | 57108 | Shared Services | $347,288 |
| Owens & Minors | |||||
| 9120 Lockwood Blvd | Mechanicsville | VA | 231162015 | Equipment Maintenance & Support | $293,631 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $35,472 | RelatedOrganizationsAmt |
| All Other Contributions | $81,485 | AllOtherContributionsAmt |
| Total Contributions | $116,957 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 622110 | $29,239,099 | $29,239,099 |
| Clinic Revenue | 621110 | $5,776,023 | $5,776,023 |
| Other Revenue | 900099 | $1,507,109 | $1,507,109 |
| Meaningful Use Payments | 900099 | $87,498 | $87,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,609,729 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,690 | TotalRevenueColumnAmt |
| Exclusion | $51,690 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,293 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,293 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,293 | TotalRevenueColumnAmt |
| Exclusion | $10,293 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,690 | SecuritiesAmt |
| Other | $15,602 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,690 | SecuritiesAmt |
| Other | $15,602 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $261,292 | TotalRevenueColumnAmt |
| Exclusion | $261,292 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,049,961 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,609,729 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $323,275 | 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 | $60,200 | TotalAmt |
| Program Services | $60,200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $817,903 | TotalAmt |
| Program Services | $624,106 | ProgramServicesAmt |
| Management And General | $193,797 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,618,674 | TotalAmt |
| Program Services | $11,350,861 | ProgramServicesAmt |
| Management And General | $1,267,813 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,792 | TotalAmt |
| Program Services | $331,004 | ProgramServicesAmt |
| Management And General | $53,788 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,389,480 | TotalAmt |
| Program Services | $1,990,240 | ProgramServicesAmt |
| Management And General | $399,240 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $865,800 | TotalAmt |
| Program Services | $753,556 | ProgramServicesAmt |
| Management And General | $112,244 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,583,169 | TotalAmt |
| Management And General | $1,583,169 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,720 | TotalAmt |
| Management And General | $19,720 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,824 | TotalAmt |
| Management And General | $83,824 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,611,262 | TotalAmt |
| Program Services | $4,336,005 | ProgramServicesAmt |
| Management And General | $275,257 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,454 | TotalAmt |
| Management And General | $1,454 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,065,227 | TotalAmt |
| Program Services | $216,877 | ProgramServicesAmt |
| Management And General | $848,350 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,845 | TotalAmt |
| Management And General | $65,845 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,383 | TotalAmt |
| Program Services | $385,383 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,852 | TotalAmt |
| Program Services | $285,982 | ProgramServicesAmt |
| Management And General | $20,870 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,068 | TotalAmt |
| Program Services | $44,090 | ProgramServicesAmt |
| Management And General | $35,978 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,704 | TotalAmt |
| Program Services | $353,704 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,239,724 | TotalAmt |
| Program Services | $2,239,724 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,580 | TotalAmt |
| Program Services | $228,580 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $3,757,190 | $3,757,190 | |
| Bad Debts | $968,804 | $968,804 | |
| Equipment Lease and Ren | $353,136 | $307,563 | $45,573 |
| Dues and Subscriptions | $93,913 | $39,896 | $54,017 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,406 | TotalAmt |
| Program Services | $29,980 | ProgramServicesAmt |
| Management And General | $29,426 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,394,110 | TotalAmt |
| Program Services | $28,303,745 | ProgramServicesAmt |
| Management And General | $5,090,365 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,949,296 | BOYAmt |
| EOY | $9,180,685 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,216,041 | BOYAmt |
| EOY | $3,678,213 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,085,901 | BOYAmt |
| EOY | $1,027,502 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,521 | BOYAmt |
| EOY | $360,056 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,288,870 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,979,417 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,380,829 | BOYAmt |
| EOY | $18,309,453 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,232,527 | BOYAmt |
| EOY | $1,240,372 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,368,372 | BOYAmt |
| EOY | $11,416,235 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,048 | BOYAmt |
| EOY | $65,286 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,658,535 | BOYAmt |
| EOY | $45,277,802 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,517,874 | BOYAmt |
| EOY | $2,398,531 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,403,708 | BOYAmt |
| EOY | $9,783,699 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850,000 | BOYAmt |
| EOY | $3,286,066 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,771,582 | BOYAmt |
| EOY | $15,468,296 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,736,453 | BOYAmt |
| EOY | $29,659,006 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,500 | BOYAmt |
| EOY | $150,500 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,886,953 | BOYAmt |
| EOY | $29,809,506 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,658,535 | BOYAmt |
| EOY | $45,277,802 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,655,851 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $266,702 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $150,500 | BeginningYearBalanceAmt |
