AVERA MCKENNAN: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- AVERA MCKENNAN (EIN 46-0224743)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201741329349305534
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T14:59:11-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460224743 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AVERA MCKENNAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AVER | BusinessNameControlTxt |
| Phone | 6053228000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST 21ST STREET PO BOX 5045 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175045 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE NORTON | PersonNm |
| Person Title | SEC/TREAS & SR VP FINANCE | PersonTitleTxt |
| Phone | 6053228000 | PhoneNum |
| Signature | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KIM HUNWARDSEN CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2017-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR DAVID KAPASKA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST 21ST STREET PO BOX 5045 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175045 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $976,015,031 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AVERAMCKENNAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | PROMOTION OF HEALTH | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 7913 | TotalEmployeeCnt |
| Total Volunteers | 1177 | TotalVolunteersCnt |
| Total Gross UBI | $17,582,284 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,173,400 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,545,163 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,933,754 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $852,342,087 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $911,860,224 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,674,490 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,301,125 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,212,514 | PYOtherRevenueAmt |
| CY Other Revenue | $1,606,146 | CYOtherRevenueAmt |
| PY Total Revenue | $866,774,254 | PYTotalRevenueAmt |
| CY Total Revenue | $922,701,249 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $680,707 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $636,606 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $415,494,562 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $446,210,437 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $57,200 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $17,835 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,274,867 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $404,523,245 | PYOtherExpensesAmt |
| CY Other Expenses | $454,016,043 | CYOtherExpensesAmt |
| PY Total Expenses | $820,755,714 | PYTotalExpensesAmt |
| CY Total Expenses | $900,880,921 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $46,018,540 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,820,328 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $923,254,007 | TotalAssetsBOYAmt |
| Total Assets EOY | $885,040,456 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $346,082,735 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $333,331,066 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $577,171,272 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $551,709,390 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AVERA MCKENNAN, AS PART OF 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 | $508,784,858 | ExpenseAmt |
| Grant | $613,282 | GrantAmt |
| Revenue | $681,225,855 | RevenueAmt |
| Desc | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTERAVERA MCKENNAN PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF CHARITABLE HEALTH CARE SERVICES. AVERA MCKENNAN OPERATES UNDER THE TENETS OF THE ROMAN CATHOLIC CHURCH AND IN ACCORDANCE WITH THE PHILOSOPHY AND VALUES ESTABLISHED FOR AVERA HEALTH, A SPONSORED MINISTRY OF THE BENEDICTINE AND PRESENTATION SISTERS.MAJOR SERVICE LINES INCLUDE ONCOLOGY, SURGERY, OBSTETRICS, PEDIATRICS, NEONATOLOGY, EMERGENCY AND TRAUMA, CRITICAL CARE INCLUDING EICU, RADIOLOGY AND DIAGNOSTIC IMAGING, PSYCHIATRY, PULMONARY, ORTHOPEDICS, NEUROLOGY, CARDIOLOGY AND GASTROENTEROLOGY. TRANSPLANT SERVICES INCLUDE SOLID ORGAN (KIDNEY AND PANCREAS) AND BONE MARROW TRANSPLANT.THE FOLLOWING ARE SPECIFIC EXEMPT PURPOSE ACHIEVEMENTS FOR AVERA MCKENNAN HOSPITAL:CHARITY AND UNCOMPENSATED CARE: AVERA MCKENNAN PROVIDES NECESSARY MEDICAL SERVICES (DIAGNOSTIC AND TREATMENT) FOR WHOMEVER COMES TO US FOR CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2016, SERVICES PROVIDED TO THOSE WHO ARE UNABLE TO PAY TOTALED $42,694,000.ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES UNDER THE CHARITY CARE POLICY IS BASED ON INCOME LEVELS. GENERALLY, INDIVIDUALS EARNING INCOME OF UP TO 400% OF THE FEDERAL POLICY INCOME GUIDELINES ARE ELIGIBLE FOR VARYING LEVELS OF DISCOUNTS, INCLUDING FULL DISCOUNTS FOR CERTAIN INCOME LEVELS. APPLICATION FOR COVERAGE UNDER THE PROGRAM MAY BE OBTAINED AT ANY AVERA MCKENNAN PATIENT REGISTRATION AREA OR BY CALLING AVERA MCKENNAN PATIENT FINANCIAL SERVICES.AVERA MCKENNAN HELPS PATIENTS APPLY FOR ANY APPLICABLE GOVERNMENT INSURANCE PROGRAMS, AND OFFERS HEALTH CARE SERVICES ON A DISCOUNTED OR CHARITABLE BASIS TO THOSE WHO ARE UNINSURED OR UNDERINSURED. CHARITY CARE IS NOT CAPPED BY A BUDGET FIGURE UNREIMBURSED EXPENSES ARE COVERED BY THE ORGANIZATION AS NEEDED, NOT UNTIL A BUDGET FIGURE IS MET.IN ADDITION TO CHARITY CARE, IN THE PAST FISCAL YEAR AVERA MCKENNAN PROVIDED $292,402 IN LODGING, TRANSPORTATION AND PRESCRIPTIONS TO THOSE IN NEED.ACCESSIBILITY TO HEALTH CARE: AVERA MCKENNAN MAKES MEDICAL CARE ACCESSIBLE TO THE ENTIRE COMMUNITY IT SERVES. IN 2016 AVERA MCKENNAN HAD 21,431 HOSPITAL DISCHARGES, 119,693 PATIENT DAYS AND 286,897 OUTPATIENT VISITS. AVERA MCKENNAN IS A VERIFIED LEVEL II TRAUMA CENTER AND WAS THE FIRST SUCH CENTER IN THE STATE OF SOUTH DAKOTA. AVERA MCKENNAN'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY WITH BOARD-CERTIFIED EMERGENCY SPECIALISTS AND PROVIDES EMERGENCY CARE REGARDLESS OF ABILITY TO PAY. AVERA MCKENNAN HAD 29,650 EMERGENCY DEPARTMENT VISITS IN FY 2016. OPERATING BOTH FIXED WING AND HELICOPTER MEDICAL AIR TRANSPORTS, AVERA MCKENNAN'S FLIGHT TEAMS COVER A LARGE GEOGRAPHIC AREA PROVIDING STATE-OF-THE-ART AIR TRANSPORT SERVICES AND ACCESS TO CRITICAL CARE, WITH 1,598 FLIGHTS IN THE PAST YEAR.HEALTH CARE CLINIC: IN 1992, AVERA MCKENNAN ESTABLISHED A HEALTH CARE CLINIC TO PROVIDE FREE CARE FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED IN THE COMMUNITY. THE CLINIC IS MANAGED BY A REGISTERED NURSE AND STAFFED BY REGISTERED NURSES, TWO MIDLEVEL PROVIDERS, MEDICAL RESIDENTS AND VOLUNTEER HEALTH CARE PROVIDERS. THE GOAL OF THE CLINIC IS TO PREVENT OR TREAT PATIENTS' MEDICAL CONDITIONS BEFORE THEY BECOME CATASTROPHIC. THE CLINIC AVERAGES 450 VISITS PER MONTH, PROVIDING PREVENTATIVE CARE, DIAGNOSIS AND TREATMENT OF ILLNESSES AND INJURIES, MEDICATION ASSISTANCE AND ASSISTANCE IN OBTAINING SPECIALIST CARE FOR PATIENTS WITH COMPLEX CASES. THE CLINIC ALSO SERVES TO TRAIN PHYSICIANS, NURSES AND OTHER HEALTH CARE STUDENTS. IT PROVIDES A FREE EVENING CLINIC ONE EVENING PER MONTH, STAFFED BY MEDICAL STUDENTS UNDER SUPERVISION OF PHYSICIANS. AVERA MCKENNAN IS THE ONLY HEALTH CARE ORGANIZATION TO PROVIDE FREE SERVICES SUCH AS THIS IN THE STATE OF SOUTH DAKOTA. THE CLINIC HAD 5,400 VISITS IN 2016, AND WAS OPERATED AT AN ANNUAL COST OF $719,110. PARTNERSHIP IN LIVE WELL SIOUX FALLS: THE CITY OF SIOUX FALLS RECEIVED A COMMUNITY HEALTH TRANSFORMATION GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH, SPARKING A PROJECT TO IMPROVE THE HEALTH AND WELL-BEING OF THE CITIZENS OF SIOUX FALLS. GUIDED BY THE CITY OF SIOUX FALLS HEALTH DEPARTMENT, THIS ONGOING PROJECT IS KNOWN AS LIVE WELL SIOUX FALLS. IT INVOLVES MORE THAN 24 COMMUNITY PARTNER ORGANIZATIONS. AMONG THESE PARTNERS ARE AVERA MCKENNAN AND THE OTHER MAJOR HEALTH CARE SYSTEM IN SIOUX FALLS, SANFORD HEALTH. AVERA PLANS TO WORK IN PARTNERSHIP WITH THE CITY OF SIOUX FALLS AND SANFORD HEALTH TO ADDRESS THE PRIORITIES OF LIVE WELL SIOUX FALLS, AND ARRIVE AT SOLUTIONS WHICH ARE COLLABORATIVE IN NATURE.AVERA MCKENNAN COLLABORATES WITH LIVE WELL SIOUX FALLS TO PROMOTE THE BIG SQUEEZE, A HYPERTENSION INITIATIVE IN APRIL TO PROMOTE BLOOD PRESSURE SCREENING AND EDUCATION, WITH THE GOAL OF DIAGNOSING HIGH BLOOD PRESSURE. ONE IN THREE AMERICAN ADULTS HAVE HIGH BLOOD PRESSURE, BUT ONLY HALF OF THEM HAVE IT UNDER CONTROL, ADDING TO THE RISK OF STROKE, HEART ATTACK AND VASCULAR DISEASE.RESIDENCY/HEALTH PROFESSIONS TRAINING AND INTERNSHIPS: IN 2016, AVERA MCKENNAN HAD 91 MEDICAL SCHOOL RESIDENTS IN TRAINING AT AVERA MCKENNAN IN INTERNAL MEDICINE, FAMILY PRACTICE, PSYCHIATRY, GERIATRICS AND TRANSITIONAL RESIDENCY PROGRAMS OFFERED IN PARTNERSHIP WITH THE UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE. OVER 1,000 STUDENTS IN MEDICINE, NURSING, PHARMACY, PHYSICIAN ASSISTANT PROGRAMS, MEDICAL ASSISTING, RADIOLOGY AND RESPIRATORY THERAPY ALSO COMPLETED CLINICAL ROTATIONS AT AVERA MCKENNAN. IN NON-CLINICAL AREAS, AVERA MCKENNAN OFFERED 90 PAID AND UNPAID INTERNSHIPS IN 2016 IN THE AREAS OF RESEARCH, FINANCE, ADMINISTRATION, THERAPIES, EXERCISE SCIENCE, AND SOCIAL WORK. AVERA MCKENNAN IS CURRENTLY AFFILIATED WITH APPROXIMATELY 136 INSTITUTIONS OF HIGHER EDUCATION.PATIENT AND COMMUNITY EDUCATION: AVERA MCKENNAN IS A REGIONAL LEADER IN OFFERING EDUCATIONAL PROGRAMS FOR A VARIETY OF LEARNERS, LEADERS AND EMPLOYEES. UTILIZING ADVANCED TECHNOLOGY, MANY OF THESE PROGRAMS ARE PROVIDED ELECTRONICALLY THROUGHOUT THE TRI-STATE AREA. EDUCATIONAL SESSIONS ARE OFFERED TO MEDICAL STAFF, EMPLOYEES, HEALTH CARE PROFESSIONALS, STUDENTS AT ALL LEVELS AND THE GENERAL PUBLIC. UTILIZING AVERA MCKENNAN'S EDUCATION CENTER, A BROAD CROSS-SECTION OF CLASSES INVOLVING DIVERSE AUDIENCES ARE PROVIDED AS A COMMUNITY SERVICE EACH YEAR.* ONLINE RESOURCES: AVERA MCKENNAN OFFERS VAST FREE PATIENT EDUCATIONAL ONLINE RESOURCES ON ITS PUBLIC WEBSITE ON NUMEROUS HEALTH TOPICS, WITH SUGGESTIONS FOR LIFESTYLE CHANGE, BEHAVIOR MODIFICATION AND MANAGEMENT FOR IMPROVED HEALTH.* TO BE WELL FREE EDUCATION EVENTS WERE HELD ON TOPICS INCLUDING ORTHOPEDICS, CANCER, DIABETES, WEIGHT LOSS/HEALTHY EATING, MULTIPLE SCLEROSIS, ANXIETY AND ACUPUNCTURE. * FORUMS: THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE FRIDAY FORUMS, IN WHICH SCHOOL COUNSELORS AND THERAPISTS ARE INVITED TO PRESENTATIONS ON CHILDREN'S MENTAL HEALTH TOPICS SUCH AS CONFLICT CYCLES, REACTIVE ATTACHMENT DISORDER, DEPRESSION AND BIPOLAR DISORDER IN CHILDREN, AND TEEN SUBSTANCE USE, ABUSE AND ADDICTION. * THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE MONTHLY EDUCATIONAL SESSIONS ON VARIOUS TOPICS FOLLOWED BY DISCUSSION FOR ADULTS WHO HAVE BEEN IMPACTED BY A LOVED ONE'S MENTAL ILLNESS. TOPICS HAVE INCLUDED GRIEF AND LOSS, ANXIETY, AND PARENTING STRATEGIES FOR MANAGING CHALLENGING BEHAVIORS.* WOMEN'S & CHILDREN'S SERVICES: AVERA MCKENNAN'S WOMEN'S & CHILDREN'S SERVICES OFFERS A NUMBER OF PARENTING AND COMMUNITY EDUCATION OPPORTUNITIES, FOR FREE OR AT A MINIMAL COST. IN FISCAL YEAR 2016, 101 CHILDBIRTH EDUCATION CLASSES WERE HELD WITH 490 ATTENDEES. A TOTAL OF 7 PARENT AND FAMILY EDUCATION CLASSES WERE HELD WITH 89 ATTENDEES. A TOTAL OF 54 CAR SEATS WERE ISSUED THROUGH THE SOUTH DAKOTA CHILD SAFETY SEAT DISTRIBUTION PROGRAM. FREE BURN EDUCATION WAS PROVIDED TO 2,198 STUDENTS DURING PRESENTATIONS IN SCHOOLS.* DAYCARE TRAINING: FREE OF CHARGE, AVERA MCKENNAN OFFERS FOUR IN-SERVICE TRAINING SESSIONS PER MONTH TO DAYCARE PROVIDERS THROUGH THE EMBE, WITH A TOTAL OF 36 SCHEDULED ANNUALLY, AND ADDITIONAL SESSIONS FOR REQUESTED TOPICS. SUPPORT GROUPS: AVERA MCKENNAN OFFERS APPROXIMATELY 10 FREE SUPPORT GROUPS. THEY RANGE IN TOPICS FROM CANCER TO LIVER DISEASE, DIABETES, BONE MARROW TRANSPLANT, STROKE AND GRIEF AND LOSS. THE ORGANIZATION PROVIDES FREE MEETING SPACE AS WELL AS SPEAKERS AND LEADERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $45,118,004 | ExpenseAmt |
| Grant | $9,298 | GrantAmt |
| Revenue | $57,434,166 | RevenueAmt |
| Desc | RURAL CRITICAL ACCESS HOSPITALSAVERA MCKENNAN OWNS OR LEASES RURAL CRITICAL ACCESS HOSPITALS IN FLANDREAU, GREGORY, DELL RAPIDS, MILBANK AND MILLER (HAND COUNTY), S.D. AS SUCH, THEY OPERATE AS A DEPARTMENT OF AVERA MCKENNAN. THE HOSPITALS IN FLANDREAU, GREGORY AND HAND COUNTY SERVE MEDICALLY UNDERSERVED COUNTIES. IN ADDITION TO THE EXEMPT PURPOSE ACHIEVEMENTS, THE RURAL HOSPITALS PARTICIPATE IN MANY OF THE ACTIVIES DESCRIBED IN PART III, LINE 4A AS PART OF AVERA MCKENNAN.AMONG SERVICES OFFERED BY RURAL HOSPITALS ARE RADIOLOGY AND IMAGING, COLONOSCOPY AND ENDOSCOPY, THERAPY AND REHABILITATION, 24-HOUR EMERGENCY CARE, CHEMOTHERAPY, ORTHOPEDICS, CARDIOVASCULAR TESTING AND CARE, OBSTETRICS, SURGERY, AND DIALYSIS.CHARITY AND UNCOMPENSATED CARE: AS PART OF AVERA MCKENNAN, THESE FACILITIES PROVIDE NECESSARY MEDICAL SERVICES (DIAGNOSTIC AND TREATMENT) FOR WHOMEVER COMES TO US FOR CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2016, CHARITY AND UNCOMPENSATED CARE PROVIDED BY RURAL HOSPITALS TOTALED $939,000.ACCESSIBILITY TO HEALTH CARE: AVERA MCKENNAN REGIONAL HOSPITALS MAKE MEDICAL CARE ACCESSIBLE TO THE ENTIRE COMMUNITY THEY SERVE REGARDLESS OF A PATIENT'S ABILITY TO PAY. IN 2016 RURAL HOSPITALS HAD 1,693 DISCHARGES, 7,536 PATIENT DAYS AND 64,310 OUTPATIENT VISITS. EACH OF THE HOSPITALS PROVIDES 24-HOUR EMERGENCY CARE WITH EEMERGENCY SERVICES THROUGH AVERA MCKENNAN. EICU SERVICES ARE ALSO AVAILABLE AT THESE HOSPITALS, PROVIDING ACCESS TO CRITICAL CARE MEDICINE NEAR HOME AND LESSENING THE NEED FOR TRANSPORT. THERE IS NO ADDITIONAL BILLING TO PATIENTS. TELEMEDICINE CONSULTS ARE ALSO OFFERED AT RURAL LOCATIONS IN A NUMBER OF MEDICAL SPECIALTIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $187,030,987 | ExpenseAmt |
| Grant | $14,026 | GrantAmt |
| Revenue | $145,470,503 | RevenueAmt |
