AVERA MARSHALL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- AVERA MARSHALL (EIN 41-0919153)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201211359349304361
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T14:20:15-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410919153 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Marshall | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AVER | NameControl |
| Phone | 5075329661 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S Bruce Street | AddressLine1 |
| City | Marshall | City |
| State | MN | State |
| ZIP Code | 562581934 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Paul Puetz | Name |
| Title | Board Chair | Title |
| Phone | 5075329661 | Phone |
| Date Signed | 2012-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kim Hunwardsen CPA | Name |
| Phone | 6122536500 | Phone |
| Date Prepared | 2012-05-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Marshall Regional Medical Cent | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mary Maertens | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S Bruce Street | AddressLine1 |
| City | Marshall | City |
| State | MN | State |
| ZIP Code | 562581934 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 56636566 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.averamarshall.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | Promotion of health | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 535 | TotalNbrEmployees |
| Total Nbr Volunteers | 168 | TotalNbrVolunteers |
| Total Gross UBI | 172308 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 57647 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 342191 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 133845 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47475117 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 54851086 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 257832 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1397545 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 238413 | OtherRevenuePriorYear |
| Other Revenue Current Year | 71792 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 48313553 | TotalRevenuePriorYear |
| Total Revenue Current Year | 56454268 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 55410 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 61360 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23814055 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26616555 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 83164 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23102003 | OtherExpensePriorYear |
| Other Expenses Current Year | 24711457 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 46971468 | TotalExpensesPriorYear |
| Total Expenses Current Year | 51389372 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1342085 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5064896 | RevenuesLessExpensesCY |
| Total Assets BOY | 61305296 | TotalAssetsBOY |
| Total Assets EOY | 70020471 | TotalAssetsEOY |
| Total Liabilities BOY | 24861049 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26839447 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 36444247 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 43181024 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 41659415 | Expense |
| Grants | 61360 | Grants |
| Revenue | 54678778 | Revenue |
| Description | Avera Marshall (dba Avera Marshall Regional Medical Center) is a non-profit organization, privately owned and operated by Avera Health. Avera Marshall consists of a 25-bed Critical Access Hospital, an attached 76-bed nursing home, three physician clinics, and five optometry clinics. The physician clinics include specialty services (ob/gyn, pediatrics, orthopedics, general surgery, and internal medicine), psychiatry services and ophthalmology services. In FY 2011, Avera Marshall had 4,216 patient days in addition to 951 newborn patient days, 409 swing-bed days, and 2,657 behavioral-health bed days.AWARDS AND RECOGNITIONAvera Marshall has been the recipient of five safety awards from the Minnesota Hospital Association over the past several years, including Safe from Falls June 2008, Safe Site October 2008, Safe Count January 2009, Safe Skin April 2009, Safe Account March 2011. STRATEGIC ACCOMPLISHMENTSJoint Ventures - A home medical equipment store in Marshall is a joint venture between Avera Marshall and Avera McKennan in Sioux Falls. The showroom features equipment and supplies ranging from small personal care items to beds and wheelchairs, in addition to oxygen supplies and service. Management agreements - Avera Marshall has a "Partner in Health Agreement" with other non-profit organizations, which include Divine Providence Health Center in Ivanhoe, MN, Western Mental Health Center in Marshall, MN and Prairie Home Hospice in Marshall, MN. Partnerships - Avera Marshall has a partnership arrangement for therapy services with Big Stone Therapies, Inc., to offer hospital and long term care based services to inpatients and outpatients. They have also worked with Prairie Home Hospice, a free-standing agency, upon request, to provide temporary management services and business analysis. Physician recruitment - Avera Marshall has been successful in recruiting 21 providers to the Avera Medical Group since 2009. Surgery Center - A new surgery center opened in the summer of 2010, featuring state-of-the art equipment and design concepts. It includes the same day surgery center and procedure/treatment rooms, along with four complete operating rooms.Community needs fulfillment - Avera Marshall is currently completing a community health needs assessment that will identify unmet needs in the community and be used for subsequent strategic planning purposes.Aging Services - The neighborhood model has resulted in changes to the way care is provided in the long term care facility. More choice from the resident on schedules, activities and dining experiences has resulted in some remodeling and modified staffing patterns. Transitions Care offers individuals a place for recovery and rehab following an illness, injury or surgery. Clinic addition - A physician office building is being constructed that will add 40 clinic rooms, lab and imaging space. The singular location for Avera Medical Group physicians to offer their services will enhance the patient experience and create a welcome, private environment for people needing physician services. Outreach - Avera Marshall has identified new outreach locations by the general surgeon, ob/gyn, orthopod and ophthalmologists increasing access in local communities by bringing the specialist to people and making it convenient for those who need care. This is especially important for the elderly populations who have concerns about travel or physical limitations. Palliative care services will be added to the community within the next year. | Description |
| Total Program Service Expense | 41659415 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 69 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 535 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sharon Williams | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5075379150 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S Bruce St | AddressLine1 |
| City | Marshall | City |
| State | MN | State |
| ZIP Code | 562581934 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Dr Paul J Puetz | |||||||
| Chair | 1.30 | X | X | 0 | 0 | 0 | |
| James H Fuhrmann | |||||||
| Vice Chair | 1.30 | X | X | 0 | 0 | 0 | |
| Robert J Byrnes | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Roger Pabst | |||||||
| Director | 1.30 | X | 188937 | 0 | 8193 | ||
| Arthur M Olson | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Michael K Rich | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Randy Gaffney | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Sr Mary J Reichelt | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Sr Joann Sturzl | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Sr Jodelle A Zimmerman | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Donna Hartfiel MD | |||||||
| Director | 40.00 | X | 0 | 306792 | 7095 | ||
| Randy Serreyn | |||||||
| Director | 1.30 | X | 0 | 0 | 0 | ||
| Jill Vroman MD | |||||||
| Director (thru 9-20-10) | 1.30 | X | 0 | 0 | 0 | ||
| Mary B Maertens | |||||||
| President & CEO | 40.00 | X | X | 0 | 301191 | 26001 | |
| Sharon Williams | |||||||
| Sec/Treas & VP Finance | 40.00 | X | 108031 | 0 | 23474 | ||
| Richard Jueneman | |||||||
| CRNA | 40.00 | 257500 | 0 | 24325 | X | ||
| Amber Boles | |||||||
| CRNA | 40.00 | 262413 | 0 | 9870 | X | ||
| Jason Klein | |||||||
| CRNA | 40.00 | 246169 | 0 | 26563 | X | ||
| Kevin Gildner MD | |||||||
| Physician | 40.00 | 343458 | 0 | 17887 | X | ||
| Curtis Louwagie MD | |||||||
| Physician | 40.00 | 311286 | 0 | 18325 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1717794 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 607983 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 161733 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Avera McKennan | |||||
| 1001 E 21st ST Ste 401 | Sioux Falls | SD | 57105 | Physicians and Anciliary | 3582363 |
| Avera Health | |||||
| 3900 W Avera Dr Ste 301 | Sioux Falls | SD | 57105 | Central Service Fees | 2295757 |
| Big Stone Therapies | |||||
| 830 Roy ST | Ortonville | MN | 56278 | Therapy Services | 1337074 |
| Weatherby Locums | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Locum Physicians | 487119 |
| Leonard Street & Deinard PA | |||||
| 150 South Fifth Ste 2300 | Minneapolis | MN | 55402 | Legal Services | 474864 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Government Grants | 89626 | GovernmentGrants |
| All Other Contributions | 44219 | AllOtherContributions |
| Total Contributions | 133845 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Service Re | 622110 | 53791143 | 53791143 | |
| Miscellaneous Revenue | 900099 | 474369 | 376066 | 98303 |
| Cafeteria Revenue | 900099 | 266931 | 218558 | 48373 |
| Gain on Auxiliary | 900099 | 230542 | 230542 | |
| Equity Earnings of Aff | 900099 | 88101 | 62469 | 25632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 54851086 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 671081 | TotalRevenueColumn |
| Exclusion | $671,081 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 216760 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 144968 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 71792 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71792 | TotalRevenueColumn |
| Exclusion | $71,792 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 736793 | Securities |
| Other | 27001 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 37330 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 736793 | Securities |
| Other | -10329 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 726464 | TotalRevenueColumn |
| Exclusion | $726,464 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 56454268 | TotalRevenueColumn |
| Related Or Exempt Function Income | 54678778 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 172308 | UnrelatedBusinessRevenue |
| Exclusion | $1,469,337 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61360 | Total |
| Program Services | 61360 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357954 | Total |
| Program Services | 216991 | ProgramServices |
| Management And General | 140963 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21050957 | Total |
| Program Services | 18204536 | ProgramServices |
| Management And General | 2782615 | ManagementAndGeneral |
| Fundraising | 63806 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 962012 | Total |
| Program Services | 919342 | ProgramServices |
| Management And General | 42656 | ManagementAndGeneral |
| Fundraising | 14 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2948310 | Total |
| Program Services | 2527378 | ProgramServices |
| Management And General | 414542 | ManagementAndGeneral |
| Fundraising | 6390 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1297322 | Total |
| Program Services | 1110066 | ProgramServices |
| Management And General | 181611 | ManagementAndGeneral |
| Fundraising | 5645 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1059247 | Total |
| Management And General | 1059247 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 715084 | Total |
| Management And General | 715084 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31140 | Total |
| Management And General | 31140 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6053421 | Total |
| Program Services | 5126361 | ProgramServices |
| Management And General | 925060 | ManagementAndGeneral |
| Fundraising | 2000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305887 | Total |
| Management And General | 305887 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754965 | Total |
| Program Services | 689119 | ProgramServices |
| Management And General | 65038 | ManagementAndGeneral |
| Fundraising | 808 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 483742 | Total |
| Program Services | 34542 | ProgramServices |
| Management And General | 449200 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 698568 | Total |
| Program Services | 697757 | ProgramServices |
| Management And General | 811 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210945 | Total |
| Program Services | 132497 | ProgramServices |
| Management And General | 76714 | ManagementAndGeneral |
| Fundraising | 1734 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1149138 | Total |
| Program Services | 1149138 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3843801 | Total |
| Program Services | 3363237 | ProgramServices |
| Management And General | 479324 | ManagementAndGeneral |
| Fundraising | 1240 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235740 | Total |
| Program Services | 92598 | ProgramServices |
| Management And General | 143142 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for income ta | 21076 | 21076 | |
| Medical Supplies | 6102571 | 6088917 | 13654 |
| Fees, Taxes and Surchar | 1294953 | 268309 | 1026644 |
| Bad Debt Expense | 518029 | 518029 | |
| Recruitment | 490375 | 490375 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742775 | Total |
| Program Services | 438162 | ProgramServices |
| Management And General | 303086 | ManagementAndGeneral |
| Fundraising | 1527 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51389372 | Total |
| Program Services | 41659415 | ProgramServices |
| Management And General | 9646793 | ManagementAndGeneral |
| Fundraising | 83164 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4498695 | BOY |
| EOY | 5512468 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7267723 | BOY |
| EOY | 6594339 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7778 | BOY |
| EOY | 230208 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 990380 | BOY |
| EOY | 1138457 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483793 | BOY |
| EOY | 1276169 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 60902177 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 34383964 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26450240 | BOY |
| EOY | 26518213 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483225 | BOY |
| EOY | 1499855 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19610155 | BOY |
| EOY | 25470583 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 972291 | BOY |
| EOY | 1240385 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250500 | BOY |
| EOY | 264610 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290516 | BOY |
| EOY | 275184 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61305296 | BOY |
| EOY | 70020471 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3962864 | BOY |
| EOY | 5984271 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12388 | BOY |
| EOY | 6083 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18300000 | BOY |
| EOY | 17992194 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2585797 | BOY |
| EOY | 2856899 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24861049 | BOY |
| EOY | 26839447 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34944247 | BOY |
| EOY | 43181024 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1500000 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36444247 | BOY |
| EOY | 43181024 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61305296 | BOY |
| EOY | 70020471 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5064896 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1671881 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $3,237 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 3237 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1500000 | BeginningOfYearBalance |
| Other Expenditures | 1500000 | OtherExpenditures |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 1500000 | Contributions |
| End Of Year Balance | 1500000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 439812 | OtherCostOrOtherBasis |
| Book Value | 439812 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35428009 | OtherCostOrOtherBasis |
| Depreciation | 19731161 | Depreciation |
| Book Value | 15696848 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22464437 | OtherCostOrOtherBasis |
| Depreciation | 14024001 | Depreciation |
| Book Value | 8440436 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2569919 | OtherCostOrOtherBasis |
| Depreciation | 628802 | Depreciation |
| Book Value | 1941117 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26518213 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investment in Affiliated Organizations | 235731 | C |
| Assets Limited to Use-Avera Pooled Investments | 24614230 | F |
| Asset Backed Securities | 620622 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 25470583 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Capital Lease Obligation | $737,058 |
| Estimated Third-Party Payor Settlements | $1,426,260 |
| Due to Affiliate | $693,581 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2856899 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part IV, Line 2b: | The Organization holds funds on behalf of its residents. | |
| Part V, Line 4: | All requirements of the endowment have been met. Therefore all funds were expended during the year. | Description of Intended Use of Endowment Funds: |
| Part X: | The Medical Center believes that it has appropraite 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 Medical Center 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 Medical Center's federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2008. | Description of Uncertain Tax Positions Under FIN 48: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 313 | PersonsServed |
| Total Community Benefit Expense | 278494 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 278494 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3108474 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1587384 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1521090 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02990 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 313 | PersonsServed |
| Total Community Benefit Expense | 3386968 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1587384 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1799584 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 607 | PersonsServed |
| Total Community Benefit Expense | 74498 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1200 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 73298 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 327 | PersonsServed |
| Total Community Benefit Expense | 186451 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7300 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 179151 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 15342 | PersonsServed |
| Total Community Benefit Expense | 7678164 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4637736 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3040428 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05980 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 17100 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2308 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14792 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 16276 | PersonsServed |
| Total Community Benefit Expense | 7956213 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4648544 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3307669 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06500 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 16589 | PersonsServed |
| Total Community Benefit Expense | 11343181 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6235928 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5107253 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10040 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4170 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4170 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8447 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8447 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 180 | PersonsServed |
| Total Community Building Expense | 70290 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 70290 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 152 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 152 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 539 | PersonsServed |
| Total Community Building Expense | 3123 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3123 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 719 | PersonsServed |
| Total Community Building Expense | 86182 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 86182 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $265,005 | BadDebtExpenseAmount |
| Amount Attributable To | 13250 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11034149 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10897297 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 136852 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Marshall Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S Bruce Street | AddressLine1 |
| City | Marshall | City |
| State | MN | State |
| ZIP Code | 56258 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 10 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Avera Morningside Heights Care Center | ||||
| 300 S Bruce Street | Marshall | MN | 56258 | nursing home, adult daycare |
| Avera Marshall Specialty Clinic | ||||
| 300 S Bruce Street | Marshall | MN | 56258 | OB/GYN, general surgery, orthopedics, pediatrics, internal medicine |
| Avera Marshall SW Ophthalmology | ||||
| 300 S Bruce Street | Marshall | MN | 56258 | ophthalmology, optical |
| Avera Marshall Psychiatry Associates | ||||
| 1104 E College Drive | Marshall | MN | 56258 | psychiatry, psychology |
| AM Group Optometry Redwood Falls | ||||
| 500 E Bridge Street | Redwood Falls | MN | 56283 | optometry, ophthalmology, optical |
| Avera Marshall Group Optometry Windom | ||||
| 1006 4th Avenue | Windom | MN | 56101 | optometry, ophthalmology, optical |
| AM Group Optometry Springfield | ||||
| 602 N Jackson | Springfield | MN | 56087 | optometry, ophthalmology, optical |
| AM Group Optometry Mountain Lake | ||||
| 1040 3rd Avenue | Mountain Lake | MN | 56169 | optometry, ophthalmology |
| Avera Marshall Group Optometry Tracy | ||||
| 505 State Street | Tracy | MN | 56175 | Optometry, ophthalmology, optical |
| Curaquick Avera Marshall | ||||
| 900 E Main Street | Marshall | MN | 56258 | convenience clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation |
|---|
| Part I, Line 3c: Patients with income less than 400% of the poverty guidelines are eligible for financial assistance. The organization has a grid that looks at income, assets and balance of current medical claims to determine eligibility based upon a sliding scale. It is possible to receive assistance from zero to 100%. |
| Part I, Line 6a: Our 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: Charity care and unreimbursed Medicaid was converted to cost using the cost-to-charge ratio derived from Worksheet 2. Lines 7e - i are gathered from expenses reported in the general ledger. |
| Part I, Line 7g: Subsidized health includes expenses related to a psychiatric and specialty clinics with community benefit expenses of $4,886,533. |
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 518029. |
| Part II: The amounts reported as community building include monetary and in-kind donations to community organizations to support the needs of the community beyond the need for healthcare. During this time, Avera Marshall donated a house to Habitat for Humanity. Avera Marshall's employees and management also volunteer and participate in area community organizations. These organizations include non-profit and civic organizations. Avera Marshall also encourages middle-school aged students to consider a career in healthcare through their Scrubs Camp which is a one-day program. These contributions strengthen the community by focusing on underlying causes of health care issues. |
| Part III, Line 4: Bad debt expense was converted to cost using the cost-to-charge ratio derived from Worksheet 2.The estimated amount of bad debt expense attributable to patients eligible under the Organization's charity care policy is calculated by taking 5% of bad debt at cost. The Organization evaluates bad debt and identifies charity care as applicable. However, based on review of the bad debt the Organization estimates that 5% of bad debt at cost could be charity care as there are individuals who do not complete the paper work.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.Financial Statement Note:The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients and third-party payors. Management reviews patient receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision. Management also reviews accounts to determine if classification as charity care is appropriate. |
| 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 CMS. |
| 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 intimate 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 Marshall does not report any data to any of the credit agencies, however, the collection agencies Avera Marshall 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: Avera Marshall, in conjunction with several other agencies located in the City of Marshall and the surrounding areas, is currently collaborating to put together a Community Health Needs Assessment. Several groups/organizations have been contacted and interviews set up in order to cultivate their needs and input. A target date of January 2012 has been set to quantify information received from these meetings. |
| Part VI, Line 3: Anyone who is uninsured receives a letter with their itemized bill which describes both the uninsured program and the charity care program. Any uninsured patient is contacted by phone or letter by our collections department at which time our programs are described. Also, inpatient and same day surgery patients receive a brochure in their admissions packet. Pre-collection letters also include information regarding our charity care and uninsured programs. |
| Part VI, Line 4: Avera Marshall's service area includes Lyon County and surrounding counties in Minnesota. In 2010, the population for Lyon County was estimated to be 25,857. Approximately 13.6% of the population is age 65 or older. The average per capita income is $23,560 and approximately 11.7% of individuals are below the federal poverty level. The nearest hospital in the area is approximately 22 miles from Avera Marshall. |
| Part VI, Line 6: The organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. Charity care is available for those with a diminished ability to pay. In addition, Avera Marshall is the sole provider for hospital inpatient care, the only physician staffed 24/7 ER, birthing center and full service surgery center. As a result of our mission statement, Avera Marshall provides numerous services which do not produce a profit. An example of this is psychiatric services provided by the facility. This is a subsidized health service. Avera Marshall also operates Curaquick to provide an alternative, low-cost convenience care for walk-in patients. Avera Marshall is very involved in the community. We offer classes such as childbirth and various other support groups. Planet Heart community screenings are provided with reduced imaging fees in addition to free vein screenings. We provide educational experiences for school-aged children, students needing work study experience and med student internships. Physicals for sports are given to students who have no means to pay but wish to participate in athletic activities at Marshall schools. Basic supply items are donated to school nurse providers for triage care. Avera Marshall participates in community health events such as Community Connect which provides options on accessing health care resources. The Foundation, a separate exempt organization, focused on raising dollars for community health needs, such as assistance with mammograms through the Tough Enough to Wear Pink campaign, the baby hat and blanket fund and more. They also offer many opportunities for community members to volunteer. |
| Part VI, Line 7: 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| Medical Student Scholarships | 8 | 48000 |
| Stipend for SIM (Student Internship in Medicine) Students | 3 | 1500 |
| LTC Employee Scholarships | 20 | 11860 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The Organization provides scholarships to medical students, long-term care employees and a stipend to SIM (Student Internship in Medicine) students. The Organization monitors the use of the scholarships through a recruiter who maintains contact with the students, and monitors receipt of the employee scholarship by the learning institution. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Roger Pabst | |||||||||||||
| 168219 | 0 | 0 | 0 | 20718 | 0 | 600 | 0 | 7805 | 0 | 197342 | 0 | 0 | 0 |
| Donna Hartfiel MD | |||||||||||||
| 0 | 299792 | 0 | 0 | 0 | 7000 | 0 | 0 | 0 | 7095 | 0 | 313887 | 0 | 0 |
| Mary B Maertens | |||||||||||||
| 0 | 291769 | 0 | 0 | 0 | 9422 | 0 | 12102 | 0 | 15177 | 0 | 328470 | 0 | 0 |
| Richard Jueneman | |||||||||||||
| 256067 | 0 | 0 | 0 | 1433 | 0 | 3500 | 0 | 21402 | 0 | 282402 | 0 | 0 | 0 |
| Amber Boles | |||||||||||||
| 262184 | 0 | 0 | 0 | 229 | 0 | 3002 | 0 | 7445 | 0 | 272860 | 0 | 0 | 0 |
| Jason Klein | |||||||||||||
| 245522 | 0 | 0 | 0 | 647 | 0 | 4738 | 0 | 22402 | 0 | 273309 | 0 | 0 | 0 |
| Kevin Gildner MD | |||||||||||||
| 300808 | 0 | 0 | 0 | 42650 | 0 | 0 | 0 | 18332 | 0 | 361790 | 0 | 0 | 0 |
| Curtis Louwagie MD | |||||||||||||
| 250549 | 0 | 0 | 0 | 60737 | 0 | 0 | 0 | 18856 | 0 | 330142 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | The President & CEO was compensated by Avera Health. Avera Marshall relied on the related organization for determining the compensation for the President & CEO using the methods described in Part I, Line 3. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Dr Roger Pabst | ||||||
| Community needs loan | X | $60,000 | 33333 | 0 | 0 | 1 |
| Dr Curtis Louwagie | ||||||
| Community needs loan | X | $200,000 | 100000 | 0 | 0 | 1 |
| Dr Kevin Gildner | ||||||
| Community needs loan | X | $150,000 | 96875 | 0 | 0 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 230208 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PBR Windom and Mountain Lake | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Board member was 20% owner in clinic | Relationship |
| Amount Of Transaction | 168209 | AmountOfTransaction |
| Description Of Transaction | Purchase of Optometry Clinics | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, line 2 | 12/2010 - Curaquick was added as a walk-in convenience care option for people in the area. It is located at 900 East Main Street in the Hy-Vee store in Marshall, MN. |
| Changes in Program Services | Form 990, Part III, line 3 | The number of optometry clinics has increased for FYE 2011 by the addition of the following clinics: 03/01/2010 - Avera Medical Group Optometry Redwood Falls, located at 500 E. Bridge Street in Redwood Falls, MN 10/01/2010 - Avera Medical Group Optometry Springfield, located at 602 N. Jackson Avenue in Springfield, MN 07/01/2010 - Avera Medical Group Optometry Windom, located at 1006 Fourth Street in Windom, MN 07/01/2010 - Avera Medical Group Optometry Mountain Lake, located at 1040 Third Avenue in Mountain Lake, MN 01/01/2011 - Avera Medical Group Optometry Tracy, located at 505 State Street in Tracy, MN |
| Form 990, Part VI, Section A, line 2 | Donna Hartfiel, MD has a business relationship with Sr. Mary J. Reichelt. | |
| 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 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 members; 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 B, line 11 | The Form 990 is reviewed initially by the CEO and CFO, then the finance committee. The return is made available to the board of directors for 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 15: The President & CEO was 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 compensation of the CFO is determined by Avera Marshall Human Resources based on a market analysis. The CEO approves the CFO's compensation. | ||
| 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 VII: | Michael Rich and Dr. Donna R. Hartfiel serve Avera Marshall Foundation, a related organization, .2 hours per week. Mary Maertens and Sharon Williams serve Avera Marshall Foundation, related organization, 1.2 and .1 hours per week, respectively. As board members, Sr. Mary J. Reichelt serves a related organization 2 hours per week and Sr. Joann Sturtzel serves a related organization 1 hour per week. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Net unrealized gains on investments: 1,671,881. |
| Form 990, Part XII, Line 2c: | The Audit Committee of Avera Health, parent organization, selects the auditor and reviews the audited financial statements for Avera Marshall. | |
| Form 990, Part VI, Line 16b: | 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 N 8th Street | Estherville | IA | 51334 | 420680370 | Healthcare Services | IA | 501(c)(3) | Line 3 | Avera Health | 0 | |
| Avera Holy Family Foundation | |||||||||||
| 826 N 8th Street | Estherville | IA | 51334 | 421317452 | Support of Holy Family Hospital and Home Health Agency | 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 | 460226738 | 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 | |
| Avera Queen of Peace Hospital | |||||||||||
| 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 | |
| Sacred Heart Rural Health Clinics | |||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460423930 | Clinic Services | SD | 501(c)(3) | Line 3 | Sacred Heart Health Services | 0 | |
| Health Management Services | |||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460399291 | Adult Daycare and Homemaking Services | SD | 501(c)(3) | Line 9 | Sacred Heart Health Services | 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 Workers' Compensation Trust | |||||||||||
| 3900 West Avera Drive | Sioux Falls | SD | 57108 | 460407148 | Economical Coverage of Workers' Compensation Claims | SD | 501(c)(3) | Line 11b, II | Avera Health | 0 | |
| Avera Health | |||||||||||
| 3900 West Avera Drive Suite 300 | Sioux Falls | SD | 57108 | 460422673 | Healthcare Services | SD | 501(c)(3) | Line 9 | 0 | N/A | |
| Avera Marshall Foundation | |||||||||||
| 300 S Bruce Street | Marshall | MN | 56258 | 411784801 | Fundraising | MN | 501(c)(3) | Line 7 | Avera Marshall | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Home Medical Equipment LLC | |||||||||||||||
| 1425 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 460488198 | Medical Services - Home Medical Equipment | SD | N/A | ||||||||
| Midwest Regional Imaging Services LLC | |||||||||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 470874983 | Health Care - Medical Imaging | SD | N/A | ||||||||
| Mersco Medical of Pierre LLC | |||||||||||||||
| 329 E Dakota | Pierre | SD | 57501 | 460444002 | Medical Services - Home Medical Equipment | SD | N/A | ||||||||
| 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 | Avera Home Medical Equipment LLC | Related | 89434 | 286921 | 0 | $25,632 | 0 | 0.50000 | |
| Q & M Properties | |||||||||||||||
| 525 North Foster | Mitchell | SD | 57301 | 731652049 | Medical Clinic Building | SD | N/A | ||||||||
| Surgical Associates Endoscopy Clinic LLC | |||||||||||||||
| 310 S Pennsylvania | Aberdeen | SD | 57401 | 460461429 | Surgical Associates | SD | N/A | ||||||||
| Avera Home Medical Equipment of Spencer Hospital LLC | |||||||||||||||
| 2400 S Minnesota Ave | Sioux Falls | SD | 57117 | 800619999 | Medical Services - Home Medical Equipment | SD | N/A | ||||||||
| Heart Hospital of South Dakota LLC | |||||||||||||||
| 10720 Sikes Place Suite 300 | Charlotte | NC | 28277 | 562143771 | Healthcare Services | NC | N/A | ||||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Accounts Management Inc | ||||||||
| 5132 S Cliff Ave Suite 101 | Sioux Falls | SD | 57108 | 460373021 | Collection Agency | SD | N/A | C |
| Avera Health Plans Inc | ||||||||
| 3900 West Avera Drive Suite 101 | Sioux Falls | SD | 57108 | 460451539 | Health Financing and Health Plan Admin | SD | N/A | C |
| Avera Property Insurance Inc | ||||||||
| 610 W 23rd St PO Box 38 | Yankton | SD | 57078 | 460463155 | Insurance | SD | N/A | C |
| Valley Health Services | ||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460357149 | Medical Equipment | SD | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Marshall Foundation | BusinessNameLine1 |
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