2026-05-15T09:25:53-05:00 2025-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2024-07-01 470463911 Avera St Anthony's Hospital AVER 4023365132 300 N 2nd Street ONeill NE 687631569 Julie Lautt CFO Avera Health 4023365132 2026-05-11 1 1 Kim Hunwardsen CPA P00484560 6122536500 2026-05-11 2024 2025-03-06 01:10:19Z John Kozyra 300 N 2nd Street ONeill NE 687631569 56168062 0 0928 X See Schedule O X 1955 NE Promotion of health 11 9 271 10 0 0 467319 411555 47580776 51749776 1206047 3954250 -89 -262 49254053 56115319 3344 2417 0 0 23087740 22842314 0 0 0 19974206 21762344 43065290 44607075 6188763 11508244 107146140 121797296 10122897 8641520 97023243 113155776 X Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values. 0 0 39724093 2417 51760538 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. 39724093 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 57 0 1 271 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Jamie Schaefer 6053223992 3900 W Avera Dr Ste 300 Sioux Falls SD 57108 Julie Lautt CFO Avera Health;Secretary/Treasurer 0.10 46.30 X 0 1274363 20218 Joshua Becker CRNA Coordinator 40.00 0.00 X 380425 0 62323 Logan Kopf CRNA 40.00 0.00 X 342454 0 59019 Kevin Loecker CRNA 40.00 0.00 X 277106 0 26827 John Kozyra President/CEO 41.00 0.00 X X 256174 0 40462 Cameron Everitt Director Phys & Occu Therapy 40.00 0.00 X 162474 0 25028 Lori J Adams-Kunz Director Pharmacy 40.00 0.00 X 156060 0 8236 Amy Shane Chair 1.00 0.00 X X 0 0 0 Cody Boettcher Vice Chair 1.00 0.00 X X 0 0 0 Deb Kelly Board Member 1.00 0.00 X 0 0 0 Bart Becker Board Member 1.00 0.00 X 0 0 0 Sue Dennis Board Member 1.00 0.00 X 0 0 0 Sister Bonita Gacnik Board Member 1.00 0.00 X 0 0 0 Mark Hunhoff Board Member 1.00 2.00 X 0 0 0 Russ McIntosh Board Member 1.00 0.00 X 0 0 0 Merri Schneider Board Member 1.00 0.00 X 0 0 0 Jewel Swanson Board Member 1.00 0.00 X 0 0 0 1574693 1274363 242113 20 0 1 0 Avera Health 3900 W Avera Drive Ste 301 Sioux Falls SD 57108 Shared Services 4026925 Docs Who Care PA 800 West Frontier Ln Olathe KS 66061 Professional Services 626592 AMN Healthcare Inc 12400 High Bluff Dr San Diego CA 92130 Contracted Services 456776 ENT Specialists PC 366 Regency Parkway Dr Omaha NE 68114 Professional Services 379117 Hausmann & Sons Construction Inc 8885 Executive Woods Dr Lincoln NE 68512 Construction Services 285955 10 2689 388866 20000 411555 Net Patient Revenue 621110 46520020 46520020 Pharmacy Revenue 456110 3130298 3130298 Patient and Clinic Revenue 621110 35090 35090 2064368 2064368 51749776 3473 3473 41719 52743 -11024 -11024 -11024 3945547 5230 0 0 3945547 5230 3950777 3950777 AR Interest Income 900099 10762 10762 10762 56115319 51760538 0 3943226 X 2417 2417 306889 306889 66892 66892 17786333 17737072 49261 690989 688712 2277 2841939 2819134 22805 1149272 1131301 17971 20355 20355 2160 2160 8492544 4819336 3673208 7174 3867 3307 301855 244342 57513 163612 159237 4375 577029 460076 116953 58085 53736 4349 72680 69053 3627 235019 213144 21875 2525642 2442866 82776 -347689 -310609 -37080 Medical Supplies 8820908 8808438 12470 Equipment Lease/Rental 111638 106943 4695 721332 187781 533551 44607075 39724093 4882982 0 -65721 155957 5991184 7720590 1575628 1786109 173063 165669 50065179 31630674 19485721 18434505 79087750 88212583 28293 124921 870222 5196962 107146140 121797296 3310366 2927761 5916710 5533092 895821 180667 10122897 8641520 X 96937409 113060859 85834 94917 97023243 113155776 107146140 121797296 X 11508244 4462599 161690 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2160 2160 0 Part II-B, Line 1: Avera St. Anthony's Hospital paid dues to an organization which have a portion attributed to lobbying activities. 