AVERA ST ANTHONYS HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: AVERA ST ANTHONYS HOSPITAL (EIN 47-0463911)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-15
IRS object ID: 202631359349303923
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	2026-05-15T09:25:53-05:00	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	470463911	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Avera St Anthony's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AVER	BusinessNameControlTxt
Phone	4023365132	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 N 2nd Street	AddressLine1Txt
City	ONeill	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	687631569	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Julie Lautt	PersonNm
Person Title	CFO Avera Health	PersonTitleTxt
Phone	4023365132	PhoneNum
Signature	2026-05-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	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

Field	Value	IRS element (for citing)
Principal Officer	John Kozyra	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 N 2nd Street	AddressLine1Txt
City	ONeill	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	687631569	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$56,168,062	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	1955	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	Promotion of health	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	271	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$467,319	PYContributionsGrantsAmt
CY Contributions Grants	$411,555	CYContributionsGrantsAmt
PY Program Service Revenue	$47,580,776	PYProgramServiceRevenueAmt
CY Program Service Revenue	$51,749,776	CYProgramServiceRevenueAmt
PY Investment Income	$1,206,047	PYInvestmentIncomeAmt
CY Investment Income	$3,954,250	CYInvestmentIncomeAmt
PY Other Revenue	-$89	PYOtherRevenueAmt
CY Other Revenue	-$262	CYOtherRevenueAmt
PY Total Revenue	$49,254,053	PYTotalRevenueAmt
CY Total Revenue	$56,115,319	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,344	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,417	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$23,087,740	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,842,314	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,974,206	PYOtherExpensesAmt
CY Other Expenses	$21,762,344	CYOtherExpensesAmt
PY Total Expenses	$43,065,290	PYTotalExpensesAmt
CY Total Expenses	$44,607,075	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,188,763	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,508,244	CYRevenuesLessExpensesAmt
Total Assets BOY	$107,146,140	TotalAssetsBOYAmt
Total Assets EOY	$121,797,296	TotalAssetsEOYAmt
Total Liabilities BOY	$10,122,897	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,641,520	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$97,023,243	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$113,155,776	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	$39,724,093	ExpenseAmt
Grant	$2,417	GrantAmt
Revenue	$51,760,538	RevenueAmt
Desc	Avera St. Anthony's mission is to provide healthcare services to O'Neill, Nebraska residents and residents of the surrounding area. Avera St. Anthony's is a 501(c)(3) organization affiliated with Avera Health. Avera St. Anthony's consists of a 25-bed critical access hospital in O'Neill, Nebraska and 6 clinics. The program services offered include primary care, emergency, telemedicine, general surgery, orthopedic surgery, podiatry surgery, cardiac rehab, pain management, OB, chemotherapy, radiology, sleep lab, dialysis, wound care, speech therapy, physical therapy, occupational therapy, lab, and pharmacy. Avera St. Anthony's provides acute care. Following is a breakdown of these statistics by facility:Avera St. Anthony Hospital 545 Acute patient discharges 143 Newborn patient discharges 62 Swing bed patient discharges 31,176 Outpatient visits 548 Swing-bed patient days 215 Newborn patient days 28,500 Clinic visitsAvera St. Anthony's 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 $1,248,528.Avera St. Anthony's 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 St. Anthony's 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 St. Anthony's 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	$39,724,093	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	0	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	0	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	57	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	271	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	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 (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Julie Lautt
CFO Avera Health;Secretary/Treasurer	0.10	46.30	Yes (X)	$0	$1,274,363	$20,218
Joshua Becker
CRNA Coordinator	40.00	0.00		$380,425	$0	$62,323	Yes (X)
Logan Kopf
CRNA	40.00	0.00		$342,454	$0	$59,019	Yes (X)
Kevin Loecker
CRNA	40.00	0.00		$277,106	$0	$26,827	Yes (X)
John Kozyra
President/CEO	41.00	0.00	Yes (X)	$256,174	$0	$40,462		Yes (X)
Cameron Everitt
Director Phys & Occu Therapy	40.00	0.00		$162,474	$0	$25,028	Yes (X)
Lori J Adams-Kunz
Director Pharmacy	40.00	0.00		$156,060	$0	$8,236	Yes (X)
Amy Shane
Chair	1.00	0.00	Yes (X)	$0	$0	$0		Yes (X)
Cody Boettcher
Vice Chair	1.00	0.00	Yes (X)	$0	$0	$0		Yes (X)
Deb Kelly
Board Member	1.00	0.00		$0	$0	$0		Yes (X)
Bart Becker
Board Member	1.00	0.00		$0	$0	$0		Yes (X)
Sue Dennis
Board Member	1.00	0.00		$0	$0	$0		Yes (X)
Sister Bonita Gacnik
Board Member	1.00	0.00		$0	$0	$0		Yes (X)
Mark Hunhoff
Board Member	1.00	2.00		$0	$0	$0		Yes (X)
Russ McIntosh
Board Member	1.00	0.00		$0	$0	$0		Yes (X)
Merri Schneider
Board Member	1.00	0.00		$0	$0	$0		Yes (X)
Jewel Swanson
Board Member	1.00	0.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,574,693	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,274,363	TotReportableCompRltdOrgAmt
Total Other Compensation	$242,113	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Avera Health
3900 W Avera Drive Ste 301	Sioux Falls	SD	57108	Shared Services	$4,026,925
Docs Who Care PA
800 West Frontier Ln	Olathe	KS	66061	Professional Services	$626,592
AMN Healthcare Inc
12400 High Bluff Dr	San Diego	CA	92130	Contracted Services	$456,776
ENT Specialists PC
366 Regency Parkway Dr	Omaha	NE	68114	Professional Services	$379,117
Hausmann & Sons Construction Inc
8885 Executive Woods Dr	Lincoln	NE	68512	Construction Services	$285,955

