AVERA QUEEN OF PEACE: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- AVERA QUEEN OF PEACE (EIN 46-0224604)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-15
- IRS object ID
- 202601359349304105
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-15T09:25:54-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | 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 | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460224604 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Queen of Peace | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AVER | BusinessNameControlTxt |
| Phone | 6059966531 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 N Foster | AddressLine1Txt |
| City | Mitchell | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Julie Lautt | PersonNm |
| Person Title | CFO Avera Health | PersonTitleTxt |
| Phone | 6059952251 | PhoneNum |
| Signature | 2026-05-11 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2026-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Queen of Peace Health Service | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Hilary Rockwell | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 N Foster | AddressLine1Txt |
| City | Mitchell | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $161,929,397 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | See Schedule O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Promotion of health | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 905 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $12,045 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,079,869 | PYContributionsGrantsAmt |
| CY Contributions Grants | $558,811 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $138,016,143 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $152,540,578 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,835,209 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,115,322 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,649,945 | PYOtherRevenueAmt |
| CY Other Revenue | $1,709,317 | CYOtherRevenueAmt |
| PY Total Revenue | $142,581,166 | PYTotalRevenueAmt |
| CY Total Revenue | $159,924,028 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $774,062 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,070 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $74,773,489 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $81,102,691 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $32,757 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $61,439,476 | PYOtherExpensesAmt |
| CY Other Expenses | $67,546,561 | CYOtherExpensesAmt |
| PY Total Expenses | $136,987,027 | PYTotalExpensesAmt |
| CY Total Expenses | $148,662,322 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,594,139 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,261,706 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $180,639,963 | TotalAssetsBOYAmt |
| Total Assets EOY | $223,057,999 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,120,261 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $63,912,659 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $141,519,702 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $159,145,340 | 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 | $137,187,443 | ExpenseAmt |
| Grant | $13,070 | GrantAmt |
| Revenue | $153,057,675 | RevenueAmt |
| Desc | Avera Queen of Peace's mission is to provide healthcare services to Mitchell, South Dakota residents and residents of the surrounding area. Avera Queen of Peace is a 501(c)(3) organization affiliated with Avera Health. Avera Queen of Peace consists of a 25-bed critical access hospital and an 84-bed nursing home in Mitchell, SD, a 16-bed critical access hospital in Wessington Springs, SD, a 6-bed critical access hospital in De Smet, SD and 11 physician clinics. The program services offered include orthopedics, general surgery, internal medicine, radiation, laboratory, radiology, sleep lab, wound care, emergency, EKG, EEG, IP surgery, OP surgery, oncology, dermatology, pain management, physical therapy, occupational therapy, speech therapy, pharmacy, ophthalmology, and optometry. They provide acute care & long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Queen of Peace Hospital 1,762 Acute patient discharges 456 Newborn patient discharges 8 Swing Bed patient discharges98,017 Outpatient visits 104 Swing-bed patient days 933 Newborn patient days47,161 Clinic visitsAvera Brady Health and Rehabilitation 111 Long Term Care patient discharges25,938 Long-term care resident daysAvera Weskota Memorial Medical Center (CAH) 64 Acute patient discharges 22 Swing Bed discharges 5,953 Outpatient visits 219 Swing-bed patient daysAvera De Smet Memorial Hospital (CAH) 60 Acute patient discharges 22 Swing Bed patient discharges10,617 Outpatient visits 104 Swing-bed patient days 4,815 Clinic visitsAvera Queen of Peace maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and equivalent service statistics. The amount of charges foregone, based on established rates, were $6,935,965.Avera Queen of Peace also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H. As a member of the Avera Health Network, Avera Queen of Peace upholds the vision of the Presentation and Benedictine Sisters to work through collaboration to provide quality, effective health ministry and to improve the healthcare of individuals and our communities through a regionally integrated network of persons and institutions. Avera Queen of Peace engages in activities designed to improve the health of individuals and communities in response to a calling to heal the sick, the elderly, and the oppressed. | Desc |
| Total Program Service Expenses | $137,187,443 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 120 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 905 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jamie Schaefer | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053223992 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 W Avera Dr Ste 300 | AddressLine1Txt |
| City | Sioux Falls | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57108 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Chris Krouse DO | |||||||||
| Orthopedics & Sports Medicine | 40.00 | 0.00 | Yes (X) | $1,313,171 | $0 | $55,457 | |||
| Julie Lautt | |||||||||
| CFO Avera Health;Secretary/Treasurer | 0.10 | 46.30 | $0 | $1,274,363 | $20,218 | Yes (X) | |||
| Brian Kampmann MD | |||||||||
| Orthopedics & Sports Medicine | 40.00 | 0.00 | Yes (X) | $1,167,363 | $0 | $59,933 | |||
| Michael Gedwill DO | |||||||||
| Radiology | 40.00 | 0.00 | Yes (X) | $807,111 | $0 | $46,481 | |||
| Kelly Smith MD | |||||||||
| Diagnostic Radiology & Radiology | 40.00 | 0.00 | Yes (X) | $739,545 | $0 | $42,314 | |||
| Douglas Ekeren | |||||||||
| Former Regional President & CEO | 0.00 | 40.00 | $0 | $639,691 | $50,728 | Yes (X) | |||
| Dennis G Leland MD | |||||||||
| General Surgery | 40.00 | 0.00 | Yes (X) | $613,943 | $0 | $46,912 | |||
| Jessica Claussen MD | |||||||||
| Board Member/Opthalmology | 42.00 | 0.00 | $563,348 | $0 | $55,134 | Yes (X) | |||
| Jennifer Tegethoff MD FAAP | |||||||||
| Board Member/Pediatrics | 42.00 | 0.00 | $512,213 | $0 | $55,608 | Yes (X) | |||
| Hilary Rockwell MD | |||||||||
| Regional President & CEO | 42.00 | 0.00 | $0 | $501,643 | $55,634 | Yes (X) | |||
| Ryan Thompson | |||||||||
| Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Mark Puetz | |||||||||