| Desc | CLINICSAVERA MCKENNAN PROVIDES CLINICAL CARE, SECONDARY AND PRIMARY, IN 91 OWNED/JOINT VENTURE CLINICS IN SOUTH DAKOTA, NORTHWEST IOWA, SOUTHWEST MINNESOTA AND NORTHEASTERN NEBRASKA. IN ADDITION TO THE FOLLOWING EXEMPT PURPOSE ACHIEVEMENTS, CLINICS PARTICIPATE IN MANY OF THE ABOVE AS PART OF AVERA MCKENNAN. CLINIC VISITS IN 2016 TOTALED 1,055,965.CLINICS PROVIDE PRIMARY CARE AND URGENT CARE, AND AMONG SPECIALTIES ARE CARDIOLOGY; DERMATOLOGY; ENDOCRINOLOGY; GASTROENTEROLOGY; HEMATOLOGY; HEPATOLOGY; INFECTIOUS DISEASE; INTERNAL MEDICINE; NEONATOLOGY; NEPHROLOGY; NEUROLOGY AND NEUROSURGERY; OB/GYN; ONCOLOGY; OPHTHALMOLOGY; ORTHOPEDICS; PAIN MANAGEMENT; PEDIATRICS; PSYCHIATRY; PULMONOLOGY; SPORTS MEDICINE; SURGERY; AND VASCULAR SERVICES.CHARITY AND UNCOMPENSATED CARE: AS PART OF AVERA MCKENNAN, CLINICS PROVIDE NECESSARY MEDICAL SERVICES (DIAGNOSTIC AND TREATMENT) FOR WHOEVER COMES TO US FOR CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2016, CHARITY AND UNCOMPENSATED CARE PROVIDED BY CLINICS TOTALED $382,000.ACCESSIBILITY TO HEALTH CARE: IN ADDITION TO REGULAR CLINIC HOURS, AVERA MCGREEVY CLINIC PROVIDES URGENT CARE, SEEING PATIENTS ON A WALK-IN BASIS AT TWO LOCATIONS DURING THE EVENING HOURS ON WEEKDAYS, AND THROUGHOUT THE DAYTIME HOURS ON SATURDAYS AND SUNDAYS. IN ADDITION TO REGULAR CLINIC HOURS, CORE ORTHOPEDICS PROVIDES A WALK-IN ORTHOPEDIC INJURY CLINIC DURING THE EVENING HOURS ON WEEKDAYS AND DURING DAYTIME HOURS ON SATURDAYS. THIS PROVIDES GREATER ACCESSIBILITY WITHOUT HAVING TO RELY ON EMERGENCY ROOM CARE. IN ADDITION, THROUGH OUR CURAQUICK CLINIC, AVERA OFFERS CONVENIENT, AFFORDABLE CLINIC CARE IN A LOCAL HYVEE PHARMACY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,762,222 | ExpenseAmt |
| Revenue | $12,305,846 | RevenueAmt |
| Desc | AVERA MCKENNAN ALSO PROVIDES LONG-TERM CARE, RETAIL SERVICES, HOME INFUSION, RESEARCH, FITNESS CENTER, REGIONAL LAB AND MOBILE SERVICES.MEDICAL RESEARCH: AS A RESEARCH INSTITUTION, AVERA MCKENNAN DRAWS PHYSICIANS WHO ARE COMMITTED TO SEEKING NEW TREATMENTS AND PREVENTIVE MEASURES. THE AVERA RESEARCH INSTITUTE IN 2016 PARTICIPATED IN OVER 90 CLINICAL TRIALS, INVOLVING CANCER, ALZHEIMER'S DISEASE, BEHAVIORAL HEALTH, DIABETES AND MORE. THE AVERA RESEARCH INSTITUTE ALSO CONTINUES ONGOING APPLIED RESEARCH IN THE AREA OF DEVELOPING A NOVEL PHOTOCHEMICAL TISSUE BONDING TECHNOLOGY THAT HAS VASCULAR, OPHTHALMOLOGIC AND DERMATOLOGICAL APPLICATIONS. THROUGH ITS GENETICS LAB, AVERA MCKENNAN IS STUDYING CLINICAL APPLICATIONS OF PERSONALIZED MEDICINE THROUGH PHARMACOGENOMICS IN AREAS OF PAIN MANAGEMENT, BEHAVIORAL HEALTH, CARDIOVASCULAR HEALTH, INTERNAL MEDICINE, AND CANCER. IN FISCAL YEAR 2016, AVERA MCKENNAN OPERATED THE AVERA RESEARCH INSTITUTE AT A LOSS OF $9,925,987. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,762,222 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $12,305,846 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $750,696,071 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 434 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 7913 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE NORTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053228000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1325 S CLIFF AVE | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175045 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BENDER | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES WIEDERRICH | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID KAPASKA DO | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $853,345 | $39,030 | ||
| GENE JONES JR | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AMY KRIE MD | |||||||||
| BOARD TRUSTEE | 40.00 | 0.00 | Yes (X) | $744,211 | $0 | $21,373 | |||
| SISTER KATHRYN EASLEY | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RICK KOOIMA MD | |||||||||
| BOARD TRUSTEE | 40.00 | 0.00 | Yes (X) | $314,236 | $0 | $44,107 | |||
| SISTER JOAN REICHELT | |||||||||
| BOARD TRUSTEE | 2.00 | 3.80 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER MCKAY MD | |||||||||
| CHIEF OF STAFF | 2.00 | 40.00 | Yes (X) | $0 | $255,019 | $13,945 | |||
| DAVID FLECK | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA PAY | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL ROSSING MD | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CINDY WALSH | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID CHICOINE | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY DALLY | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HUGH VENRICK | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RAED SULAIMAN MD | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL TWEDT | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SISTER LUCILLE WELBIG | |||||||||
| BOARD TRUSTEE | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SISTER MARIBETH WENTZLAFF | |||||||||
| BOARD TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIE N NORTON | |||||||||
| SEC/TREAS & SRVP FINANCE | 40.00 | 0.00 | Yes (X) | $443,616 | $0 | $44,107 | |||
| LORI POPKES | |||||||||
| SR VICE PRESIDENT | 40.00 | 0.00 | $226,192 | $0 | $41,268 | Yes (X) | |||
| DAVID FLICEK | |||||||||
| CHIEF ADMINISTRATIVE OFFICE | 1.00 | 40.00 | $0 | $592,208 | $35,882 | Yes (X) | |||
| STEVE PETERSEN | |||||||||
| AVP-PHARMACY | 40.00 | 0.00 | $0 | $235,289 | $27,515 | Yes (X) | |||
| MARY LEEDOM | |||||||||
| AVP-SURGERY | 40.00 | 0.00 | $184,833 | $0 | $10,992 | Yes (X) | |||
| CURT HOHMAN | |||||||||
| SR VICE PRESIDENT | 40.00 | 0.00 | $312,378 | $0 | $28,732 | Yes (X) | |||
| JUDY BLAUWET | |||||||||
| SR VICE PRESIDENT UNTIL 10/24/15 | 40.00 | 0.00 | $332,039 | $0 | $24,000 | Yes (X) | |||
| KELLY MCCAUL MD ABIM FRCPC | |||||||||
| HEMATOLOGY, TRANSPLANTATION | 40.00 | 0.00 | $1,122,028 | $0 | $29,852 | Yes (X) | |||
| HENDRIK KLOPPER MD | |||||||||
| NEUROSURGERY | 40.00 | 0.00 | $1,161,392 | $0 | $42,001 | Yes (X) | |||
| BRIAN KNUTSON MD | |||||||||
| DERMATOLOGY | 40.00 | 0.00 | $1,265,495 | $0 | $42,001 | Yes (X) | |||
| STEVEN CONDRON MD | |||||||||
| GASTROENTEROLOGY | 40.00 | 0.00 | $1,486,539 | $0 | $44,551 | Yes (X) | |||
| JEFFERY STEERS MD | |||||||||
| TRANSPLANT | 40.00 | 0.00 | $1,075,978 | $0 | $44,107 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,668,937 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,935,861 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $533,463 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 689 | 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 WEST AVERA DRIVE | SIOUX FALLS | SD | 57108 | SHARED SERVICES | $70,319,040 |
| SIOUX FALLS CONSTRUCTION | |||||
| PO BOX 2728 | SIOUX FALLS | SD | 571072728 | CONSTRUCTION | $12,660,285 |
| SANFORD SCHOOL OF MEDICINE | |||||
| 1400 W 22ND ST 120 | SIOUX FALLS | SD | 571051505 | PHYSICIAN SERVICES | $3,756,580 |
| PHYSICIANS LABORATORY LTD | |||||
| 1301 S CLIFF AVE SUITE 700 | SIOUX FALLS | SD | 571051019 | PATHOLOGY | $1,983,329 |
| ASSOCIATED REGIONAL & UNIVERSITY PATHOLO | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LAB TESTING | $1,686,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 82 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $46,961 | FederatedCampaignsAmt |
| Related Organizations | $2,168,655 | RelatedOrganizationsAmt |
| Government Grants | $731,547 | GovernmentGrantsAmt |
| All Other Contributions | $2,986,591 | AllOtherContributionsAmt |
| Noncash Contributions | $1,485,000 | NoncashContributionsAmt |
| Total Contributions | $5,933,754 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 622110 | $846,144,083 | $846,144,083 | |
| OTHER PATIENT AND CLIN | 621500 | $40,942,781 | $25,373,960 | $15,568,821 |
| INCOME FROM SUBSIDIARI | 423000 | $8,296,577 | $8,296,577 | |
| MEANINGFUL USE REVENUE | 900099 | $1,588,320 | $1,588,320 | |
| INTEREST IN FOUNDATION | 900099 | $1,078,110 | $1,078,110 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,810,353 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,810,353 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $911,860,224 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,393 | TotalRevenueColumnAmt |
| Exclusion | $58,393 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,632,683 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,184,967 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$552,284 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$552,284 | TotalRevenueColumnAmt |
| Exclusion | -$552,284 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,835,111 | SecuritiesAmt |
| Other | $536,436 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,554,004 | SecuritiesAmt |
| Other | $574,811 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,281,107 | SecuritiesAmt |
| Other | -$38,375 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,242,732 | TotalRevenueColumnAmt |
| Exclusion | $3,242,732 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| SPORTS PROGRAM | 900099 | $1,169,239 | $1,169,239 | |
| COMMERCIAL TESTING | 621500 | $844,224 | $844,224 | |
| A/R INTEREST INCOME | 900099 | $144,967 | $144,967 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,158,430 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $922,701,249 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $896,436,370 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $17,582,284 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,748,841 | 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 | $289,204 | TotalAmt |
| Program Services | $289,204 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,402 | TotalAmt |
| Program Services | $347,402 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,570,137 | TotalAmt |
| Program Services | $1,439,019 | ProgramServicesAmt |
| Management And General | $1,131,118 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,137,088 | TotalAmt |
| Program Services | $1,137,088 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,369,380 | TotalAmt |
| Program Services | $321,987,821 | ProgramServicesAmt |
| Management And General | $27,949,887 | ManagementAndGeneralAmt |
| Fundraising | $431,672 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,777,118 | TotalAmt |
| Program Services | $23,946,733 | ProgramServicesAmt |
| Management And General | $2,801,400 | ManagementAndGeneralAmt |
| Fundraising | $28,985 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,303,900 | TotalAmt |
| Program Services | $35,411,796 | ProgramServicesAmt |
| Management And General | $5,835,660 | ManagementAndGeneralAmt |
| Fundraising | $56,444 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,052,814 | TotalAmt |
| Program Services | $21,782,882 | ProgramServicesAmt |
| Management And General | $2,238,517 | ManagementAndGeneralAmt |
| Fundraising | $31,415 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,959 | TotalAmt |
| Program Services | $135,959 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,392 | TotalAmt |
| Program Services | $40,088 | ProgramServicesAmt |
| Management And General | $43,304 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,204 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
| Management And General | $28,204 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,518 | TotalAmt |
| Management And General | $46,518 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,835 | TotalAmt |
| Fundraising | $17,835 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,932,807 | TotalAmt |
| Program Services | $69,835,343 | ProgramServicesAmt |
| Management And General | $82,869,454 | ManagementAndGeneralAmt |
| Fundraising | $228,010 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,835 | TotalAmt |
| Program Services | $654,919 | ProgramServicesAmt |
| Management And General | $135,075 | ManagementAndGeneralAmt |
| Fundraising | $106,841 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,997,737 | TotalAmt |
| Program Services | $6,989,049 | ProgramServicesAmt |
| Management And General | $4,843,791 | ManagementAndGeneralAmt |
| Fundraising | $164,897 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,808,148 | TotalAmt |
| Program Services | $2,623,942 | ProgramServicesAmt |
| Management And General | $3,167,100 | ManagementAndGeneralAmt |
| Fundraising | $17,106 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,503,264 | TotalAmt |
| Program Services | $14,600,839 | ProgramServicesAmt |
| Management And General | $3,902,330 | ManagementAndGeneralAmt |
| Fundraising | $95 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,335,245 | TotalAmt |
| Program Services | $2,891,442 | ProgramServicesAmt |
| Management And General | $424,490 | ManagementAndGeneralAmt |
| Fundraising | $19,313 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,990,723 | TotalAmt |
| Program Services | $1,891,413 | ProgramServicesAmt |
| Management And General | $98,968 | ManagementAndGeneralAmt |
| Fundraising | $342 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,171,703 | TotalAmt |
| Program Services | $8,930,850 | ProgramServicesAmt |
| Management And General | $240,853 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,439,097 | TotalAmt |
| Program Services | $32,628,853 | ProgramServicesAmt |
| Management And General | $5,804,439 | ManagementAndGeneralAmt |
| Fundraising | $5,805 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,707,195 | TotalAmt |
| Program Services | $1,801,767 | ProgramServicesAmt |
| Management And General | $1,905,428 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $179,300,991 | $179,300,991 | ||
| BAD DEBT EXPENSE | $19,053,169 | $19,053,169 | ||
| EQUIPMENT LEASE AND REN | $2,817,273 | $1,837,189 | $976,968 | $3,116 |
| UBI TAX | $1,240,039 | $1,240,039 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,512,744 | TotalAmt |
| Program Services | -$116,726 | ProgramServicesAmt |
| Management And General | $4,466,479 | ManagementAndGeneralAmt |
| Fundraising | $162,991 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,880,921 | TotalAmt |
| Program Services | $750,696,071 | ProgramServicesAmt |
| Management And General | $148,909,983 | ManagementAndGeneralAmt |
| Fundraising | $1,274,867 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,331,312 | BOYAmt |