| End Year Balance | $150,500 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $150,500 | BeginningYearBalanceAmt |
| End Year Balance | $150,500 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $150,500 | BeginningYearBalanceAmt |
| End Year Balance | $150,500 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $150,500 | BeginningYearBalanceAmt |
| End Year Balance | $150,500 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $150,500 | BeginningYearBalanceAmt |
| End Year Balance | $150,500 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| 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) |
|---|---|---|
| Other Cost Or Other Basis | $745,022 | OtherCostOrOtherBasisAmt |
| Book Value | $745,022 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,822,285 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,172,677 | DepreciationAmt |
| Book Value | $13,649,608 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,549,700 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,239,241 | DepreciationAmt |
| Book Value | $3,310,459 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,171,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $567,499 | DepreciationAmt |
| Book Value | $604,364 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,309,453 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Assets Limited to Use - Avera Pooled Investments | $10,572,420 | F |
| Investment in Foundation | $843,815 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $11,416,235 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated Third Party Payor Settlements | Desc |
| Amt | $3,286,066 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,286,066 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $36,347,859 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $266,702 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$968,804 | OtherRevenueAmt |
| Revenue Not Reported | -$702,102 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,049,961 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,049,961 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,425,306 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,425,306 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $968,804 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $968,804 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,394,110 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Hospital's endowment consists of a portion of their interest in the net assets of Avera St. Anthony's Hospital Foundation. The Avera St. Anthony's Hospital 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. |
| Part X, Line 2: | The Hospital is organized as a Nebraska nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Hospital is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Hospital has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future and accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Provision for Bad Debts Included in Revenue on Financial Statements -968,804. |
| Part XII, Line 4b - Other Adjustments: | Provision for Bad Debts Included in Revenue on Financial Statements 968,804. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1593 | PersonsServedCnt |
| Total Community Benefit Expns | $634,787 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $634,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5360 | PersonsServedCnt |
| Total Community Benefit Expns | $2,262,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,149,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6953 | PersonsServedCnt |
| Total Community Benefit Expns | $2,897,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,149,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $747,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 2542 | PersonsServedCnt |
| Total Community Benefit Expns | $252,143 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $90,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $116,191 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $116,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 803 | PersonsServedCnt |
| Total Community Benefit Expns | $258,909 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $258,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $958 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 3345 | PersonsServedCnt |
| Total Community Benefit Expns | $628,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $90,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $537,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 10298 | PersonsServedCnt |
| Total Community Benefit Expns | $3,525,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,240,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,284,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03970 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 13259 | PersonsServedCnt |
| Total Community Benefit Expns | $148,549 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $147,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $80,855 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 13259 | PersonsServedCnt |
| Total Community Benefit Expns | $229,404 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $147,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $82,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $968,804 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,438,837 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,625,088 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$186,251 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera St Anthony's Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 N 2nd Street | AddressLine1Txt |
| City | ONeill | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68763 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.avera-sta.org | WebsiteAddressTxt |
| State License | 410002 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Provider based clinics - 1 RHC & 4 physician clinics | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Anthony's Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.avera.org/st-anthonys/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See website address on Part V narrative. | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.avera.org/experience/ah/financial-assistance-charity-care/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.avera.org/experience/ah/financial-assistance-charity-care/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Anthony's Hospital | Part V, Section B, Line 5: Our Hospital worked with the North Central District Health Department and nine other hospitals in the health department's district. This collaborative approach allowed for additional resources and the support and expertise of a state public health agency. |