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,689	RelatedOrganizationsAmt
Government Grants	$388,866	GovernmentGrantsAmt
All Other Contributions	$20,000	AllOtherContributionsAmt
Total Contributions	$411,555	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	621110	$46,520,020	$46,520,020
Pharmacy Revenue	456110	$3,130,298	$3,130,298
Patient and Clinic Revenue	621110	$35,090	$35,090

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,064,368	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,064,368	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$51,749,776	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,473	TotalRevenueColumnAmt
Exclusion	$3,473	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$41,719	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$52,743	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$11,024	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$11,024	TotalRevenueColumnAmt
Exclusion	-$11,024	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,945,547	SecuritiesAmt
Other	$5,230	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,945,547	SecuritiesAmt
Other	$5,230	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,950,777	TotalRevenueColumnAmt
Exclusion	$3,950,777	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	AR Interest Income	Desc
Business	900099	BusinessCd
Total Revenue Column	$10,762	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,762	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,762	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,115,319	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,760,538	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,943,226	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	$2,417	TotalAmt
Program Services	$2,417	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$306,889	TotalAmt
Management And General	$306,889	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$66,892	TotalAmt
Program Services	$66,892	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,786,333	TotalAmt
Program Services	$17,737,072	ProgramServicesAmt
Management And General	$49,261	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$690,989	TotalAmt
Program Services	$688,712	ProgramServicesAmt
Management And General	$2,277	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,841,939	TotalAmt
Program Services	$2,819,134	ProgramServicesAmt
Management And General	$22,805	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,149,272	TotalAmt
Program Services	$1,131,301	ProgramServicesAmt
Management And General	$17,971	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$20,355	TotalAmt
Program Services	$20,355	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,160	TotalAmt
Management And General	$2,160	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,492,544	TotalAmt
Program Services	$4,819,336	ProgramServicesAmt
Management And General	$3,673,208	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,174	TotalAmt
Program Services	$3,867	ProgramServicesAmt
Management And General	$3,307	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$301,855	TotalAmt
Program Services	$244,342	ProgramServicesAmt
Management And General	$57,513	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$163,612	TotalAmt
Program Services	$159,237	ProgramServicesAmt
Management And General	$4,375	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$577,029	TotalAmt
Program Services	$460,076	ProgramServicesAmt
Management And General	$116,953	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$58,085	TotalAmt
Program Services	$53,736	ProgramServicesAmt
Management And General	$4,349	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$72,680	TotalAmt
Program Services	$69,053	ProgramServicesAmt
Management And General	$3,627	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$235,019	TotalAmt
Program Services	$213,144	ProgramServicesAmt
Management And General	$21,875	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,525,642	TotalAmt
Program Services	$2,442,866	ProgramServicesAmt
Management And General	$82,776	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$347,689	TotalAmt
Program Services	-$310,609	ProgramServicesAmt
Management And General	-$37,080	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$8,820,908	$8,808,438	$12,470
Equipment Lease/Rental	$111,638	$106,943	$4,695