| EOY | $28,776,240 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,610,564 | BOYAmt |
| EOY | $2,281,517 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,427,184 | BOYAmt |
| EOY | $121,016,756 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,667 | BOYAmt |
| EOY | $112,500 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,874,496 | BOYAmt |
| EOY | $2,693,429 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,647,635 | BOYAmt |
| EOY | $20,390,785 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,591,008 | BOYAmt |
| EOY | $12,440,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $757,496,309 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $375,598,703 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,308,744 | BOYAmt |
| EOY | $381,897,606 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,804,065 | BOYAmt |
| EOY | $7,281,683 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,786,675 | BOYAmt |
| EOY | $226,728,566 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,238,727 | BOYAmt |
| EOY | $10,574,070 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,030,264 | BOYAmt |
| EOY | $42,654,138 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,436,666 | BOYAmt |
| EOY | $28,192,881 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,254,007 | BOYAmt |
| EOY | $885,040,456 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,399,040 | BOYAmt |
| EOY | $67,597,970 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,982 | BOYAmt |
| EOY | $322,933 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,343,692 | BOYAmt |
| EOY | $238,371,954 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,453,366 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,347,655 | BOYAmt |
| EOY | $27,038,209 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,082,735 | BOYAmt |
| EOY | $333,331,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,194,755 | BOYAmt |
| EOY | $536,715,789 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,147,978 | BOYAmt |
| EOY | $11,819,039 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,828,539 | BOYAmt |
| EOY | $3,174,562 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,171,272 | BOYAmt |
| EOY | $551,709,390 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,254,007 | BOYAmt |
| EOY | $885,040,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,820,328 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,647,277 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$36,634,933 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule 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 | $46,518 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $46,518 | 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 | PART II-B LINE 1I: AVERA MCKENNAN PARTICIPATES THROUGH VARIOUS HOSPITAL ORGANIZATIONS TO PROMOTE LEGISLATION THAT WOULD RESULT IN STRENGTHENING HEALTH CARE DELIVERY SYSTEMS ON A NATIONAL, REGIONAL, AND LOCAL LEVEL. DUES WERE PAID TO THE FOLLOWING ORGANIZATIONS AND A PORTION IS ATTRIBUTABLE TO LOBBYING. SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS $23,286 AMERICAN HOSPITAL ASSOCIATION 18,340 CATHOLIC HEALTH ASSOCIATION 4,808 LEADINGAGE 84 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $10,679 | BeginningBalanceAmt |
| Additions During Year | $193,818 | AdditionsDuringYearAmt |
| Distributions During Year | $190,026 | DistributionsDuringYearAmt |
| Ending Balance | $14,471 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,828,539 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $346,023 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,174,562 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,692,789 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $135,750 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,828,539 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,631,677 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $61,112 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,692,789 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,141,642 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $490,035 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,631,677 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,021,909 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $119,733 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,141,642 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | 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 | $13,244,499 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $22,936,315 | OtherCostOrOtherBasisAmt |
| Book Value | $36,180,814 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,704,319 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $430,359,213 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,613,107 | DepreciationAmt |
| Book Value | $250,450,425 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,612 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,955 | DepreciationAmt |
| Book Value | $9,657 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $252,853,676 | OtherCostOrOtherBasisAmt |
| Depreciation | $186,187,793 | DepreciationAmt |
| Book Value | $66,665,883 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,385,675 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,794,848 | DepreciationAmt |
| Book Value | $28,590,827 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $381,897,606 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENTS | $189,303,735 | F |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | $18,030,953 | F |
| INTEREST IN AVERA HEALTH FOUNDATION | $13,628,531 | F |
| INVESTMENTS IN AFFILIATED COMPANIES | $5,765,347 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $226,728,566 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $792,198 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $3,297,751 |
| DUE TO OTHER ORGANIZATIONS | $1,174,897 |
| MARKET VALUE OF INTEREST SWAP | $10,907,265 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $3,879,577 |
| MINORITY INTEREST | $4,310,521 |
| INSURANCE LOSS LIABILITY | $2,676,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,038,209 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION HOLDS FUNDS IN TRUST ON BEHALF OF ITS LONG-TERM CARE RESIDENTS. MANY SMALL DOLLAR TRANSACTIONS FLOW IN AND OUT OF THIS ACCOUNT. THE ACCOUNT IS MANAGED BY THE NURSING HOME STAFF. THE STATE HAS STRICT GUIDELINES ON HOW THESE ACCOUNTS ARE MANAGED. |
| 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: | THE ORGANIZATION IS ORGANIZED AS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). CERTAIN CONSOLIDATED SUBSIDIARIES, INCLUDING HEART HOSPITAL OF SOUTH DAKOTA LLC, ALUMEND LLC, AND ALUCENT MEDICAL, INC. ARE NOT TAX-EXEMPT ENTITIES AND ARE CONSIDERED PARTNERSHIPS OR DISREGARDED ENTITIES FOR TAX PURPOSES. AVERA MCKENNAN IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, AVERA MCKENNAN IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. AVERA MCKENNAN FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, CASH PAID FOR INCOME TAXES WAS $847,154 AND $742,929, RESPECTIVELY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE 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 WERE INCURRED. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JON OIEN | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E SUNNYBROOK DR | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | MAJOR AND PLANNED GIFT SOLICITATIONS | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $17,835 | RetainedByContractorAmt |
| Net To Organization | $0 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $17,835 | TotalRetainedByContractorsAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,022,655 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,022,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,597,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,884,136 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,713,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02010 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,187,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,039,703 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,147,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,807,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,923,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,884,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,175,743 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $423,973 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,751,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,524,714 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,660,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,864,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,849,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,625,274 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,224,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,854,532 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,204,458 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,650,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,345,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,345,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,750,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,913,863 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,836,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $126,558,193 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,837,702 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,720,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06670 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,053,169 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $215,675,374 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $239,742,206 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,066,832 | 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 | 7 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (7 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVERA MCKENNAN | ||||||||||||||
| 1 | 1325 S CLIFF AVE | SIOUX FALLS | SD | 57117 | WWW.AVERAMCKENNAN.ORG | 10563 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 34 PROVIDER BASED CLINICS | |
| HEART HOSPITAL OF SOUTH DAKOTA LLC | ||||||||||||||
| 2 | 4500 W 69TH STREET | SIOUX FALLS | SD | 57108 | WWW.AVERA.ORG/HEART-HOSPITAL | 41953 | Yes (X) | Yes (X) | Yes (X) | 2/3 OWNER IN JOINT VENTURE | ||||
| AVERA MILBANK AREA HOSPITAL | ||||||||||||||
| 3 | 901 VIRGIL AVE | MILBANK | SD | 57252 | WWW.AVERA.ORG/MILBANK | 48451 | Yes (X) | Yes (X) | Yes (X) | THREE RURAL PROVIDER BASED CLINICS | Yes (X) | |||
| AVERA GREGORY HEALTHCARE CENTER | ||||||||||||||
| 4 | 400 PARK AVE | GREGORY | SD | 57533 | WWW.AVERA.ORG/GREGORY-HOSPITAL | 54875 | Yes (X) | Yes (X) | Yes (X) | FOUR PROVIDER BASED CLINICS | Yes (X) | |||
| AVERA DELLS AREA HEALTH CENTER | ||||||||||||||
| 5 | 909 N IOWA AVENUE | DELL RAPIDS | SD | 57022 | WWW.AVERA.ORG/DELL-RAPIDS | 50754 | Yes (X) | Yes (X) | Yes (X) | THREE PROVIDER BASED CLINICS | Yes (X) | |||
| AVERA FLANDREAU MEDICAL CENTER | ||||||||||||||
| 6 | 214 N PRAIRIE | FLANDREAU | SD | 57028 | WWW.AVERA.ORG/FLANDREAU-MEDICAL | 10540 | Yes (X) | Yes (X) | Yes (X) | ONE PROVIDER BASED CLINIC | Yes (X) | |||
| AVERA HAND COUNTY MEMORIAL HOSPITAL | ||||||||||||||
| 7 | 300 W 5TH ST | MILLER | SD | 57362 | WWW.AVERA.ORG/MILLER | 53862 | Yes (X) | Yes (X) | Yes (X) | ONE PROVIDER BASED CLINIC | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVERA MCKENNAN | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.AVERA.ORG/MCKENNAN/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |
| HEART HOSPITAL OF SOUTH DAKOTA LLC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.AVERA.ORG/HEART-HOSPITAL/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/LOCATIONS/HEART-HOSPITAL | Yes (X) | WWW.AVERA.ORG/LOCATIONS/HEART-HOSPITAL | Yes (X) | WWW.AVERA.ORG/LOCATIONS/HEART-HOSPITAL | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | |||
| AVERA GREGORY HEALTHCARE CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | WWW.AVERA.ORG/GREGORY-HOSPITAL/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | ||
| AVERA MILBANK AREA HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | WWW.AVERA.ORG/MILBANK/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |
| AVERA DELLS AREA HEALTH CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | WWW.AVERA.ORG/DELL-RAPIDS/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | ||
| AVERA FLANDREAU MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | WWW.AVERA.ORG/FLANDREAU-MEDICAL/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | ||
| AVERA HAND COUNTY MEMORIAL HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 7 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | WWW.AVERA.ORG/MILLER/ | Yes (X) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ | 0 | 0 | Yes (1) | Yes (X) | 150.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | WWW.AVERA.ORG/EXPERIENCE/AH/FINANCIAL-ASSISTANCE-CHARITY-CARE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | ||