| St. Anthony's Hospital | Part V, Section B, Line 6a: CNCS, Osmond General HospitalAntelope Memorial HospitalBrown County HospitalNiobrara Valley HospitalTilden Community HospitalWest Holt Memorial HospitalCherry County HospitalAvera Creighton HospitalOsmond General HospitalRock County Hospital |
| St. Anthony's Hospital | Part V, Section B, Line 6b: North Central District Health Department |
| St. Anthony's Hospital | Part V, Section B, Line 11: The following actions plans were identified to address the needs identified in the CHNA. Ongoing results are also included for each need.FOCUS AREA - ACCESS TO CAREGoal 1: Increase number of primary care providers serving the primary market area. (Recruiting)Obj. 1: Actively recruit providersRESULTS/IMPACT:Complete as recruitment efforts were successful providing more accessible care options for the community population.July 2013 - Hannah Jessen, APRN joined AMGOJan. 2014 - Theresa Petersen, MHNP provides behavioral and mental health services through AMGO.Oct. 2014 - Emily Nolan, NP and Sara Reikofski, PA join AMGO Medical StaffJuly/Aug. 2015 - Dr. Josh Thoendal and Drs. Brian and Dena Jundt join staff.December 2015 - Orthopedic physican, Dr. Wayne Scheidemann takes the place of Dr. Mark Meyer.Goal 2: Increase the community's knowledge of available health care resources. Obj. 1: Educate the community residents on the available healthcare resources utilizing the Avera Coordinated Care (ACC) model.RESULTS/IMPACT:Avera Coordinated Care personnel provide services by being available to the patient 24/7 with questions or concerns regarding their health, medications, emergencies, etc with weekly/biweekly contact. Services provided include blood pressure checks, medication container filling, behavioral health counseling, Diabetic Education classes, assistance with resource options and economic assistance referrals. The impact is creating healthy relationships with provider and patient and improving outcomes within the home environment.ACC participates in a grant study to provide in home equipment to help the patient monitor symptoms from home with a blood pressure cuff, scale, oxygen saturation monitor and glucometer. The patient is able to reach out to the nurse through the cellular Ipad and ask questions with the vitals being monitored by the nurse. The Good Samaritan Society Living at Home organization also assists with the above home monitoring equipment as well as sensor equipment that is placed in the home to track the patients movements and alerts the family and nurse if the baseline changes.Other: AMGO marketing materials were added to the O'Neill Chamber of Commerce packets for distribution to new community members.Brochures on healthcare are offered within the waiting areas of the facility.Resources/services are marketed through local radio, newspaper and TV outlets. April 2014 - ASAH launched and assisted the community persons with the "Avera Chart" patient portal system, allowing the patient access to their medical record thus increasing their knowledge of healthcare resources.Goal 3: Provide resources for medication managementObj. 1: Provide assistance to the Medicare population to be enrolled in the Medicare D program.RESULTS/IMPACT:2013 - 617 persons assisted2014 - 532 persons assisted. Savings of $219,0002015 - 489 persons assisted with savings noted to be $226,609.Obj. 2: Utilize the ACC model to provide medication management assistanceRESULTS/IMPACT:Guidance is provided with patient assistance forms to help patients improve the affordability of their medications while also working with providers on utilizing effective/cost saving medications. Assistance with refills through multiple pharmacies also lessens the confusion for the patient. An Avera Coordinated Care RN is available 24/7 with medication questions and or concerns. The ACC Clinical Care Specialist reminds patients of upcoming appointments, specialty appointments, diabetic education and chronic disease management consults and promotes utilization between all appointments to improve the patient's care, the providers understanding of illness and the patient's outcomes.FOCUS AREA - BEHAVIORAL HEALTH/MENTAL HEALTH AND SUBSTANCE ABUSEGoal 1: Increase access to therapeutic mental health servicesObj. 1: Collaborate with Avera in development of a standardized depression screening tool for primary care clinics.RESULTS/IMPACT:The Patient Health Questionnaire-9 (PHQ-9) is performed on an ACC pt. upon admission and repeated every 3 months to monitor any acute changes in the patient and to better provide effective medication management for diagnosed depression. These results are available through the electronic medical record. Any patient aged >50 years of age gets an annual PHQ-9 performed by the nurse/provider. It is also initiated if there is evidence of new onset depression. Avera Coordinated Care staff and additional team members within the Social Services Department are able to perform one to one counseling with patients. Obj. 2: Determine what resources are available and provide education through the ACC model.RESULTS/IMPACT: Access to Psychiatrist services through AMG-Behavioral Health is provided. There is utilization of a Social Worker for referrals and resources as well as the outreach appointments with Mary Carole Curran, Ph.D, ABPP. Teri Peterson FNP is staffed for services in Behavioral Health.Obj. 3: Provide telehealth or specialty outpatient clinic opportunities for therapeutic mental health services.RESULTS/IMPACT: Brochures are available describing Behavioral Health service. Throughout 2015 there were 80 E-Emergency encounters within the Emergency Room Department and of those 80, 2 were related to Mental Health issues. The VA services provided 12 visits as well. These services have no additional charge to the patient.The Shower Program offered bathing services to persons in the community who have no available facilities or are physically unable to bathe in their existing bathrooms (as so determined by Social Services). The shower is scheduled for a set date and