| Vice Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Sr Joyce Feteral | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Darlene Bergeleen | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Sr Vicky Larson | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Trevor Dierks | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Mark Hunhoff | |||||||||
| Board Member | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Jean Koehler | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Tracey Larson | |||||||||
| Board Member (Until Sept.) | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Diane Sandhoff | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Nicole Stahle | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Brad Zomer | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Fredel Thomas | |||||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Ann Buckmiller | |||||||||
| Board Member (Beg. Oct. 2024) | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,716,694 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,415,697 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $488,419 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 108 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Avera Health | |||||
| 3900 W Avera Dr | Sioux Falls | SD | 57108 | Shared Services | $11,993,759 |
| AMN Healthcare Inc | |||||
| 2735 Collection Center Dr | Chicago | IL | 60693 | Contract Labor | $3,068,047 |
| ProLink Healthcare LLC | |||||
| 4600 Montgomery Rd Ste 300 | Cincinnati | OH | 45212 | Contract Labor | $851,468 |
| Restorix Health Inc | |||||
| PO Box 71849 | Chicago | IL | 60694 | Purchased Services | $814,405 |
| Avel eCare Medical Group PC | |||||
| 4500 N Lewis Ave N | Sioux Falls | SD | 57104 | eCare Purchased Services | $655,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $502,502 | RelatedOrganizationsAmt |
| Government Grants | $56,309 | GovernmentGrantsAmt |
| Total Contributions | $558,811 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient & Resident Services | 621110 | $139,382,111 | $139,382,111 |
| Patient and Clinic Revenue | 621110 | $1,620,070 | $1,620,070 |
| Pharmacy Revenue | 456110 | $1,109,819 | $1,109,819 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,428,578 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,428,578 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $152,540,578 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $564 | TotalRevenueColumnAmt |
| Exclusion | $564 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,486,904 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $306,729 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,180,175 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,180,175 | TotalRevenueColumnAmt |
| Exclusion | $1,180,175 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,099,092 | SecuritiesAmt |
| Other | $23,993 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $8,327 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,099,092 | SecuritiesAmt |
| Other | $15,666 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,114,758 | TotalRevenueColumnAmt |
| Exclusion | $5,114,758 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,797,951 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,690,313 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,638 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,593 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,045 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| A/R Interest | 900099 | $406,338 | $406,338 |
| Sports Programs | 900099 | $15,166 | $15,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $421,504 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,924,028 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $153,057,675 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,045 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,295,497 | 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 | $13,070 | TotalAmt |
| Program Services | $13,070 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,276,211 | TotalAmt |
| Program Services | $1,276,211 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,765 | TotalAmt |
| Program Services | $184,765 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,017,608 | TotalAmt |
| Program Services | $64,255,239 | ProgramServicesAmt |
| Management And General | $762,369 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,509,404 | TotalAmt |
| Program Services | $2,477,053 | ProgramServicesAmt |
| Management And General | $32,351 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,026,528 | TotalAmt |
| Program Services | $7,929,709 | ProgramServicesAmt |
| Management And General | $96,819 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,088,175 | TotalAmt |
| Program Services | $4,038,319 | ProgramServicesAmt |
| Management And General | $49,856 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,241 | TotalAmt |
| Program Services | $320 | ProgramServicesAmt |
| Management And General | $3,921 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Management And General | $6,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,018 | TotalAmt |
| Management And General | $3,018 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,716,551 | TotalAmt |
| Program Services | $18,387,415 | ProgramServicesAmt |
| Management And General | $8,329,106 | ManagementAndGeneralAmt |
| Fundraising | $30 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,641 | TotalAmt |
| Program Services | $7,104 | ProgramServicesAmt |
| Management And General | $8,623 | ManagementAndGeneralAmt |
| Fundraising | $914 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,139,438 | TotalAmt |
| Program Services | $907,887 | ProgramServicesAmt |
| Management And General | $210,921 | ManagementAndGeneralAmt |
| Fundraising | $20,630 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $831,715 | TotalAmt |
| Program Services | $831,715 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,166,625 | TotalAmt |
| Program Services | $1,833,037 | ProgramServicesAmt |
| Management And General | $333,588 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,132 | TotalAmt |
| Program Services | $302,461 | ProgramServicesAmt |
| Management And General | $10,671 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,593 | TotalAmt |
| Program Services | $255,679 | ProgramServicesAmt |
| Management And General | $914 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269,466 | TotalAmt |
| Program Services | $1,154,445 | ProgramServicesAmt |
| Management And General | $115,021 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,684,577 | TotalAmt |
| Program Services | $3,857,965 | ProgramServicesAmt |
| Management And General | $826,422 | ManagementAndGeneralAmt |
| Fundraising | $190 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,889 | TotalAmt |
| Program Services | $20,155 | ProgramServicesAmt |
| Management And General | $207,734 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $28,527,922 | $28,475,219 | $50,322 | $2,381 |
| Equipment Lease/Rental | $64,532 | $58,890 | $4,771 | $871 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,318,221 | TotalAmt |
| Program Services | $920,785 | ProgramServicesAmt |
| Management And General | $389,695 | ManagementAndGeneralAmt |
| Fundraising | $7,741 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,662,322 | TotalAmt |
| Program Services | $137,187,443 | ProgramServicesAmt |
| Management And General | $11,442,122 | ManagementAndGeneralAmt |
| Fundraising | $32,757 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,536,438 | BOYAmt |
| EOY | -$289,985 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,323,509 | BOYAmt |
| EOY | $17,746,680 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,502,788 | BOYAmt |
| EOY | $2,649,411 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,849 | BOYAmt |
| EOY | $550,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $129,001,030 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $85,918,942 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,920,592 | BOYAmt |
| EOY | $43,082,088 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,332,149 | BOYAmt |
| EOY | $124,712,297 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,559,382 | BOYAmt |
| EOY | $1,997,802 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,241,707 | BOYAmt |
| EOY | $1,576,464 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,872,425 | BOYAmt |
| EOY | $31,032,958 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,639,963 | BOYAmt |
| EOY | $223,057,999 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,759,764 | BOYAmt |
| EOY | $9,052,739 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,172,517 | BOYAmt |
| EOY | $28,585,319 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,350 | BOYAmt |
| EOY | $9,761 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,392,179 | BOYAmt |
| EOY | $1,635,112 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $786,451 | BOYAmt |
| EOY | $24,629,728 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,120,261 | BOYAmt |
| EOY | $63,912,659 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,305,167 | BOYAmt |
| EOY | $156,372,267 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,214,535 | BOYAmt |
| EOY | $2,773,073 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,519,702 | BOYAmt |
| EOY | $159,145,340 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,639,963 | BOYAmt |
| EOY | $223,057,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,261,706 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,995,680 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $368,252 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,018 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,018 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Avera Queen of Peace paid dues to organizations which have a portion of the dues attributed to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,114,298 | BeginningYearBalanceAmt |
| Contributions | $12,461 | ContributionsAmt |
| Investment Earnings Or Losses | $365,971 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,963 | OtherExpendituresAmt |
| Administrative Expenses | $94,128 | AdministrativeExpensesAmt |
| End Year Balance | $4,382,639 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,796,349 | BeginningYearBalanceAmt |
| Contributions | $5,679 | ContributionsAmt |
| Investment Earnings Or Losses | $327,065 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,795 | OtherExpendituresAmt |
| End Year Balance | $4,114,298 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,677,745 | BeginningYearBalanceAmt |
| Contributions | $183 | ContributionsAmt |
| Investment Earnings Or Losses | $171,141 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $52,720 | OtherExpendituresAmt |
| End Year Balance | $3,796,349 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,593,589 | BeginningYearBalanceAmt |
| Contributions | $2,232,370 | ContributionsAmt |
| Investment Earnings Or Losses | -$93,733 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $54,481 | OtherExpendituresAmt |
| End Year Balance | $3,677,745 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,458,737 | BeginningYearBalanceAmt |
| Contributions | $125 | ContributionsAmt |
| Investment Earnings Or Losses | $139,074 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,347 | OtherExpendituresAmt |
| End Year Balance | $1,593,589 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.70529 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19048 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.10423 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $433,670 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,629,769 | OtherCostOrOtherBasisAmt |
| Book Value | $3,063,439 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,463,373 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $76,037,524 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,863,316 | DepreciationAmt |
| Book Value | $28,637,581 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,709,149 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,662,365 | DepreciationAmt |
| Book Value | $3,046,784 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,250,907 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,205,273 | DepreciationAmt |
| Book Value | $7,045,634 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,476,638 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,187,988 | DepreciationAmt |
| Book Value | $1,288,650 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,082,088 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Interest in Avera Health Foundation | $5,061,419 | F |
| Interest in net assets of Mabee Trust | $822,472 | F |
| Avera Pooled Investments | $118,828,406 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $124,712,297 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Related Parties | $30,533,039 |
| Other Assets | $931 |
| Right of Use Assets | $498,988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $31,032,958 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Derivative Liability | $74,246 |
| Estimated Third-Party Payor Settlements | $1,770,586 |
| Right of Use Operating Lease Obligation | $166,264 |
| Security Deposit | $23,950 |
| Intercompany Liability | $22,594,682 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,629,728 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The Organization holds funds in trust on behalf of its residents. |
| Part V, Line 4: | The organization's endowments consist of a portion of their interest in the net assets of Avera Health Foundation and their beneficial interest in the Mabee Trust. Avera Health Foundation includes endowment funds which have been established for a variety of purposes. The endowment fund assets included in the Organization's beneficial interest in the Mabee Trust have been established to purchase equipment and furnishings for the Organization. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the Board of Directors to function as endowments (if any), are classified and reported based on the existence or absence of donor-imposed restrictions. The Organization's permanently restricted endowment funds are donor restricted. |
| Part X, Line 2: | Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,655,111 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,655,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,146,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $668,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $477,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,801,338 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $668,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,132,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $888 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,266 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,266 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $965,420 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $965,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,760 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $109,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,077,334 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,077,334 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,878,672 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $668,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,210,082 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,301,771 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $53,664,050 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $70,087,843 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,423,793 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Queen of Peace Hospital | |||||||||||
| 1 | 525 North Foster Street | Mitchell | SD | 57301 | See Part V Section C | 10552 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 6 Provider Based Clinics |
| Avera Weskota Memorial Medical Center | |||||||||||
| 2 | 609 1st Street NE | Wessington Springs | SD | 57382 | See Part V Section C | 48209 | Yes (X) | Yes (X) | Yes (X) | ||
| Avera De Smet Memorial Hospital | |||||||||||
| 3 | 306 Prairie Avenue SW | De Smet | SD | 57231 | See Part V Section C | 50726 | Yes (X) | Yes (X) | Yes (X) | 1 Provider Based Clinic | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Queen of Peace Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 24 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | Yes (1) | 24 | Yes (1) | See Part V Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Section V Part C | Yes (X) | See Section V Part C | Yes (X) | See Section V Part C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera Weskota Memorial Medical Center | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 24 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | Yes (1) | 24 | Yes (1) | See Part V Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Section V Part C | Yes (X) | See Section V Part C | Yes (X) | See Section V Part C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| Avera De Smet Memorial Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 24 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | Yes (1) | 24 | Yes (1) | See Part V Section C | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Section V Part C | Yes (X) | See Section V Part C | Yes (X) | See Section V Part C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Avera Queen of Peace Hospital | Part V, Section B, Line 5: Avera Queen of Peace Hospital hired Maximizing Excellence to conduct the focus groups for our CHNA. The process involved determining the participant's opinions on our community's strengths, weaknesses, resources and improvements. Those providing community input were chosen for their familiarity with the needs of the community including the needs of medically underserved, low-income and minority populations. The following organizations were represented in the process: - Dakota Counseling Institute - Safe Place of Eastern SD - Short Staffed, Inc. - Davison County Emergency Management - Mitchell Chamber and Development Corporation - Puetz Design Build - Independent Living Choices - Mitchell United Way - Mitchell Regional Habitat for Humanity - Dakota Wesleyan University - Big Friend Little Friend - Cornerstones Career Learning Center - Public Health Worker - FNIC Insurance |
| Avera Weskota Memorial Medical Center | Part V, Section B, Line 5: Avera Weskota Hospital hired Maximizing Excellence to conduct the focus groups for our CHNA. The process involved determining the participant's opinions on our community's strengths, weaknesses, resources and improvements. Those providing community input were chosen for their familiarity with the needs of the community including the needs of medically underserved, low-income and minority populations. The following organizations were represented in the process: - Wessington Springs Elementary Principal - Wessington Springs Hospital and Nursing Home Board Member - Foundation Board Member - Wessington Springs Area Development and Chamber of Commerce - Nursing Home Administrator - Farm Service Agency and Blue Bag Food Program - Owner of Local Grocery Store - Nurse Practitioner - CEO of Horizon Health Care - Jerauld County Registered Dietitian and SD WIC Program |
| Avera De Smet Memorial Hospital | Part V, Section B, Line 5: Avera De Smet Hospital hired Maximizing Excellence to conduct the focus group for our CHNA. The process involved determining the participant's opinions on our community's strengths, weaknesses, resources, and improvements. Those providing community input were chosen for their familiarity with the needs of the community including the needs of medically underserved, low-income and minority populations. The following organizations were represented in the process: - De Smet School Board - De Smet Community Foundation - De Smet Economic Development Corporation - American Lutheran Church - Local Pharmacy - De Smet Event and Wellness Center - Arlington School District - De Smet School District - Kingsbury County WIC Public Health |
| Avera Queen of Peace Hospital | Part V, Section B, Line 11: Avera Queen of Peace conducted a community health needs assessment during FY2025. The needs identified have been prioritized by the Avera Queen of Peace Health Equity Committee, senior leadership and Avera Queen of Peace Board of Directors. The main criteria used to prioritize the needs included our available human and economic resources and our potential to achieve sustainable improvement. Based on the results of this assessment and the prioritization process, Avera Queen of Peace will work to address the following identified significant community health needs: - Reduce mental health stigma - Provide mental health education and support - Reclaim the narrative and leverage our influence to elevate community awareness of locally available health care services.Avera Queen of Peace does not currently have the resources to take on other issues identified, such as affordable housing, public transportation, and affordable childcare. The facility does, and will continue to, actively participate in numerous community organizations focused on community needs and improvements.Avera Queen of Peace continued to address the community health needs identified in the community health needs assessment completed in FY2022. The following community health priority areas were identified: behavioral health and substance abuse/addiction and healthy lifestyle choices for weight management and chronic disease.BEHAVIORAL HEALTH AND SUBSTANCE ABUSE ISSUESAvera Queen of Peace continued to identify strategies and interventions to improve behavioral health and substance abuse services, early intervention and education programs in its community and surrounding areas.Avera Queen of Peace continued to increase utilization of eBehavioral Health virtual consults in the Emergency Department.Avera Queen of Peace continued to integrate "Ask the Question: Are you thinking about suicide" campaign into its care delivery model.Avera Queen of Peace continued to utilize SBIRT (Screening, Brief Intervention, and Referral to Treatment) in the care delivery model in its emergency department. SBIRT is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs.Avera Queen of Peace continues to utilize the Edinburgh Scale for depression and suicide screening in the care delivery model for OB patients at Avera Queen of Peace Hospital and follow-up visits at Access Health for OB and pediatric patients.Avera Queen of Peace leadership provided advisory support for the creation of a 24-hour emergency mental health crisis center in the city of Mitchell, SD. On January 13, 2025 the new 24-hour emergency mental health crisis care center opened. The facility is designed to provide a safe and supportive environment for individuals experiencing mental health crises. HEALTHY LIFESTYLE CHOICESAvera Queen of Peace continues to develop and implement education on healthy eating as a component for wellness for those who experience chronic diseases. The Avera Queen of Peace dietician staff have prepared nutrition and wellness information to be shared at community health fairs.Avera Queen of Peace implemented education on healthy eating as a component for wellness for those who experience chronic diseases, including "Take a Bite Out of Cancer: Fun Fall Snacks for Prostrate Health."Primary Care Providers at Access Health in Mitchell continue to refer patients, as appropriate, to the registered dieticians from Avera Queen of Peace Hospital for healthy choices counseling.Providers at Access Health in Mitchell are working to increase the performance rate for child and adolescent weight management.Avera Medical Group has a clinic in Sioux Falls with a specialized focus on weight management. Primary Care Providers at Access Health in Mitchell continue to refer patients, as appropriate, to the Avera Medical Group Comprehensive Weight Management clinic.Avera Queen of Peace continues to look for ways to integrate and increase gardening and fresh produce options for the community and the surrounding area. |
| Avera Weskota Memorial Medical Center | Part V, Section B, Line 11: The Community Health Needs Assessment was completed during FY2025. The hospital has not taken specific actions with respect to the FY2025 implementation strategy. The following community health priority areas were identified and the following actions will be taken by the hospital during future years. - Increase awareness of health services/resources - Be an engaged community partner - Focused messaging about local health care servicesThe following health needs were identified but were not selected for focus: - Mental Health Status - Substance AbuseWhile the above needs were not chosen for focus for 2025, in caring for the people of our region these issues will be present, and we will be actively involved in and working toward improving access to services to our patients and communities in these areas when possible.Avera Weskota continued to address the community health needs identified in the community health needs assessment completed in FY2022. Avera Weskota maintained its implementation plan for the priority identified in the FY2022 Community Health Needs Assessment. Based on the results of this assessment, Avera Weskota is committed to addressing the following identified significant community health need: - Support healthy lifestyle choices through education with a focus on food choices, physical activity, and stress reduction.Avera Weskota actively worked with the True Dakota Newspaper to include articles encouraging healthy living options.Avera Weskota has a long-standing Facebook account to share various health information in hopes of reaching a more diverse audience.Avera Weskota has implemented the encouragement of healthy living within the staff by introducing a bulletin board used to display health education sheets. Various activities such as bingo, have been used to help spread the importance of healthy lifestyle choices. Avera Weskota provided financial or like support to programs impacting the nutritional options for the students in the Weskota School District.Avera Weskota organized an annual 5K run/walk to help encourage the community to engage in more physical activity. |
| Avera De Smet Memorial Hospital | Part V, Section B, Line 11: Avera De Smet conducted a community health needs assessment during FY2025. The prioritization process was done by the hospital administration and other healthcare professionals, along with community members serving on the new healthcare facility's fundraising committee, all of whom are highly engaged with the community and general community health needs. The process took into consideration the size of the problem (i.e., how many people does it impact,) urgency of the health need, the potential impact for the community, the feasibility of being able to address the concern and the value it would bring to the community.Based on the results of this assessment, Avera De Smet will work to address the following identified significant community health need: - Increase access to health services/resources - Be an engaged community partner - Focused Messaging about local health care servicesAvera De Smet does not currently have the resources to take on other issues identified, such as affordable housing, lack of childcare, lack of healthy food options, and need for a trail system for walking and biking.Avera De Smet continued to address the community health need identified in the community health needs assessment completed in FY2022. Avera De Smet maintained its implementation plan to address the need of supporting healthy lifestyle choices through education with a focus on food choices, physical activity, and stress reduction. HEALTHY LIFESTYLE CHOICESAvera De Smet continued to partner with a community group that provides public education to the community. This group offered topics that fell into the nutrition and activity categories. Avera De Smet participated in a community-wide effort to bring education topics to the 65+ age group through education events in the winter months. Avera De Smet actively worked with the Kingsbury County Newspaper to include articles encouraging health living options.Avera De Smet started a Facebook account to share various health information to reach a more diverse audience.Avera De Smet implemented the encouragement of healthy living within the staff by introducing a bulletin board used to display health education sheets. They used various activities, such as bingo, to help spread the importance of healthy lifestyle choices. |
| Avera Queen of Peace Hospital | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera Weskota Memorial Medical Center | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera De Smet Memorial Hospital | Part V, Section B, Line 13h: Presumptive charity care may be applied in situations where all other avenues of financial assistance have been exhausted. The facility has the discretion to weigh extenuating circumstances when determining eligibility for and the amount of charity care to provide. |
| Avera Queen of Peace Hospital | Part V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, and admissions office and included in the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Weskota Memorial Medical Center | Part V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, and admissions office and included in the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera De Smet Memorial Hospital | Part V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, and admissions office and included in the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. |
| Avera Queen of Peace Hospital | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. A plain language summary is offered to all uninsured patients at the time of registration. |
| Avera Weskota Memorial Medical Center | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. A plain language summary is offered to all uninsured patients at the time of registration. |
| Avera De Smet Memorial Hospital | Part V, Section B, Line 20e: If a patient is self-pay and has a large balance, an Avera patient advocate will help them apply for other forms of assistance. If they are not eligible for any other coverage, the patient is given a financial assistance application to complete and return to the facility. A plain language summary is offered to all uninsured patients at the time of registration. |
| Avera Queen of Peace Hospital | Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Avera Weskota Memorial Medical Center | Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Avera De Smet Memorial Hospital | Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. |
| Avera Queen of Peace Hospital: | Part V, Section B, Line 7a, 7b and 10a:avera.org/about/community-health-needs-assessments/ |
| Avera Weskota Memorial Medical Center: | Part V, Section B, Line 7a, 7b, and 10a:avera.org/about/community-health-needs-assessments/ |
| Avera De Smet Memorial Hospital: | Part V, Section B, Line 7a, 7b and 10a:avera.org/about/community-health-needs-assessments/ |
| Part V, Section B, Lines 16a-16c: | The FAP, FAP Application, and plain language summary are available for all facilities at:avera.org/patients-visitors/charity-patient-assistance-programs/financial-assistance-forms/ |
| Schedule H, Part V, Section A organization's website: | The website for Avera Queen of Peace Hospital is:avera.org/locations/queen-of-peace/The website for Avera Weskota Memorial Medical Center is:avera.org/locations/profile/avera-weskota-memorial-hospital/The website for Avera De Smet Memorial Hospital is:avera.org/locations/profile/avera-de-smet-memorial-hospital/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Avera Brady Health and Rehab | ||||
| 500 S Ohman St | Mitchell | SD | 57301 | Nursing Home |
| 2 - Avera Brady Assisted Living | ||||
| 1414 W Cedar Ave | Mitchell | SD | 57301 | Assisted Living |
| 3 - AMG Radiation Oncology | ||||
| 605 N Foster St | Mitchell | SD | 57301 | Clinic |
| 4 - AMG Oncology & Hematology | ||||
| 605 N Foster St | Mitchell | SD | 57301 | Clinic |
| 5 - AMG Optometry | ||||
| 1200 East 6th Ave | Mitchell | SD | 57301 | Clinic |
| 6 - Avera Mitchell Clinic | ||||
| 818 W Havens Ave | Mitchell | SD | 57301 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive charity care may be applied in situations where all other avenues have been exhausted. |
| Part I, Line 6a: | The community benefit report is prepared by a related organization, Avera Health, and is available to the public at https://www.avera.org/about/annual-report/. |
| Part I, Line 7: | Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Subsidized health services, line 7g, were obtained from EPSi analytical reports. Community health improvement services, line 7e, Health professions education, line 7f, and cash and in-kind donations, line 7i were compiled using actual costs recorded in the CBISA software. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents. |
| Part III, Line 4: | The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 18 and 19. |
| Part III, Line 8: | Avera Queen of Peace provides services to patients under the Medicare program knowing they may not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, in years the costs associated with services provided under the Medicare program are not completely covered, the Medicare shortfall is considered a community benefit. Medicare allowable costs of care are based on the 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 current self-pay collection policy guidelines and timeframes, the organization or its agent shall not send, nor intimate that it will send, the unpaid bill to any outside collection agency. Avera organizations will allow all individuals 120 days from the first post discharge statement to apply for financial assistance before sending the uncollected account to an outside collection agency. Avera will provide the patient with a statement or final notice that contains a listing of the specific collection action(s) it intends to initiate, and a deadline after which they may be initiated no earlier than 30 days before action is initiated. If the patient qualifies for 100% charity care, no further bills will be sent. A letter will be sent instead indicating that the patient's bill has been completely forgiven. |
| Part VI, Line 2: | Health care needs are assessed through various methods. Given Mitchell is a regional center/hub and the sixth largest city in South Dakota, Avera Queen of Peace is integrally involved with community organizations, universities/colleges, schools, state programs and local governments. The next largest hospital offering the same level of services is 72 miles from Mitchell and most of the towns within our region have a population of less than 2,000. By working with all in our region, we are able to determine health needs and provide programs and solutions where possible. In addition to activities reported in the Community Health Needs Assessment, Avera Queen of Peace, Avera Weskota, and Avera De Smet collaborate with community health committees within their respective community to assess and promote health related matters. |
| Part VI, Line 3: | Uninsured patients who hold an inpatient status are counseled by a Patient Advocate to screen them for coverage eligibility and to assist in payer source enrollment. Those that are not eligible are provided a charity care application along with instructions on how to fill out the application. All patients receive statements that indicate who to contact should they need financial assistance. In addition, all patients receive a summary of financial assistance upon registration, as well as in their final statement. Should a patient contact Patient Financial Services and indicate inability to pay, they are transferred to a financial counselor to assist them with the financial assistance application process. Also, inpatient and same day surgery patients receive a brochure in their admissions packet. Pre-collection letters also include information regarding the financial assistance and uninsured programs. |
| Part VI, Line 4: | Avera Queen of Peace is a 25-bed critical access hospital in Mitchell, South Dakota. The primary service area is defined as Davison County, South Dakota. Mitchell is the county seat of Davison County. According to the U.S. Census Bureau Quick Facts 2025 data, the estimated population of Davison County as of July 1, 2024, is 19,907 and is predominately white at 91.4%. It is estimated that 21.5% of the population is 65 years and over. The median household income is $66,208 with a 10.8% poverty rate. Uninsured individuals under age 65 is estimated at 10.9%. |
| Part VI, Line 5: | Avera Queen of Peace is a State Certified Level #4 Community Trauma Center and operates an emergency department staffed 24 hours per day with board certified physicians. Emergency care is provided on an open-door basis regardless of ability to pay. Avera Queen of Peace leases two critical access hospitals which provide a broad range of inpatient, outpatient services and 24-hour emergency rooms in two very rural communities.Similar to the hospitals in the Avera Queen of Peace region, the clinics are operated on an open-door basis and care is provided regardless of ability to pay.Medical staff privileges are extended to all licensed and qualified applicants. The Avera Queen of Peace Board of Directors is principally comprised of community members from the primary and secondary services areas. Members come from a variety of backgrounds including banking, education, agriculture, healthcare, and private industry.Recognizing a need for affordable housing in Mitchell, in Fy24 Avera Queen of Peace donated 22 acres of land near the hospital for the Ridgeview on Foster project. The Ridgeview on Foster project is a unique collaboration between the City of Mitchell, Mitchell Area Development Corporation and Avera to build an affordable housing development with the goal of attracting and retaining a workforce in Mitchell. |
| Part VI, Line 6: | Avera is a sponsored ministry of the Benedictine and Presentation Sisters. The communities in which Avera operates all have unique health and community benefit needs. In keeping with the Catholic Healthcare Association guidelines, each hospital strives to meet its community's identified needs. The corporate staff of Avera Health advocates for all members regarding community benefit related matters of state, regional and national importance. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Chris Krouse DO | ||||||||||||||
| Orthopedics & Sports Medicine | $1,216,948 | $0 | $89,687 | $0 | $6,536 | $0 | $17,250 | $0 | $38,207 | $0 | $1,368,628 | $0 | $0 | $0 |
| Julie Lautt | ||||||||||||||
| CFO Avera Health;Secretary/Treasurer | $0 | $1,226,098 | $0 | $41,964 | $0 | $6,301 | $0 | $17,250 | $0 | $2,968 | $0 | $1,294,581 | $0 | $0 |
| Brian Kampmann MD | ||||||||||||||
| Orthopedics & Sports Medicine | $1,071,041 | $0 | $92,314 | $0 | $4,008 | $0 | $17,250 | $0 | $42,683 | $0 | $1,227,296 | $0 | $0 | $0 |
| Michael Gedwill DO | ||||||||||||||
| Radiology | $499,067 | $0 | $260,564 | $0 | $47,480 | $0 | $17,250 | $0 | $29,231 | $0 | $853,592 | $0 | $0 | $0 |
| Kelly Smith MD | ||||||||||||||
| Diagnostic Radiology & Radiology | $501,642 | $0 | $222,449 | $0 | $15,454 | $0 | $15,702 | $0 | $26,612 | $0 | $781,859 | $0 | $0 | $0 |
| Douglas Ekeren | ||||||||||||||
| Former Regional President & CEO | $0 | $607,102 | $0 | $21,842 | $0 | $10,747 | $0 | $17,250 | $0 | $33,478 | $0 | $690,419 | $0 | $0 |
| Dennis G Leland MD | ||||||||||||||
| General Surgery | $478,931 | $0 | $124,605 | $0 | $10,407 | $0 | $17,250 | $0 | $29,662 | $0 | $660,855 | $0 | $0 | $0 |
| Jessica Claussen MD | ||||||||||||||
| Board Member/Opthalmology | $546,838 | $0 | $15,000 | $0 | $1,510 | $0 | $17,250 | $0 | $37,884 | $0 | $618,482 | $0 | $0 | $0 |
| Jennifer Tegethoff MD FAAP | ||||||||||||||
| Board Member/Pediatrics | $402,675 | $0 | $107,279 | $0 | $2,259 | $0 | $17,250 | $0 | $38,358 | $0 | $567,821 | $0 | $0 | $0 |
| Hilary Rockwell MD | ||||||||||||||
| Regional President & CEO | $0 | $483,647 | $0 | $16,579 | $0 | $1,417 | $0 | $17,250 | $0 | $38,384 | $0 | $557,277 | $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 is compensated by Avera Health. Avera Queen of Peace relied on the related organization for determining the compensation for the President/CEO using the methods described in Part I, Line 3. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Rhonda Zomer | |||
| Family member of board member | $84,829 | Compensation and benefits as an employee | 0 |
| Julie Dierks | |||
| Family member of board member | $31,727 | Compensation and benefits as an employee | 0 |
| Laurie Young | |||
| Family member of board member | $68,209 | Compensation and benefits as an employee | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Item J | The organization's website is: avera.org/locations/queen-of-peace/ |
| Form 990, Part VI, Section A, line 2 | Julie Lautt, Douglas Ekeren, and Hilary Rockwell have a business relationship. |
| Form 990, Part VI, Section A, line 6 | The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended. |
| Form 990, Part VI, Section A, line 7a | Avera Health, as the sole member, has the power to appoint and remove, with or without cause, members of the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | Avera Health, as the sole member, has the following rights as the Member. 1) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of Corporation; 2) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Corporation, and to give final approval of any such action with respect thereto; 3) To approve and act upon the alienation of real property and precious artifacts under the canonical stewardship of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota ("Presentation Sisters") or the Benedictine Sisters of Sacred Heart Monastery ("Benedictine Sisters"), pursuant to the policies established by the Member; 4) To approve any plan of merger, consolidation or dissolution of the Corporation, or the divestiture of a sponsored work or ministry associated with the Corporation; 5) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of the Corporation; 6) To appoint and remove, with or without cause, the Board of Directors of the Corporation. 7) To appoint and/or remove, with or without cause, the President and Chief Executive Officer of the Corporation. 8) To approve operating/capital budgets and strategic plans of the Corporation. 9) To approve expenditures outside of operating and capital budgets exceeding defined thresholds according to policy which may be adopted from time to time by the Member. 10) To approve acquisitions, sales and leases, according to policy which may be adopted from time to time by the Member. 11) To establish and maintain employee benefit programs. 12) To establish and maintain insurance programs. 13) To approve major community fund drives. 14) To approve the appointment of auditors. 15) To adopt policies designed to effectuate the reserved powers of the Member. |
| Form 990, Part VI, Section A, line 8b | Avera Queen of Peace Hospital does not have committees with authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared and reviewed by an independent accounting firm. The Form 990 is then reviewed by the Avera Health VP of Financial Reporting and Tax Manager. After initial internal review, the Form 990 is made available to various members of Avera Health Executive Management, including the Avera Health CFO, President/CEO and COO. In addition, the Form 990 is made available to the Facility CEO, other Operation Finance Leaders and the Facility Board members. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy covers board members, officers, and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board. |
| Form 990, Part VI, Section B, line 15b | The CEO and CFO-Avera Health are compensated by Avera Health. Annually the Compensation Committee of Avera Health, which is comprised of the Caring for Life Catholic Health Ministries Members of Avera Health, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. Depending on the individual's role with the organization, some officers and key employees are compensated by Avera Queen of Peace. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents and conflict of interest policy are not available to the general public. The Organization's financial statements are attached to the Form 990 per IRS instructions and therefore are available to the general public. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 9,436,220. Management and general expenses 258,257. Fundraising expenses 0. Total expenses 9,694,477. Medical Professional Fees: Program service expenses 1,055,202. Management and general expenses 1,153. Fundraising expenses 0. Total expenses 1,056,355. Repairs & Maintenance: Program service expenses 2,472,621. Management and general expenses 66,388. Fundraising expenses 30. Total expenses 2,539,039. Centralized Services: Program service expenses 5,423,372. Management and general expenses 8,003,308. Fundraising expenses 0. Total expenses 13,426,680. |
| Form 990, Part XI, line 9: | Change in Assets with Donor Restrictions 128,143. Change in Interest in Avera Foundation -318,429. Other changes in net assets 558,538. |
| Form 990, Part XII, Line 2c: | The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the consolidated audited financial statements of Avera Health, which includes Avera Queen of Peace. |
| Form 990, Part X, Line 20: | The issue price includes the filing Organization's share of the entire bond issue, which was issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Marshall, Avera St. Mary's, Avera St. Anthony, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg, Avera at Home, and Avera Sacred Heart. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Avera Health's tax return (EIN 46-0422673). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Health | |||||||||||
| 3900 West Avera Drive Suite 300 | Sioux Falls | SD | 57108 | 460422673 | Promotion of Health | SD | 501(c)(3) | Line 10 | N/A | 0 | |
| Avera McKennan | |||||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 460224743 | Healthcare Services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera at Home | |||||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 460399291 | Home Services | SD | 501(c)(3) | Line 10 | 0 | Avera Health | |
| Avera Health Plans Inc | |||||||||||
| 3900 West Avera Drive Suite 101 | Sioux Falls | SD | 57108 | 460451539 | Health Financing and Health Plan Admin | SD | 501(c)(4) | 0 | Avera Health | ||
| Avera Marshall | |||||||||||
| 300 S Bruce Street | Marshall | MN | 56258 | 410919153 | Healthcare Services | MN | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Granite Falls | |||||||||||
| 345 10th Ave | Granite Falls | MN | 56241 | 843156881 | Healthcare Services | MN | 501(c)(3) | Line 3 | 0 | Avera Marshall | |
| Avera Tyler | |||||||||||
| 240 Willow Street | Tyler | MN | 56178 | 410853163 | Healthcare Services | MN | 501(c)(3) | Line 3 | 0 | Avera Marshall | |
| Avera St Anthony's Hospital | |||||||||||
| 300 N 2nd Street | ONeill | NE | 68763 | 470463911 | Healthcare Services | NE | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera St Luke's | |||||||||||
| 305 South State Street | Aberdeen | SD | 57401 | 460224598 | Healthcare Services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera St Mary's | |||||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare Services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Avera Gettysburg | |||||||||||
| 606 East Garfield | Gettysburg | SD | 57442 | 460234354 | Healthcare Services | SD | 501(c)(3) | Line 3 | 0 | Avera St Mary's | |
| Avera Holy Family | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 420680370 | Healthcare Services | IA | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Holy Family Hospital Foundation | |||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 421317452 | Support Health Related Services | IA | 501(c)(3) | Line 10 | 0 | Avera Holy Family | |
| Sacred Heart Health Services | |||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460225483 | Healthcare Services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
| Lewis and Clark Health Education and Service Agency | |||||||||||
| 1000 W 4th Street Suite 9 | Yankton | SD | 57078 | 460337013 | Healthcare Services | SD | 501(c)(3) | Line 10 | 0 | Avera Health | |
| St Benedict Health Center | |||||||||||
| 401 West Glynn Drive | Parkston | SD | 57366 | 460226738 | Healthcare Services | SD | 501(c)(3) | Line 3 | 0 | Avera Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Avera Home Medical Equipment of Floyd Valley Hospital LLC | |||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 820582350 | Medical services - home medical equipment | SD | N/A | 0 | 0 |
| Avera Home Medical Equipment of Lakes Regional Healthcare LLC | |||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 862949748 | Medical services - home medical equipment | SD | N/A | 0 | 0 |
| Avera Home Medical Equipment of Sioux Center LLC | |||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 753203100 | Medical services - home medical equipment | SD | N/A | 0 | 0 |
| Avera Home Medical Equipment of Spencer Hospital LLC | |||||||||
| 5300 S Broadband Lane | Sioux Falls | SD | 57108 | 800619999 | Medical services - home medical equipment | SD | N/A | 0 | 0 |
| Brookings Health System - Avera HME LLC | |||||||||
| 100 22nd Ave Suite 101 | Brookings | SD | 57006 | 453204123 | Medical Services - Home Medical Equipment | SD | N/A | 0 | 0 |
| Caravan Health ACO 15 LLC dba Prairie Vista Care Organization | |||||||||
| 20 Burton Hills Blvd Ste 100 | Nashville | TN | 37215 | 611843657 | Accountable Care Organization | MO | N/A | 0 | 0 |
| Caravan Health ACO 41 LLC dba Prairie View Care Organization | |||||||||
| 20 Burton Hills Blvd Ste 100 | Nashville | TN | 37215 | 821447782 | Accountable Care Organization | MO | N/A | 0 | 0 |
| Heart Hospital of South Dakota LLC | |||||||||
| 4500 W 69th Street | Sioux Falls | SD | 57108 | 562143771 | Healthcare services | NC | N/A | 0 | 0 |
| Surgical Associates Endoscopy Clinic LLC | |||||||||
| 310 S Pennsylvania St | Aberdeen | SD | 57401 | 460461429 | Surgical associates | SD | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Accounts Management Inc | ||||||||||||||||||
| 5132 S Cliff Ave Suite 101 | Sioux Falls | SD | 57108 | 460373021 | Collection agency | SD | N/A | C | 0 | |||||||||
| Alucent Australia Pty Ltd | ||||||||||||||||||
| Biotech research | N/A | 0 | Level 10 30 Collings Street | Melbourne | VIC 3000 | AS | AS | |||||||||||
| Alucent Biomedical Inc | ||||||||||||||||||
| 1325 S Cliff Avenue PO Box 5045 | Sioux Falls | SD | 571175045 | 471818349 | Biotech research | SD | N/A | C | 0 | |||||||||
| Avera Property Insurance Inc | ||||||||||||||||||
| 1000 West 4th Street Suite 1 | Yankton | SD | 57078 | 460463155 | Insurance | SD | N/A | C | 0 | |||||||||
| DakotaCare Administrative Services Inc | ||||||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 460424322 | Insurance | SD | N/A | C | 0 | |||||||||
| Dr Donald & Marguerite Mabee Trust | ||||||||||||||||||
| c/o First National Bank of South Da | Mitchell | SD | 57301 | 466056202 | Investing | SD | T | Yes (1) | Avera Queen of Peace Hospital | $19,902 | $822,472 | 1.00000 | ||||||
| Kore Cares In Home Services LLC | ||||||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 882778902 | In-home care services | SD | N/A | S | 0 | |||||||||
| South Dakota State Medical Holding Inc | ||||||||||||||||||
| 5300 South Broadband Lane | Sioux Falls | SD | 57108 | 460401087 | Insurance | SD | N/A | C | 0 | |||||||||
| Valley Health Services | ||||||||||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460357149 | Rental real estate | SD | N/A | C | 0 | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 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 | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Schedule R, Part II, Tax Exempt Organizations: | Holy Family Hospital Foundation dissolved November 2024. |
| Form 990, Schedule R, Part IV, Corporation or Trust: | Valley Health Services dissolved June 2025. Alucent Biomedical, Inc. dissolved May 2025. Alucent Australia Pty Ltd dissolved May 2025. |