Supplemental Information SupplementalInformationGrp (50 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| AVERA MCKENNAN | PART V, SECTION B, LINE 5: IN CONDUCTING THE MOST RECENT CHNA, AVERA MCKENNAN SOLICITED COMMUNITY INPUT IN A VARIETY OF METHODS. A GENERALIZABLE SURVEY OF RESIDENTS IN THE SIOUX FALLS METROPOLITAN STATISTICAL AREA WAS CONDUCTED IN MARCH 2015. THREE FOCUS GROUP INTERVIEWS WERE CONDUCTED IN MAY 2015. INDIVIDUAL INTERVIEWS WITH 13 COMMUNITY LEADERS WERE HELD REPRESENTING INTERESTS IN BANKING, BUSINESS, NONPROFIT HUMAN SERVICES, NONPROFIT CHILD CARE SERVICES, COMMUNITY COLLEGE ADMINISTRATION, COMMUNITY COLLEGE STUDENT, MINORITY HEALTH CARE PROVIDER, FAITH BASED HUMAN SERVICES AND HEALTH CARE PUBLIC POLICY WERE HELD IN JUNE-AUGUST 2015. SOUTH DAKOTA GOOD & HEALTH COMMUNITY CHECKLIST WAS USED TO CONDUCT ASSESSMENTS COVERING WORKSITE, HEALTH CARE, COMMUNITY AND SCHOOL SECTORS. |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | PART V, SECTION B, LINE 5: IN CONDUCTING THE MOST RECENT CHNA, HEART HOSPITAL OF SOUTH DAKOTA, LLC, SOLICITED COMMUNITY INPUT IN A VARIETY OF METHODS. A GENERALIZABLE SURVEY OF RESIDENTS IN THE SIOUX FALLS METROPOLITAN STATISTICAL AREA WAS CONDUCTED IN MARCH 2015. THREE FOCUS GROUP INTERVIEWS WERE CONDUCTED IN MAY 2015. INDIVIDUAL INTERVIEWS WITH 13 COMMUNITY LEADERS WERE HELD REPRESENTING INTERESTS IN BANKING, BUSINESS, NONPROFIT HUMAN SERVICES, NONPROFIT CHILD CARE SERVICES, COMMUNITY COLLEGE ADMINISTRATION, COMMUNITY COLLEGE STUDENT, MINORITY HEALTH CARE PROVIDER, FAITH BASED HUMAN SERVICES AND HEALTH CARE PUBLIC POLICY WERE HELD IN JUNE-AUGUST 2015. SOUTH DAKOTA GOOD & HEALTH COMMUNITY CHECKLIST WAS USED TO CONDUCT ASSESSMENTS COVERING WORKSITE, HEALTH CARE, COMMUNITY AND SCHOOL SECTORS. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS SOLICITED USING FOCUS GROUPS, PERSONAL INTERVIEWS AND GOVERNMENT MEETINGS. FOCUS GROUPS INCLUDED TWO GROUPS COVERING A VARIETY OF COMMUNITY MEMBERS AND A THIRD GROUP COMPRISED OF SCHOOL BOARD MEMBERS, PRINCIPALS AND SUPERINTENDENT OF SCHOOLS. PERSONAL INTERVIEWS WERE ALSO CONDUCTED WITH THE LEADERS OF THE LOCAL FOOD BANK, THRIFT CLOTHING STORE AND SENIOR MEALS CENTER. CHNA TEAM MEMBERS ALSO ATTENDED LOCAL AND COUNTY GOVERNMENT MEETINGS TO SOLICIT FEEDBACK. |
| AVERA MILBANK AREA HOSPITAL | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS SOLICITED THROUGH SURVEYS AND PERSONAL INTERVIEWS. THE FACILITY SURVEYED COMMUNITY MEMBERS USING BOTH ONLINE AND PRINTED SURVEYS. PERSONAL INTERVIEWS WERE CONDUCTED WITH THE HIGH SCHOOL PRINCIPAL, SCHOOL DISTRICT SUPERINTENDENT, COMMUNITY HEALTH NURSE AND DIRECTOR OF INTER-LAKES COMMUNITY ACTION PARTNERSHIP. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS SOLICITED USING A VARIETY OF METHODS. THE FACILITY DISTRIBUTED AND COLLECTED COMMUNITY SURVEYS IN FEBRUARY 2016. IN MARCH 2016, THREE FOCUS GROUPS REPRESENTING A VARIETY OF COMMUNITY RESIDENTS WERE HELD. AN INDIVIDUAL INTERVIEW WAS HELD WITH MOODY COUNTY COMMUNITY SERVICES MANAGER. DATA WAS ALSO GATHERED FROM AVERA MEDICAL GROUP DELL RAPIDS MEDICAL STAFF AND CLINIC MANAGER, AND AVERA DELLS AREA HOSPITAL INTERIM ADMINISTRATOR AND DIRECTOR OF NURSING. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS SOLICITED USING FOCUS GROUPS AND A SURVEY. THREE FOCUS GROUPS OF INDIVUDALS WITH A VESTED INTEREST IN THE HOSPITAL AND HEALTH OF THE COUNTY PARTICIPATED. COMMUNITY SURVEYS WERE CONDUCTED IN AUGUST 2015. A COMMUNITY COALITION WAS CREATED WITH A CORE OF TEN COMMUNITY LEADERS ALONG WITH AN ADDITIONAL GROUP OF 40 COMMUNITY LEADERS WHO ACTIVELY ENGAGED IN PRIMARY DATA COLLECTION. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE HOSPITAL USED A SURVEY TOOL TO BEGIN THE PROCESS OF QUALITATIVE DATA COLLECTION. THE SURVEY WAS AVAILABLE TO HAND COUNTY COMMUNITY HEALTH STAFF, MILLER AREA HEALTH BOARD, MILLER SENIOR CITIZENS AND HOSPITAL AUXILIARY MEMBERS DURING WINTER OF 2015. THESE GROUPS REPRESENTED A CROSS SECTION OF THE COMMUNITY SERVED. IN ADDITION, COMMUNITY SMALL GROUPS WERE SELECTED FOR PRESENTATION AND DIALOGUE. THESE CONSISTED OF AHCMH AUXILIARY, FOUNDATION COMMITTEE MEMBERS, MILLER SCHOOL GUIDANCE COUNSELOR, ON HAND DEVELOPMENT LEADERSHIP AND HAND COUNTY PUBLIC HEALTH NURSE. |
| AVERA MCKENNAN | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH HEART HOSPITAL OF SOUTH DAKOTA, LLC AND SANFORD USD MEDICAL CENTER. |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER AND SANFORD USD MEDICAL CENTER. |
| AVERA MCKENNAN | PART V, SECTION B, LINE 6B: SIOUX FALLS HEALTH DEPARTMENT |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | PART V, SECTION B, LINE 6B: SIOUX FALLS HEALTH DEPARTMENT |
| AVERA MCKENNAN | PART V, SECTION B, LINE 11: AVERA MCKENNAN ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THREE HIGHLY IDENTIFIED NEEDS IN THE 2015 CHNA CONDUCTED IN FY2016. THOSE NEEDS ARE OBESITY (INCLUDES NUTRITION, PHYSICAL ACTIVITY AND OTHER CHRONIC DISEASE RISK FACTORS), MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE AND ACCESS TO CARE (INCLUDES ISSUES SUCH AS AVAILABILITY, COST AND COORDINATION OF CARE). A COMMUNITY BEHAVIORAL HEALTH TASK FORCE WILL BE ORGANIZED. THE FORCE WILL DEFINE THE COMMUNITY'S BEHAVIORAL HEALTH STATUS, DEMOGRAPHICS AND TOP ISSUES. FROM THIS INFORMATION AN ACTION PLAN TO ADDRESS THE TOP 1-3 ISSUES WILL BE DEVELOPED. THIS WILL INVOLVE THE FACILITY AND 12 OTHER HEALTH CARE, NON-PROFIT AND CITY AGENCIES. HAYWARD THRIVE! IS A PILOT PROJECT INVOLVING THE FACILITY AND A DOZEN OTHER HEALTH SERVICES, CITY AND NON-PROFIT AGENCIES, TARGETING THE HAYWARD NEIGHBOORHOOD AND STRIVING TO EMPOWER PEOPLE TO LIVE HEALTHY, LINK PEOPLE TO RESOURCES TO ACHIEVE AND SUSTAIN GOOD HEALTH AND ENCOURAGE SUSTAINABLE NEIGHBORHOOD AND COMMUNITY ENGAGEMENT, OWNERSHIP AND EMPOWERMENT. ACTIVITIES WILL LIKELY INCLUDE HOSTING MONTHLY PROGRAMS ON FOOD PREPARATION, GARDENING AND GROCERY SHOPPING, FITNESS EQUIPMENT, HEALTH FAIRS, ORAL HEALTH OUTREACH AND EDUCATION, BLOCK PARTIES, INCENTIVIES AND WELLNESS SCREENINGS. ACCESS TO CARE WILL BE ADDRESSED THROUGH CONTINUED PARTICIPATION AND SUPPORT IN SIOUX EMPIRE NETWORK OF CARE. THE PRIMARY PURPOSE IS TO BUILD A COORDINATED SOCIAL SERVICE SYSTEM THROUGH A PARTNERSHIP COLLABORATIVE TO ADDRESS HEALTHCARE ACCESS ISSUES. EMPLOYEES WILL CONTINUE TO SUPPORT THE ONGOING DEVELOPMENT, EXPANSION, IMPLEMENTATION AND REVIEWS OF THE SYSTEM. TRANSPORTATION IS KEY TO ACCESSING CARE. THE FACILITY WILL WORK WITH AVERA HEART HOSPITAL TO GATHER DATA ON GAPS IN PUBLIC TRANSIT SERVICES AND CONSEQUENCES, AND DEVELOP A PILOT TO ADDRESS ISSUES. THE PILOT WILL BE EXECUTED WITH TWO LOCAL TRANSIT SERVICE PROVIDERS WITH THE GOAL OF OFFERING TRANSPORTATION TO PATIENTS WHO WOULD OTHERWISE NOT BE ABLE TO ATTEND APPOINTMENTS AND/OR RECEIVE NECESSARY MEDICATIONS. THE FACILITY WILL WORK WITH HEART HOSPITAL OF SOUTH DAKOTA, LLC, A LOCAL GROCER, CATHOLIC SCHOOL SYSTEM AND A LOCAL NON-PROFIT (GROUNDWORKS) TO DESIGN AND IMPLEMENT A PILOT PROJECT FOR A DEFINED STUDENT POPULATION TO INCREASE AWARENESS ABOUT ONE'S OWN HEALTH/WELLNESS, IMPROVE HEALTH AND WELL-BEING OF PILOT POPULATION AND INCREASE HEALTH LITERACY. ACTIVITIES WILL INCLUDE COLLECTION OF BASELINE HEALTH DATA (WITH CONTINUED TRACKING OVER MULTIPLE YEARS) AND DEVELOPING HEALTH PROGRAMMING AND ACTIVITIES TARGETED AT ELEMENTARY SCHOOL AGE KIDS. PROGRAMMING WILL REVOLVE AROUND EXERCISE, HOW THE HEART WORKS, HIDDEN SUGARS, TAKE HOME INFORMATION AND HEALTHY FOOD BUYING AND PREPARATION.YOUTH AND EDUCATION AND HOUSING WERE IDENTIFIED BUT WILL NOT BE DIRECTLY ADDRESSED. OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THESE CONCERNS. THESE AREAS ALSO FALL OUTSIDE OF OUR CORE AREA OF EXPERTISE AND THOSE AGENCIES ARE BETTER EQUIPPED TO HANDLE THE SPECIFIC ISSUES. FINALLY, WITH FINITE RESOURCES, THE DECISION WAS MADE TO FOCUS ON NO MORE THAN THE FIVE INITIATIVES IN ORDER TO MAKE THE GREATEST IMPACT. |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | PART V, SECTION B, LINE 11: HEART HOSPITAL OF SOUTH DAKOTA, LLC ADOPTED AN IMPLEMENTATION STRATEGY IN FY2016 TO ADDRESS THREE HIGHLY IDENTIFIED NEEDS. THOSE NEEDS ARE OBESITY (INCLUDES NUTRITION, PHYSICAL ACTIVITY AND OTHER CHRONIC DISEASE RISK FACTORS), MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE AND ACCESS TO CARE (INCLUDES ISSUES SUCH AS AVAILABILITY, COST AND COORDINATION OF CARE). A COMMUNITY BEHAVIORAL HEALTH TASK FORCE WILL BE ORGANIZED. THE FORCE WILL DEFINE THE COMMUNITY'S BEHAVIORAL HEALTH STATUS, DEMOGRAPHICS AND TOP ISSUES. FROM THIS INFORMATION AN ACTION PLAN TO ADDRESS THE TOP 1-3 ISSUES WILL BE DEVELOPED. THIS WILL INVOLVE THE FACILITY AND 12 OTHER HEALTH CARE, NON-PROFIT AND CITY AGENCIES. HAYWARD THRIVE! IS A PILOT PROJECT INVOLVING THE FACILITY AND A DOZEN OTHER HEALTH SERVICES, CITY AND NON-PROFIT AGENCIES, TARGETING THE HAYWARD NEIGHBOORHOOD AND STRIVING TO EMPOWER PEOPLE TO LIVE HEALTHY, LINK PEOPLE TO RESOURCES TO ACHIEVE AND SUSTAIN GOOD HEALTH AND ENCOURAGE SUSTAINABLE NEIGHBORHOOD AND COMMUNITY ENGAGEMENT, OWNERSHIP AND EMPOWERMENT. ACTIVITIES WILL LIKELY INCLUDE HOSTING MONTHLY PROGRAMS ON FOOD PREPARATION, GARDENING AND GROCERY SHOPPING, FITNESS EQUIPMENT, HEALTH FAIRS, ORAL HEALTH OUTREACH AND EDUCATION, BLOCK PARTIES, INCENTIVIES AND WELLNESS SCREENINGS. ACCESS TO CARE WILL BE ADDRESSED THROUGH CONTINUED PARTICIPATION AND SUPPORT IN SIOUX EMPIRE NETWORK OF CARE. THE PRIMARY PURPOSE IS TO BUILD A COORDINATED SOCIAL SERVICE SYSTEM THROUGH A PARTNERSHIP COLLABORATIVE TO ADDRESS HEALTHCARE ACCESS ISSUES. EMPLOYEES WILL CONTINUE TO SUPPORT THE ONGOING DEVELOPMENT, EXPANSION, IMPLEMENTATION AND REVIEWS OF THE SYSTEM. TRANSPORTATION IS KEY TO ACCESSING CARE. THE FACILITY WILL WORK WITH AVERA MCKENNAN TO GATHER DATA ON GAPS IN PUBLIC TRANSIT SERVICES AND CONSEQUENCES, AND DEVELOP A PILOT TO ADDRESS ISSUES. THE PILOT WILL BE EXECUTED WITH TWO LOCAL TRANSIT SERVICE PROVIDERS WITH THE GOAL OF OFFERING TRANSPORTATION TO PATIENTS WHO WOULD OTHERWISE NOT BE ABLE TO ATTEND APPOINTMENTS AND/OR RECEIVE NECESSARY MEDICATIONS. THE FACILITY WILL WORK WITH AVERA MCKENNAN, A LOCAL GROCER, CATHOLIC SCHOOL SYSTEM AND A LOCAL NON-PROFIT (GROUNDWORKS) TO DESIGN AND IMPLEMENT A PILOT PROJECT FOR A DEFINED STUDENT POPULATION TO INCREASE AWARENESS ABOUT ONE'S OWN HEALTH/WELLNESS, IMPROVE HEALTH AND WELL-BEING OF PILOT POPULATION AND INCREASE HEALTH LITERACY. ACTIVITIES WILL INCLUDE COLLECTION OF BASELINE HEALTH DATA (WITH CONTINUED TRACKING OVER MULTIPLE YEARS) AND DEVELOPING HEALTH PROGRAMMING AND ACTIVITIES TARGETED AT ELEMENTARY SCHOOL AGE KIDS. PROGRAMMING WILL REVOLVE AROUND EXERCISE, HOW THE HEART WORKS, HIDDEN SUGARS, TAKE HOME INFORMATION AND HEALTHY FOOD BUYING AND PREPARATION.YOUTH AND EDUCATION AND HOUSING WERE IDENTIFIED BUT WILL NOT BE DIRECTLY ADDRESSED. OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THESE CONCERNS. THESE AREAS ALSO FALL OUTSIDE OF OUR CORE AREA OF EXPERTISE AND THOSE AGENCIES ARE BETTER EQUIPPED TO HANDLE THE SPECIFIC ISSUES. FINALLY, WITH FINITE RESOURCES, THE DECISION WAS MADE TO FOCUS ON NO MORE THAN THE FIVE INITIATIVES IN ORDER TO MAKE THE GREATEST IMPACT. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 11: AVERA GREGORY ADOPTED AN IMPLEMENTATION PLAN IN FY2016 TO ADDRESS THREE IDENTIFIED NEEDS: COMMUNITY MEMBERS WITH DISABILITIES, ENROLLMENT AND ACCESS TO HEALTH INSURANCE, OBSEITY/DIABETES AND TOBACCO USE. THE FACILITY WILL WORK WITH LOCAL GOVERNMENT AND NOT FOR PROFIT FUNDED TRANSPORTATION NETWORK TO ENSURE THE DISABLED HAVE ACCESS TO CARE. A SURVEY OF PEOPLE IN THIS COMMUNITY GROUP WILL BE CONDUCTED TO ENSURE THE FACILITY IS MEETING THEIR HEALTHCARE NEEDS AND EXPECTATIONS. A COMMUNITY PREVENTION PLAN WILL BE DEVELOPED WITH STATE AND LOCAL PARTNERS TO TRY TO MITIGATE CONTRIBUTING FACTORS TO DISABILITY. FINALLY THE CLINICAL CARE TEAM WILL BE MOBILIZED TO IMPROVE HEALTH CARE INTERVENTIONS IN THIS POPULATION. ENROLLMENT AND ACCESS TO HEALTH INSURANCE WILL BE ADDRESSED BY TARGETED EDUCATION OF AT RISK POPULATIONS, IN COOPERATION WITH GOVERNMENT AND LOCAL HEALTH INSURANCE PROVIDERS. OBESITY/DIABETES WILL BE ADDRESSED THROUGH A CONTINUED PARTNERSHIP WITH SCHOOL SYSTEMS AND LOCAL GROCERY STORES TO PROVIDE EDUCATION ON NUTRITION AND HEALTHY EATING. ADDITIONALLY, THE FACILITY WILL WORK WITH THE CITY AND COUNTY GOVERNMENT TO EXPLORE EXPANSION OF EXERCISE TRAILS AND FACILITIES TO PROMOTE HEALTHY LIFESTYLES. FINALLY, TOBACCO CESSATION WILL BE ADDRESSED BY WORKING WITH HEALTHCARE PROVIDERS TO PROVIDE EDUCATION DURING CLINICAL VISITS. THE FACILITY WILL ALSO OFFER SERVICES TO THE SCHOOL SYSTEM AND AT COMMUNITY EDUCATION EVENTS TO PROVIDE SCIENTIFIC AND ANECDOTAL EVIDENCE ON HOW SMOKING IMPACTS PERSONS AND COMMUNITY. |
| AVERA MILBANK AREA HOSPITAL | PART V, SECTION B, LINE 11: AVERA MILBANK ADOPTED AN IMPLEMENTATION PLAN IN FY2016 TO ADDRESS THREE IDENTIFIED NEEDS: MENTAL HEALTH, TRANSLATION SERVICES AND PATIENT EDUCATION. AVERA MILBANK IS ADDRESSING MENTAL HEALTH BY EXPANDING PROVIDER ACCESS TO PSYCHIATRY TELEHEALTH VISITS AND PARTICIPATION IN MONTHLY CHILD PROTECTION TEAM MEETINGS WITH LAW ENFOREMENT, COMMUNITY HEALTH, SCHOOL AND ICAP OFFICE OFFICIALS. TRANSLATION SERVICES WILL BE ADDRESSED BY IMPLEMENTING TELEPHONIC TRANSLATION SERVICES AND UTILIZING BILINGUAL EMPLOYEES WITHIN THE HEALTHCARE FACILITY, IN ADDITION TO IN PERSON TRANSLATOR SERVICES. THE FACILITY PLANS TO HOST EDUCATIONAL SESSIONS ON SUBSTANCE ABUSE TARGETED TO PARENTS, EXPAND SUPPORT GROUPS, HOLD LUNCH AND LEARN SESSIONS WITH LOCAL AND OUTREACH PROVIDERS, AND PARTNER WITH LOCAL GROUPS TO PROMOTE NUTRITION, WEIGHT MANAGEMENT AND HEALTHY LIFESTYLE CHOICES. TWO NEEDS WERE IDENTIFIED IN THE ASSESSMENT BUT WILL NOT BE ADDRESSED BY THE FACILITY: COST OF A COMMUNITY CENTER AND INCREASED DRUG RELATED CRIMES. THESE NEEDS ARE OUTSIDE THE EXPERTISE OF THE FACILITY. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 11: AVERA DELLS ADOPTED AN IMPLEMENTATION PLAN IN FY2016 TO ADDRESS THREE IDENTIFIED NEEDS: PUBLIC AWARENESS OF HEALTH CARE SERVICES, IMPROVEMENT OF LOCAL/EMERGENCY TRANSPORTATION SERVICES AND EDUCATION/MOTIVATION ON HEALTHIER LIFESTYLES FOR COMMUNITY MEMBERS. THE FACILITY WILL SUPPORT OR PARTICIPATE IN LOCAL COMMUNITY ACTIVITIES AND FUNCTIONS, UTILIZE LOCAL PRINT AND ONLINE PUBLISHING RESOURCES AND ORGANIZE ONLINE TOOLS AND RESOURCES FOR CONSISTENT MESSAGING AND EDUCATION ALL TO PROMOTE HEALTH CARE SERVICES AWARENESS. EMERGENCY TRANSPORTATION WILL BE ADDRESSED BY CONSTRUCTING A HELIPORT SPACE ON CAMPUS FOR EMERGENT PATIENT TRANSPORT, FREEING UP PRESSURE ON LOCAL RESOURCES AND SPACE. THE FACILITY WILL BUILD RELATIONSHIPS WITH LOCAL FITNESS CENTERS, PROVIDE EDUCATIONAL INFORMATION, FREE DIETARY CONSULTATIONS, FREE GYM MEMBERSHIPS FOR PATIENTS COMPLETING PHYSICAL THERAPY AND FINANCIAL ASSISTANCE TO CENTERS FOR EXERCISE EQUIPMENT. GREATER CONVENIENCE TO CARE WAS INDENTIFIED IN THE ASSESSMENT BUT WILL NOT BE FURTHER ADDRESSED BY THE FACILITY. CLINIC HOURS ALREADY INCLUDE EXPANSION TO HOURS OUTSIDE OF 8-5 AND THE CLINIC DOES NOT HAVE THE FINANCIAL RESOURCES TO EXPAND FURTHER. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 11: AVERA FLANDREAU ADOPTED AN IMPLEMENTATION PLAN IN FY2016 TO ADDRESS FIVE IDENTIFIED NEEDS: NUTRITION, PHYSICAL ACTIVITY, CHRONIC DISEASE PREVENTION/MANAGEMENT, PUBLIC AWARENESS AND GREATER CONVENIENCE OF CARE. A REGISTERED DIETICIAN WILL PROVIDE FREE DIETARY CONSULTATIONS TO THE PUBLIC, AND OFFER EDUCATIONAL PROGRAMS ON MEAL PLANNING AND FOOD PREPARATION. TO ADDRESS PHYSICAL ACTIVITY, THE FACILITY WILL BUILD RELATIONSHIPS WITH LOCAL FITNESS CENTERS, PROVIDE EDUCATIONAL INFORMATION, FREE DIETARY CONSULTATIONS, FREE GYM MEMBERSHIPS FOR PATIENTS COMPLETING PHYSICAL THERAPY AND FINANCIAL ASSISTANCE TO CENTERS FOR EXERCISE EQUIPMENT. COORDINATE CARE TEAM UTILIZATION WILL BE PROMOTED TO HELP MANAGE THE CARE OF PATIENTS WITH CHRONIC DISEASES. THE FACILITY WILL ALSO EXPLORE UTILIZING THE HEALTH MAINTENANCE REMINDER FUNCTIONALITIES OF THE ELECTRONIC MEDICAL RECORD TO HELP PATIENTS STAY CURRENT ON DISEASE MANAGEMENT. THE FACILITY WILL SUPPORT OR PARTICIPATE IN LOCAL COMMUNITY ACTIVITIES AND FUNCTIONS, UTILIZE LOCAL PRINT AND ONLINE PUBLISHING RESOURCES AND ORGANIZE ONLINE TOOLS AND RESOURCES FOR CONSISTENT MESSAGING AND EDUCATION ALL TO PROMOTE HEALTH CARE SERVICES AWARENESS. THE FACILITY WILL EXPLORE EXPANDING CLINIC HOURS OUTSIDE OF 'CORE' HOURS. THE FACILITY WILL ALSO CONTINUE EFFORTS TO RECRUIT AN ADDITIONAL PHYSICIAN. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: AVERA HAND COUNTY ADOPTED AN IMPLEMENTATION PLAN IN FY2016 TO ADDRESS THREE IDENTIFIED NEEDS: ASSISTANCE NAVIGATING MEDICAL RECORDS THROUGH PATIENT PORTAL/HOSPITAL WEBSITE, ACCESS TO PUBLIC TRANSPORTATION AND ACCESS TO AFFORDABLE HOUSING. MEDICAL RECORD NAVIGATION NEEDS WILL BE ADDRESSED THROUGH EDUCATIONAL PROGRAMS ILLUSTRATING THE PORTAL BENEFITS AND HOW TO ACCESS RECORDS AND PUBLISHING NEWS ARTICLES EXPLAINING THE BENEFITS OF ELECTRONIC RECORD ACCESS. THE FACILITY WILL SCHEDULE MEETINGS WITH THE TWO LOCAL TRANSPORTATION PROVIDERS TO DEVELOP A COMMUNICATION PLAN. PAMPHLETS IN CLINIC EXAM ROOMS, WAITING AREAS AND PATIENT ROOMS WILL BE PUBLISHED TO EDUCATE AND PROMOTE THE SERVICES. AVERA HAND COUNTY MEMORIAL HOSPITAL WILL NOMINATE LEADERSHIP SUPPORT TO THE MILLER HOUSING TASKFORCE AND WILL SUPPORT HOUSING DEVELOPMENT IN THE COMMUNITY THROUGH OPTIONAL METHODS INCLUDING POSSIBLE RENTAL SUBSIDIES, RENTAL SUPPORT OR OTHER METHODS TO ASSIST WITH DEVELOPMENT OF AFFORDABLE HOUSING. |
| AVERA MCKENNAN | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES OF FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. THE FACILITY HAS THE DISCRETION TO WEIGH EXTENUATING CIRCUMSTANCES WHEN DETERMINING ELIGIBILITY FOR AND THE AMOUNT OF CHARITY CARE TO PROVIDE. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES OF FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. THE FACILITY HAS THE DISCRETION TO WEIGH EXTENUATING CIRCUMSTANCES WHEN DETERMINING ELIGIBILITY FOR AND THE AMOUNT OF CHARITY CARE TO PROVIDE. |
| AVERA MILBANK AREA HOSPITAL | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES OF FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. THE FACILITY HAS THE DISCRETION TO WEIGH EXTENUATING CIRCUMSTANCES WHEN DETERMINING ELIGIBILITY FOR AND THE AMOUNT OF CHARITY CARE TO PROVIDE. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES OF FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. THE FACILITY HAS THE DISCRETION TO WEIGH EXTENUATING CIRCUMSTANCES WHEN DETERMINING ELIGIBILITY FOR AND THE AMOUNT OF CHARITY CARE TO PROVIDE. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES OF FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. THE FACILITY HAS THE DISCRETION TO WEIGH EXTENUATING CIRCUMSTANCES WHEN DETERMINING ELIGIBILITY FOR AND THE AMOUNT OF CHARITY CARE TO PROVIDE. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES OF FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. THE FACILITY HAS THE DISCRETION TO WEIGH EXTENUATING CIRCUMSTANCES WHEN DETERMINING ELIGIBILITY FOR AND THE AMOUNT OF CHARITY CARE TO PROVIDE. |
| AVERA MCKENNAN | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. |
| AVERA MILBANK AREA HOSPITAL | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 16I: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED ON THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. |
| AVERA MCKENNAN | 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. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 20E: IF A PATIENT IS SELF-PAY AND HAS A LARGE BALANCE, AN AVERA PATIENT ADVOCATE WILL HELP THEM APPLY FOR OTHER FORMS OF ASSISTANCE. IF THEY ARE NOT ELIGIBLE FOR ANY OTHER COVERAGE, THE PATIENT IS GIVEN A FINANCIAL ASSISTANCE APPLICATION TO COMPLETE AND RETURN TO THE FACILITY. |
| AVERA MILBANK AREA 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. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 20E: IF A PATIENT IS SELF-PAY AND HAS A LARGE BALANCE, AN AVERA PATIENT ADVOCATE WILL HELP THEM APPLY FOR OTHER FORMS OF ASSISTANCE. IF THEY ARE NOT ELIGIBLE FOR ANY OTHER COVERAGE, THE PATIENT IS GIVEN A FINANCIAL ASSISTANCE APPLICATION TO COMPLETE AND RETURN TO THE FACILITY. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 20E: IF A PATIENT IS SELF-PAY AND HAS A LARGE BALANCE, AN AVERA PATIENT ADVOCATE WILL HELP THEM APPLY FOR OTHER FORMS OF ASSISTANCE. IF THEY ARE NOT ELIGIBLE FOR ANY OTHER COVERAGE, THE PATIENT IS GIVEN A FINANCIAL ASSISTANCE APPLICATION TO COMPLETE AND RETURN TO THE FACILITY. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20E: IF A PATIENT IS SELF-PAY AND HAS A LARGE BALANCE, AN AVERA PATIENT ADVOCATE WILL HELP THEM APPLY FOR OTHER FORMS OF ASSISTANCE. IF THEY ARE NOT ELIGIBLE FOR ANY OTHER COVERAGE, THE PATIENT IS GIVEN A FINANCIAL ASSISTANCE APPLICATION TO COMPLETE AND RETURN TO THE FACILITY. |
| AVERA MCKENNAN | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| HEART HOSPITAL OF SOUTH DAKOTA, LLC | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| AVERA MILBANK AREA HOSPITAL | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY CALCULATED THE AMOUNT GENERALLY BILLED UNDER THE LOOK-BACK METHOD USING THE LOWEST INPATIENT AND OUTPATIENT COMBINED MEDICARE AND COMMERCIAL PAYMENT RATE. THIS RATE WILL BE REVIEWED AND UPDATED ON AN ANNUAL BASIS EACH OCTOBER. |
| AVERA MCKENNAN | PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. |
| AVERA GREGORY HEALTHCARE CENTER | PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. |
| AVERA MILBANK AREA HOSPITAL | PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. |
| AVERA DELLS AREA HEALTH CENTER | PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. |
| AVERA FLANDREAU MEDICAL CENTER | PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. |
| AVERA HAND COUNTY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 24: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 40 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - AVERA MCKENNAN BEHAVIORAL HEALTH CENTER | ||||
| 4400 W 69TH ST | SIOUX FALLS | SD | 57108 | INPATIENT & OUTPATIENT BEHAVIORAL HEALTH SERVICES |
| 2 - AVERA PLAZA 2 PHARMACY | ||||
| 1301 S CLIFF AVENUE | SIOUX FALLS | SD | 57105 | RETAIL PHARMACY |
| 3 - CORE ORTHOPEDICS AVERA MEDICAL GROUP | ||||
| 2908 EAST 26TH STREET | SIOUX FALLS | SD | 57103 | ORTHOPEDIC CLINIC |
| 4 - AVERA PRINCE OF PEACE | ||||
| 4500 S PRINCE OF PEACE PLACE | SIOUX FALLS | SD | 57103 | SKILLED NURSING FACILITY |
| 5 - AVERA MCKENNAN HOME INFUSION | ||||
| 1020 S CLIFF AVENUE | SIOUX FALLS | SD | 57105 | COMPREHENSIVE HOME INFUSION THERAPIES & SUPPLIES |
| 6 - MCKENNAN REGIONAL LABORATORY | ||||
| 1325 S CLIFF AVENUE | SIOUX FALLS | SD | 57105 | LABORATORY SERVICES |
| 7 - AVERA MEDICAL GROUP MATERNAL FETAL MED | ||||
| 1417 SOUTH CLIFF AVENUE SUITE 100 | SIOUX FALLS | SD | 57105 | HIGH-RISK PREGNANCY CARE CLINIC |
| 8 - AVERA MEDICAL GROUP WORTHINGTON | ||||
| 508 TENTH STREET | WORTHINGTON | MN | 56187 | PRIMARY CARE CLINIC |
| 9 - AVERA MEDICAL GROUP PEDIATRIC SPECIALIST | ||||
| 1417 S CLIFF AVENUE SUITE 010 | SIOUX FALLS | SD | 57105 | PEDIATRIC SPECIALTIES CLINIC |
| 10 - AVERA MCKENNAN HOSP & UNIV CAMPUS PHARM | ||||
| 1325 S CLIFF AVENUE | SIOUX FALLS | SD | 57105 | RETAIL PHARMACY |
| 11 - AVERA MCKENNAN FITNESS CENTER | ||||
| 3400 S SOUTHEASTERN DRIVE | SIOUX FALLS | SD | 57105 | FITNESS CENTER |
| 12 - AVERA ROSEBUD COUNTRY CARE CENTER | ||||
| 300 PARK AVENUE | GREGORY | SD | 57533 | SKILLED NURSING FACILITY |
| 13 - AVERA MEDICAL GROUP WINDOM | ||||
| 820 - 2ND AVENUE | WINDOM | MN | 56101 | PRIMARY CARE CLINIC |
| 14 - AVERA 69TH STREET PHARMACY - BEHAVIORAL | ||||
| 4400 W 69TH ST SUITE 300 | SIOUX FALLS | SD | 57108 | RETAIL PHARMACY |
| 15 - AVERA MEDICAL GROUP SIBLEY | ||||
| 600-9TH AVENUE NORTH | SIBLEY | IA | 51249 | PRIMARY CARE CLINIC |
| 16 - LAUREL OAKS APARTMENTS | ||||
| 4510 S PRINCE OF PEACE PLACE | SIOUX FALLS | SD | 57103 | INDEPENDENT LIVING APARTMENTS |
| 17 - AVERA MEDICAL GROUP COMPREHENSIVE BREAST | ||||
| 1000 EAST 23RD STREET SUITE 360 | SIOUX FALLS | SD | 57105 | SPECIALTY CLINIC |
| 18 - AVERA RESEARCH INSTITUTE | ||||
| 2020 S NORTON AVE | SIOUX FALLS | SD | 57105 | CLINICAL RESEARCH STUDIES |
| 19 - AVERA MEDICAL GROUP OCCUPATIONAL MED | ||||
| 4928 NORTH CLIFF AVENUE | SIOUX FALLS | SD | 57104 | BUSINESS AND CORPORATE HEALTH CARE CLINIC |
| 20 - AVERA DERMATOLOGY PHARMACY | ||||
| 6701 SOUTH MINNESOTA AVENUE | SIOUX FALLS | SD | 57108 | RETAIL PHARMACY |
| 21 - AVERA MEDICAL GROUP WOMEN'S MIDLIFE CARE | ||||
| 911 EAST 20TH STREET - SUITE 200 | SIOUX FALLS | SD | 57105 | WOMEN'S SERVICES CLINIC |
| 22 - AVERA INSTITUTE FOR HUMAN GENETICS | ||||
| 4400 W 69TH ST SUITE 200 | SIOUX FALLS | SD | 57108 | GENETIC RESEARCH PROGRAM |
| 23 - AVERA MEDICAL GROUP LARCHWOOD | ||||
| 916 HOLDER STREET PO BOX 8 | LARCHWOOD | IA | 51241 | PRIMARY CARE CLINIC |
| 24 - AVERA MEDICAL GROUP MCGREEVY SALEM | ||||
| 740 SOUTH HILL | SALEM | SD | 57058 | PRIMARY CARE CLINIC |
| 25 - HEALTH CARE CLINIC | ||||
| 300 NORTH DAKOTA AVENUE SUITE 117 | SIOUX FALLS | SD | 57104 | FREE HEALTHCARE CLINIC |
| 26 - AVERA MEDICAL GROUP BIG STONE CITY | ||||
| 451 MAIN STREET | BIG STONE CITY | SD | 57216 | PRIMARY CARE CLINIC |
| 27 - HEGG MEDICAL CLINIC AVERA | ||||
| 2121 HEGG DRIVE | ROCK VALLEY | IA | 51247 | PRIMARY CARE CLINIC |
| 28 - CURAQUICK AVERA CLINIC | ||||
| 3000 S MINNESOTA AVE | SIOUX FALLS | SD | 57105 | PRIMARY CARE CLINIC |
| 29 - YORKSHIRE EYE CLINIC | ||||
| 2311 YORKSHIRE DRIVE | BROOKINGS | SD | 57006 | OPHTHALMOLOGY AND OPTOMETRY CLINIC |
| 30 - AVERA MEDICAL GROUP OPTOMETRY | ||||
| 702 TENTH STREET | WORTHINGTON | MN | 56187 | OPHTHALMOLOGY AND OPTOMETRY CLINIC |
| 31 - AVERA MEDICAL GROUP ESTHERVILLE | ||||
| 926 NORTH 8TH STREET | ESTHERVILLE | IA | 51334 | PRIMARY CARE CLINIC |
| 32 - AVERA MEDICAL GROUP CHAMBERLAIN | ||||
| 101 SOUTH FRONT PO BOX 27 | CHAMBERLAIN | SD | 57325 | PRIMARY CARE CLINIC |
| 33 - RURAL MEDICAL CLINICS | ||||
| 301 SOUTH WALNUT STREET | FREEMAN | SD | 57029 | PRIMARY CARE CLINIC |
| 34 - COMMUNITY BLOOD BANK | ||||
| 1301 SOUTH CLIFF AVENUE SUITE 3 | SIOUX FALLS | SD | 57105 | COMMUNITY BLOOD SERVICES |
| 35 - PIPESTONE MEDICAL GROUP AVERA | ||||
| 920 - 4TH AVENUE SW | PIPESTONE | MN | 56164 | PRIMARY CARE CLINIC |
| 36 - AVERA MEDICAL GROUP BUTTE | ||||
| 730 WILSON STREET | BUTTE | NE | 68722 | SATELLITE PRIMARY CARE CLINIC |
| 37 - AVERA MEDICAL GROUP ELKTON | ||||
| 203 ELK STREET | ELKTON | SD | 57026 | SATELLITE PRIMARY CARE CLINIC |
| 38 - AVERA MEDICAL GROUP FULDA | ||||
| 201 N ST PAUL AVENUE | FULDA | MN | 56131 | SATELLITE PRIMARY CARE CLINIC |
| 39 - AVERA MEDICAL GROUP LAKEFIELD | ||||
| 221 - 3RD AVENUE | LAKEFIELD | MN | 56150 | SATELLITE PRIMARY CARE CLINIC |
| 40 - AVERA MEDICAL GROUP VOLGA | ||||
| 210 KASAN AVENUE | VOLGA | SD | 57071 | SATELLITE PRIMARY CARE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 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: | AVERA MCKENNAN'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY AVERA HEALTH, A RELATED ORGANIZATION. IT IS AVAILABLE THROUGH THE WEBSITE AND REQUESTED MAILING, AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION. |
| PART I, LINE 7: | A COMBINATION OF COSTING METHODOLOGY WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE MEDICAID AND MEANS-TESTED GOVERNMENT PROGRAM EXPENSES AND SHORTFALLS AND SUBSIDIZED HEALTH SERVICES FOR OUR TERTIARY MEDICAL CENTER. A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO CALCULATE CHARITY CARE AT COST FOR ALL ENTITIES AND MEDICAID AND MEANS-TESTED GOVERNMENT PROGRAM EXPENSES AND SHORTFALLS AND SUBSIDIZED HEALTH SERVICES FOR ANY OPERATIONS OUTSIDE OF THE TERTIARY MEDICAL CENTER. FOR ALL OTHER AMOUNTS, COSTS AND REVENUES AS REFLECTED BY THE GENERAL LEDGER SYSTEM WERE USED. |
| PART I, LINE 7G: | PHYSICIAN CLINIC COSTS FOR TRANSPLANT SERVICES ARE INCLUDED IN SUBSIDIZED HEALTH SERVICES. REVENUES OF $668,988 AND COSTS OF $2,345,052 WERE INCLUDED FOR A NET COMMUNITY BENEFIT OF $1,676,064. OUR FACILITY IS THE PRINCIPAL PROVIDER OF BONE MARROW AND PANCREAS TRANSPLANT SERVICES THROUGH OUR SERVICE AREA, IN ADDITION TO DEVELOPING A LIVER TRANSPLANT PROGRAM, WITH THE CLINICS AS A CRUCIAL COMPONENT OF SUCCESSFUL PRE AND POST TRANSPLANT CARE. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $19,053,169 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT EXCLUDED FOR PURPOSES OF CALCULATING THIS PERCENTAGE. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR.BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. |
| PART III, LINE 4: | THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE REVENUES RECEIVED (LINE 5), ALLOWABLE COSTS (LINE 6), AND THE RESULTING LOSS (LINE 7) DOES NOT INCLUDE A SIGNIFICANT PORTION OF THE ORGANIZATION'S EXPENSES. THESE LINES REQUIRE USE OF THE MEDICARE COST REPORT AS PREPARED BY THE REQUIRED GUIDELINES WHICH DISALLOWS NUMEROUS COSTS OF HOSPITALS, PARTICULARLY IF THEY ARE PART OF AN INTEGRATED SYSTEM SUCH AS AVERA MCKENNAN. IN THESE CASES THE ENTITY MUST FILE A HOME OFFICE COST REPORT WHICH "STEPS DOWN" OVERHEAD TO NON-COST REPORT ENTITIES DISPROPORTIONATELY TO ACTUAL ALLOWABLE SHARE AND ESSENTIALLY REMOVING THE COSTS FROM THE HOSPITAL'S COST REPORT ENTIRELY. EXAMPLES OF A PORTION OF THESE OVERHEAD COSTS WOULD BE FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES AND ADMINISTRATION. EXAMPLES OF NON-COST REPORT ENTITIES OPERATED BY AVERA MCKENNAN INCLUDE CLINICS, MOBILE IMAGING SERVICES, LONG-TERM CARE FACILITIES, AND OTHER HEALTH CARE RELATED BUSINESSES. THERE ARE ALSO COSTS COMPLETELY DISALLOWED BY COST REPORT RULES SUCH AS BAD DEBT EXPENSE, HOSPITALISTS CARE, CRNA'S, AND INTEREST EXPENSE. AVERA MCKENNAN ALSO RECEIVES A MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) ADJUSTMENT AS PART OF THE COST REPORT DUE TO ITS SIGNIFICANT NUMBER OF LOW-INCOME PATIENTS SERVED. PART III, LINE 5 REQUIRES INCLUSION OF THIS REVENUE THOUGH EXPENSES INCLUDED ARE MUCH LOWER. SCHEDULE H INSTRUCTIONS ALSO REQUIRE THE EXCLUSION OF $872,640 OF MEDICARE LOSSES BECAUSE THEY ARE INCLUDED IN SCHEDULE H, PART 1, LINE 7F OR 7G. INCLUDING THE MEDICARE PERCENTAGE OF DISALLOWED COSTS, ENTITIES WHICH DON'T FILE A COST REPORT BUT NEVERTHELESS CARE FOR MEDICARE PATIENTS, AND THE IMPACT OF THE HOME OFFICE COST REPORT, THE MEDICARE SHORTFALL IS $48,046,274 AS OPPOSED TO A SHORTFALL OF $24,066,832.AVERA MCKENNAN FOLLOWS THE CATHOLIC HEALTH ASSOCIATION GUIDELINES IN REPORTING COMMUNITY BENEFITS AND THEREFORE ANY MEDICARE SHORTFALL (AS CALCULATED INCLUDING OUR NON-COST REPORT ENTITIES) IS EXCLUDED FROM OUR COMMUNITY BENEFIT REPORT. HOWEVER, MEDICARE IS THE ORGANIZATION'S LARGEST PAYER AND PATIENTS WITH MEDICARE COVERAGE ARE ACCEPTED REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED FROM PROVIDING THE SERVICES. THIS BASIS THEREFORE MEANS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A KEY ADVANTAGE FOR OUR COMMUNITY.MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE & 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 ASSESSMENT OCCURS AT VARIOUS POINTS IN THE SYSTEM. THROUGH ANNUAL STRATEGIC PLANNING SESSIONS, COMMUNITY LEADERS ARE BROUGHT IN TO UPDATE AND EDUCATE AVERA MCKENNAN BOARD MEMBERS AND ADMINISTRATIVE COUNCIL ON THE SUCCESSES, CHALLENGES, AND SERVICE GAPS IN THE COMMUNITY. EXAMPLES INCLUDE SCHOOL DISTRICT OFFICIALS, STATE HEALTH DEPARTMENT, AND COMMUNITY HEALTH ORGANIZATIONS. LEADERS ALSO SERVE ON BOARDS OF VARIOUS COMMUNITY ORGANIZATIONS WHICH SEEK TO ADDRESS THE HEALTH AND WELL-BEING OF AREA CITIZENS. LOCAL GOVERNING BOARDS AT OUTLYING FACILITIES, WHO ARE MEMBERS OF THE COMMUNITY, DISCUSS AND HELP DIRECT RESOURCES TO AREAS OF TARGETED NEEDS AS WELL. |
| PART VI, LINE 3: | NOTICES ARE POSTED IN ENGLISH AND SPANISH IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMITTING OFFICES, AND OUTPATIENT SERVICE SETTINGS AS WELL AS THE ORGANIZATION WEBSITE. POSTED NOTICES STATE THAT THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND THAT THIS POLICY PROVIDES FOR CHARITY CARE AND REDUCED-PAYMENT FOR HEALTHCARE SERVICES. THERE IS ALSO IDENTIFICATION OF A CONTACT PHONE NUMBER THAT A PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ABOUT HOW TO APPLY FOR SUCH ASSISTANCE. ADDITIONALLY, ADMITTING STAFF MAKES AVAILABLE A BROCHURE DESIGNED TO HELP PATIENTS UNDERSTAND HOW WE BILL PATIENTS AND PROVIDES SUMMARY INFORMATION ON FINANCIAL ASSISTANCE IF YOU ARE UNABLE TO PAY. PATIENT ADVOCATES WORK WITH UNINSURED PATIENTS IN OUR MAIN TERTIARY FACILITY TO ENROLL THEM IN APPLICABLE SOCIAL PROGRAMS AND IDENTIFY CHARITY ELIGIBILITY, ELIGIBILITY AND ENROLLMENT FOR COUNTY, STATE OR FEDERAL RISK POOLS, AND ELIGIBILITY FOR MODIFIED MEDICARE OR MEDICAID PROGRAMS. |
| PART VI, LINE 4: | AVERA MCKENNAN'S SERVICE AREA IS A LARGELY RURAL POPULATION. SERVICES ARE PROVIDED THROUGH A HEALTH CARE NETWORK OF CLINICS, CRITICAL ACCESS HOSPITALS AND TERTIARY FACILITIES COVERING COMMUNITIES IN FOUR STATES. THE MAIN TERTIARY FACILITY IS LOCATED IN A POPULATION CENTER OF OVER 173,000 SERVED BY ANOTHER NON-PROFIT HOSPITAL OF SIMILAR SIZE, VETERANS ADMINISTRATION HOSPITAL, A HOSPITAL DEDICATED TO DIAGNOSIS AND TREATMENT OF HEART DISEASE, AND A HOSPITAL FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. OUTSIDE OF THIS POPULATION CENTER, MOST OF THE COMMUNITIES SERVED HAVE LESS THAN 4,000 RESIDENTS. THE PRIMARY SERVICE AREA INCLUDES FOUR COUNTIES COVERING APPROXIMATELY 2,600 SQUARE MILES AND CONTAINS SEVEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED COMMUNITIES. THE U.S. CENSUS BUREAU DATA ESTIMATES 12% OF RESIDENTS IN THE PRIMARY SERVICE AREA ARE AT OR BELOW THE POVERTY LEVEL. OUR SECONDARY SERVICE AREA COVERS AN ADDITIONAL 17 COUNTIES IN SOUTH DAKOTA, IOWA AND MINNESOTA WITH AN ESTIMATED TOTAL POPULATION OF 235,000 BASED ON U.S. CENSUS BUREAU PROJECTIONS FOR 2015. |
| PART VI, LINE 5: | SURPLUS FUNDS ARE REINVESTED IN FACILITIES TO IMPROVE PATIENT CARE.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE AVERA MCKENNAN BOARD OF TRUSTEES IS PRINCIPALLY COMPRISED OF COMMUNITY MEMBERS FROM THE PRIMARY SERVICE AREA. MEMBERS COME FROM A VARIETY OF BACKGROUNDS RANGING FROM PRIVATE INDUSTRY AND BANKING TO HEALTHCARE.AVERA MCKENNAN IS A VERIFIED LEVEL II TRAUMA CENTER AND WAS THE FIRST SUCH CENTER IN THE STATE OF SOUTH DAKOTA. AVERA MCKENNAN'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY WITH BOARD-CERTIFIED EMERGENCY SPECIALISTS AND PROVIDES EMERGENCY CARE REGARDLESS OF ABILITY TO PAY. AVERA MCKENNAN HAD 29,650 EMERGENCY DEPARTMENT VISITS IN FY 2016. OPERATING BOTH FIXED WING AND HELICOPTER MEDICAL AIR TRANSPORTS, AVERA MCKENNAN'S FLIGHT TEAMS COVER A LARGE GEOGRAPHIC AREA PROVIDING STATE-OF-THE-ART AIR TRANSPORT SERVICES AND ACCESS TO CRITICAL CARE, WITH 1,598 FLIGHTS IN THE PAST YEAR.AVERA MCKENNAN OWNS OR LEASES RURAL CRITICAL ACCESS HOSPITALS IN FLANDREAU, GREGORY, DELL RAPIDS, MILBANK AND MILLER (HAND COUNTY), SOUTH DAKOTA. AS SUCH, THEY OPERATE AS A DEPARTMENT OF AVERA MCKENNAN. THE HOSPITALS IN FLANDREAU, GREGORY AND HAND COUNTY SERVE MEDICALLY UNDERSERVED COUNTIES. IN ADDITION TO THE FOLLOWING EXEMPT PURPOSE ACHIEVEMENTS, RURAL HOSPITALS PARTICIPATE IN MANY OF THE ABOVE AS PART OF AVERA MCKENNAN. AMONG SERVICES OFFERED BY RURAL HOSPITALS ARE RADIOLOGY AND IMAGING, COLONOSCOPY AND ENDOSCOPY, THERAPY AND REHABILITATION, 24-HOUR EMERGENCY CARE, CHEMOTHERAPY, ORTHOPEDICS, CARDIOVASCULAR TESTING AND CARE, OBSTETRICS, SURGERY, AND DIALYSIS.HEALTH CARE CLINIC: IN 1992, AVERA MCKENNAN ESTABLISHED A HEALTH CARE CLINIC TO PROVIDE FREE CARE FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED IN THE COMMUNITY. THE CLINIC IS MANAGED BY A REGISTERED NURSE AND STAFFED BY REGISTERED NURSES, TWO MIDLEVEL PROVIDERS, MEDICAL RESIDENTS AND VOLUNTEER HEALTH CARE PROVIDERS. THE GOAL OF THE CLINIC IS TO PREVENT OR TREAT PATIENTS' MEDICAL CONDITIONS BEFORE THEY BECOME CATASTROPHIC. THE CLINIC AVERAGES 450 VISITS PER MONTH, PROVIDING PREVENTATIVE CARE, DIAGNOSIS AND TREATMENT OF ILLNESSES AND INJURIES, MEDICATION ASSISTANCE AND ASSISTANCE IN OBTAINING SPECIALIST CARE FOR PATIENTS WITH COMPLEX CASES. THE CLINIC ALSO SERVES TO TRAIN PHYSICIANS, NURSES AND OTHER HEALTH CARE STUDENTS. IT PROVIDES A FREE EVENING CLINIC ONE EVENING PER MONTH, STAFFED BY MEDICAL STUDENTS UNDER SUPERVISION OF PHYSICIANS. AVERA MCKENNAN IS THE ONLY HEALTH CARE ORGANIZATION TO PROVIDE FREE SERVICES SUCH AS THIS IN THE STATE OF SOUTH DAKOTA. THE CLINIC HAD 5,400 VISITS IN 2016, AND WAS OPERATED AT AN ANNUAL COST OF $719,110. PARTNERSHIP IN LIVE WELL SIOUX FALLS: THE CITY OF SIOUX FALLS RECEIVED A COMMUNITY HEALTH TRANSFORMATION GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH, SPARKING A PROJECT TO IMPROVE THE HEALTH AND WELL-BEING OF THE CITIZENS OF SIOUX FALLS. GUIDED BY THE CITY OF SIOUX FALLS HEALTH DEPARTMENT, THIS ONGOING PROJECT IS KNOWN AS LIVE WELL SIOUX FALLS. IT INVOLVES MORE THAN 24 COMMUNITY PARTNER ORGANIZATIONS. AMONG THESE PARTNERS ARE AVERA MCKENNAN AND THE OTHER MAJOR HEALTH CARE SYSTEM IN SIOUX FALLS, SANFORD HEALTH. AVERA PLANS TO WORK IN PARTNERSHIP WITH THE CITY OF SIOUX FALLS AND SANFORD HEALTH TO ADDRESS THE PRIORITIES OF LIVE WELL SIOUX FALLS, AND ARRIVE AT SOLUTIONS WHICH ARE COLLABORATIVE IN NATURE.AVERA MCKENNAN COLLABORATES WITH LIVE WELL SIOUX FALLS TO PROMOTE THE BIG SQUEEZE, A HYPERTENSION INITIATIVE IN APRIL TO PROMOTE BLOOD PRESSURE SCREENING AND EDUCATION, WITH THE GOAL OF DIAGNOSING HIGH BLOOD PRESSURE. ONE IN THREE AMERICAN ADULTS HAVE HIGH BLOOD PRESSURE, BUT ONLY HALF OF THEM HAVE IT UNDER CONTROL, ADDING TO THE RISK OF STROKE, HEART ATTACK AND VASCULAR DISEASE.RESIDENCY/HEALTH PROFESSIONS TRAINING AND INTERNSHIPS: IN 2016, AVERA MCKENNAN HAD 91 MEDICAL SCHOOL RESIDENTS IN TRAINING AT AVERA MCKENNAN IN INTERNAL MEDICINE, FAMILY PRACTICE, PSYCHIATRY, GERIATRICS AND TRANSITIONAL RESIDENCY PROGRAMS OFFERED IN PARTNERSHIP WITH THE UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE. OVER 1,000 STUDENTS IN MEDICINE, NURSING, PHARMACY, PHYSICIAN ASSISTANT PROGRAMS, MEDICAL ASSISTING, RADIOLOGY AND RESPIRATORY THERAPY ALSO COMPLETED CLINICAL ROTATIONS AT AVERA MCKENNAN. IN NON-CLINICAL AREAS, AVERA MCKENNAN OFFERED OVER 90 PAID AND UNPAID INTERNSHIPS IN 2016 IN THE AREAS OF RESEARCH, FINANCE, ADMINISTRATION, THERAPIES, EXERCISE SCIENCE AND SOCIAL WORK. AVERA MCKENNAN IS CURRENTLY AFFILIATED WITH APPROXIMATELY 136 INSTITUTIONS OF HIGHER EDUCATION. PATIENT AND COMMUNITY EDUCATION: AVERA MCKENNAN IS A REGIONAL LEADER IN OFFERING EDUCATIONAL PROGRAMS FOR A VARIETY OF LEARNERS, LEADERS AND EMPLOYEES. UTILIZING ADVANCED TECHNOLOGY, MANY OF THESE PROGRAMS ARE PROVIDED ELECTRONICALLY THROUGHOUT THE TRI-STATE AREA. EDUCATIONAL SESSIONS ARE OFFERED TO MEDICAL STAFF, EMPLOYEES, HEALTH CARE PROFESSIONALS, STUDENTS AT ALL LEVELS AND THE GENERAL PUBLIC. UTILIZING AVERA MCKENNAN'S EDUCATION CENTER, A BROAD CROSS-SECTION OF CLASSES INVOLVING DIVERSE AUDIENCES ARE PROVIDED AS A COMMUNITY SERVICE EACH YEAR.* ONLINE RESOURCES: AVERA MCKENNAN OFFERS VAST FREE PATIENT EDUCATIONAL ONLINE RESOURCES ON ITS PUBLIC WEBSITE ON NUMEROUS HEALTH TOPICS, WITH SUGGESTIONS FOR LIFESTYLE CHANGE, BEHAVIOR MODIFICATION AND MANAGEMENT FOR IMPROVED HEALTH.* TO BE WELL FREE EDUCATION EVENTS WERE HELD ON TOPICS INCLUDING ORTHOPEDICS, CANCER, DIABETES, WEIGHT LOSS/HEALTHY EATING, MULTIPLE SCLEROSIS, ANXIETY AND ACUPUNCTURE. * FORUMS: THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE FRIDAY FORUMS, IN WHICH SCHOOL COUNSELORS AND THERAPISTS ARE INVITED TO PRESENTATIONS ON CHILDREN'S MENTAL HEALTH TOPICS SUCH AS CONFLICT CYCLES, REACTIVE ATTACHMENT DISORDER, DEPRESSION AND BIPOLAR DISORDER IN CHILDREN, AND TEEN SUBSTANCE USE, ABUSE AND ADDICTION. * THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE MONTHLY EDUCATIONAL SESSIONS ON VARIOUS TOPICS FOLLOWED BY DISCUSSION FOR ADULTS WHO HAVE BEEN IMPACTED BY A LOVED ONE'S MENTAL ILLNESS. TOPICS HAVE INCLUDED GRIEF AND LOSS, ANXIETY, AND PARENTING STRATEGIES FOR MANAGING CHALLENGING BEHAVIORS.* WOMEN'S & CHILDREN'S SERVICES: AVERA MCKENNAN'S WOMEN'S & CHILDREN'S SERVICES OFFERS A NUMBER OF PARENTING AND COMMUNITY EDUCATION OPPORTUNITIES, FOR FREE OR AT A MINIMAL COST. IN FISCAL YEAR 2016, 101 CHILDBIRTH EDUCATION CLASSES WERE HELD WITH 490 ATTENDEES. A TOTAL OF 7 PARENT AND FAMILY EDUCATION CLASSES WERE HELD WITH 89 ATTENDEES. A TOTAL OF 54 CAR SEATS WERE ISSUED THROUGH THE SOUTH DAKOTA CHILD SAFETY SEAT DISTRIBUTION PROGRAM. FREE BURN EDUCATION WAS PROVIDED TO 2,198 STUDENTS DURING PRESENTATIONS IN SCHOOLS.* DAYCARE TRAINING: FREE OF CHARGE, AVERA MCKENNAN OFFERS FOUR IN-SERVICE TRAINING SESSIONS PER MONTH TO DAYCARE PROVIDERS THROUGH EMBE, WITH A TOTAL OF 36 SCHEDULED ANNUALLY, AND ADDITIONAL SESSIONS FOR REQUESTED TOPICS. SUPPORT GROUPS: AVERA MCKENNAN OFFERS APPROXIMATELY 10 FREE SUPPORT GROUPS. THEY RANGE IN TOPIC FROM CANCER TO LIVER DISEASE, DIABETES, BONE MARROW TRANSPLANT, STROKE AND GRIEF AND LOSS. THE ORGANIZATION PROVIDES FREE MEETING SPACE AS WELL AS SPEAKERS AND LEADERS. INFORMATION AND ASSISTANCE: AVERA MCKENNAN OPERATES A 24-HOUR MEDICAL CALL CENTER, THROUGH WHICH PATIENTS HAVE ACCESS TO THE ASK-A-NURSE PROGRAM. PATIENTS CAN CALL A TOLL-FREE NUMBER AND TALK PERSONALLY WITH A REGISTERED NURSE TO ASK HEALTH QUESTIONS OR RECEIVE GENERAL HEALTH INFORMATION. IN 2016, THE MEDICAL CALL CENTER HANDLED 145,086 CALLS. AVERA MCKENNAN'S WEB SITE ALSO PROVIDES AN EXTENSIVE HEALTH LIBRARY THAT CONSUMERS CAN ACCESS FREE OF CHARGE.INTERPRETER SERVICE: AVERA MCKENNAN EMPLOYS TWO FULL-TIME SPANISH INTERPRETERS IN-HOUSE, AND THEIR SERVICES ARE OFFERED TO PATIENTS FREE OF CHARGE. IN ADDITION, IN COOPERATION WITH EXTERNAL AGENCIES, AVERA MCKENNAN IS ABLE TO HANDLE 210 DIFFERENT LANGUAGES AND DIALECTS THROUGH PHONE, VIDEO REMOTE INTERPRETING AND OTHER MEANS. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS WHEN THEY ARE AT AVERA MCKENNAN IN PERSON, OR WHEN THEY CALL BY PHONE. ALL THE ABOVE SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. |
| PART VI, LINE 6: | THE COMMUNITIES IN WHICH THE AVERA SYSTEM OPERATES ALL HAVE UNIQUE HEALTH AND COMMUNITY BENEFIT NEEDS AND IN KEEPING WITH THE CATHOLIC HEALTHCARE ASSOCIATION GUIDELINES EACH HOSPITAL STRIVES TO MEET ITS COMMUNITY'S IDENTIFIED NEEDS. THE AVERA CENTRAL OFFICE ADVOCATES FOR ALL ON COMMUNITY BENEFIT-RELATED MATTERS OF STATE, REGIONAL, AND NATIONAL IMPORTANCE. |