time. The individual receives a shower in one of the large roll-in showers on the nursing unit by a nursing assistant. The Social Service department provides any needed supplies that the hospital doesn't normally have on hand such as clean underwear, incontinence pads/or depends, hair conditioner, spray detangler, detangler combs, shower gel etc. The person receiving the shower can keep the items given to him/her and will be stored in the Social Service department. The Shower program therapeutically assisted in improving the individual's self-esteem and social integrity/dignity.GOAL 2: Provide education to staff regarding the importance of assessing/addressing substance abuse with patients upon a clinic visit. Obj. 1: Partner with Avera to develop assessment screening tools. RESULTS/IMPACT: The PHQ-9 is accessible through EMR. Through the EMR process, interventions were added to the Assessment queries that addressed Human Trafficking, Domestic Violence and Substance Abuse.Obj. 2: Partner with community resources to provide staff education.RESULTS/IMPACT:Staff at Valley Hope Alcohol and Drug Treatment Center provided an educational presentation to clinic nursing staff on the processes/referrals/treatments/therapies that a patient receives.Through a partnership with the Nebraska Department of Health and Human Services (NDHHS) Injury Prevention and Control Program and the Safe Kids Nebraska Program, staff is provided a monthly publication via email that educates on topics of Substance Abuse (i.e., e-cigarettes). In May 2015 employees attended an educational program entitled "Drug Awareness: Abuse, Use and What's New in 2015". Content addressed definition of a drug and how it affects the user, as well as 7 drug categories and its recognition.FOCUS AREA - CANCER PREVENTION & EDUCATIONGoal 1: Increase the percentage of men and women who receive preventative care services.Obj. 1: Continue to offer Public Health Screens twice/year at a reduced cost.RESULTS/IMPACT: 2013 - 197 colon screens and 532 prostate screens2014 - 159 colon screens and 474 prostate screens performed calculating out to an approx. 8% sample that tested abnormal. 2015 - 133 colon screens completed with no abnormal findings. There were 475 prostate screens done indicating approx. 11% (50) of population with an abnormal result. Obj. 2: Increase the number of women who receive screening mammograms.RESULTS/IMPACT: 2013 - 890 mammography screens completed with 3.2% increase from the previous year.2014 - The Every Woman Matters program provided an in-service to the AMGO Nursing staff in April informing them of the services offered and how to get patients enrolled, etc. In October, Avera announced a new system-side marketing campaign focused on the importance of breast care and getting a mammogram. The campaign ran through the month of October, which was Breast Cancer Awareness month. The ASAH mammography program was included in local public announcements during that time.868 mammograms completed showing a 1.9% decrease.CONTINUED ON PAGE 44 |
| St. Anthony's Hospital | Part V, Section B, Line 16i: 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. |
| St. Anthony's Hospital | Part V, Section B, Line 20e: If a patient is self pay and has a large balance a third party agency, The Midland Group, is used to help them apply for Medicaid. If they are not eligible for Medicaid a completed Charity application is processed. |
| St. Anthony's Hospital | Part V, Section B, Line 24: Individuals eligible for financial assistance are not charged gross charges for emergency or other medically necessary care; however may be charged gross charges for elective care. |
| Schedule H, Part V, Section B, Line 10: | http://www.avera.org/experience/shared/community-needs-health-assessments/ |
| Part V, Section B, Line 11: | 2015 - ACC utilizes Clinical Intelligence (CI) reports for monitoring preventative screenings for all ACC patients. The providers also have CI reports available for their entire practice, with improved manageability as they follow their female patients needing a mammogram scheduled.Mammograms totaled 1007 indicating a 16% increase. Obj. 3: Utilize ACC model to track health screening data for applicable patients.RESULTS/IMPACT: Clinical Intelligence reports are utilized at the clinics as they are specific for each provider and their practice to monitor their Diabetic patients that need an updated HgbA1c or Urine Micro Albumin (UMA). Vascular Reports are used to monitor patients that need screenings and updated blood pressures. Preventative Reports monitor mammograms, upper and lower scopes, disease management, PSA's etc. The clinic and ACC, as a team, notify the respective patients of their need for these screenings. The CI reports also enable improved monitoring of the chronic diabetics by checking the progress made by the patient and provider and or lapses seen.FOCUS AREA - ENVIRONMENT & SAFETYGoal 1: Decrease the risk of fatal/non-fatal incidents/injuries.Obj. 1: Offer ImPACT training to local providers.ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing), a scientifically validated computerized concussion evaluation system, provides trained clinicians with neurocognitive assessment tools as part of an overall concussion management protocol thus determining safe return to play decisions. RESULTS/IMPACT: Training provided in April 2013.Obj. 2: Collaborate with local clinics to provide Junior and Senior High School sports physicals and additional screenings (i.e., concussion screening) at free or reduced costs. RESULT/IMPACT: COMPLETED in 2013.Sports physicals and concussion screening performed on 2 occasions assisting 251 students of the community. In 2014 sports physicals were no longer offered free as the service became covered through insurance programs. Obj. 3: Develop protocol addressing concussion follow-up for release/return to activity.RESULTS/IMPACT: COMPLETED in 2014Protocol introduced in August 2013 to AMGO Nursing staff and physicians. Protocol remains active and utilized with the Clinic and ER.Obj. 4: Obtain State of Nebraska Basic Trauma designation.RESULTS/IMPACT: COMPLETED 2014.On August 14th, the State of Nebraska Trauma Designation Survey was held. The on-site review was conducted by a multidisciplinary team consisting of Trauma surgeons, Trauma nurse coordinators, EMS representatives and other medical administrators. Avera St. Anthony's applied for a Basic designation level which meant that the hospital was able to demonstrate its ability to provide initial resuscitation, stabilization, and transfer of patients as required. The survey team found no deficiencies and designated the facility as a Basic level IV on Sept. 29th. Obj. 5: Collaborate with ACC to organize in-home services.RESULTS/IMPACT: Actively screening and referring patients to Northeast Nebraska Area Agency on Aging for assistance in the home with ADLs, referrals to Avera at Home for Home Health Care, and the previously stated Good Samaritan Society Living at Home monitoring equipment thus helping the patient stay in the home longer and live independently.Obj. 6: Promote Safe Kids Chapter activities through Safe Kids Fair, Child Passenger Seat Safety Checks, Helmet Use and others identified.RESULTS/IMPACT:ASAH provides the staff, hourly wage expense and other accessory needs for the chapter activities. 