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$721,332	TotalAmt
Program Services	$187,781	ProgramServicesAmt
Management And General	$533,551	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,607,075	TotalAmt
Program Services	$39,724,093	ProgramServicesAmt
Management And General	$4,882,982	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	-$65,721	BOYAmt
EOY	$155,957	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,991,184	BOYAmt
EOY	$7,720,590	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,575,628	BOYAmt
EOY	$1,786,109	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$173,063	BOYAmt
EOY	$165,669	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$50,065,179	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,630,674	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,485,721	BOYAmt
EOY	$18,434,505	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$79,087,750	BOYAmt
EOY	$88,212,583	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$28,293	BOYAmt
EOY	$124,921	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$870,222	BOYAmt
EOY	$5,196,962	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$107,146,140	BOYAmt
EOY	$121,797,296	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,310,366	BOYAmt
EOY	$2,927,761	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,916,710	BOYAmt
EOY	$5,533,092	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$895,821	BOYAmt
EOY	$180,667	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,122,897	BOYAmt
EOY	$8,641,520	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	$96,937,409	BOYAmt
EOY	$113,060,859	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,834	BOYAmt
EOY	$94,917	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$97,023,243	BOYAmt
EOY	$113,155,776	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$107,146,140	BOYAmt
EOY	$121,797,296	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,508,244	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,462,599	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$161,690	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
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	$2,160	OtherActivitiesAmt
Total Lobbying Expenditures	$2,160	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 St. Anthony's Hospital paid dues to an organization which have a portion attributed to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,599	BeginningYearBalanceAmt
Investment Earnings Or Losses	$789	InvestmentEarningsOrLossesAmt
Other Expenditures	$335	OtherExpendituresAmt
End Year Balance	$8,053	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,208	BeginningYearBalanceAmt
Investment Earnings Or Losses	$727	InvestmentEarningsOrLossesAmt
Other Expenditures	$336	OtherExpendituresAmt
End Year Balance	$7,599	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,073	BeginningYearBalanceAmt
Investment Earnings Or Losses	$472	InvestmentEarningsOrLossesAmt
Other Expenditures	$337	OtherExpendituresAmt
End Year Balance	$7,208	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$820	InvestmentEarningsOrLossesAmt
Other Expenditures	$336	OtherExpendituresAmt
End Year Balance	$7,073	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,332	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,233	InvestmentEarningsOrLossesAmt
Other Expenditures	$336	OtherExpendituresAmt
End Year Balance	$8,229	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$123,349	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$745,022	OtherCostOrOtherBasisAmt
Book Value	$868,371	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$133,321	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$32,804,415	OtherCostOrOtherBasisAmt
Depreciation	$20,797,830	DepreciationAmt
Book Value	$12,139,906	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,571,804	OtherCostOrOtherBasisAmt
Depreciation	$9,488,337	DepreciationAmt
Book Value	$5,083,467	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,687,268	OtherCostOrOtherBasisAmt
Depreciation	$1,344,507	DepreciationAmt
Book Value	$342,761	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,434,505	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Avera Pooled Investments	$87,036,551	F
Investment in Foundation	$1,176,032	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$88,212,583	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Intercompany Liabilities	Desc
Amt	$180,667	Amt

Field	Value	IRS element (for citing)
Total Liability	$180,667	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

The Foundation's endowment consists of a portion of their interest in the net assets of St. Anthony's Hospital Foundation. The St. Anthony's Hospital Foundation includes endowment funds which have been established for a variety of purposes. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the Board of Directors to function as endowments (if any), are classified and reported based on the existence or absence of donor-imposed restrictions.

Part X, Line 2:

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	$540,209	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$540,209	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$540,209	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$540,209	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,166	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,166	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,427	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,924,230	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,735,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,189,055	NetCommunityBenefitExpnsAmt
Total Expense	0.20600	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,134	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,083,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,735,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,348,782	NetCommunityBenefitExpnsAmt
Total Expense	0.20970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,624,166	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,735,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,888,991	NetCommunityBenefitExpnsAmt
Total Expense	0.22180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$745,709	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,537,208	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,461,570	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$75,638	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Avera St Anthony's Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 N 2nd Street	AddressLine1Txt
City	ONeill	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68763	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Part V Section C	WebsiteAddressTxt
State License	410002	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	1 Provider based clinic; 1 RHC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Anthony's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
St. Anthony's Hospital	Part V, Section B, Line 5: In partnership with the North Central District Health Department (NCDHD) through meetings, focus groups, interviews and surveys there was careful consideration to ensure that input gathered was representative of the community at large including the medically underserved, low-income and minority populations.The time period for the CHIP process to gather and review data was from July 2024 to April 2025.Personal invitations were sent to the individuals identified as key informants of the district with personal interviews conducted by the NCDHD Executive Leader.Focus group invites were sent to the members of the O'Neill Ministerial Association (OMA), Holt/Boyd Community Connections Collaborative (HBCCC), Bright Horizons, Nebraska Public Power District (NPPD), Mental/Behavioral Health Clinics, schools and nursing homes all that represent the low income, medically underserved and minority populations.Those who participated in the forum represented healthcare, emergency management, domestic abuse, university extension, mental/behavioral health, city commerce, social services, family services, public schools, retired citizens, county/community partnerships.
St. Anthony's Hospital	Part V, Section B, Line 6b: North Central District Health Department
St. Anthony's Hospital	Part V, Section B, Line 11: The 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. - Mental Health/Substance Abuse - Chronic Conditions/Disease Prevention - TransportationPRIORITY 1: Mental Health/Substance AbuseGOAL: INCREASE COMMUNITY RESOURCES RELATING TO MENTAL HEALTH WITH SPECIAL FOCUS ON SUBSTANCE ABUSE - Advance partnership with Valley Hope Addiction Treatment Center. - Strengthen availability of outpatient substance use treatment services. - Increase access to the current behavioral health practitioners at ASAH and clinics. - Explore opportunities for outpatient pharmacy services to support the needs of patients with substance use challenges.PRIORITY 2: Chronic Conditions/Disease Prevention GOAL: PROMOTE SCREENING AND MANAGEMENT OF CHRONIC DISEASE THROUGHOUT THE COMMUNITY SERVICE AREA - Evaluate Inpatient/Outpatient services for the diabetic population. - Promote healthy eating classes and diabetes education. - Research avenues for assistance with the purchase of diabetic monitoring tools. - Maintain support of local food pantries to offer continued nutritional options. - In partnership with community organizations, explore ways to provide a publicly available exercise space for the community. - Assist in the development/maintenance of a community resource guide that educates and provides awareness of various assistive services and exercise opportunities. - Continue efforts to promote preventative health screenings.PRIORITY 3: Transportation GOAL: IMPROVE ACCESS TO TRANSPORTATION, HEALTH SERVICES - Assess gaps and promote local transit options. - Create a Community Transportation Task Force with membership comprised of all relevant stakeholders.Avera St. Anthony Hospital will attempt to address all the identified health needs.Priority 1: Heart HealthGoal: Promote screening and management of chronic disease throughout the community service area.Action Step 1: Explore avenues of physical activity within the O'Neill Community. This action step was declined due to lack of resources and support staff to sustain success.Action Step 2: Continue promotion of health maintenance through health screening and additional options of detection/care management. Through FY 2025, ASAH continued to provide a presence at local events to maintain awareness of hypertension, suicide awareness, blood donation and other heart health topics.Priority 2: Mental HealthGoal: Promote awareness of mental wellness throughout the community service area.Action Step 1: Partner with various community entities/organizations to promote and maintain community well-being collaboratives. - Avera Medical Group partners with NCDHD in providing awareness of "Credible Minds" program in patient waiting areas. The informational brochure describes the free program that is an online option for mental health support and is an easy-to-use resource with helpful tips, information and other tools to help manage stress, anxiety and help boost overall wellbeing. - ASAH Coordinated Care Social Work -This service provides continuity of care as a Coordinated Care appointment through referrals from a Primary Care Provider of the Avera Medical Group and are in person or virtual using video or phone. Self-referrals began to be accepted in 2024.Most typical diagnosis for counseling: depression, anxiety, ADHD, bi-polar. A portion of patients are assisted with community resource direction. Some are referred to other community mental health providers per their request or want to discontinue counseling.Action Step 2: Explore options for community education and outreach addressing mental health within Oncology care and support. - The Oncology department was awarded donation from Bomgaars Ladies Night promotion in fall of 2024. In working with Avera Philanthropy and the Avera Cancer Center, donations were channeled through the ASAH Oncology Foundation Fund to help in cancer care/support. Leadership in the Oncology and Nursing department evaluated the most significant need for the cancer patient was in the form of gift/gas cards and Avera Transportation tickets to assist them in their travel to appointments. There were also witnessed needs in financially supporting the purchase of dietary supplements for nutritional support. These items are readily available from this fund for those in need.The following health needs/priorities will not be addressed due to either a relative low priority, resource/staff constraints or because other facilities or educational entities are addressing the issues: - Increase Mental Health First Aid (MHFA) providers in NCDHD - Increase training of MHFA instructors - Initiate a Board-Certified Behavior Analyst service for the health district
St. Anthony's 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.
St. Anthony's Hospital	Part V, Section B, Line 16j: A summary of the financial assistance policy is posted in the hospital facility's emergency rooms, waiting rooms, and admissions office and included on the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility.
St. Anthony's 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.
St. Anthony's Hospital	Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
Part V, Section A, Line 1	avera.org/locations/profile/avera-st-anthonys-hospital/
Part V, Section B, Lines 7a, 7b and 10a:	The CHNA and Implementation Strategy reports are available at avera.org/about/community-health-needs-assessments/#anthony
Part V, Section B, Lines 16a, 16b, and 16c:	https://www.avera.org/patients-visitors/charity-patient-assistance-programs/financial-assistance-forms/

