2021-05-17T13:20:23-05:00 2020-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-07-01 460226738 St Benedict Health Center STBE 6059283311 401 West Glynn Drive Parkston SD 57366 Julie Lautt CFO Avera Health 6059283311 2021-05-10 1 Kim Hunwardsen CPA P00484560 6122536500 2021-05-13 2019 2022-09-23 18:48:47Z Avera St Benedict Health Center Rita Blasius 401 West Glynn Drive Parkston SD 57366 29682813 0 0928 X www.avera.org/st-benedict X 1965 SD Promotion of health 11 8 254 125 0 0 145932 2001623 26821885 25126526 917116 753352 34426 26233 27919359 27907734 111699 86775 0 0 13639804 14204072 0 0 0 8774499 8664416 22526002 22955263 5393357 4952471 51176712 61214683 2178254 7951813 48998458 53262870 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 19228961 86775 25132570 Avera St. Benedict Health Center's (Avera St. Benedict) mission is to provide healthcare services to Parkston, Tripp and Lake Andes, South Dakota residents and residents of the surrounding area. Avera St. Benedict is a 501(c)(3) organization affiliated with Avera Health. Avera St. Benedict consists of a 25-bed critical access hospital, a 49-bed nursing home, a 25-bed assisted living center and three provider based clinics. Services offered by Avera St. Benedict include primary care, emergency, general surgery, orthopedic surgery, podiatry surgery, cardiac rehab, pain management, pharmacy, behavioral health, laboratory, imaging, telemedicine, wellness center, speech therapy, physical therapy and occupational therapy. Avera St. Benedict provides acute care and long-term healthcare services.Following is a breakdown of these statistics by facility:Avera St. Benedict Hospital:367 Acute patient discharges46 Newborn patient discharges148 Swing bed patient discharges17,894 Outpatient visits1,154 Swing-bed patient days77 Newborn patient days20,456 Clinic visitsAvera Bormann Manor:25,267 Nursing home resident days27 Long Term Care patient dischargesAvera St. Benedict 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 $161,924.Avera St. Benedict 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. Benedict 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. Benedict 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. 19228961 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 44 0 1 254 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X X Jamie Schaefer 6053223992 3900 W Avera Dr Ste 300 Sioux Falls SD 57108 Jim Breckenridge - Left 42020 CFO Avera Health; Sec/Treasurer 0.10 41.30 X 0 1018166 36856 Julie Lautt - Joined 42020 CFO Avera Health; Sec/Treasurer 0.10 40.70 X 0 518454 35583 Richard W Honke II MD Family Medicine Physician 40.00 0.00 X 418095 0 38090 Jason Wickersham MD Family Medicine/OB Physician 40.00 5.00 X 380390 0 42563 Antoinette VanderPol MD Board Member/Chief of Staff 40.00 0.00 X 353681 0 24598 Larissa Sanger MD Family Medicine Physician 40.00 0.00 X 288853 0 41358 Beth Schroeder PA-C Clinic Manager 40.00 0.00 X 240786 0 39541 Jedd Bialas CRNA 40.00 0.00 X 191183 0 43065 Rita Blasius President/CEO 40.00 0.50 X X 178768 0 20418 Patricia Leischner Chair 2.00 0.00 X X 0 0 0 Dave Neugebauer Vice Chair 2.00 0.00 X X 0 0 0 Barb Weidenbach Secretary 2.00 0.00 X X 0 0 0 Sr Patricia Prunty PBVM Board Member 2.00 1.00 X 0 0 0 Sr Patricia Ann Toscano Board Member 2.00 0.00 X 0 0 0 Richard Boettcher Board Member 2.00 0.00 X 0 0 0 Pat Reiner Board Member 2.00 0.00 X 0 0 0 Bob Just Board Member 2.00 0.00 X 0 0 0 Shayne McIntosh Board Member 2.00 0.00 X 0 0 0 2051756 1536620 322072 12 0 1 0 Avera Health 3900 W Avera Dr Sioux Falls SD 57108 Shared Services & eCare Services 2497296 Avera Queen of Peace 525 North Foster Street Mitchell SD 57301 ITS, administrative & management fees 1376674 Avera McKennan 1325 S Cliff Ave Sioux Falls SD 57117 Medical Services 367762 3 35291 1962414 3918 2001623 Net Patient & Resident Service Re 622110 23801708 23801708 Pharmacy Revenue 900099 529097 529097 Daycare Revenue 624410 145664 145664 650057 650057 25126526 8939 8939 20189 0 20189 20189 20189 2509492 10000 1775079 0 734413 10000 744413 744413 AR Interest Income 900099 5394 5394 650 650 6044 27907734 25132570 0 773541 X 86775 86775 582316 382047 200269 102926 102926 10419999 10119458 300541 430233 415931 14302 1915308 1825380 89928 753290 720578 32712 27128 27128 3965461 1508620 