2012-2013 - There were 660 hours of car seat check time and 302 child seats checked with 55 seats provided.2014 - The Safe Kids fair was held in March where 370 students, age preschool through 4th grade, from 8 schools visited 10 interactive safety booth demonstrations. Areas of education/awareness that were addressed : Electrical Safety, Seat belt usage, Cellular and Internet Safety, Bike Helmets, Fire Safety, Agricultural/Farm Safety, Choking and CPR, Emergency 911 calling, Bullying, Medication Poisoning. There were 12 Car Seat Safety local inspection stations with 280 seats checked and 164 of them being misused. There were 75 child seats distributed. On Oct. 29 a presentation was provided to 210 students at the local elementary school systems educating them on safe routes to take to school. On Oct. 31st an event entitled "Trunk or Treat" was hosted for approx. 400 children in cooperation with local churches in a downtown open parking lot. This event promotes a safe evening for kids to perform their Halloween tradition in a less congested area with greater traffic control.2015 - The Safe Kids Fair was held March 9th. There were 305 students age kindergarten through 4th grade from 5 schools that visited 9 interactive safety booth demonstrations. Areas of education/awareness that were addressed : Electrical Safety, Vehicle Safety and Seat Belt usage, Home Fire Safety, Agricultural/Farm Safety, Bullying, Backpack usage, Handwashing and Pet safety.For 2015 there were 14 car seat check events with 225 child seats checked, of the 225 seats 139 were being used incorrectly or installed incorrectly, 66 of 225 arrived uninstalled, that leaves 20 that arrived correctly installed and used correctly. There were 34 child safety seats distributed. Oct. 31st an event entitled "Trunk or Treat" was hosted with approx. 560 children in attendance, Safe Kids North Central in cooperation with local churches & organizations in a safe area. This event promotes a safe evening for kids to perform their Halloween tradition in a less congested area with greater traffic control. Safe Kids North Central donated a child safety seat to the New Year's baby. In addition, the Chapter also donated infant car seats to Biglin's Mortuary and Seger's Mortuary for transport of deceased infants, for a more respectful transport to the mortuary.Safe Kids North Central participated in the KBRX Farm & Home Show with poison education presented.FOCUS AREA - CHRONIC DISEASE, OBESITY AND RELATED HEALTH CONCERNSGoal 1: Decrease the overweight and obese citizens in our primary market area.Obj. 1: Measure the body mass index (BMI) in patients.RESULTS/IMPACT: COMPLETEDObjective completed but impact of goal unknown due to unavailable comparative data.All clinics have BMI automatically calculated with every Ht. and Wt taken on all pts. >2 yrs of age. Hospital website has an Avera sponsored link for community members to access health information, including a wellness tool BMI calculator. |
| Part V, Section B, Line 11: | Obj. 2: Collaborate with ACC to identify patients in need of preventative healthcare visits.RESULTS/IMPACT: The Clinical Intelligence software program has capabilities to screen and compile data for every admission to the system and has alert/flagging capabilities for elevated BMIs, abnormal lab values, mammos and scopes.Obj. 3: Educate patient/families on obesity, healthy lifestyle and diet/exercise.RESULTS/IMPACT: Educational brochures are provided at waiting areas throughout facility. 2014 & 2015 - ASAH utilized the venue of the local KBRX Farm & Home Show held annually in February to assist with community health screening and surveillance. Stroke education tools were made available. Of the 334 visitors of the hospital's blood pressure booth, 77% were recipients of the information provided. The average age of the population was 62, and 78 persons (23%) were referred for a suggested follow-up with their medical provider due to a hypertensive risk assessment.A total of 56 community members participated in a screening Spirometry at the hospital booth. The participating average age was 52 years of age and ranged from 6 years to 86 years. There were 6 people with airflow limitations or their Forced Expiratory Volume in 1 second divided by their Forced Vital Capacity percentage (FEV1/FVC %) was less than 70%. Of these 6 people, 4 participants had mild airflow limitation and 2 had moderate airflow limitation. Sixteen out of 56, or 29%, of these participants might require further testing and were given a copy of their test. It was recommended they visit with their provider about the results. There was also witness of 10 people with low lung volumes or a forced vital capacity (FVC) less than 80% predicted. Public Health Screens are provided at reduced cost to the community each April and October annually. The Respiratory Therapy department performed 56 Spirometry tests in which 37% of the participants were informed of mild to moderate pulmonary airway restriction. There were 70 Sleep Equipment (CPAP Machines) checks done whereby the patient was educated on its function and maintenance. Blood Pressure screenings were performed at the Public Health Screens and 480 participants were assisted. Average age was 62.5. There was 47% of the population that took the offered educational material and 22% were referred to their medical professional for further evaluation. Of the risk category, 32% were hypertensive high risk and 28% were normal.All interventional events allowed