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Avera Medical Group Chambers
110 Park Avenue	Chambers	NE	687253858	Satellite medical clinic
2 - Avera Medical Group Ewing
202 Nebraska St	Ewing	NE	687359513	Satellite medical clinic
3 - Avera Medical Group Page
103 North 5th St	Page	NE	687665018	Satellite medical clinic
4 - Avera Medical Group Spencer
103 South Thayer Street	Spencer	NE	68777	Satellite medical 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 was converted to cost using the cost-to-charge ratio derived from Worksheet 2. Subsidized health services were calculated using a combination of cost-to-charge ratio derived from Worksheet 2 and the Medicare cost report. Community health improvement services, health professions education and cash and in-kind contributions are actual expenses recorded in the general ledger.
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 St. Anthony's 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:	Avera St. Anthony's Hospital conducts an annual strategic planning meeting that includes a cross section of community members. Our Hospital Board of Directors, Hospital Finance Committee, Foundation Board of Directors, Community Medical Staff, and Hospital Department Directors meet to assess community input from the local nursing facility, assisted living, and local public health office. Our Hospital and Foundation Boards and Finance Committee are made up of a majority of community members. This group drafts an annual strategic plan of goals, objectives, and strategies that are continuously updated to address the needs of the community. Additionally, input from the local ministerial association, law enforcement, Chamber of Commerce, elementary and secondary public and parochial schools, and the local community college are assessed and incorporated into the plan. Our CHNA report was completed during fiscal year ended June 30, 2025. Collaborations with the North Central District Health Department and the North Central Community Care Partnership maintain active involvement in community needs and action plans throughout the year.
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 St Anthony's is a 25-bed hospital in O'Neill, Nebraska. The primary service area is defined as Holt County, Nebraska. O'Neill is the county seat. According to the U.S. Census Bureau Quick Facts 2025 data, the estimated population of Holt County as of July 1, 2024 is 10,120 and is predominately white at 96.5%. It is estimated that 24.3% of the population is 65 years and over. The median household income is $68,513 with an 11.1% poverty rate. Uninsured individuals under age 65 is estimated at 8.2%.
Part VI, Line 5:	The Organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay. The organization also promotes health maintenance through screenings and additional options of detection and care management.Avera St. Anthony's also partners and supports the Holt/Boyd Community Connections Collaborative (HBCCC). This is a membership among 21 other Nebraska community collaboratives that are within the project "Bringing Up Nebraska" administered by Nebraska Children and Families Foundation. Steering committee assists focus groups with areas of identified concern to strengthen community connections: Basic Needs, Child/Youth Safety and Development, Healthcare Access and Health Promotion, Family Safety and Development. Board meetings are monthly at various locations within Holt and Boyd counties. Continued collaboration on mental wellness initiatives (mainly suicide prevention) and provision of financial assistance to individuals/families with utility/housing expenses. The Community Navigator is the contact person that strives to prevent utilities from being disconnected or evictions occurring. Through this collaborative, and specifically the focus group Healthcare, we are assessing the advancement of public transportation services to a broader population base and geographical area.
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)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Severance Payment	Yes (1)	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 (7 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
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
Joshua Becker
CRNA Coordinator	$261,363	$0	$118,639	$0	$423	$0	$17,250	$0	$45,073	$0	$442,748	$0	$0	$0
Logan Kopf
CRNA	$228,326	$0	$113,771	$0	$357	$0	$17,250	$0	$41,769	$0	$401,473	$0	$0	$0
Kevin Loecker
CRNA	$257,944	$0	$17,920	$0	$1,242	$0	$13,936	$0	$12,891	$0	$303,933	$0	$0	$0
John Kozyra
President/CEO	$227,960	$0	$28,000	$0	$214	$0	$11,150	$0	$29,312	$0	$296,636	$0	$0	$0
Cameron Everitt
Director Phys & Occu Therapy	$161,495	$0	$675	$0	$304	$0	$8,314	$0	$16,713	$0	$187,501	$0	$0	$0
Lori J Adams-Kunz
Director Pharmacy	$17,142	$0	$0	$0	$138,918	$0	$7,807	$0	$429	$0	$164,296	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4a	FormAndLineReferenceDesc
Explanation	Lori J Adams-Kunz received a severance payment of $125,349.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Molly Fry	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family Member of Board	RelationshipDescriptionTxt
Transaction	$66,892	TransactionAmt
Transaction	Compensation and benefits as an employee	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended.
Form 990, Part VI, Section A, line 7a	Avera Health, as the sole member, has the power to appoint and remove, with or without cause, members of the Board of Directors.
Form 990, Part VI, Section A, line 7b	Avera Health, 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 St. Anthony's Hospital does not have a committee with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 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 15	The compensation amount and structure for the Avera St. Anthony's CEO is derived from Avera Health's comparative data in cooperation with a compensation consultant who utilizes multiple salary survey results with predominant factors of FTE, revenue, and operating expenses to benchmark the CEO position to similar healthcare organization data. The compensation for the CEO is then approved by Avera Sacred Heart Hospital President and CEO. The CFO of Avera Health is 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.
Form 990, Part VI, Section C, line 19	The Organization's governing documents and conflict of interest policy are not made available to the general public. The Organization's financial statements are attached to the Form 990 per IRS instructions and therefore available to the general public.
Form 990, Part IX, line 11g	Purchased Services: Program service expenses 1,658,335. Management and general expenses 140,801. Fundraising expenses 0. Total expenses 1,799,136. Medical Professional Fees: Program service expenses 1,164,121. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,164,121. Repairs & Maintenance: Program service expenses 1,049,382. Management and general expenses 21,063. Fundraising expenses 0. Total expenses 1,070,445. Centralized Services: Program service expenses 947,498. Management and general expenses 3,511,344. Fundraising expenses 0. Total expenses 4,458,842.
Form 990, Part XI, line 9:	Change in Interest in Avera Foundation 97,293. Other Changes in Assets 64,397.
Form 990, Part XII, Line 2c:	The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the audited financial statements for Avera Health, which includes Avera St. Anthony's Hospital.
Form 990, Part X, Line 20:	Avera St. Anthony's Hospital is part of the Avera Obligated Group which consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Sacred Heart, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg, and Avera at Home. Avera St. Anthony's Hospital was not allocated any share of the bond issue, and thus does not have an amount on line 20.
Form 990, Item J:	The organization's website is: avera.org/locations/profile/avera-st-anthonys-hospital/

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Avera Health
3900 W Avera Drive Suite 300	Sioux Falls	SD	57108	460422673	Promotion of health	SD	501(c)(3)	Line 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 W 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 St	Marshall	MN	56258	410919153	Healthcare services	MN	501(c)(3)	Line 3		0	Avera Health
Avera Granite Falls
345 10th Ave	Granite Falls	MN	56241	843156881	Healthcare services	MN	501(c)(3)	Line 3		0	Avera Marshall
Avera Tyler
240 Willow Street	Tyler	MN	56178	410853163	Healthcare services	MN	501(c)(3)	Line 3		0	Avera Marshall
Avera Queen of Peace Hospital
525 North Foster	Mitchell	SD	57301	420224604	Healthcare services	SD	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 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 (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Accounts Management Inc
5132 S Cliff Avenue Suite 101	Sioux Falls	SD	57108	460373021	Collection Services	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	Property 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
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 Company Inc
5300 South Broadband Lane	Sioux Falls	SD	57108	460401087	Insurance	SD	N/A	C	0
Valley Health Services
501 Summit Street	Yankton	SD	57078	460357149	Rental Real Estate	SD	N/A	C	0

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	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	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.