2016-05-16T11:23:54-05:00 2015-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2014-07-01 460230199 St Mary's Healthcare Center STMA 6052243130 801 East Sioux Avenue Pierre SD 57501 Todd Forkel CEO 6052243130 2016-05-13 1 Kim Hunwardsen CPA P00484560 6122536500 2016-05-13 2014 2016-08-17 19:52:53Z Todd Forkel 801 East Sioux Avenue Pierre SD 57501 79489780 0 0928 X www.avera.org/st-marys-pierre X 1951 SD Promotion of health 12 9 552 216 14611 12861 49360 201871 72424426 78760800 125926 374817 131023 152292 72730735 79489780 65179 8028 0 0 41724516 43730180 0 0 0 33838755 38234175 75628450 81972383 -2897715 -2482603 68595878 75312722 29265165 39148640 39330713 36164082 X Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values. 0 0 72602174 8028 78760800 Avera St. Mary's is listed in the official Catholic Directory. It is a tax Exempt 501(c)(3) organization operated as a ministry of the Catholic Church. Avera St. Mary's is affiliated with Avera Health.The hospital serves all persons in the community on a non-discriminatory basis. Avera St. Mary's operates an emergency room that is open to all persons regardless of ability to pay. Avera St. Mary's has an open medical staff with privileges available to all qualified physicians in the area. The governing body is comprised of primarily independent individuals, representative of the community as a whole. Avera St. Mary's provides education and training opportunities to healthcare students enrolled in the local college Capital University Center. Avera St. Mary's participates in Medicaid, Medicare, Champus, Tricare and/or Other Government sponsored Health Care Programs. 72602174 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 2 0 1 552 1 1 1 0 0 0 0 1 1 0 0 0 0 X 12 9 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 1 1 0 X Geoff Durst 6052243127 801 East Sioux Avenue Pierre SD 57501 Colleen Lamb Chair 2.00 0.00 X X 0 0 0 Terry Fitzke Vice Chair/Sec/Treas 2.00 0.00 X X 0 0 0 Dan Lusk Board Member 2.00 0.00 X 0 0 0 Dr Joseph Villa Board Member 2.00 40.00 X 0 531908 36981 Janet Cronin Board Member 2.00 0.00 X 0 0 0 Scott Isburg Board Member 2.00 0.00 X 0 0 0 Sister Sandra Meek Board Member 2.00 2.00 X 0 0 0 Dr Joseph Wyatt Board Member 2.00 40.00 X 0 520917 22164 Dr Jessica Rasmussen Board Member 2.00 40.00 X 0 304275 20800 Peggy Williams Board Member 2.00 0.00 X 0 0 0 Sister Mary Jaeger Board Member 2.00 9.00 X 0 0 0 Sister Kathleen Crowley Board Member 2.00 4.50 X 0 0 0 Bob Sutton President & CEO (beg 08/25/14) 2.00 40.00 X 0 306096 38243 Paul Ebmeier President & CEO (thru 8/25/14) 2.00 40.00 X 0 408358 29450 Tom Wagner CFO 40.00 0.00 X 152154 0 30097 Christopher Olson CRNA 40.00 0.00 X 201066 0 33988 Theresa Simmons CRNA 40.00 0.00 X 201114 0 31939 Kevin Roark CRNA 40.00 0.00 X 171282 0 33954 Brad Saathoff Staff Pharmacist 40.00 0.00 X 190438 0 22555 Sandra Jacobson Director Pharmacy 40.00 0.00 X 148807 0 27026 1064861 2071554 327197 11 0 1 0 Avera McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 Staffing and other services 23234182 Avera Health 3900 West Avera Drive Sioux Falls SD 571085721 Shared services 5020973 Sioux Falls Construction PO Box 2728 Sioux Falls SD 57101 Construction 847971 Ready Tech Go 1005 E 23rd St Ste 200 Freemont NE 68025 Purchased services 390051 NXC Imaging 2118 4th Ave S Minneapolis MN 554042642 Hospital services 312611 10 201871 201871 Patient Service Revenue 621110 76818140 76818140 Miscellaneous Revenue 900099 1527042 1512431 14611 Meaningful Use Payments 900099 360931 360931 Change in Interest in Foundation 900099 53894 53894 Cafeteria Revenue 900099 793 793 78760800 27642 27642 152292 0 152292 152292 152292 341799 5376 0 0 341799 5376 347175 347175 79489780 78746189 14611 527109 X 8028 8028 173893 173893 60838 60838 35157538 31811611 3345927 1890004 1705587 184417 4378183 3958035 420148 2069724 1864821 204903 3518 3518 10031193 7172303 2858890 25013 25013 2808051 2653608 154443 25017 25017 1465717 541777 923940 198054 117644 80410 206034 206034 816759 816759 3722012 3658738 63274 501342 492819 8523 Medical Supplies 9939526 9939526 Bad Debt Expense 5828236 5828236 Repairs and Maintenance 1268807 551931 716876 Unrelated Business Inco 4373 4373 1390523 1390523 81972383 72602174 9370209 0 4637375 5587595 8442387 11086785 243920 270391 386756 1992358 2088268 828494 426583 86852700 57830121 28939989 29022579 22292915 25885112 215916 219846 680869 609198 51264 0 68595878 75312722 6698992 12228657 217873 18243 9641011 9040251 12707289 12287311 0 5574178 29265165 39148640 X 37237076 34059192 1780637 1791890 313000 313000 39330713 36164082 68595878 75312722 X -2482603 -83472 -600556 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1912 1912 0 Part II-B, Line 1: Avera St. Mary's paid dues to organizations which have a portion of the dues attributed to lobbying activities. 3086916 3086916 37476071 22378784 15097287 43212443 34233457 8978986 3077270 1217880 1859390 29022579 Assets Limited as to Use - Avera Pooled Investment Fund 25885112 F 25885112 Due To Related Party 5574178 5574178 X Part X, Line 2: Avera Health and most of its sponsored organizations are considered nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. These organizations are required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). Avera Health and certain sponsored organizations also file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report their unrelated business taxable income. Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The federal Form 990T filings for consolidated subsidiaries are no longer subject to federal tax examinations by tax authorities for years before 2012. 1 1 X 1 X 1 X 1 1 1 0 1 1 489989 489989 0.00640 7951474 6824625 1126849 0.01480 8441463 6824625 1616838 0.02120 2 182283 182283 0.00240 1 30878005 15962271 14915734 0.19590 1 133556 133556 0.00180 4 31193844 15962271 15231573 0.20010 4 39635307 22786896 16848411 0.22130 1 5828236 0 14211953 13856994 354959 X 1 1 1 1 Avera St Mary's 801 East Sioux Avenue Pierre SD 57501 www.avera.org/st-marys-pierre/ 10566 X X X Provider based clinic Avera St Mary's 1 0 0 1 X X X X X X X X X 12 1 0 1 1 X www.avera.org/st-marys-pierre/ X 1 12 1 See Part V 0 0 1 X 150.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X http://www.avera.org/experience/ah/financial-assistance-charity-care/ X http://www.avera.org/experience/ah/financial-assistance-charity-care/ X X X X X X 1 X 0 X X X X 1 X 0 1 Avera St. Mary's Part V, Section B, Line 5: Avera St. Mary's gathered information regarding the needs of the community through a three-pronged process, including surveying the community as a whole at a large community event, interviewing community leaders, and holding focus groups. Avera St. Mary's included the following groups in their information gathering: health leaders with in-depth knowledge of the local health care environment, government, business, retired, South Dakota State Departments of health and social services, Urban Indian Health, and Rural Health Clinics. Avera St. Mary's Part V, Section B, Line 6b: South Dakota Department of HealthUrban Indian HealthDelta Dental of South DakotaPierre Area Chamber of CommercePierre Area Referral Service Avera St. Mary's Part V, Section B, Line 11: Goals addressed from October 2013- April 2016Goal 1: Increase Cancer Treatment Options and services in Central South Dakota. Working with Avera recruiters and local physicians and staff, a successful recruitment plan was developed and implemented. Dr. Sreekanth Donepudi was recruited and began his oncology practice in Pierre July 1, 2014. Exploration of building a Cancer Center included hiring the Oncology Group to determine feasibility, market and financial information. Oncology Group interviewed over 60 people from Central South Dakota, analyzed data available for potential cancer center feasibility and prepared a report for Avera which was presented in March 2014. The plan was put on hold for a few years until it could be approved by Avera system. It is in the approval process currently. A campaign for new flat screen TV's was conducted for the oncology treatment area, lead by a patient's family, and 7 screens were installed with donated electrical installation as well in May, 2015. In March, 2015, donations were accepted for oncology treatment equipment after a family visited with Dr. Donepudi about treatment equipment needs.Goal 2: Reduce the Impact of Mental Illness in central South Dakota.A baseline of psychiatric services needed in central South Dakota was established and meetings with Avera Behavioral Health Service line were held with Pierre area community leaders and community mental health task force members to explore ways to increase providers. September 15, 2014 Julie Cox, PA with mental health certification was hired at AMG-Pierre to manage and coordinate mental health care. In 2015, Dr. Gammeter, Child Psychiatrist in the Avera system is seeing 3-4 kids a month via e-consult. In February 2015, Dr. Chiu, psychiatrist from Avera St. Luke's began providing adult psychiatric clinic once a month for 8 hours a day and may increase the number of days per month. Community mental health task force expanded and began meeting monthly in February 2016 to determine innovative and successful ways for our community to keep people safe and at home as much as possible. Work continues on a variety of programs, including developing a mobile crisis team.Goal 3: Reduce the percentage of individuals (both adult and youth) in central South Dakota who are Overweight and Obese.Let's Move community coalition began and expanded the Harvest of the Month in schools and after care programs, and Avera St. Mary's Foundation sponsored the Community wellness Coordinator to work on this and other long-term sustainable and holistic approaches to promote improved nutrition and increase physical activity. Gardens, grocery stores and increased education was the focus in 2014 and 2015. April 2015, 10 sites received funding form Wal-Mart grant, including Juvenile Services Center, Oahe Inc for fresh produce and supplies for weekly community Banquet. A Walk Audit grant was received in April 2014 and Eric Crouch worked with our Let's Move Committee. Summer Rec classes include physical program and increasing opportunities in gardening and cooking due to high demand in 2014 and 2015.Issues that were mentioned in the assessment and no action taken are: short term shelter facility for those of limited means, diverse cultural needs, detox facilities and programs, barriers (hours, affordability, and availability). The shelter and detox have been studied by various groups in the past and the end result has been lack of sustainable financing. Until there is a sustainable plan, we are unable to address this in the next few years. However, by further developing mental heath, we believe that both of these needs will be further developed in the planning and action processes. Cultural needs is much more than just one need and simple solution. We are planning that the key needs we are addressing will include input and participation by and with the Native American community. Avera St. Mary's 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 in the billing statement. In addition, the financial assistance policy is discussed with the patient upon admission to the facility. Avera St. Mary's 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. Part V, Section B, Line 10: http://www.avera.org/experience/shared/community-needs-health-assessments/ Part V, Section B, Line 16 Financial Assistance Policy Website Availability Avera St. Mary's Part V, Section B, line 16a website: http://www.avera.org/experience/ah/financial-assistance-charity-care/ Avera St. Mary's Part V, Section B, line 16c website: http://www.avera.org/experience/ah/financial-assistance-charity-care/ 3 Avera Parkwood Independent Living Facili 400 Parkwood Drive Pierre SD 57501 Independent living MaryHouse 400 Parkwood Drive Pierre SD 57501 Long term care Avera Medical Group Pierre 100 Mac Lane Pierre SD 57501 Provider based clinic Part I, Line 3c: A combination of income and assets test is utilized to determine eligibility for free or discounted care. Points are assigned based on income as a percentage of FPG and net assets owned with points deducted for ongoing medical expenses such as drugs. Patients with the fewest points receive the largest discount. 0-1 points receive 100% discount on bills while remaining discounts range from 10-90% depending on point totals and dollar amount of charges. Part I, Line 6a: The community benefit report is posted on our web site at www.avera.org/st-marys-pierre. Part I, Line 7: Charity care and unreimbursed Medicaid was converted to cost using the overall cost to charge ratio in IRS worksheet 2. The amounts on lines 7e and 7i represent expenses reported in the general ledger. Line 7g is from the cost report. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $5,828,236. Part III, Line 2: Bad debt is reported at charges as recorded by the organization. Part III, Line 4: Note 1 on page 10 of the financial statements describes bad debt expense. Part III, Line 8: Medicare allowable costs of care are based on the Medicare cost report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Part III, Line 9b: If the patient qualifies for the Organization's financial assistance policy for low-income, uninsured patients and is cooperating with the Organization with regard to efforts to settle an outstanding bill within a reasonable time period, the Organization or its agent shall not send, nor indicate that it will send, the unpaid bill to any outside collection agency. At such time as the Organization sends the uncollected account to an outside collection agency, the amount referred to the agency shall reflect the reduced-payment level for which the patient was eligible under the Organization's financial assistance policy for low-income uninsured patients. Avera St. Mary's does not report any data to any of the credit agencies, however, the collection agencies Avera St. Mary's utilizes may report to the credit agencies. Any extended payment plans offered by the Hospital, or the Hospital's representative, in settling the outstanding bills of patients who qualify for financial assistance shall be interest-free so long as the repayment schedule is met. Part VI, Line 2: The Community Health Needs Assessment was a three-pronged process to gather Stakeholder information on community perceptions of the health of Central South Dakota which included a survey at a large Farm/Home Show in February, 2013, interviews with identified community leaders, and several focus groups.The Community Health Needs Assessment for Avera St. Mary's was completed and posted to their website by June 30, 2013. Part VI, Line 3: Avera St. Mary's posts its charity care policy, or a summary thereof, and financial assistance contact information in admissions areas, emergency rooms, and other areas of the organization's facilities in which eligible patients are likely to be present; (2) provides a copy of the policy, or a summary thereof, and financial assistance contact information to patients as part of the intake process; (3) provides a copy of the policy, or a summary thereof, and financial assistance contact information to patients with discharge materials; (4) includes the policy, or a summary thereof, along with financial assistance contact information, in patient bills; and/or (5) discusses with the patient the availability of various government benefits, such as Medicaid or state programs, and assists the patient with qualification for such programs, where applicable. Part VI, Line 4: Avera St. Mary's is an acute care hospital serving a rural community area of Central South Dakota which consists of the following primary counties: Hughes, Sully, Dewey and Stanley County. Part VI, Line 5: The hospital serves all persons in the community on a non-discriminatory basis. Avera St. Mary's operates an emergency room that is open to all persons regardless of ability to pay. Avera St. Mary's has an open medical staff with privileges available to all qualified physicians in the area. The governing body is comprised of primarily independent individuals, representative of the community as a whole. Avera St. Mary's provides education and training opportunities to healthcare students enrolled in the local college Capital University Center. Avera St. Mary's participates in Medicaid, Medicare, Champus, Tricare and/or Other Government sponsored Health Care Programs. Part VI, Line 6: The communities in which Avera 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. 0 0 0 0 0 0 0 0 0 Dr Joseph Villa Board Member 0 523788 0 0 0 8120 0 17413 0 20328 0 569649 0 0 Dr Joseph Wyatt Board Member 0 519264 0 0 0 1653 0 20800 0 2124 0 543841 0 0 Dr Jessica Rasmussen Board Member 0 303530 0 0 0 745 0 20800 0 0 0 325075 0 0 Bob Sutton President & CEO (beg 08/25/14) 0 305920 0 0 0 176 0 18675 0 20328 0 345099 0 0 Paul Ebmeier President & CEO (thru 8/25/14) 0 307368 0 0 0 100990 0 8372 0 21840 0 438570 0 0 Tom Wagner CFO 150812 0 0 0 1342 0 12499 0 18358 0 183011 0 0 0 Christopher Olson CRNA 200450 0 0 0 616 0 14420 0 20328 0 235814 0 0 0 Theresa Simmons CRNA 200170 0 0 0 944 0 12371 0 20328 0 233813 0 0 0 Kevin Roark CRNA 171008 0 0 0 274 0 13936 0 20778 0 205996 0 0 0 Brad Saathoff Staff Pharmacist 190249 0 0 0 189 0 15182 0 7680 0 213300 0 0 0 Sandra Jacobson Director Pharmacy 145877 0 0 0 2930 0 11630 0 16030 0 176467 0 0 0 Schedule J, Part I, Line 3: The President & CEO's compensation is paid by a related organization, Avera Health. Avera St. Mary's relied on the related organization for determining the compensation for the President & CEO using the methods described in Part I, Line 3. Caitie Graves Daughter of officer 60838 employee compensation 0 Form 990, Part V, Line 1a: Independent contractors reported relate to services received by Avera St. Mary's, however a related organization files applicable Form 1099s on behalf of the organization. Form 990, Part VI, Section A, line 2 Sister Kathleen Crowley, Sister Mary Jaeger, Joe Villa, Bob Sutton, and Paul Ebmeier have business relationships. Form 990, Part VI, Section A, line 6 The sole member of the organization is Avera Health, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended. Form 990, Part VI, Section A, line 7a Avera Health, as the sole member has the power to appoint and remove, with or without cause, members of the board of directors. Form 990, Part VI, Section A, line 7b Avera Health, as the sole member, has the following rights as the member: 1) To approve the adoption, amendment or repeal of the statements of philosophy, mission and values of Corporation; 2) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Corporation, and to give final approval of any such action with respect thereto; 3) To approve and act upon the alienation of real property and precious artifacts under the canonical stewardship of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota ("Presentation Sisters") or the Benedictine Sisters of Sacred Heart Monastery ("Benedictine Sisters"), pursuant to the policies established by the Member; 4) To approve any plan of merger, consolidation or dissolution of the Corporation, or the divestiture of a sponsored work or ministry associated with the Corporation; 5) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of the Corporation; 6) To appoint and remove, with or without cause, the Board of Directors of the Corporation. 7) To appoint and/or remove, with or without cause, the President and Chief Executive Officer of the Corporation. 8) To approve operating/capital budgets and strategic plans of the Corporation. 9) To approve expenditures outside of operating and capital budgets exceeding defined thresholds according to policy which may be adopted from time to time by the Member. 10) To approve acquisitions, sales and leases, according to policy which may be adopted from time to time by the Member. 11) To establish and maintain employee benefit programs. 12) To establish and maintain insurance programs. 13) To approve major community fund drives. 14) To approve the appointment of auditors. 15) To adopt policies designed to effectuate the reserved powers of the Member. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 The return is reviewed by the CFO. The CFO presents the return to the board at a board meeting or an electronic copy of the return is sent to each board member by email for their review 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. Annually the Compensation Committee of Avera Health, which is comprised of six (6) system members appointed by the religious orders, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. The organization has a Physician Relations/Executive Compensation Committee to review physician related transactions and compensation related to physicians, other officers and key employees of the Organization. The Committee meets as needed with respect to physician compensation. With respect to leadership positions we contract with an outside consultant to gather wage and market data. Information is provided to the consultant for leadership positions that reflects the leader's area of responsibilities including the position title and education requirements, reporting structure, number of FTE's, total revenue and expenses and years of experience. Form 990, Part VI, Section C, line 19 The organization's conflict of interest policy and governing documents are not publicly available. Financial statements are consolidated in the Avera Health consolidated financials. Form 990, Part IX, line 11g Contract Labor: Program service expenses 1,058,314. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,058,314. Purchased Services: Program service expenses 1,933,417. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,933,417. Other Fees: Program service expenses 4,180,572. Management and general expenses 2,858,890. Fundraising expenses 0. Total expenses 7,039,462. Form 990, Part XI, line 9: Equity transfers -600,556. Form 990, Part VI, Line 16: There is no written policy or procedure 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 would be approved by the board and the member. Form 990, Part X, Line 20: The issue price includes the filing organization's share of the entire bond issue, which was issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Marshall, Avera St. Mary's, and Avera Sacred Heart. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Avera Health's tax return (EIN 46-0422673). Form 990, Part XII, Line 2c: The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the consolidated audited financial statements for AVera Health, which includes Avera St. Mary's. Avera Health 3900 West Avera Drive Suite 300 Sioux Falls SD 57108 460422673 Promotion of Health SD 501(c)(3) Line 9 N/A 0 Avera Gettysburg 606 East Garfield Gettysburg SD 57442 460234354 Healthcare Services SD 501(c)(3) Line 3 Avera St Mary's Healthcare Center 0 Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 470463911 Healthcare Education 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 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 S Bruce Street Marshall MN 56258 411784801 Fundraising MN 501(c)(3) Line 7 Avera Marshall 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 McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460224743 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 Queen of Peace Hospital 525 North Foster Mitchell SD 57301 460224604 Healthcare Services SD 501(c)(3) Line 3 Avera Health 0 Avera at Home 5116 S Solberg Ave Sioux Falls SD 57108 460399291 Home Services SD 501(c)(3) Line 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 Q&M Properties LLC 525 North Foster Mitchell SD 57301 731652049 medical clinic building SD N/A Avera Home Medical Equipment LLC 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460488198 medical services - home medical equipment SD N/A Home Medical Equipment of Pierre LLC 329 E Dakota Pierre SD 57501 460444002 Medical Services - Home Medical Equipment SD Avera McKennan Related 556378 0 14611 0 0.50000 Avera Home Medical Equipment of Floyd Valley Hospital LLC 714 Lincoln St NE Lemars IA 51031 820582350 medical services - home medical equipment SD N/A Avera Home Medical Equipment of 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 Avera Home Medical Equipment of Spencer Hospital LLC 2400 S Minnesota Ave 102 Sioux Falls SD 57117 800619999 medical services - home medical equipment SD N/A Surgical Associates Endoscopy Clinic LLC 310 S Pennsylvania St Aberdeen SD 57401 460461429 surgical associates SD N/A Heart Hospital of South Dakota LLC 4500 W 69th Street Sioux Falls SD 57108 562143771 healthcare services SD N/A Brookings Health System - Avera HME LLC 101 22nd Ave Suite 101 Brookings SD 57006 453204123 Healthcare services SD N/A Accounts Management Inc 5132 S Cliff Ave Suite 101 Sioux Falls SD 57108 460373021 collection agency SD N/A C 0 Avera Health Plans Inc 3900 West Avera Drive Suite 101 Sioux Falls SD 57108 460451539 health financing and health plan administration 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 Biotech Research SD N/A C 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 0 0 0 Avera McKennan M 17753650 Vendor History Avera St Luke's H 65304 Vendor History