7599 789 335 8053 7208 727 336 7599 7073 472 337 7208 8229 -820 336 7073 7332 1233 336 8229 0.00000 0.00000 1.00000 0 1 1 123349 745022 868371 133321 32804415 20797830 12139906 14571804 9488337 5083467 1687268 1344507 342761 18434505 Avera Pooled Investments 87036551 F Investment in Foundation 1176032 F 88212583 Intercompany Liabilities 180667 180667 X 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. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 540209 540209 0.01210 540209 540209 0.01210 87166 87166 0.00200 29427 29427 0.00070 11924230 2735175 9189055 0.20600 43134 43134 0.00100 12083957 2735175 9348782 0.20970 12624166 2735175 9888991 0.22180 1 745709 0 14537208 14461570 75638 X 1 1 1 1 Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 See Part V Section C 410002 X X X X 1 Provider based clinic; 1 RHC St Anthony's Hospital 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X See Part V Section C X See Part V Section C X 1 24 1 See Part V Section C 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X X 1 X 0 X X X X X 1 X 0 0 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/ 4 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 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. X X 1 0 0 0 0 0 0 0 0 Julie Lautt CFO Avera Health;Secretary/Treasurer 0 1226098 0 41964 0 6301 0 17250 0 2968 0 1294581 0 0 Joshua Becker CRNA Coordinator 261363 0 118639 0 423 0 17250 0 45073 0 442748 0 0 0 Logan Kopf CRNA 228326 0 113771 0 357 0 17250 0 41769 0 401473 0 0 0 Kevin Loecker CRNA 257944 0 17920 0 1242 0 13936 0 12891 0 303933 0 0 0 John Kozyra President/CEO 227960 0 28000 0 214 0 11150 0 29312 0 296636 0 0 0 Cameron Everitt Director Phys & Occu Therapy 161495 0 675 0 304 0 8314 0 16713 0 187501 0 0 0 Lori J Adams-Kunz Director Pharmacy 17142 0 0 0 138918 0 7807 0 429 0 164296 0 0 0 Part I, Line 4a Lori J Adams-Kunz received a severance payment of $125,349. Molly Fry Family Member of Board 66892 Compensation and benefits as an employee 0 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/ 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 Avera Health 0 Avera at Home 5300 S Broadband Lane Sioux Falls SD 57108 460399291 Home services SD 501(c)(3) Line 10 Avera Health 0 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) Avera Health 0 Avera Marshall 300 S Bruce St Marshall MN 56258 410919153 Healthcare services MN 501(c)(3) Line 3 Avera Health 0 Avera Granite Falls 345 10th Ave Granite Falls MN 56241 843156881 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Tyler 240 Willow Street Tyler MN 56178 410853163 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Queen of Peace Hospital 525 North Foster Mitchell SD 57301 420224604 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera St Mary's 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera Gettysburg 606 East Garfield Gettysburg SD 57442 460234354 Healthcare services SD 501(c)(3) Line 3 Avera St Mary's 0 Avera Holy Family 826 North 8th Street Estherville IA 51334 420680370 Healthcare services IA 501(c)(3) Line 3 Avera Health 0 Holy Family Hospital Foundation 826 North 8th Street Estherville IA 51334 421317452 Support health related services IA 501(c)(3) Line 10 Avera Holy Family 0 Sacred Heart Health Services 501 Summit Street Yankton SD 57078 460225483 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 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 Avera Health 0 St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 460226738 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 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 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 Level 10 30 Collings Street Melbourne VIC 3000 AS Biotech Research AS N/A 0 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 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 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.