| PART VI, LINE 5, CONTINUED: | PRENATAL AND DELIVERY CARE: BECAUSE EARLY AND REGULAR PRENATAL CARE IS IMPORTANT TO PREVENT PREMATURE BIRTH, AVERA MCKENNAN COLLABORATES IN A COMMUNITY EFFORT TO PROVIDE OBSTETRICS CARE FOR WOMEN WHO DO NOT QUALIFY FOR MEDICAID, BUT CANNOT AFFORD HEALTH INSURANCE. THE PROGRAM OFFERS PRENATAL CARE, AND HOSPITAL LABOR AND DELIVERY SERVES FOR A LOW FEE OF $1,000. WOMEN RECEIVE CARE WHETHER THEY CAN COVER ANY OR ALL OF THE FEE. CARE IS PROVIDED PRIMARILY BY FIRST-YEAR FAMILY PRACTICE RESIDENTS, SUPERVISED BY EXPERIENCED PHYSICIANS. THROUGH THIS PROGRAM IN 2016, AVERA MCKENNAN ASSISTED WITH 98 BIRTHS AND PROVIDED 872 PRENATAL AND POST-PARTUM VISITS.TRANSPORT TO TRANSPLANT: AVERA MCKENNAN DEVELOPED THE TRANSPORT TO TRANSPLANT PROJECT, WHICH REMOVES TRANSPORTATION BARRIERS FOR PATIENTS FROM RURAL AREAS WHICH MAY PREVENT THEM FROM COMPLETING THE EVALUATION AND TESTING NEEDED FOR KIDNEY AND/OR PANCREAS TRANSPLANT. A VAN FUNDED THROUGH A GRANT FROM THE AVERA MCKENNAN FOUNDATION IS USED TO TRANSPORT PATIENTS WHO DEMONSTRATE A FINANCIAL NEED. PATIENTS ARE BROUGHT TO THE AVERA TRANSPLANT INSTITUTE FOR A CONDENSED MULTI-DAY EVALUATION WITH ALL TESTING AND VISITS COMPLETED IN LESS THAN ONE WEEK. ULTIMATELY, THE PROJECT RESULTS IN IMPROVED MORBIDITY AND MORTALITY, AS KIDNEY TRANSPLANT DOUBLES PATIENT SURVIVAL AS COMPARED TO REMAINING ON DIALYSIS.AVERA FAMILY WELLNESS: THIS PROGRAM COMBINES POSITIVE ACTIVITIES LIKE VIOLIN LESSONS WITH FAMILY COACHING AT NO CHARGE FOR CHILDREN IN EARLY CHILDHOOD PROGRAMS IN THE SIOUX FALLS SCHOOL DISTRICT. THE GOAL IS TO PREVENT OR LESSEN THE EFFECTS OF BEHAVIORAL HEALTH CONDITIONS ON CHILDREN AND FAMILIES BY FOSTERING A POSITIVE ENVIRONMENT. OVER 400 STUDENTS AND THEIR FAMILIES ARE ENROLLED.THE WALSH FAMILY VILLAGE: THIS HOSPITALITY HOUSE COMPLEX ADJACENT TO THE AVERA MCKENNAN CAMPUS PROVIDES A HOME AWAY FROM HOME FOR PATIENTS AND THEIR FAMILIES WHO COME FOR CARE AT AVERA MCKENNAN FROM OUTSIDE OF SIOUX FALLS. THE PROJECT WAS FUNDED BY DONATIONS AND IS OPERATED BY AVERA MCKENNAN. ELEVEN GUEST ROOMS ARE AVAILABLE. AVERA MCKENNAN ALSO DONATES USE OF A BUILDING IN THE COMPLEX FOR A RONALD MCDONALD HOUSE FOR FAMILIES OF PEDIATRIC PATIENTS. IF THEY CAN AFFORD IT, GUESTS ARE CHARGED A LOW FEE OF $55 PER NIGHT. GUESTS ARE NOT TURNED AWAY DUE TO INABILITY TO PAY THE FEE. EMPLOYEES REGULARLY DONATE NON-PERISHABLE FOOD ITEMS TO STOCK A FOOD PANTRY FOR GUESTS. IN FY2016, THE WALSH FAMILY VILLAGE SERVED 6,448 GUESTS, STAYING IN 4,026 NIGHTLY ROOMS AN 85 PERCENT OCCUPANCY. AVERA MCKENNAN PROVIDES A SUBSIDY OF APPROXIMATELY $176,000 PER YEAR TO OPERATE THE HOSPITALITY COMPLEX. PREVENTION AND SUPPORT OF SUBSTANCE USE DISORDER: AVERA MCKENNAN IS A PARTNER WITH FACE IT TOGETHER SIOUX FALLS, A NONPROFIT ORGANIZATION WHICH SERVES AS THE LOCAL FACE AND VOICE FOR RECOVERY FROM ADDICTION THROUGH ITS RECOVERY SUPPORT SERVICES, ADVOCACY AND AWARENESS PROGRAMS. AVERA HAS BEEN A PARTNER WITH FACE IT TOGETHER SINCE ITS INCEPTION, AND IN A RECENT AWARENESS CAMPAIGN. COMMUNITY CONNECTIONS: AVERA MCKENNAN REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT EASTERN SOUTH DAKOTA, SOUTHWESTERN MINNESOTA AND NORTHWEST IOWA THROUGH HOME TOWN CONNECTIONS. PROVIDING A CRITICAL FEEDBACK LINK TO LOCAL REFERRING DOCTORS, THIS PROGRAM COMPLETES THE COMMUNICATIONS LINKS NECESSARY TO KEEP LOCAL HEALTH CARE PROVIDERS CURRENT ON THE TREATMENT OF THEIR PATIENTS AT AVERA MCKENNAN.SUPPORT OF THE ARTS AND CULTURAL LIFE: AVERA MCKENNAN HOSTS SIOUX FALLS' ONLY INDOOR SCULPTUREWALK, AN EXTENSION OF THE COMMUNITY'S DOWNTOWN SCULPTUREWALK. ARTISTS DONATE SCULPTURES FOR ONE YEAR, WHICH ARE PLACED AT LOCATIONS THROUGHOUT AVERA MCKENNAN'S CAMPUS, IN BUILDINGS CONNECTED BY SKYWALKS. BROCHURES CONTAIN A MAP, AND VISITORS WHO FOLLOW THE ROUTE SUGGESTED WALK APPROXIMATELY 1 MILE, MAKING THIS A HEALTHY AS WELL AS A CULTURAL JOURNEY.DIABETES PROGRAMMING: AVERA PARTICIPATES IN A COLLABORATIVE PROJECT WITH SIOUX FALLS PUBLIC SCHOOLS AND THE SOUTH DAKOTA BOARD OF NURSING TO IMPLEMENT ECONSULT SERVICES WITH DIABETIC EDUCATION SPECIALISTS MONITORING MEDICATIONS AND THE HEALTH OF CHILDREN WITH DIABETES IN THE SCHOOL SETTING. AVERA MCKENNAN DIABETES EDUCATORS PROVIDED CLASSES AND ONE-ON-ONE CONSULTATIONS AT A LOSS OF $115,000 IN THE PAST FISCAL YEAR.COMMUNITY BENEFITS: AVERA MCKENNAN PROVIDES ADDITIONAL COMMUNITY BENEFITS INCLUDING: SUPPORT OF YOUTH PROGRAMS; HOMELESS PROGRAMS; COMMUNITY ARTS PROGRAMMING; HEALTH PREVENTION; AWARENESS AND EDUCATION ABOUT CANCER, HEART DISEASE AND OTHER CONDITIONS; AND SUPPORT OF THE SIOUX EMPIRE UNITED WAY AND OTHER SERVICES IN THE REGION. PRESCHOOL VISION AND HEARING SCREENING: AVERA MCKENNAN PROVIDED FREE SCREENING FOR 254 PRESCHOOL CHILDREN IN FISCAL YEAR 2016. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| EAST AFRICA MEDICAL ASSISTANCE FOUNDATION | ||||||||||
| 400 S FOURTH ST STE 401-225 | MINNEAPOLIS | MN | 55415 | 363412789 | 501(C)(3) | $10,000 | DONATION | |||
| MARCH OF DIMES | ||||||||||
| 1000 NORTH WEST AVENUE SUITE 230 | SIOUX FALLS | SD | 57104 | 131846366 | 501(C)(3) | $20,000 | DONATION | |||
| SOUTH DAKOTA DEPARTMENT OF HEALTH - ALL WOMEN COUNT | ||||||||||
| 615 E 4TH STREET | PIERRE | SD | 57501 | 466000364 | STATE OF SD | $15,000 | DONATION | |||
| RONALD MCDONALD HOUSE | ||||||||||
| 2001 S NORTON | SIOUX FALLS | SD | 57105 | 460371152 | 501(C)(3) | DONATION | $175,827 | FMV | RENTED SPACE | |
| AVERA HEALTH | ||||||||||
| 3900 W AVERA DR | SIOUX FALLS | SD | 57108 | 460422673 | 501(C)(3) | $13,054 | DONATION | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 22 | $55,000 |
| ASSISTANCE WITH MEDICAL EXPENSES | 2434 | $292,402 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE GOVERNING BOARD AND MANAGEMENT DEVELOP PROGRAMS WHICH ENHANCE THE CHARITABLE MISSION OF THE ORGANIZATION. DISBURSEMENT FOR GRANTS OR ASSISTANCE FOR THESE PROGRAMS ARE MADE IN ACCORDANCE WITH PRESCRIBED PROCEDURES AND ARE SUBJECT TO CONDITIONS ESTABLISHED BY THE ORGANIZATION'S GOVERNING BOARD AND MANAGEMENT, WHICH ARE DESIGNED TO ENSURE THAT INDIVIDUALS AND ORGANIZATIONS RECEIVING GRANTS OR ASSISTANCE ARE ADEQUATELY INVESTIGATED TO ENSURE THAT THEY ARE QUALIFIED RECIPIENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID KAPASKA DO | ||||||||||||||
| PRESIDENT & CEO | $0 | $660,694 | $0 | $0 | $0 | $192,651 | $0 | $18,750 | $0 | $21,772 | $0 | $893,867 | $0 | $0 |
| AMY KRIE MD | ||||||||||||||
| BOARD TRUSTEE | $742,021 | $0 | $0 | $0 | $2,190 | $0 | $20,900 | $0 | $1,248 | $0 | $766,359 | $0 | $0 | $0 |
| RICK KOOIMA MD | ||||||||||||||
| BOARD TRUSTEE | $311,687 | $0 | $0 | $0 | $2,549 | $0 | $20,900 | $0 | $23,982 | $0 | $359,118 | $0 | $0 | $0 |
| JENNIFER MCKAY MD | ||||||||||||||
| CHIEF OF STAFF | $0 | $254,902 | $0 | $0 | $0 | $117 | $0 | $13,945 | $0 | $542 | $0 | $269,506 | $0 | $0 |
| JULIE N NORTON | ||||||||||||||
| SEC/TREAS & SRVP FINANCE | $442,123 | $0 | $0 | $0 | $1,493 | $0 | $20,900 | $0 | $23,982 | $0 | $488,498 | $0 | $0 | $0 |
| LORI POPKES | ||||||||||||||
| SR VICE PRESIDENT | $225,095 | $0 | $0 | $0 | $1,097 | $0 | $18,611 | $0 | $23,432 | $0 | $268,235 | $0 | $0 | $0 |
| DAVID FLICEK | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICE | $0 | $463,514 | $0 | $0 | $0 | $128,694 | $0 | $13,450 | $0 | $23,480 | $0 | $629,138 | $0 | $0 |
| STEVE PETERSEN | ||||||||||||||
| AVP-PHARMACY | $0 | $234,517 | $0 | $0 | $0 | $772 | $0 | $13,103 | $0 | $14,943 | $0 | $263,335 | $0 | $0 |
| MARY LEEDOM | ||||||||||||||
| AVP-SURGERY | $183,200 | $0 | $0 | $0 | $1,633 | $0 | $10,992 | $0 | $0 | $0 | $195,825 | $0 | $0 | $0 |
| CURT HOHMAN | ||||||||||||||
| SR VICE PRESIDENT | $310,753 | $0 | $0 | $0 | $1,625 | $0 | $20,900 | $0 | $8,145 | $0 | $341,423 | $0 | $0 | $0 |
| JUDY BLAUWET | ||||||||||||||
| SR VICE PRESIDENT UNTIL 10/24/15 | $320,841 | $0 | $0 | $0 | $11,198 | $0 | $15,600 | $0 | $9,045 | $0 | $356,684 | $0 | $0 | $0 |
| KELLY MCCAUL MD ABIM FRCPC | ||||||||||||||
| HEMATOLOGY, TRANSPLANTATION | $1,116,538 | $0 | $0 | $0 | $5,490 | $0 | $20,900 | $0 | $9,265 | $0 | $1,152,193 | $0 | $0 | $0 |
| HENDRIK KLOPPER MD | ||||||||||||||
| NEUROSURGERY | $1,158,613 | $0 | $0 | $0 | $2,779 | $0 | $20,900 | $0 | $21,876 | $0 | $1,204,168 | $0 | $0 | $0 |
| BRIAN KNUTSON MD | ||||||||||||||
| DERMATOLOGY | $1,260,855 | $0 | $0 | $0 | $4,640 | $0 | $20,900 | $0 | $21,876 | $0 | $1,308,271 | $0 | $0 | $0 |
| STEVEN CONDRON MD | ||||||||||||||
| GASTROENTEROLOGY | $1,482,151 | $0 | $0 | $0 | $4,388 | $0 | $20,900 | $0 | $24,426 | $0 | $1,531,865 | $0 | $0 | $0 |
| JEFFERY STEERS MD | ||||||||||||||
| TRANSPLANT | $1,065,075 | $0 | $0 | $0 | $10,903 | $0 | $20,900 | $0 | $23,982 | $0 | $1,120,860 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | THE PRESIDENT & CEO'S COMPENSATION IS PAID BY A RELATED ORGANIZATION, AVERA HEALTH. AVERA MCKENNAN RELIED ON THE RELATED ORGANIZATION FOR DETERMINING THE COMPENSATION FOR THE PRESIDENT & CEO USING THE METHODS DESCRIBED IN PART I, LINE 3. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFERY STEERS MD | PersonNm |
| Relationship With Org | EMPLOYEE | RelationshipWithOrgTxt |
| Loan Purpose | COMMUNITY NEEDS LOAN | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $250,000 | OriginalPrincipalAmt |
| Balance Due | $112,500 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $112,500 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MICHAEL BENDER | |||
| BOARD MEMBER | $189,724 | OWNS PROPERTY THAT AVERA MCKENNAN LEASES | 0 |
| CHRISTIANE MAROUN | |||
| FAMILY OF BOARD MEMBER | $138,068 | EMPLOYEE COMPENSATION | 0 |
| VINCENTA ROSSING | |||
| FAMILY OF BOARD MEMBER | $53,117 | EMPLOYEE COMPENSATION | 0 |
| MATTHEW LEEDOM | |||
| FAMILY OF KEY EMPLOYEE | $71,855 | EMPLOYEE COMPENSATION | 0 |
| SARAH KAPPEL | |||
| FAMILY OF KEY EMPLOYEE | $91,487 | EMPLOYEE COMPENSATION | 0 |
| KATHERINE SMIDT | |||
| FAMILY OF BOARD MEMBER | $134,981 | EMPLOYEE COMPENSATION | 0 |
| ALLISON CHRISTENSEN | |||
| FAMILY OF KEY EMPLOYEE | $50,942 | EMPLOYEE COMPENSATION | 0 |
| VICTORIA PETERSEN | |||
| FAMILY OF KEY EMPLOYEE | $44,487 | EMPLOYEE COMPENSATION | 0 |
| ASHLEY STEFFEN | |||
| FAMILY OF KEY EMPLOYEE | $66,497 | EMPLOYEE COMPENSATION | 0 |
| DEANN MATTHIESSEN | |||
| FAMILY OF KEY EMPLOYEE | $44,085 | EMPLOYEE COMPENSATION | 0 |
| RICHARD CRAWFORD | |||
| FAMILY OF BOARD MEMBER | $301,586 | EMPLOYEE COMPENSATION | 0 |
| NICK CHRISTENSEN | |||
| FAMILY OF KEY EMPLOYEE | $59,769 | EMPLOYEE COMPENSATION | 0 |
| KATHY KOOIMA | |||
| FAMILY OF BOARD MEMBER | $33,446 | EMPLOYEE COMPENSATION | 0 |
| KRISTY MICKELSON | |||
| FAMILY OF KEY EMPLOYEE | $46,768 | EMPLOYEE COMPENSATION | 0 |
Schedule M IRS990ScheduleM
Real Estate Residential RealEstateResidentialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,485,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 1 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | INFORMATION AND ASSISTANCE: AVERA MCKENNAN OPERATES A 24-HOUR MEDICAL CALL CENTER, THROUGH WHICH PATIENTS HAVE ACCESS TO THE ASK-A-NURSE PROGRAM. PATIENTS CAN CALL A TOLL-FREE NUMBER AND TALK PERSONALLY WITH A REGISTERED NURSE TO ASK HEALTH QUESTIONS OR RECEIVE GENERAL HEALTH INFORMATION. IN 2016, THE MEDICAL CALL CENTER HANDLED 145,086 CALLS. AVERA MCKENNAN'S WEB SITE ALSO PROVIDES AN EXTENSIVE HEALTH LIBRARY THAT CONSUMERS CAN ACCESS FREE OF CHARGE. INTERPRETER SERVICE: AVERA MCKENNAN EMPLOYS TWO FULL-TIME SPANISH INTERPRETERS IN-HOUSE, AND THEIR SERVICES ARE OFFERED TO PATIENTS FREE OF CHARGE. IN ADDITION, IN COOPERATION WITH EXTERNAL AGENCIES, AVERA MCKENNAN IS ABLE TO HANDLE 210 DIFFERENT LANGUAGES AND DIALECTS THROUGH PHONE, VIDEO REMOTE INTERPRETING AND OTHER MEANS. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS WHEN THEY ARE AT AVERA MCKENNAN IN PERSON, OR WHEN THEY CALL BY PHONE. ALL THE ABOVE SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. PRENATAL AND DELIVERY CARE: BECAUSE EARLY AND REGULAR PRENATAL CARE IS IMPORTANT TO PREVENT PREMATURE BIRTH, AVERA MCKENNAN COLLABORATES IN A COMMUNITY EFFORT TO PROVIDE OBSTETRICS CARE FOR WOMEN WHO DO NOT QUALIFY FOR MEDICAID, BUT CANNOT AFFORD HEALTH INSURANCE. THE PROGRAM OFFERS PRENATAL CARE, AND HOSPITAL LABOR AND DELIVERY SERVES FOR A LOW FEE OF $1,000. WOMEN RECEIVE CARE WHETHER THEY CAN COVER ANY OR ALL OF THE FEE. CARE IS PROVIDED PRIMARILY BY FIRST-YEAR FAMILY PRACTICE RESIDENTS, SUPERVISED BY EXPERIENCED PHYSICIANS. THROUGH THIS PROGRAM IN 2016, AVERA MCKENNAN ASSISTED WITH 98 BIRTHS AND PROVIDED 872 PRENATAL AND POST-PARTUM VISITS. TRANSPORT TO TRANSPLANT: AVERA MCKENNAN DEVELOPED THE TRANSPORT TO TRANSPLANT PROJECT, WHICH REMOVES TRANSPORTATION BARRIERS FOR PATIENTS FROM RURAL AREAS WHICH MAY PREVENT THEM FROM COMPLETING THE EVALUATION AND TESTING NEEDED FOR KIDNEY AND/OR PANCREAS TRANSPLANT. A VAN FUNDED THROUGH A GRANT FROM THE AVERA MCKENNAN FOUNDATION IS USED TO TRANSPORT PATIENTS WHO DEMONSTRATE A FINANCIAL NEED. PATIENTS ARE BROUGHT TO THE AVERA TRANSPLANT INSTITUTE FOR A CONDENSED MULTI-DAY EVALUATION WITH ALL TESTING AND VISITS COMPLETED IN LESS THAN ONE WEEK. ULTIMATELY, THE PROJECT RESULTS IN IMPROVED MORBIDITY AND MORTALITY, AS KIDNEY TRANSPLANT DOUBLES PATIENT SURVIVAL AS COMPARED TO REMAINING ON DIALYSIS. AVERA FAMILY WELLNESS: THIS PROGRAM COMBINES POSITIVE ACTIVITIES LIKE VIOLIN LESSONS WITH FAMILY COACHING AT NO CHARGE FOR CHILDREN IN EARLY CHILDHOOD PROGRAMS IN THE SIOUX FALLS SCHOOL DISTRICT. THE GOAL IS TO PREVENT OR LESSEN THE EFFECTS OF BEHAVIORAL HEALTH CONDITIONS ON CHILDREN AND FAMILIES BY FOSTERING A POSITIVE ENVIRONMENT. OVER 400 STUDENTS AND THEIR FAMILIES ARE ENROLLED. THE WALSH FAMILY VILLAGE: THIS HOSPITALITY HOUSE COMPLEX ADJACENT TO THE AVERA MCKENNAN CAMPUS PROVIDES A HOME AWAY FROM HOME FOR PATIENTS AND THEIR FAMILIES WHO COME FOR CARE AT AVERA MCKENNAN FROM OUTSIDE OF SIOUX FALLS. THE PROJECT WAS FUNDED BY DONATIONS AND IS OPERATED BY AVERA MCKENNAN. ELEVEN GUEST ROOMS ARE AVAILABLE. AVERA MCKENNAN ALSO DONATES USE OF A BUILDING IN THE COMPLEX FOR A RONALD MCDONALD HOUSE FOR FAMILIES OF PEDIATRIC PATIENTS. IF THEY CAN AFFORD IT, GUESTS ARE CHARGED A LOW FEE OF $55 PER NIGHT. GUESTS ARE NOT TURNED AWAY DUE TO INABILITY TO PAY THE FEE. EMPLOYEES REGULARLY DONATE NON-PERISHABLE FOOD ITEMS TO STOCK A FOOD PANTRY FOR GUESTS. IN FY2016, THE WALSH FAMILY VILLAGE SERVED 6,448 GUESTS, STAYING IN 4,026 NIGHTLY ROOMS AN 85 PERCENT OCCUPANCY. AVERA MCKENNAN PROVIDES A SUBSIDY OF APPROXIMATELY $176,000 PER YEAR TO OPERATE THE HOSPITALITY COMPLEX. PREVENTION AND SUPPORT OF SUBSTANCE USE DISORDER: AVERA MCKENNAN IS A PARTNER WITH FACE IT TOGETHER SIOUX FALLS, A NONPROFIT ORGANIZATION WHICH SERVES AS THE LOCAL FACE AND VOICE FOR RECOVERY FROM ADDICTION THROUGH ITS RECOVERY SUPPORT SERVICES, ADVOCACY AND AWARENESS PROGRAMS. AVERA HAS BEEN A PARTNER WITH FACE IT TOGETHER SINCE ITS INCEPTION, AND IN A RECENT AWARENESS CAMPAIGN. COMMUNITY CONNECTIONS: AVERA MCKENNAN REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT EASTERN SOUTH DAKOTA, SOUTHWESTERN MINNESOTA AND NORTHWEST IOWA THROUGH HOME TOWN CONNECTIONS. PROVIDING A CRITICAL FEEDBACK LINK TO LOCAL REFERRING DOCTORS, THIS PROGRAM COMPLETES THE COMMUNICATIONS LINKS NECESSARY TO KEEP LOCAL HEALTH CARE PROVIDERS CURRENT ON THE TREATMENT OF THEIR PATIENTS AT AVERA MCKENNAN. SUPPORT OF THE ARTS AND CULTURAL LIFE: AVERA MCKENNAN HOSTS SIOUX FALLS' ONLY INDOOR SCULPTUREWALK, AN EXTENSION OF THE COMMUNITY'S DOWNTOWN SCULPTUREWALK. ARTISTS DONATE SCULPTURES FOR ONE YEAR, WHICH ARE PLACED AT LOCATIONS THROUGHOUT AVERA MCKENNAN'S CAMPUS, IN BUILDINGS CONNECTED BY SKYWALKS. BROCHURES CONTAIN A MAP, AND VISITORS WHO FOLLOW THE ROUTE SUGGESTED WALK APPROXIMATELY 1 MILE, MAKING THIS A HEALTHY AS WELL AS A CULTURAL JOURNEY. DIABETES PROGRAMMING: AVERA PARTICIPATES IN A COLLABORATIVE PROJECT WITH SIOUX FALLS PUBLIC SCHOOLS AND THE SOUTH DAKOTA BOARD OF NURSING TO IMPLEMENT ECONSULT SERVICES WITH DIABETIC EDUCATION SPECIALISTS MONITORING MEDICATIONS AND THE HEALTH OF CHILDREN WITH DIABETES IN THE SCHOOL SETTING. AVERA MCKENNAN DIABETES EDUCATORS PROVIDED CLASSES AND ONE-ON-ONE CONSULTATIONS AT A LOSS OF $115,000 IN THE PAST FISCAL YEAR. COMMUNITY BENEFITS: AVERA MCKENNAN PROVIDES ADDITIONAL COMMUNITY BENEFITS INCLUDING: SUPPORT OF YOUTH PROGRAMS; HOMELESS PROGRAMS; COMMUNITY ARTS PROGRAMMING; HEALTH PREVENTION; AWARENESS AND EDUCATION ABOUT CANCER, HEART DISEASE AND OTHER CONDITIONS; AND SUPPORT OF THE SIOUX EMPIRE UNITED WAY AND OTHER SERVICES IN THE REGION. PRESCHOOL VISION AND HEARING SCREENING: AVERA MCKENNAN PROVIDED FREE SCREENING FOR 254 PRESCHOOL CHILDREN IN FISCAL YEAR 2016. |
| FORM 990, PART VI, SECTION A, LINE 2 | GENE JONES JR. AND CINDY WALSH HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS AVERA HEALTH, A NONPROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF SOUTH DAKOTA AND EXEMPT UNDER SECTION 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, ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | AVERA HEALTH HAS THE FOLLOWING RIGHTS AS THE MEMBER: 1) TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE STATEMENTS OF PHILOSOPHY, MISSION AND VALUES OF CORPORATION; 2) TO INITIATE THE ADOPTION, AMENDMENT OR REPEAL OF ANY PROVISION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, AND TO GIVE FINAL APPROVAL OF ANY SUCH ACTION WITH RESPECT THERETO; 3) TO APPROVE AND ACT UPON THE ALIENATION OF REAL PROPERTY AND PRECIOUS ARTIFACTS UNDER THE CANONICAL STEWARDSHIP OF THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY OF ABERDEEN, SOUTH DAKOTA ("PRESENTATION SISTERS") OR THE BENEDICTINE SISTERS OF SACRED HEART MONASTERY ("BENEDICTINE SISTERS"), PURSUANT TO THE POLICIES ESTABLISHED BY THE MEMBER; 4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION, OR THE DIVESTITURE OF A SPONSORED WORK OR MINISTRY ASSOCIATED WITH THE CORPORATION; 5) TO APPROVE THE CREATION OF NEW SPONSORED WORKS OR MINISTRIES TO BE CONDUCTED BY OR UNDER THE AUTHORITY OF THE CORPORATION; 6) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE BOARD OF DIRECTORS OF THE CORPORATION. 7) TO APPOINT AND/OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. 8) TO APPROVE OPERATING/CAPITAL BUDGETS AND STRATEGIC PLANS OF THE CORPORATION. 9) TO APPROVE EXPENDITURES OUTSIDE OF OPERATING AND CAPITAL BUDGETS EXCEEDING DEFINED THRESHOLDS ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 10) TO APPROVE ACQUISITIONS, SALES AND LEASES, ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 11) TO ESTABLISH AND MAINTAIN EMPLOYEE BENEFIT PROGRAMS. 12) TO ESTABLISH AND MAINTAIN INSURANCE PROGRAMS. 13) TO APPROVE MAJOR COMMUNITY FUND DRIVES. 14) TO APPROVE THE APPOINTMENT OF AUDITORS. 15) TO ADOPT POLICIES DESIGNED TO EFFECTUATE THE RESERVED POWERS OF THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 8B | AVERA MCKENNAN DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND ASSISTANT VP OF FINANCIAL REPORTING. AFTER THE INITIAL REVIEW, A DRAFT IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW. THE APPROVED RETURN IS PROVIDED TO FULL BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. AT EACH BOARD MEETING, A REQUEST IS MADE FOR ALL BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST PERTAINING TO ANY ITEM LISTED ON THE AGENDA OR PERTAINING TO ANY POTENTIAL ITEM THAT COULD BE DISCUSSED DURING THE COURSE OF THE MEETING. THE DECLARATION OF CONFLICT OF INTEREST IS RECORDED IN THE MEETING MINUTES. THE BOARD MAKES A DETERMINATION OF WHETHER THERE IS A CONFLICT OF INTEREST AND IF SO, IMPLEMENTS THE PROCEDURE FOR EVALUATING THE ISSUE OR TRANSACTION INVOLVED. THE BOARD MEMBER OR OFFICER WITH THE CONFLICT MUST REFRAIN FROM VOTING. A STATEMENT OF CONFLICT OF INTEREST DISCLOSURE IS MADE ON AN ANNUAL BASIS BY OFFICERS AND DIRECTORS. THE INFORMATION IS MAINTAINED IN A DATABASE AND A REPORT IS PROVIDED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE CEO IS COMPENSATED BY AVERA HEALTH SYSTEM. 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 FOR COMPENSATION 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. THE CFO AND KEY EMPLOYEES ARE COMPENSATED BY AVERA MCKENNAN. ANNUALLY, THE COMPENSATION COMMITTEE OF AVERA MCKENNAN, WHICH IS COMPRISED OF BOARD MEMBERS, MEETS TO REVIEW THE COMPENSATION OF EXECUTIVES AND PHYSICIANS. AVERA MCKENNAN COMPARES ITS COMPENSATION PLAN TO OTHER HEALTHCARE ORGANIZATIONS SIMILAR IN SIZE AND COMPLEXITY TO AVERA MCKENNAN ON A NATIONAL BASIS TO ENSURE COMPENSATION IS COMPARABLE. AVERA MCKENNAN UTILIZES MULTIPLE SALARY SURVEYS AND AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE A MARKET ANALYSIS FOR EACH EXECUTIVE'S SUGGESTED PAY OR PAY RANGE. INDIVIDUAL SALARIES REFLECT RELATED EDUCATION AND EXPERIENCE, AS WELL AS THE SCOPE OF THE DUTIES TO ASSURE AMOUNTS PAID ARE REASONABLE. |
| 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 VI, SECTION B, LINE 16B: | THERE IS NO WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. IN THE EVENT OF ANY SUCH PROPOSED TRANSACTION THE BOARD, OR A COMMITTEE WITH DELEGATED AUTHORITY, REVIEWS ALL MATERIALS, VALUATIONS, AND OPERATIONAL ASPECTS FOR ANY PROPOSED TRANSACTION. SUCH TRANSACTION WOULD BE EVALUATED IN ACCORDANCE WITH THE EXEMPT STATUS OF THE ORGANIZATION AND ITS APPLICABLE PURPOSES. ANY TRANSACTION ALSO MUST BE APPROVED BY THE BOARD AND THE MEMBER. |
| FORM 990, PART IX, LINE 11G | MEDICAL FEES: PROGRAM SERVICE EXPENSES 8,579,784. MANAGEMENT AND GENERAL EXPENSES 139,374. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,719,158. FFS OTHER: PROGRAM SERVICE EXPENSES 57,472,770. MANAGEMENT AND GENERAL EXPENSES 82,730,080. FUNDRAISING EXPENSES 78,010. TOTAL EXPENSES 140,280,860. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 150,000. TOTAL EXPENSES 150,000. RESEARCH EXPENSES: PROGRAM SERVICE EXPENSES 3,782,789. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,782,789. |
| FORM 990, PART X, LINE 20: | THE ISSUE PRICE INCLUDES THE FILING ORGANIZATION'S SHARE OF THE ENTIRE BOND ISSUE, WHICH WAS ISSUED TO AVERA HEALTH ON BEHALF OF THE AVERA OBLIGATED GROUP. THE AVERA OBLIGATED GROUP CONSISTS OF AVERA HEALTH, AVERA MCKENNAN, AVERA ST. LUKE'S, AVERA QUEEN OF PEACE, AVERA SACRED HEART, AVERA ST. MARY'S AND AVERA MARSHALL. IN ACCORDANCE WITH IRS INSTRUCTIONS, INFORMATION RELATED TO THE TAX EXEMPT BOND REPORTING IS BEING REPORTED ON AVERA HEALTH'S TAX RETURN (EIN 46-0422673). |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS, NET -37,638,937. OTHER CHANGES IN UNRESTRICTED NET ASSETS 1,004,004. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT COMMITTEE OF AVERA HEALTH, THE PARENT ORGANIZATION OF AVERA MCKENNAN, SELECTS THE AUDITOR AND REVIEWS THE AUDITED FINANCIAL STATEMENTS FOR AVERA MCKENNAN. ALSO, THE FINANCE COMMITTEE AT AVERA MCKENNAN TAKES RESPONSIBILITY FOR REVIEWING THE AUDITED FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SIOUX FALLS HOSPITAL MANAGEMENT LLC | |||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 571175045 | 562141521 | MANAGEMENT COMPANY OF HEART HOSPITAL | NC | $6,003,852 | $20,186,824 | WEST 69TH STREET LLC |
| WEST 69TH STREET LLC | |||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 571175045 | 460224743 | HOLDING COMPANY | SD | $6,003,852 | $20,186,824 | AVERA MCKENNAN |
| ALUMEND LLC | |||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 571175045 | 460224743 | RESEARCH AND DEVELOPMENT | SD | -$3,779,017 | $1,547,985 | AVERA MCKENNAN |
| MRIS LLC | |||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 571175045 | 470874983 | HEALTHCARE SERVICES | SD | $0 | $0 | AVERA MCKENNAN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | FUNDRAISING | IA | 501(C)(3) | LINE 9 | AVERA HOLY FAMILY | 0 | |
| ST BENEDICT HEALTH CENTER | |||||||||||
| 401 WEST GLYNN DRIVE | PARKSTON | SD | 57366 | 460226738 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | AVERA HEALTH | 0 | |
| ST BENEDICT HEALTH CENTER FOUNDATION | |||||||||||
| WEST GLYNN DRIVE PO BOX B | PARKSTON | SD | 57366 | 460458725 | SUPPORT HEALTH RELATED SERVICES | SD | 501(C)(3) | LINE 11A, I | ST BENEDICT HEALTH CENTER | 0 | |
| AVERA HEALTH | |||||||||||
| 3900 WEST AVERA DRIVE STE 300 | SIOUX FALLS | SD | 57108 | 460422673 | PROMOTION OF HEALTH | SD | 501(C)(3) | LINE 9 | 0 | N/A | |
| AVERA QUEEN OF PEACE | |||||||||||
| 525 NORTH FOSTER | 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 GETTYSBURG | |||||||||||
| 606 EAST GARFIELD | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | AVERA ST MARY'S | 0 | |
| AVERA AT HOME | |||||||||||
| 5116 S SOLBERG AVE | SIOUX FALLS | SD | 57108 | 460399291 | HOME SERVICES | SD | 501(C)(3) | LINE 9 | AVERA HEALTH | 0 | |
| LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY | |||||||||||
| 1000 W 4TH STREET SUITE 9 | YANKTON | SD | 57078 | 460337013 | HEALTHCARE EDUCATION | SD | 501(C)(3) | LINE 9 | 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 ST MARY'S | |||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | 460230199 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | AVERA HEALTH | 0 | |
| AVERA MARSHALL | |||||||||||
| 300 S BRUCE STREET | MARSHALL | MN | 56258 | 410919153 | HEALTHCARE SERVICES | MN | 501(C)(3) | LINE 3 | AVERA HEALTH | 0 | |
| AVERA MARSHALL FOUNDATION | |||||||||||
| 300 SOUTH BRUCE STREET | MARSHALL | MN | 56258 | 411784801 | FUNDRAISING | MN | 501(C)(3) | LINE 7 | AVERA MARSHALL | 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 STE 300 | SIOUX FALLS | SD | 57108 | 460451539 | HEALTH FINANCING AND HEALTH PLAN ADMIN | SD | 501(C)(4) | AVERA HEALTH | 0 | ||
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVERA HOME MEDICAL EQUIPMENT OF FLOYD LLC | ||||||||||||||
| 714 LINCOLN ST NE | LEMARS | IA | 51031 | 820582350 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF ESTHERVILLE LLC | ||||||||||||||
| PO BOX 5045 | SIOUX FALLS | SD | 57117 | 201686097 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER LLC | ||||||||||||||
| 38 19TH ST SW | SIOUX CENTER | IA | 51250 | 753203100 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF MARSHALL LLC | ||||||||||||||
| 1104 EAST COLLEGE DRIVE | MARSHALL | MN | 56258 | 205271924 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| Q&M PROPERTIES LLC | ||||||||||||||
| 525 NORTH FOSTER | MITCHELL | SD | 57301 | 731652049 | MEDICAL CLINIC BUILDING | SD | AVERA QUEEN OF PEACE | EXCLUDED | -$620 | $353,423 | 0 | 0 | 0.50000 | |
| SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC | ||||||||||||||
| 310 S PENNSYLVANIA ST | ABERDEEN | SD | 57401 | 460461429 | SURGICAL ASSOCIATES | SD | N/A | |||||||
| AVERA HME OF SPENCER HOSPITAL LLC | ||||||||||||||
| 2400 S MINNESOTA AVENUE 102 | SIOUX FALLS | SD | 57117 | 800619999 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| HEART HOSPITAL OF SOUTH DAKOTA LLC | ||||||||||||||
| 4500 W 69TH STREET | SIOUX FALLS | SD | 57108 | 562143771 | HEALTHCARE SERVICES | SD | AVERA MCKENNAN | RELATED | $12,007,704 | $40,373,648 | 0 | 0 | 0.66670 | |
| BROOKINGS HEALTH SYSTEM - AVERA HME LLC | ||||||||||||||
| 101 22ND AVE SUITE 101 | BROOKINGS | SD | 57006 | 453204123 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACCOUNTS MANAGEMENT INC | ||||||||||||
| 5132 S CLIFF AVE SUITE 101 | SIOUX FALLS | SD | 57108 | 460373021 | COLLECTION AGENCY | SD | N/A | C | 0 | |||
| AVERA PROPERTY INSURANCE INC | ||||||||||||
| 610 W 23RD ST STE 1 PO BOX 38 | 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 | BIOTECHNOLOGY | SD | C | Yes (1) | ALUMEND LLC | -$3,080,245 | 1.00000 | |
| SOUTH DAKOTA STATE MEDICAL HOLDING COMPANY INC | ||||||||||||
| 2600 W 49TH STREET | SIOUX FALLS | SD | 57105 | 460401087 | INSURANCE | SD | N/A | C | 0 | |||
| DAKOTACARE ADMINISTRATIVE SERVICES INC | ||||||||||||
| 2600 W 49TH STREET | SIOUX FALLS | SD | 57105 | 460424322 | INSURANCE | 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC | ||
| R | $3,100,665 | INTERCOMPANY DETAIL FROM GL |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC | ||
| S | $11,165,628 | INTERCOMPANY DETAIL FROM GL |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC | ||
| L | $2,028,292 | INTERCOMPANY DETAIL FROM GL |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC | ||
| Q | $770,788 | INTERCOMPANY DETAIL FROM GL |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE R, PART V, LINE 2, COLUMN C | THE AMOUNTS REPORTED IN COLUMN C ARE REPORTED BASED ON A REVIEW OF GENERAL LEDGER ACTIVITY IN INTERCOMPANY ACCOUNTS, AND REVIEW OF EQUITY ACCOUNTS FOR CONTRIBUTIONS AND DISTRIBUTIONS. |
| FORM 990, SCHEDULE R, PART II, | IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: EFFECTIVE OCTOBER 1, 2015, AVERA HEALTH PLANS INC. OBTAINED TAX EXEMPT STATUS UNDER IRC 501(C)(4). AVERA HEALTH PLANS INC. WAS PREVIOUSLY TAXED AS A C-CORPORATION. EFFECTIVE MARCH 1, 2016, AVERA TYLER WAS ACQUIRED BY AVERA HEALTH. |
| FORM 990, SCHEDULE R, PART III, | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP: AVERA HOME MEDICAL EQUIPMENT OF ESTHERVILLE, LLC DISSOLVED EFFECTIVE OCTOBER 1, 2015. AVERA HOME MEDICAL EQUIPMENT OF MARSHALL, LLC DISSOLVED EFFECTIVE JANUARY 1, 2016. OPERATIONS OF BOTH ENTITIES WERE TRANSFERRED TO AVERA AT HOME. |