participants to be aware of need for improving healthy lifestyle.Obj. 4: Continue collaboration with Safe Kids and local school systems to promote "Walk to School" day and other programs. RESULTS/IMPACT: 2014 & 2015 - The annual Walk to School program involved 84+ students and numerous parents, grandparents and siblings in the month of October.2015 - Safe Kids North Central along with Avera & Community volunteers participated in National Walk to School day on October 6th, 7th & 8th in three communities with 5 schools participating. There were 335 students that participated as well as numerous parents, grandparents and school staff that are not included in the numbers. In conjunction with Walk to School day, 660 pedestrian safety activity books and Clifford the Red Dog takes a walk books were distributed to area schools and preschools.Goal 2: Improve access to diabetes education and screening.Obj. 1: Utilize available media resources to provide education on diabetes and wellness. RESULTS/IMPACT:Educational brochures are available at clinic waiting rooms. Dr. Ryan Banks, AMGO provider, and the KBRX radio station host weekly programs on various health topics. Obj. 2: Collaborate with ACC to track data for diabetes screening.RESULTS/IMPACT: Clinical Intelligence database tracks patients in conjunction with ACC follow-up phone calls and visits. ACC utilizes "Diabetes Report and "Vascular Report" for medication and diet management interventions/goals. Obj. 3: Continue to offer the Hgb A-1c blood test twice per year during Public Health Screens.RESULTS/IMPACT:2014 & 2015 - Of the 1481 Hgb A1-C tests performed, there were 619 (42% of the population) outside of the recommended range and received an alert of the abnormality. Of the 2878 Glucose tests performed, 1163 (40%) were also alerted to an abnormal range.Goal 3: Increase overall cardiovascular health in citizens.Obj. 1: Collaborate with Avera in the development of the E-Stroke initiatives.RESULTS/IMPACT:Objective not met due to lack of initiative development from the Avera system.Obj. 2: Educate community regarding stroke utilizing the Avera E-Stroke marketing tools.RESULTS/IMPACT: Blood Pressure and Stroke educational pamphlets were made available to the public at the KBRX Farm & Home show in February, the Public Health Screenings in April and October.Obj. 3: Continue to offer the Lipid Panel blood test twice per year during Public Health Screenings.RESULTS/IMPACT:2014 & 2015 - Cholesterol levels were tested as part of the Public Health Screenings and of the 2878 tests, 1054 (37%) were outside of the range of good cardiovascular health and the patient was alerted to the abnormal value.Obj. 3: Increase the proportion of children, >2 years, who have had their blood pressure measured.RESULTS/IMPACT:Blood Pressure monitored with every clinic visit as part of "Meaningful Use" measure. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| St. Anthony's Hospital Part V, Section B, line 16a website: | http://www.avera.org/experience/ah/financial-assistance-charity-care/ |
| St. Anthony's Hospital Part V, Section B, line 16b website: | http://www.avera.org/experience/ah/financial-assistance-charity-care/ |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | A combination of income and assets test is utilized to determine eligibility for free or discounted care. Points are assigned based on income as a percentage of FPG and net assets owned with points deducted for ongoing medical expenses such as drugs. Patients with the fewest points receive the largest discount. 0-1 points receive 100% discount on bills while remaining discounts range from 10-90% depending on point totals and dollar amount of charges. |
| Part I, Line 6a: | We have a community benefit report specific to our Hospital available on our website or on request as well as contained in a report prepared by Avera Health, a related organization. It is available through the website and requested mailing, and is filed with the Catholic Health Association. |
| Part I, Line 7: | Charity care unreimbursed Medicaid and subsidized health services were converted to cost using the cost-to-charge ratio derived from Worksheet 2. Community health improvement services, health professions education and research are actual expenses recorded in the general ledger. |
| Part I, Ln 7 Col(f): | The amount of bad debt expense removed from the denominator of the calculation was $968,804. |
| Part II, Community Building Activities: | Lifeline is a secure personal medical alert emergency response service for the elderly and disabled. This service assists these individuals to live with greater independence by living alone but still having access to medical help. Van transportation is provided to individuals that are unable to drive. With no public transportation in our area the van transportation helps bus children to school and takes the elderly shopping and to health care appointments. The van even offers transportation to larger cities about 200 miles away with advance notice for specialty medical services. |
| Part III, Line 2: | Bad debt expense is reported net of discounts and contractual allowances. A payment on an account previously written off reduces bad debt expense in the current year. |
| Part III, Line 3: | The organization did not estimate the amount of bad debt expense attributable to patients eligible under the organization's charity care policy as the organization works hard at encouraging people to apply and makes adjustments to bad debt expense based on recommendations of the collection agency or reviews bad debt for those who qualify under charity care. |
| Part III, Line 4: | The footnote to the Organization's financial statements can be found on page 6 of the attached audited financial statements. |
| Part III, Line 8: | St. Anthony's Hospital follows the CHA guidelines in reporting community benefits and therefore any Medicare shortfall 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 and Medicaid Services. |