2456841 3295 1654 1641 328771 189952 138819 191738 36865 154873 385836 312141 73695 48337 42500 5837 28817 25936 2881 1241136 1091883 149253 95047 53007 42040 Medical Supplies 2175579 2168096 7483 Equipment Lease/Rental 112425 111613 812 60846 33599 27247 22955263 19228961 3726302 0 1030893 656432 5853676 943766 299148 328361 96779 82874 26044661 14048558 12710367 11996103 31007588 46912997 178261 294150 51176712 61214683 1812963 1862311 0 2828725 4003 7998 361288 3252779 2178254 7951813 X 48109367 52314020 889091 948850 48998458 53262870 51176712 61214683 X 4952471 -817617 129558 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 75078 -510 74568 68235 108 6735 75078 65370 124 2741 68235 52199 9508 3663 65370 52694 -495 52199 0.00000 0.82180 0.17820 0 1 1 97483 97483 17126753 8002926 9123827 8290791 5809671 2481120 529634 235961 293673 11996103 Assets Limited to Use - Avera Pooled Investments 45394218 F Interest in Avera Health Foundation 1518779 F 46912997 Estimated Third-Party Payors Settlements -44209 Contract Liability - Medicare Advanced Payments 2997735 Right of Use Operating Lease Obligations 108889 Deferred Payroll Taxes 190364 3252779 X Part IV, Line 2b: Funds are held on behalf of the residents. Part V, Line 4: The Organization's endowment consists of a portion of their interest in the net assets of Avera Health Foundation. The Avera Health Foundation includes endowment funds which have been established for a variety of purposes. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the Board of Directors to function as endowments (if any), are classified and reported based on the existence or absence of donor-imposed restrictions. The organization's permanently restricted endowment funds are donor restricted. The organization currently does not have any board designated endowment funds. Part X, Line 2: Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 0 0 130289 130289 0.00570 1323657 930240 393417 0.01710 105861 61684 44177 0.00190 1559807 991924 567883 0.02470 108554 12390 96164 0.00420 55500 55500 0.00240 4600651 3818064 782587 0.03410 26677 26677 0.00120 4791382 3830454 960928 0.04190 6351189 4822378 1528811 0.06660 27500 27500 0.00120 150256 52352 97904 0.00430 177756 52352 125404 0.00550 1 385307 0 7137551 7149567 -12016 X 1 1 1 1 Avera St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 www.avera.org/st-benedict 50749 X X X X 3 provider based clinics St Benedict Hospital Inc 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X See Part V, Section C X 1 18 1 See Part V, Section C 0 1 X 150.000000000000 400.000000000000 X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X X 1 X 0 X X X X X 1 X 0 0 St. Benedict Hospital Inc. Part V, Section B, Line 5: A variety of individuals and groups of people were involved in the CHNA process from November 2018 through February 2019. Qualitative data was obtained from focus groups with the Parkston Commercial Club and Ministerial Association. The Parkston Commercial Club is a group of businesses in the Parkston area that meet monthly to support the community in a variety of ways, including fundraising for local events and family centered entertainment. Commercial club members are generally involved in many different activities in the community of Parkston, the local school district, and the surrounding area. The Ministerial Association members are clergy from many different congregations, some of which run food and clothing banks for individuals in need. The Ministerial Association meets monthly to work together to address many community and individual needs that are also social determinants of health. Formal individual interviews were conducted with two county health nurses, Andes Central School District Principal; Tripp School District Principal; Parkston School District superintendent; one Hutterite Colony boss; and manager of the only medical clinic in Lake Andes, SD. County health nurses are the only form of public health in Hutchinson County. A survey (electronic and paper) was completed by 103 community members. St. Benedict Hospital Inc. Part V, Section B, Line 11: Action on the implementation plan has started in most areas. COVID 19 impacted some of the activities by delaying them. Substance use prevention was not addressed as it was considered secondary to COVID 19. The following community health priorities were identified and the following actions have been taken during the tax year.Obesity*Created a "Shop with the Dietician" program.*Incorporated nutritional education for young athletes at Coaches' Clinic.*Provided education opportunities to the community for weight loss.*Provided scheduled free access to Avera St. Benedict's Wellness Center.*Started training elementary school teachers on the value of physical activity through incorporating it into daily classroom activities. Transportation*Gap assessment in transportation has started. Facility has promoted telehealth services to reduce transportations needs and to keep residents safe during pandemic. In-home medical care has happened when able secondary to COVID, specifically in high risk populations.Deterioration of Homes*Collaboration with the Commercial Club and Economic Development has started in hopes of launching a "paint a house" program. After School Activities for Kids*Supported the public library in their efforts to have an after-school program for kids. Due to COVID 19, discussions started and then were delayed. Initial discussion with the local dentists started for the goal of implementing free or reduced cost dental screening program in the community for kids.Access to Care*Worksite wellness screenings took place at two worksites.The following health need needs were not addressed due to resource constraints for the hospital at this time: *Walking/Bike pathsThe activities and priorities identified in the implementation plan will be addressed and implemented as able, secondary to COVID 19. St. Benedict Hospital Inc. 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. Benedict Hospital Inc. Part V, Section B, Line 16j: A summary of the financial assistance policy is posted in the Hospital facility's emergency rooms, waiting rooms, and admissions office and included in the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. St. Benedict Hospital Inc. 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. Benedict Hospital Inc. 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. Schedule H Part V, Section C, Lines 7a and 10a: Community Health Needs Assessment and Implementation Strategy websitehttps://www.avera.org/about/community-health-needs-assessments/ Schedule H Part V, Section C, Lines 16a, 16b and 16c: https://www.avera.org/patients-visitors/charity-patient-assistance-programs/financial-assistance-forms/ 2 1 - Avera Bormann Manor 501 North 4th Street Parkston SD 57366 Nursing Home 2 - Avera St Benedict Assisted Living 400 W Fir Parkston SD 57366 Assisted Living Part I, Line 3c: The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive charity care may be applied in situations where all other avenues have been exhausted. Part I, Line 7: Charity care expense was converted to cost using an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid was calculated using the costing methods to prepare the cost report. Subsidized health services were calculated based on a combination of the Medicare cost report and an overall cost-to-charge ratio for certain expenses. Other means tested government programs, community health improvement services, health professions education, and cash and in-kind contributions are reported based on actual expenses recorded in the general ledger. Part II, Community Building Activities: Avera St. Benedict Health Center (ASBHC) operates a community daycare providing a safe environment for the children. Lower income families are provided a safe and affordable place for their children. While not all the families are lower income, the organization sees this as a community need as there is no other facility in the area and the community as a whole would struggle to find daycare for their children. Despite operating at a loss, the Board of Directors is committed to providing the service to the community.Avera St. Benedict Health Center provided donations to various organizations to support activities as listed on Part II. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with the respective class of patients and residents. Part III, Line 4: The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on pages 17 and 18. Part III, Line 8: Any Medicare shortfall for St. Benedict Hospital is excluded from the community benefit report. Patients with Medicare coverage are accepted regardless of whether or not a surplus or deficit is realized from providing the services. This means providing Medicare services promotes access to healthcare services which is a key advantage for our community and therefore any shortfall is considered a community benefit.Total revenue received from Medicare and the Medicare allowable costs are reported from 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: Community needs are evaluated and assessed on an on-going basis in several ways. ASBHC has completed formal "needs assessments" several times over the course of the past several years. This has been accomplished with input from focus groups, surveys, short and long range planning by the Health Center Board, demographic and health care data analysis, regular meetings with the provider staff, and collaboration with the local school and churches, as well as local law enforcement. Part VI, Line 3: Patients are informed of the financial assistance/charity care policy through brochures at the registration desks of the Hospital and Clinics. ASBHC has staff in Central Registration that identify if a patient is able to pay for services through insurance or otherwise. If they identify on the front end that the patient needs assistance, the patient is connected to a representative in Patient Financial Services who can assist with determining what benefits the patient may qualify for and help them apply for any benefits. If there is no option for an outside assistance program, the patient is informed and encouraged to complete the application that utilizes a combination of income, assets, and expenses to determine what percentage of charity care they would qualify for. Part VI, Line 4: Avera St Benedict is a 25-bed critical access hospital in Parkston, South Dakota. The primary service area is defined as Hutchinson County, South Dakota, including the communities of Freeman, Menno, Olivet and Tripp. Olivet is the county seat. According to the U.S. Census Bureau Quick Facts 2019 data, the estimated population of Hutchinson County as of July 1, 2019 is 7,291 and is predominately white at 96.2%. It is estimated that 22.9% of the population is 65 years and over. The median household income is $57,089 with a 10.5% poverty rate. Uninsured individuals under age 65 is estimated at 12.3%.The secondary service area includes the coverage of 8 Hutterian Brethern Colonies and Charles Mix County. Charles Mix County is demographically different from the rest of the service area. The population is 32.7% Native American. The median household income is $50,481 with a 21.2% poverty rate. Uninsured individuals under age 65 is estimated at 17.0%. Part VI, Line 5: The Organization's governing body is comprised of volunteer members who reside in the community. The Board of Directors meets monthly and has community representation that brings forward issues relative to challenges, needs and services within the community. The local ministerial group meets monthly at the Hospital and also identifies needs and gaps within the parishioners they serve. Medical staff privileges are extended to all qualified physicians in the community. The medical staff, including the physicians/mid-levels/department directors, has the opportunity to meet monthly and also discuss ways to meet the needs of the community they serve. 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.ASBHC has a fitness center on campus that is available to help the community focus on wellness and prevention. This endeavor is subsidized by the facility to improve the health and well-being of the community as a whole. The chaplaincy mission services participate and spearhead many community projects including an angel tree at Christmas to address the needs of children in our service area. ASBHC also donates to the local food pantry and purchases, prepares, and serves a meal to the Love Feast in Mitchell, SD annually. The meal serves 300 plus people in need of nutrition. At that event, bags of groceries are provided to the families in need that are in attendance to take home. There are several other projects of this nature on a smaller scale at the local school system. ASBHC donates to community events such as American Cancer Society projects and sponsors health related educational programs to the community at large. Avera St. Benedict also provides medical, nursing, and other ancillary health professions the opportunity for hands on learning experiences through residencies, internships, clinical rotations and other shadowing and profession mentoring programs to help with students health care training needs. 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. 1 Dakota Heartland Development Association 601 N Main St Mitchell SD 57301 352397643 501(c)(3) 15000 Community Development Parkston Area Foundation PO Box 823 Parkston SD 57366 460444442 501(c)(3) 5000 Community Development University of South Dakota Foundation 414 E Clark St Vermillion SD 57069 466018891 501(c)(3) 44000 Scholarships 3 0 Part I, Line 2: The organization provides grants/contributions to other organizations which are tax-exempt under IRS Section 501(c)(3) and governmental divisions that benefit the community and region through programs and activities. X X 0 0 0 0 0 0 0 0 0 Jim Breckenridge - Left 42020 CFO Avera Health; Sec/Treasurer 0 945274 0 1760 0 71132 0 14000 0 22856 0 1055022 0 0 Julie Lautt - Joined 42020 CFO Avera Health; Sec/Treasurer 0 516081 0 400 0 1973 0 14000 0 21583 0 554037 0 0 Richard W Honke II MD Family Medicine Physician 328725 0 73566 0 15804 0 14000 0 24090 0 456185 0 0 0 Jason Wickersham MD Family Medicine/OB Physician 277834 0 101166 0 1390 0 14000 0 28563 0 422953 0 0 0 Antoinette VanderPol MD Board Member/Chief of Staff 290468 0 61767 0 1446 0 14000 0 10598 0 378279 0 0 0 Larissa Sanger MD Family Medicine Physician 222456 0 65512 0 885 0 14000 0 27358 0 330211 0 0 0 Beth Schroeder PA-C Clinic Manager 163826 0 67556 0 9404 0 11322 0 28219 0 280327 0 0 0 Jedd Bialas CRNA 190777 0 0 0 406 0 10087 0 32978 0 234248 0 0 0 Rita Blasius President/CEO 175475 0 725 0 2568 0 8936 0 11483 0 199187 0 0 0 Denise Leischner Family member of Pat Leischner, Board Member 102926 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) Define the purpose, philosophy and mission of this Corporation. 2) Receive and approve budgets of this Corporation. 3) Review and approve audited financial reports of this Corporation. 4) Dissolve, merge or consolidate this Corporation. 5) Approve the selection and retention of the independent auditing firm. 6) Approve any action which would change the character of this Corporation. 7) Initiate and/or approve all amendments to the Articles of Incorporation and Bylaws of this Corporation. 8) Appoint and remove, with or without cause, the Directors, sanction vacancies and determine the number of Directors of this 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 St. Benedict Hospital does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the Avera Health VP of Financial Reporting, Tax Manager, Facility CEO and Finance Committee (if applicable). After initial review the Form 990 is made available to the Board and other Operation Finance Leaders. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board. Form 990, Part VI, Section B, line 15a The President and CEO of Avera Queen of Peace, a related organization, initiates the annual review for the CEO. He sends out evaluation forms to the board of St. Benedict's. Comparative data from Avera Health System is used to develop a recommended compensation structure. The compensation for the CEO is approved by Avera St. Benedict's board. This is done on an annual basis, usually in January. The CFO-Avera Health is compensated by Avera Health. Annually the Compensation Committee of Avera Health, which is comprised of six (6) System Members appointed by the Religious Orders, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. 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 866,077. Management and general expenses 182,303. Fundraising expenses 0. Total expenses 1,048,380. Repairs and Maintenance: Program service expenses 525,185. Management and general expenses 33,538. Fundraising expenses 0. Total expenses 558,723. Medical Prof Fees: Program service expenses 117,358. Management and general expenses 0. Fundraising expenses 0. Total expenses 117,358. Centralized Services: Program service expenses 0. Management and general expenses 2,241,000. Fundraising expenses 0. Total expenses 2,241,000. Form 990, Part XI, line 9: Change in Interest in Avera Foundation 129,558. 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 St. Benedict Health Center. Form 990, Part X, Line 20: St. Benedict Health Center 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. St. Benedict Health Center was not allocated any share of the bond issue, and thus does not have an amount on line 20. Avera Health 3900 West Avera Drive Suite 300 Sioux Falls SD 57108 460422673 Promotion of Health SD 501(c)(3) Line 10 N/A 0 St Benedict Health Center Foundation 401 West Glynn Drive PO Box B Parkston SD 57366 460458725 Support health related services SD 501(c)(3) Line 12a, I St Benedict Health Center 1 Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 470463911 Healthcare services NE 501(c)(3) Line 3 Avera Health 0 Avera Holy Family 826 North 8th Street Estherville IA 51334 420680370 Healthcare services IA 501(c)(3) Line 3 Avera Health 0 Avera Holy Family Foundation 826 North 8th Street Estherville IA 51334 421317452 Support health related services IA 501(c)(3) Line 10 Avera Holy Family 0 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 Queen of Peace Hospital 525 North Foster Street Mitchell SD 57301 460224604 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Sacred Heart Health Services 501 Summit Street Yankton SD 57078 460225483 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera at Home 5116 S Solberg Ave Sioux Falls SD 57108 460399291 Home Services SD 501(c)(3) Line 10 Avera Health 0 Lewis and Clark Health Education and Service Agency 1000 W 4th ST Suite 9 Yankton SD 57078 460337013 Healthcare education SD 501(c)(3) Line 10 Sacred Heart Health Services 0 Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera Marshall 300 S Bruce ST Marshall MN 56258 410919153 Healthcare Services MN 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 St Mary's 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera Tyler 240 Willow Street Tyler MN 56178 410853163 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Health Plans Inc 3900 West Avera Drive Suite 101 Sioux Falls SD 57108 460451539 Health financing and health plan admin SD 501(c)(4) Avera Health 0 Avera Granite Falls 345 10th Ave Granite Falls MN 56241 843156881 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Home Medical Equipment of Floyd Valley Hospital LLC 714 Lincoln ST NE Lemars IA 51031 820582350 Medical services - home medical equipment SD N/A Avera Home Medical Equipment of Sioux Center LLC 38 19th ST SW Sioux Center IA 51250 753203100 Medical services - home medical equipment SD N/A Avera Home Medical Equipment of Spencer Hospital LLC 2400 S Minnesota Ave Sioux Falls SD 57117 800619999 Medical Services - home medical equipment SD N/A Q&M Properties LLC 525 North Foster Mitchell SD 57301 731652049 Medical Clinic Building SD N/A Surgical Associates Endoscopy Clinic LLC 310 S Pennsylvania St Aberdeen SD 57401 460461429 Surgical Associates SD N/A Heart Hospital of South Dakota LLC 4500 W 69th Street Sioux Falls SD 57108 562143771 Healthcare Services SD N/A Brookings Health System - Avera HME LLC 101 22nd Ave Suite 101 Brookings SD 57006 453204123 Medical Services - Home Medical Equipment SD N/A National Rural ACO 4 LLC dba Prairie Hills Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 371780735 Accountable Care Organization KS N/A National Rural ACO 5 LLC dba Great Plains Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 383958290 Accountable Care Organization KS N/A Caravan Health ACO 41 LLC dba Prairie View Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 821447782 Accountable Care Organization KS N/A Accounts Management Inc 5132 S Cliff Avenue Suite 101 Sioux Falls SD 57108 460373021 Collection Agency SD N/A C 0 Avera Property Insurance Inc 1000 West 4th Street Suite 1 Yankton SD 57078 460463155 Insurance SD N/A C 0 Valley Health Services 501 Summit Street Yankton SD 57078 460357149 Rental Real Estate SD N/A C 0 Alucent Medical Inc 1325 S Cliff Avenue PO Box 5045 Sioux Falls SD 571175045 471818349 Biotech Research SD N/A C 0 South Dakota State Medical Holding Company 5300 South Broadband Lane Sioux Falls SD 57108 460401087 Insurance SD N/A C 0 DakotaCare Administrative Services Inc 5300 South Broadband Lane Sioux Falls SD 57108 460424322 Insurance SD N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0