| Part III, Line 9b: | If the patient qualifies for the Organization's financial assistance policy for low-income, uninsured patients and is cooperating with the Organization with regard to efforts to settle an outstanding bill within a reasonable time period, the Organization or its agent shall not send, nor indicate that it will send, the unpaid bill to any outside collection agency. At such time as the Organization sends the uncollected account to an outside collection agency, the amount referred to the agency shall reflect the reduced-payment level for which the patient was eligible under the Organization's financial assistance policy for low-income uninsured patients. Avera St. Anthony's Hospital does not report any data to any of the credit agencies, however, the collection agencies Avera St. Anthony's Hospital utilizes may report to the credit agencies. Any extended payment plans offered by the Hospital, or the Hospital's representative, in settling the outstanding bills of patients who qualify for financial assistance shall be interest-free so long as the repayment schedule is met. |
| Part VI, Line 2: | Avera St. Anthony's Hospital conducts an annual strategic planning meeting that includes a cross section of community members. Our Hospital Board of Directors, Hospital Finance Committee, Foundation Board of Directors, Community Medical Staff, and Hospital Department Directors meet to assess community input from the local nursing facility, assisted living, and local public health office. Our Hospital and Foundation Boards and Finance Committee are made up of a majority of community members. This group drafts an annual strategic plan of goals, objectives, and strategies that are continuously updated to address the needs of the community. Additionally, input from the local ministerial association, law enforcement, Chamber of Commerce, elementary and secondary public and parochial schools, and the local community college are assessed and incorporated into the plan. We are also currently working with our local health department to assess additional community needs through surveys and additional input from community leaders and community health care professionals. |
| Part VI, Line 3: | Patients are informed of the financial assistance/charity care policy through brochures and posted policies at the registration desks of the Hospital and Emergency Department. Avera St. Anthony's has staff in central registration that identify if a patient has the financial means to pay for services or insurance to cover these services. Public assistance is also pursued if deemed appropriate. If patients are identified as candidates for charity care they are directed to our financial services representative and the application process is initiated for charity care. Patient financial services can assist with determining what benefits the patient may qualify for and assists with helping them apply for any benefits. If there is no option for an outside assistance program, the patient is informed and encouraged to complete the application that utilizes a combination of income, assets, and expenses to determine what percentage of charity care they would qualify for. |
| Part VI, Line 4: | Avera St. Anthony's Hospital is located in O'Neill, Nebraska, the county seat of Holt County. We serve a large radius to include patients from Brown, Rock, Boyd, Keya Paha, Wheeler, Knox, Garfield, and Antelope counties. In 2014, the population for Holt County was estimated to be 10,403. Approximately 19.5% of the population is age 65 or older. The average per capita income is $24,120 and approximately 10.2% of the population is below the federal poverty level. The nearest hospital in the area is approximately 18 miles from Avera St. Anthony. |
| Part VI, Line 5: | The Organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay. |
| Part VI, Line 6: | The communities in which Avera operates all have unique health and community benefit needs and in keeping with the Catholic Healthcare Association Guidelines each hospital strives to meet its community's identified needs. The corporate staff of Avera Health advocates for all members regarding community benefit related matters of state, regional, and national importance. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northeast Community College Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 E Benjamin Ave PO Box 469 | AddressLine1Txt |
| City | Norfolk | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 687020469 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 510145185 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $40,000 | CashGrantAmt |
| Purpose Of Grant | Help with expansion of O'Neill, Nebraska campus | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization provided support for a building project. This project will be monitored to completion. | 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Meyer MD | ||||||||||||||
| Pres of Med Staff/Physicia | $524,041 | $0 | $39,275 | $0 | $15,195 | $0 | $10,400 | $0 | $1,197 | $0 | $590,108 | $0 | $0 | $0 |
| Ronald Cork | ||||||||||||||
| President & CEO | $0 | $217,280 | $0 | $0 | $0 | $8,492 | $0 | $11,145 | $0 | $22,780 | $0 | $259,697 | $0 | $0 |
| Michael Garman | ||||||||||||||
| Sec/Treas & SrVP Finance | $161,120 | $0 | $0 | $0 | $4,362 | $0 | $6,760 | $0 | $21,736 | $0 | $193,978 | $0 | $0 | $0 |
| Edwin N Cook DO | ||||||||||||||
| Radiologist | $570,106 | $0 | $0 | $0 | $8,685 | $0 | $10,400 | $0 | $7,914 | $0 | $597,105 | $0 | $0 | $0 |
| Cameron Everitt | ||||||||||||||
| Director of PT/OT | $155,950 | $0 | $15,019 | $0 | $320 | $0 | $6,959 | $0 | $9,480 | $0 | $187,728 | $0 | $0 | $0 |
| Kevin Loecker | ||||||||||||||
| CRNA | $172,700 | $0 | $31,600 | $0 | $580 | $0 | $5,553 | $0 | $16,196 | $0 | $226,629 | $0 | $0 | $0 |
| Wendell Spencer | ||||||||||||||
| Director of Anesthesia | $182,422 | $0 | $63,400 | $0 | $1,746 | $0 | $6,334 | $0 | $10,973 | $0 | $264,875 | $0 | $0 | $0 |
| Anthony Akainda MD | ||||||||||||||
| General Surgeon | $403,032 | $0 | $0 | $0 | $3,860 | $0 | $10,400 | $0 | $20,977 | $0 | $438,269 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3: | FormAndLineReferenceDesc |
| Explanation | The President & CEO's compensation is paid by a related organization, Sacred Heart Health Services. Avera St. Anthony's Hospital relied on the related organization for determining the compensation for the President & CEO using the methods described in Part I, Line 3. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended. |
| Form 990, Part VI, Section A, line 7a | Avera Health, as the sole member, has the power to appoint and remove, with or without cause, members of the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | Avera Health 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 St. Anthony's Hospital does not have a committee with authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed by the CEO and CFO. After initial reviews, a draft is provided to the Finance Committee for final review. The return is provided to the Board prior to filing. |
| 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 15 | Compensation of the CEO is determined by Avera Sacred Heart Hospital, a related exempt organization. The Board of Directors reviews the management agreement with Avera Sacred Heart Hospital and discusses and approves the agreement. Negotiations are done as needed. For the CFO, a salary review is done by a committee based on hospital association surveys, including hospital size. |
| 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 IX, line 11g | Repairs and Maintenance: Program service expenses 672,466. Management and general expenses 74,276. Fundraising expenses 0. Total expenses 746,742. Medical Professional Fees: Program service expenses 1,979,270. Management and general expenses 37,922. Fundraising expenses 0. Total expenses 2,017,192. Miscellaneous Fees: Program service expenses 1,684,269. Management and general expenses 163,059. Fundraising expenses 0. Total expenses 1,847,328. |
| Form 990, Part XII, Line 2c: | The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the audited financial statements for Avera St. Anthony's Hospital. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Health | |||||||||||
| 3900 W Avera Drive Suite 300 | Sioux Falls | SD | 57108 | 460422673 | Promotion of health | SD | 501(c)(3) | Line 9 | N/A | 0 | |
| Avera Holy Family | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 420680370 | Healthcare services | IA | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Holy Family Foundation | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 421317452 | Support of Holy Family Hospital and Home Health Agency | IA | 501(c)(3) | Line 9 | 0 | Avera Holy Family | |
| St Benedict Health Center | |||||||||||
| 401 West Glynn Drive | Parkston | SD | 57366 | 460226738 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| St Benedict Health Center Foundation | |||||||||||
| 401 West Glynn Drive PO Box B | Parkston | SD | 57366 | 460458725 | Support health related services | SD | 501(c)(3) | Line 11a, I | 0 | St Benedict Health Center | |
| Avera McKennan | |||||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 460224743 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Gettysburg | |||||||||||
| 606 East Garfield | Gettysburg | SD | 57442 | 460234354 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera St Mary's | |
| Avera Queen of Peace Hospital | |||||||||||
| 525 North Foster | Mitchell | SD | 57301 | 420224604 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Sacred Heart Health Services | |||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460225483 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera at Home | |||||||||||
| 5116 S Solberg Ave | Sioux Falls | SD | 57108 | 460399291 | Home Services | SD | 501(c)(3) | Line 9 | 0 | Avera Health | |
| Lewis and Clark Health Ed and Serv Agency | |||||||||||
| 1000 W 4th Street Suite 9 | Yankton | SD | 57078 | 460337013 | Healthcare education | SD | 501(c)(3) | Line 9 | 0 | Sacred Heart Health Services | |
| Avera St Luke's | |||||||||||
| 305 South State Street | Aberdeen | SD | 57401 | 460224598 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Marshall | |||||||||||
| 300 S Bruce St | Marshall | MN | 56258 | 410919153 | Healthcare Services | MN | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Marshall Foundation | |||||||||||
| 300 S Bruce St | Marshall | MN | 56258 | 411784801 | Fundraising | MN | 501(c)(3) | Line 9 | 0 | Avera Marshall | |
| Avera St Mary's | |||||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| St Anthony's Hospital Foundation | |||||||||||
| 300 North 2nd Street | ONeill | NE | 68763 | 470728707 | Support to Avera St. Anthony's Hospital | NE | 501(c)(3) | Line 11a, I | Yes (1) | Avera St Anthony's Hospital | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Avera Home Medical Equipment LLC | |||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 460488198 | Medical services - home medical equipment | SD | N/A |
| Home Medical Equipment of Pierre LLC | |||||||
| 329 E Dakota | Pierre | SD | 57501 | 460444002 | Medical services - home medical equipment | SD | N/A |
| Avera Home Medical Equipment of Floyd Valley Hospital LLC | |||||||
| 714 E Lincoln St NE | Lemars | IA | 51031 | 820582350 | Medical services - home medical equipment | SD | N/A |
| Avera Home Medical Equipment of Estherville LLC | |||||||
| PO Box 5045 | Sioux Falls | SD | 57117 | 201686097 | 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 |
| Avera Home Medical Equipment of Marshall LLC | |||||||
| 1104 East College Drive | Marshall | MN | 56258 | 205271924 | Medical services - home medical equipment | SD | N/A |
| Avera Home Medical Equipment of Spencer Hospital LLC | |||||||
| 2400 S Minnesota Avenue 102 | Sioux Falls | SD | 57117 | 800619999 | Medical Services - home medical equipment | SD | N/A |
| Q&M Properties LLC | |||||||
| 525 North Foster | Mitchell | SD | 57301 | 730652049 | Medical clinic building | SD | N/A |
| Surgical Associates Endoscopy Clinic LLC | |||||||
| 310 S Pennsylvania St | Aberdeen | SD | 57401 | 460461429 | Surgical associates | SD | N/A |
| Heart Hospital of South Dakota LLC | |||||||
| 4500 W 69th Street | Sioux Falls | SD | 57108 | 562143771 | Healthcare Services | SD | N/A |
| Brookings Health System - Avera HME LLC | |||||||
| 101 22nd Ave Suite 101 | Brookings | SD | 57006 | 453204123 | Medical Services - Home Medical Equipment | SD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Accounts Management Inc | |||||||||
| 5132 S Cliff Avenue Suite 101 | Sioux Falls | SD | 57108 | 460373021 | Collection Services | SD | N/A | C | 0 |
| Avera Health Plans Inc | |||||||||
| 3900 West Avera Drive Suite 101 | Sioux Falls | SD | 57105 | 460451539 | Health Financing and Health Plan Admin | SD | N/A | C | 0 |
| Avera Property Insurance Inc | |||||||||
| 610 W 23rd Street | Yankton | SD | 57078 | 460463155 | Property 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 Medical Inc | |||||||||
| 31325 S Cliff Avenue PO Box 5045 | Sioux Falls | SD | 571175045 | 471818349 | Biotech Research | 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 | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |