HEGG MEMORIAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HEGG MEMORIAL HOSPITAL (EIN 42-0932564)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-04-13
- IRS object ID
- 202621039349301312
- Schema version
- 2024v5.5
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-04-13T11:22:59-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 N REID PL STE 400 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571037034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420932564 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEGG MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A HEGG HEALTH CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEGG | BusinessNameControlTxt |
| Phone | 7124768000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1202 21ST AVENUE | AddressLine1Txt |
| City | ROCK VALLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51247 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CRYSTAL RICHTER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7124768000 | PhoneNum |
| Signature | 2026-04-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE HANSON CPA | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2026-04-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GLENN ZEVENBERGEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1202 21ST AVENUE | AddressLine1Txt |
| City | ROCK VALLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51247 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,387,894 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HEGGHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | SERVING THE COMMUNITY THROUGH PROVISION OF HEALTHCARE AND HEALTH/SAFETY EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 356 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,171,915 | PYContributionsGrantsAmt |
| CY Contributions Grants | $380,282 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,845,694 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,578,394 | CYProgramServiceRevenueAmt |
| PY Investment Income | $557,645 | PYInvestmentIncomeAmt |
| CY Investment Income | $886,021 | CYInvestmentIncomeAmt |
| PY Other Revenue | $113,485 | PYOtherRevenueAmt |
| CY Other Revenue | $543,197 | CYOtherRevenueAmt |
| PY Total Revenue | $30,688,739 | PYTotalRevenueAmt |
| CY Total Revenue | $30,387,894 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $29,583 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $256,250 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,025,132 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,186,852 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $50,850 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,936,150 | PYOtherExpensesAmt |
| CY Other Expenses | $12,048,930 | CYOtherExpensesAmt |
| PY Total Expenses | $27,990,865 | PYTotalExpensesAmt |
| CY Total Expenses | $29,492,032 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,697,874 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $895,862 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $58,654,759 | TotalAssetsBOYAmt |
| Total Assets EOY | $60,421,642 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,527,908 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,798,443 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,126,851 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,623,199 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE SERVE TOGETHER TO HEAL BODY, MIND AND SPIRIT, TO IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO BE GOOD STEWARDS OF THE RESOURCES ENTRUSTED TO US. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,868,498 | ExpenseAmt |
| Grant | $256,250 | GrantAmt |
| Revenue | $28,578,394 | RevenueAmt |
| Desc | HEGG HEALTH CENTER (HHC) OPERATES A 25-BED ACUTE CARE HOSPITAL, A 60-BED NURSING HOME, MEDICAL CLINIC AND AN INDEPENDENT LIVING COMPLEX. HHC ALSO PROVIDES THERAPY SERVICES ON AN OUTPATIENT AND INPATIENT BASIS. THE AMOUNT OF CARE PROVIDED WAS 823 INPATIENT DAYS OF CARE, 20,325 NURSING HOME DAYS OF CARE, 27,195 OUTPATIENT VISITS WHICH INCLUDES 5,400 HOME HEALTH VISITS AND 14,587 CLINIC VISITS. THERE WERE 1,780 ER VISITS IN FISCAL YEAR 2025. THERE WERE 11,508 THERAPY VISITS IN 2025. INDEPENDENT LIVING DAYS WERE 8,708. HHC PROVIDES 24 HOUR EMERGENCY CARE THAT PROVIDES CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $23,868,498 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 356 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CYSTAL RICHTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7124768012 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1202 21ST AVE | AddressLine1Txt |
| City | ROCK VALLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51247 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JASON VANSURKSUM | |||||||
| PRESIDENT | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEREMY VANZEE | |||||||
| VICE PRESIDENT | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NANCY DORHOUT | |||||||
| SECRETARY | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN HOOGENDOORN | |||||||
| MEMBER | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| JEFF TREINEN | |||||||
| MEMBER | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| BRAD VAN HEUVELEN | |||||||
| MEMBER | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| DEL KNOBLOCH | |||||||
| MEMBER | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| TWILA DEKAM | |||||||
| MEMBER | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| DAVID REINKE MD | |||||||
| MEMBER FROM 12/2024 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| LIZ ARKEMA | |||||||
| MEMBER UNTIL 12/2024 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| GLENN ZEVENBERGEN | |||||||
| CEO/ADMINISTRATOR | 40.00 | Yes (X) | $310,718 | $0 | $55,789 | ||
| WILLIAM SLATER | |||||||
| CFO | 40.00 | Yes (X) | $156,985 | $0 | $6,279 | ||
| NICOLLE SAMUELS | |||||||
| REHAB DIRECTOR | 40.00 | $169,145 | $0 | $6,766 | Yes (X) | ||
| JEREMY MCCLENNEN | |||||||
| DIRECTOR OF PATIENT CARE | 40.00 | $120,875 | $0 | $36,593 | Yes (X) | ||
| STEVE RING | |||||||
| HR DIRECTOR | 40.00 | $112,700 | $0 | $2,340 | Yes (X) | ||
| AMBER VANVOORST | |||||||
| RN, ANESTHETIST | 40.00 | $206,633 | $0 | $34,514 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,077,056 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $142,281 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AVERA MCKENNAN HOSPITAL | |||||
| 1325 CLIFF AVE | SIOUX FALLS | SD | 57117 | PHYSICIANS AND MANAGEMENT | $3,883,674 |
| AVERA HEALTH | |||||
| 3900 W AVERA DR STE 301 | SIOUX FALLS | SD | 57108 | IT SERVICES & PROGRAM LICENSES | $408,298 |
| AVEL ECARE | |||||
| 4500 N LEWIS AVE N | SIOUX FALLS | SD | 57104 | TELEMEDICINE SERVICES | $160,947 |
| REAL RADIOLOGY | |||||
| 101 N 2ND STE 201 | OMAHA | NE | 68114 | RADIOLOGY READS | $153,408 |
| MURPHY & COLLINS PLC | |||||
| 38 1ST AVE NW | LE MARS | IA | 51031 | LEGAL SERVICES | $145,599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $380,282 | AllOtherContributionsAmt |
| Total Contributions | $380,282 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $25,998,364 | $25,998,364 |
| PHARMACY REVENUE | 456110 | $1,641,440 | $1,641,440 |
| COFFEE BAR | 722515 | $260,206 | $260,206 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $678,384 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $678,384 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,578,394 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $353,229 | TotalRevenueColumnAmt |
| Exclusion | $353,229 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $112,697 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $112,697 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $112,697 | TotalRevenueColumnAmt |
| Exclusion | $112,697 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $532,792 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $532,792 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $532,792 | TotalRevenueColumnAmt |
| Exclusion | $532,792 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE REIMBURSEMENT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $430,500 | TotalRevenueColumnAmt |
| Exclusion | $430,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $430,500 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,387,894 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,578,394 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,429,218 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,500 | TotalAmt |
| Program Services | $248,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,750 | TotalAmt |
| Program Services | $7,750 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,005 | TotalAmt |
| Management And General | $555,005 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,404 | TotalAmt |
| Program Services | $127,404 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,292,933 | TotalAmt |
| Program Services | $11,884,050 | ProgramServicesAmt |
| Management And General | $1,392,265 | ManagementAndGeneralAmt |
| Fundraising | $16,618 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,520 | TotalAmt |
| Program Services | $334,736 | ProgramServicesAmt |
| Management And General | $34,317 | ManagementAndGeneralAmt |
| Fundraising | $467 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,017,451 | TotalAmt |
| Program Services | $1,761,012 | ProgramServicesAmt |
| Management And General | $253,984 | ManagementAndGeneralAmt |
| Fundraising | $2,455 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $824,539 | TotalAmt |
| Program Services | $706,347 | ProgramServicesAmt |
| Management And General | $117,207 | ManagementAndGeneralAmt |
| Fundraising | $985 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,297 | TotalAmt |
| Management And General | $26,297 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,123 | TotalAmt |
| Management And General | $115,123 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,626,927 | TotalAmt |
| Program Services | $1,954,663 | ProgramServicesAmt |
| Management And General | $672,264 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,713 | TotalAmt |
| Program Services | $21,659 | ProgramServicesAmt |
| Management And General | $68,054 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,158 | TotalAmt |
| Program Services | $215,032 | ProgramServicesAmt |
| Management And General | $162,719 | ManagementAndGeneralAmt |
| Fundraising | $407 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,905 | TotalAmt |
| Program Services | $142,563 | ProgramServicesAmt |
| Management And General | $409,342 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,520 | TotalAmt |
| Program Services | $396,917 | ProgramServicesAmt |
| Management And General | $61,603 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,767 | TotalAmt |
| Program Services | $28,789 | ProgramServicesAmt |
| Management And General | $4,978 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,132 | TotalAmt |
| Program Services | $34,470 | ProgramServicesAmt |
| Management And General | $6,415 | ManagementAndGeneralAmt |
| Fundraising | $247 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,225 | TotalAmt |
| Program Services | $294,907 | ProgramServicesAmt |
| Management And General | $103,318 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,146,855 | TotalAmt |
| Program Services | $1,580,008 | ProgramServicesAmt |
| Management And General | $566,847 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,637 | TotalAmt |
| Program Services | $105,175 | ProgramServicesAmt |
| Management And General | $203,462 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,386,841 | $3,357,733 | $29,108 |
| REPAIR AND MAINTENANCE | $594,332 | $441,611 | $152,721 |
| EQUIPMENT LEASE/RENTAL | $31,856 | $25,645 | $6,211 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,642 | TotalAmt |
| Program Services | $199,527 | ProgramServicesAmt |
| Management And General | $631,444 | ManagementAndGeneralAmt |
| Fundraising | $29,671 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,492,032 | TotalAmt |
| Program Services | $23,868,498 | ProgramServicesAmt |
| Management And General | $5,572,684 | ManagementAndGeneralAmt |
| Fundraising | $50,850 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,174,519 | BOYAmt |
| EOY | $3,422,378 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,306 | BOYAmt |
| EOY | $102,596 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,206,742 | BOYAmt |
| EOY | $1,727,669 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,820 | BOYAmt |
| EOY | $297,741 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,485 | BOYAmt |
| EOY | $169,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,967,200 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,213,260 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,909,520 | BOYAmt |
| EOY | $25,753,940 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,980,240 | BOYAmt |
| EOY | $27,507,961 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,417 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,710 | BOYAmt |
| EOY | $1,440,271 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,654,759 | BOYAmt |
| EOY | $60,421,642 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,409,980 | BOYAmt |
| EOY | $2,191,178 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,067,450 | BOYAmt |
| EOY | $15,549,679 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,478 | BOYAmt |
| EOY | $57,586 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,527,908 | BOYAmt |
| EOY | $17,798,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,942,607 | BOYAmt |
| EOY | $40,308,528 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,184,244 | BOYAmt |
| EOY | $2,314,671 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,126,851 | BOYAmt |
| EOY | $42,623,199 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,654,759 | BOYAmt |
| EOY | $60,421,642 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $895,862 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,600,486 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,579,853 | BeginningYearBalanceAmt |
| Contributions | $57 | ContributionsAmt |
| Investment Earnings Or Losses | $163,114 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $11,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,731,524 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $446,402 | BeginningYearBalanceAmt |
| Contributions | $1,104,231 | ContributionsAmt |
| Investment Earnings Or Losses | $29,220 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,579,853 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $424,915 | BeginningYearBalanceAmt |
| Contributions | $103 | ContributionsAmt |
| Investment Earnings Or Losses | $21,384 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $446,402 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $459,509 | BeginningYearBalanceAmt |
| Contributions | $175 | ContributionsAmt |
| Investment Earnings Or Losses | -$34,769 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $424,915 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $285,807 | BeginningYearBalanceAmt |
| Contributions | $16,749 | ContributionsAmt |
| Investment Earnings Or Losses | $156,953 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $459,509 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.80930 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.19070 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $938,278 | OtherCostOrOtherBasisAmt |
| Book Value | $938,278 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,943,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,475,743 | DepreciationAmt |
| Book Value | $22,467,970 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,192,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,573,191 | DepreciationAmt |
| Book Value | $1,619,515 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,892,503 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,164,326 | DepreciationAmt |
| Book Value | $728,177 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,753,940 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INTEREST IN AVERA HEALTH FOUNDATION | $17,421,525 | F |
| ANNUITY CONTRACT | $1,342,961 | F |
| ASSETS LIMITED AS TO USE | $7,830,239 | F |
| UNDER INDENTURE AGREEMENT | $913,236 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $27,507,961 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ANNUITY PAYABLE | $27,042 |
| INSURANCE CLAIMS PAYABLE | $30,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $57,586 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $31,988,380 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,600,486 | OtherRevenueAmt |
| Revenue Not Reported | $1,600,486 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,387,894 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,387,894 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,492,032 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,492,032 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,492,032 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUND WAS CREATED WITH THE INTENTION OF BUILDING UP CASH THAT IS RESTRICTED FOR USE TO HELP SUPPORT THE OPERATIONS IN YEARS TO COME FROM THE INTEREST THAT THIS FUND EARNS. IN ADDITION, A PORTION OF THE ENDOWMENT FUND IS DESIGNATED FOR NURSING SCHOLARSHIPS. |
| PART X, LINE 2: | THE CENTER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 1,653,826. NET ASSET RELEASED FROM RESTRICTION -53,340. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $125,617 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $111,324 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,509,851 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,115,445 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,394,406 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04730 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,797 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,661,765 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,226,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,434,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,751,765 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,226,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,524,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 134 | PersonsServedCnt |
| Total Community Benefit Expns | $1,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 134 | PersonsServedCnt |
| Total Community Benefit Expns | $1,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $292,257 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $27,063 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,744,290 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,798,056 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$53,766 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEGG HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1202 21ST AVENUE | AddressLine1Txt |
| City | ROCK VALLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51247 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HEGGHC.ORG | WebsiteAddressTxt |
| State License | 840049H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 1 PROVIDER BASED CLINIC - HEGG MEDICAL CLINIC AVERA | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEGG HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE 7D NARRATIVE | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE 7D NARRATIVE | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE 7D NARRATIVE | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED USING A COLLABORATIVE PLANNING AND DATA COLLECTION PROCESS INTEGRATING SECONDARY DATA AND PRIMARY DATA COLLECTED FROM COMMUNITY MEMBERS THROUGH A WEB-BASED QUESTIONNAIRE AND FOCUS GROUP INTERVIEWS. THE WEB-BASED QUESTIONNAIRE WAS PUBLICIZED THROUGH HEALTH SYSTEM AND LOCAL PUBLIC HEALTH AGENCY SOCIAL MEDIA, EMAIL CONTACT LISTS AND RADIO PUBLICITY. A TOTAL OF 670 RESPONSES WERE RECEIVED WITH 485 FULLY COMPLETED SURVEYS. FOCUS GROUPS WERE HELD BY REPRESENTATIVES OF FOUR CRITICAL ACCESS HOSPITALS IN ORANGE CITY, SIOUX CENTER, HAWARDEN AND ROCK VALLEY. THIS COMMUNITY INPUT WAS COLLECTED BETWEEN DECEMBER 2024 AND MARCH 2025. GROUPS REPRESENTED INCLUDED UNDERSERVED, OLDER ADULTS, MINORITIES, LOW INCOME, AND PATIENTS WITH DISABILITIES. ADDITIONALLY, WE REVIEWED, ANALYZED AND COMPILED AVAILABLE DATA FROM A VARIETY OF EXISTING DATA SETS FROM NATIONAL, STATE AND LOCAL SOURCES, PRIORITIZING U.S. CENSUS DATA, COMMUNITY HEALTH RANKINGS DATA, AND DATA FROM THE IOWA HEALTH AND HUMAN SERVICES TRACKING PORTAL. |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 6A: ORANGE CITY HOSPITALHAWARDEN HOSPITALSIOUX CENTER HOSPITAL |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 6B: COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY, THE LOCAL PUBLIC HEALTH AGENCY FOR SIOUX COUNTYPROMISE COMMUNITY HEALTH CENTER |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE AT HTTPS://WWW.HEGGHC.ORG/WP-CONTENT/UPLOADS/2025/07/HEGG-2025-CHNA-.PDFTHE INPLEMENTATION STRATEGY IS AVAILABLE ATHTTPS://WWW.HEGGHC.ORG/WP-CONTENT/UPLOADS/2025/10/2025_CHNA_IMPLEMENTATION_PLAN.PDF |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 11: WHILE OUR COMMUNITY HAS COUNTLESS POSITIVE QUALITIES, THERE ARE NEEDS THAT EXIST IN OUR COMMUNITY. THE PRIORITIZED NEEDS, LISTED BELOW, WERE IDENTIFIED IN THE FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL BE ADDRESSED BY HEGG HEALTH CENTER. THESE ARE MENTAL HEALTH, OVERWEIGHT AND OBESITY, AND NAVIGATING SYSTEMS. THE NEEDS THAT WERE IDENTIFIED BUT NOT BEING ADDRESSED WERE LOCAL ACCESS TO CARE. THIS IS IN REFERENCE TO SERVICES SUCH AS DERMATOLOGY, NEUROLOGY, AND RHEUMATOLOGY. THIS IS NOT BEING ADDRESSED CURRENTLY DUE TO THE HIGH COST OF THESE, EVEN FOR PARTICIPANTS WHO HAVE INSURANCE. FUTURE CAPACITY FOR LONG-TERM CARE WAS ALSO IDENTIFIED. STAFFING IS A MAJOR CONCERN FOR NOT ADDRESSING THIS CONCERN. AFFORDABLE AND SAFE HOUSING WAS ALSO A NEED IDENTIFIED IN SIOUX COUNTY. DUE TO RECENT FLOODING, WHICH TOOK THE HOMES OF MANY FAMILIES, IT IS DIFFICULT TO PROVIDE ALL NEW HOUSING AND HOUSING GOODS FOR THOSE THAT LOST EVERYTHING. HEGG HAS IDENTIFIED MENTAL HEALTH AS A NEED. HEGG HEALTH CENTER PARTNERS WITH FLOWSTATE HEALTH, A BEHAVIORAL HEALTH ORGANIZATION THAT ASSISTS WITH CRISIS EVALUATIONS AND IDENTIFYING APPROPRIATE PLACEMENTS FOR INDIVIDUALS IN NEED OF INPATIENT BEHAVIORAL HEALTH OR ADDICTION SERVICES. THIS PARTNERSHIP SUPPORTS TIMELY ACCESS TO SPECIALIZED CARE THROUGH COLLABORATION WITH THE REGIONAL BEHAVIORAL HEALTH SYSTEM. THE HOSPITAL ALSO PROVIDES A ONE-PAGE HANDOUT LISTING COMMUNITY RESOURCES AVAILABLE IN SIOUX COUNTY, INCLUDING BEHAVIORAL HEALTH PROVIDERS AND SUBSTANCE ABUSE TREATMENT OPTIONS. THIS TOOL HELPS PATIENTS AND FAMILIES NAVIGATE AVAILABLE LOCAL SERVICES.OVERWEIGHT AND OBESITY, HEGG OFFERS A FULLY EQUIPPED WELLNESS CENTER WITH A VARIETY OF AMENITIES, INCLUDING LOCKER ROOMS WITH SHOWERS AND LOCKERS, A MULTIPURPOSE ROOM FOR WORKOUT CLASSES, AND A WIDE RANGE OF CARDIOVASCULAR, WEIGHT TRAINING AND FITNESS EQUIPMENT. THE CENTER IS STAFFED BY A KNOWLEDGEABLE WELLNESS MANAGER AND TEAM MEMBERS WHO PROVIDE GUIDANCE, ANSWER QUESTIONS, AND SUPPORT INDIVIDUALS AT ANY STAGE OF THEIR FITNESS JOURNEY. HEGG HEALTH CENTER HAS A FULL-TIME REGISTERED DIETITIAN (RD), LICENSED NUTRITIONIST (LN) AND CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST (CDCES) AVAILABLE TO ASSIST WITH DIABETES MANAGEMENT AND NUTRITION COUNSELING. IN ADDITION TO DIABETES EDUCATION CLASSES, SERVICES INCLUDE SUPPORT FOR INDIVIDUALS WITH GESTATIONAL DIABETES, POLYCYSTIC OVARIAN SYNDROME, PREDIABETES AND GENERAL NUTRITION CONCERNS. THE RD ALSO PROVIDES EDUCATION THROUGH COMMUNITY SCREENINGS AND INDIVIDUALIZED COUNSELING FOR GOALS SUCH AS WEIGHT LOSS, CHOLESTEROL MANAGEMENT, BLOOD PRESSURE CONTROL, DIGESTIVE HEALTH AND MORE.NAVIGATING SYSTEMS - HEGG HEALTH CENTER HAS A FULL-TIME MEDICAL INTERPRETER AVAILABLE TO ASSIST PATIENTS IN UNDERSTANDING THEIR CARE, IMPROVING COMMUNICATION AND ENSURING A MORE ACCESSIBLE EXPERIENCE FOR NON-ENGLISH SPEAKERS. STREAMLINED REFERRAL PROCESS: ALL REFERRALS ARE HANDLED ELECTRONICALLY THROUGH THE EMR SYSTEM, ALLOWING FOR A SMOOTH AND EFFICIENT PROCESS THAT HELPS PATIENTS EASILY CONNECT WITH SPECIALISTS AND OTHER SERVICES. PATIENT BILLING STATEMENTS INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE OPTIONS AND AVAILABLE PAYMENT PLANS. A DIRECT LINK IS ALSO PROVIDED TO THE BILLING AND FINANCIAL ASSISTANCE PAGE ON THE HEGG HEALTH CENTER WEBSITE: HEGGHEALTH.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE. |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 16J: SUMMARY OF THE POLICY AND CONTACT INFORMATION IS LOCATED ON EACH BILL/STATEMENT AND A CARD WITH CONTACT INFORMATION IS GIVEN WITH EACH BILL.FAP AND SUMMARY ARE LOCATED ON THE WEBSITE AND ARE HANDED OUT TO PATIENTS WHO STATE THEIR INABILITY TO PAY OR MAKE PAYMENTS.COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY IS AWARE OF HEGG HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY AND THAT WE PROVIDE THIS TO OUR PATIENTS. |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 20E: PROCEDURES HAVE BEEN IMPLEMENTED GIVING OUTPATIENT SERVICE PATIENTS THE CAPABILITY TO APPLY FOR FINANCIAL ASSISTANCE PRIOR TO HAVING SERVICES COMPLETED. A SIGN IS POSTED AT THE ADMISSIONS DESK. |
| HEGG HEALTH CENTER | PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WHISPERING HEIGHTS | ||||
| 2116 14TH STREET | ROCK VALLEY | IA | 51247 | LONG-TERM CARE FACILITY |
| 2 - FOUR SEASONS | ||||
| 1202 21ST AVENUE | ROCK VALLEY | IA | 51247 | INDEPENDENT LIVING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | HEGG HEALTH CENTER (HHC) UTILIZES FPG AND AN ASSET TEST, AND CONSIDERS MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS AVAILABLE THROUGH THE ORGANIZATIONS' WEBSITE AND REQUESTED MAILING AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION. HHC ALSO REPORTS TO THE IOWA HOSPITAL ASSOCIATION (IHA) FOR THE STATE'S REPORTING ON COMMUNITY BENEFITS, AND FILES THEIR OWN COMMUNITY BENEFIT REPORT. |
| PART I, LINE 7: | CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINES 7E, 7F AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ASSISTANCE WAS PROVIDED TO A FLOOD VICTIM SUPPORT GROUP. |
| PART III, LINE 2: | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. |
| PART III, LINE 3: | HEGG HEALTH CENTER ESTIMATES THAT APPROXIMATELY 9.26% OF IMPLICIT PRICE CONCESSION COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO THE FACILITY TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. |
| PART III, LINE 4: | THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT ON PAGES 14-15. |
| PART III, LINE 8: | MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/2025. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. |
| PART III, LINE 9B: | PERSONS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT ENTER INTO COLLECTIONS UNLESS THE AMOUNT OWED AFTER FINANCIAL ASSISTANCE IS NOT PAID. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY IS DIRECTED TO REFER THE PATIENT BACK TO HEGG HEALTH CENTER TO ASSESS FINANCIAL ASSISTANCE ELIGIBILITY. IF THE PATIENT IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS AND SEND THE ACCOUNT BACK TO THE HEALTH CENTER. PRIOR TO SENDING TO A COLLECTION AGENCY, HEGG HEALTH CENTER WILL PROVIDE THE PATIENT WITH A STATEMENT OR FINAL NOTE. THE LANGUAGE USED ON STATEMENTS OR BILLING NOTICES IS: "ACCOUNTS WITH NO PAYMENTS, INCONSISTENT PAYMENTS, OR NOT IN THE FINANCIAL ASSISTANCE APPLICATION PROCESS WILL BE TURNED OVER TO A COLLECTION AGENCY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT." HEGG HEALTH CENTER ALLOWS ALL INDIVIDUALS 120 DAYS FROM THE FIRST POST DISCHARGE STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECA). HEGG HEALTH CENTER CONSIDERS PLACEMENT AT A COLLECTION AGENCY AN ECA. HEGG HEALTH CENTER ALLOWS 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT FOR INDIVIDUALS TO APPLY FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE BOARD OF DIRECTORS, ADMINISTRATION, AND PHYSICIANS HOLD STRATEGIC PLANNING SESSIONS EVERY THREE YEARS IN AN EFFORT TO IDENTIFY COMMUNITY NEEDS AND DETERMINE HOW THE FACILITY CAN BEST MEET THOSE NEEDS. THE ORGANIZATION ALSO SENDS OUT PATIENT SATISFACTION SURVEYS TO DETERMINE HOW WELL THEY ARE DOING BASED ON THE PATIENT'S PERSPECTIVE. |
| PART VI, LINE 3: | ALL PATIENTS RECEIVE A STATEMENT THAT INDICATES IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FINANCIAL ASSISTANCE FROM THE ORGANIZATION. THEY ALSO RECEIVE A STATEMENT THAT PROVIDES THE PATIENT WITH AN ORGANIZATION CONTACT RESOURCE FOR GUIDANCE ON HOW TO OBTAIN INFORMATION ON THE FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. NOTICES AND CONTACT INFORMATION IS ALSO PRINTED ON THE BILLING STATEMENTS THAT ARE SENT OUT TO THE PATIENT STATING THERE IS FINANCIAL ASSISTANCE AND WHO TO CONTACT. HHC ALSO CONTACTS THE PATIENT REGARDING PAYMENT CONCERNS (UNLESS THE ORGANIZATION IS CONTACTED BY THE PATIENT) RELATED TO THEIR ABILITY TO MAKE REQUIRED PAYMENTS. PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND GOVERNMENTAL BENEFITS ARE DISCUSSED WITH THE PATIENT BY PHONE, MAIL, OR IN PERSON. A FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS MAILED OUT (UPON REQUEST), PICKED UP BY THE PATIENT, OR ACCESSED ONLINE. HHC DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS WITH THE PATIENT, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. INFORMATION REGARDING OUR PAYMENT POLICY, WHICH INCLUDES APPLYING FOR FINANCIAL ASSISTANCE, IS STATED ON THE BACK OF EACH HOSPITAL STATEMENT. A CARD IS INSERTED IN EVERY PATIENT STATEMENT THAT INFORMS THE PATIENT THAT WE HAVE A FINANCIAL ASSISTANCE POLICY, WHERE TO LOCATE IT, AND WHO TO CONTACT FOR MORE INFORMATION. HHC ALSO HAS POSTED SIGNS TO INFORM THE PATIENT WHEN THEY ARE IN THE FACILITY. |
| PART VI, LINE 4: | IN 2024, ROCK VALLEY HAD A POPULATION OF APPROXIMATLYE 4,000 PEOPLE WITH A MEDIAN AGE OF 35.1 AND MEDIAN HOUSEHOLD INCOME OF 76,250. ROCK VALLEY'S POPULATION IS CURRENTLY DECLINING AT A RATE OF -.03% ANNUALLY AND ITS POPULATION HAS DECREASED BY -1.82% SINCE THE MOST RECENT CENSUS, WHICH RECORDED A POPULATION OF 4,073 IN 2020. THE LARGEST ETHNIC GROUPS IN ROCK VALLEY ARE WHITE AND HISPANIC. IN 2024, THE MEDIAN PROPERTY VALUE IN ROCK VALLEY WAS $231,200 AND THE HOMEOWNERSHIP RATE WAS 63%. THE LARGEST INDUSTRIES IN ROCK VALLEY ARE MANUFACTURING, CONSTRUCTION, AND HEALTH CARE AND SOCIAL ASSISTANCE. THE HIGHEST PAYING INDUSTRIES ARE AGRICULTURE, FORESTRY, FISHING & HUNTING, & MINING. 9.26%OF THE POPULATION IS ESTIMATED TO BE AT OR BELOW POVERTY LEVEL. THE UNEMPLOYMENT RATE IN ROCK VALLEY, IA IS APPROXIMATELY 4%. |
| PART VI, LINE 5: | HEGG HEALTH CENTER FEELS THAT THE HEALTH AND WELLNESS OF ITS SERVICE AREA/COMMUNITY ARE OF UTMOST IMPORTANCE. AS THE LARGEST HEALTHCARE PROVIDER IN THE COMMUNITY, HHC IS A CENTRALIZED RESOURCE THAT NOT ONLY PROVIDES COMPASSIONATE PATIENT CARE, BUT ALSO OFFERS LIFE SKILLS CLASSES AND HEALTH EDUCATION WEBINARS FOR THE COMMUNITY.EDUCATION OF OTHERS IN HEALTH CAREERS IS VERY IMPORTANT TO HEGG HEALTH CENTER. WE PROVIDE AN ANNUAL DONATION TO NCC (NORTHWEST IOWA COMMUNITY COLLEGE) TO SUPPORT THEIR HEALTH PROGRAMS, WELCOME INTERNS/STUDENTS/SHADOWS OF ALL AREAS FROM NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PRE-MED DEGREES, PHYSICAL/OCCUPATIONAL THERAPISTS, NURSING, AND OTHER AREAS IN THE OFFICE FIELDS OF HEALTHCARE.HEGG HEALTH CENTER ENCOURAGES EMPLOYEE PARTICIPATION IN CHAMBER ACTIVITIES, ROTARY, AND KIWANIS TO SHARE INFORMATION WITH THE COMMUNITY AND TO HELP WITHIN THE COMMUNITY IN THE ACTIVITIES OF THESE CLUBS/ORGANIZATIONS.HEGG HEALTH CENTER HAS GIVEN SENIOR CITIZENS FIRST PRIORITY ACCESS TO THE SENIOR CENTER OVER THE PAST 15 YEARS. COMMUNITY HEALTH SCREENINGS THAT FOCUS ON CHOLESTEROL MANAGEMENT AS WELL AS DIABETES SCREENING WERE OFFERED TO COMMUNITY MEMBERS AT A REDUCED RATE. MANY OTHER EVENTS TOUCH ON TEACHING THE BASICS OF CERTAIN HEALTH RELATED ISSUES THAT MAY EITHER NEGATIVELY OR POSITIVELY AFFECT THE LIVES OF THE COMMUNITY MEMBERS THAT WE SERVE. HEGG HEALTH CENTER ALSO PROMOTES HEALTH AND WELLNESS THROUGH GLOW RUN IN THE FALL, A PICKLE BALL TOURNAMENT IN THE SUMMER AND PROGRAMS THAT FOCUS ON NUTRITION AND OBESTIY PREVENTION.CPR AND FIRST AID CLASSES ARE OFFERED TO HEALTH CARE WORKERS, DAYCARE PROVIDERS, FOSTER/ADOPTIVE PARENTS, AND THE GENERAL PUBLIC AT A REDUCED COST.THE COMMUNITY EDUCATION DEPARTMENT STRIVES TO OFFER A WIDE ARRAY OF SERVICES AT A FREE OR REDUCED RATE. THE GOAL OF THE DEPARTMENT IS TO FURTHER THE MISSION OF THE HEALTH CENTER THROUGH CARING FOR OTHERS, BODY, MIND, AND SOUL.HHC HAS A NINE MEMBER BOARD COMPRISED OF CITIZENS THAT LIVE IN THE PRIMARY SERVICE AREA. HHC EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. HHC USES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS TO ENHANCE SERVICES TO OUR PATIENTS.HHC OFFERS A 24/7 EMERGENCY DEPARTMENT THAT IS AVAILABLE TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. |
| PART VI, LINE 6: | HEGG HEALTH CENTER (HHC) IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND HHC WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY HHC.HHC ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO HHC AT A COST BELOW THAT WHICH HHC COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE.AVERA HEALTH AND HHC DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NON-PROFIT COMMUNITY ORGANIZATIONS, NON-PROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IOWA HOSPITAL EDUCATION & RESEARCH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 E GRAND AVE | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 420706508 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $179,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | FLOOD ASSISTANCE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CASH | GrantTypeTxt |
| Recipient | 79 | RecipientCnt |
| Cash Grant | $7,750 | CashGrantAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLENN ZEVENBERGEN | ||||||||||||||
| CEO/ADMINISTRATOR | $291,943 | $0 | $15,650 | $0 | $3,125 | $0 | $14,180 | $0 | $43,272 | $0 | $368,170 | $0 | $0 | $0 |
| AMBER VANVOORST | ||||||||||||||
| RN, ANESTHETIST | $206,633 | $0 | $0 | $0 | $0 | $0 | $8,793 | $0 | $26,755 | $0 | $242,181 | $0 | $0 | $0 |
| NICOLLE SAMUELS | ||||||||||||||
| REHAB DIRECTOR | $169,145 | $0 | $0 | $0 | $0 | $0 | $6,766 | $0 | $1,533 | $0 | $177,444 | $0 | $0 | $0 |
| WILLIAM SLATER | ||||||||||||||
| CFO | $156,985 | $0 | $0 | $0 | $0 | $0 | $6,279 | $0 | $1,525 | $0 | $164,789 | $0 | $0 | $0 |
| JEREMY MCCLENNEN | ||||||||||||||
| DIRECTOR OF PATIENT CARE | $120,875 | $0 | $0 | $0 | $0 | $0 | $5,277 | $0 | $37,061 | $0 | $163,213 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION IS SET BY AVERA MCKENNAN HOSPITAL BY USING IHA AND AVERA NETWORK SURVEYS ON SETTING THE AVERAGE RATE OF PAY. THIS RATE IS COMPARED TO THE ACTUAL AND IS BROUGHT TO THE BOARD FOR CONSIDERATION AND APPROVAL. THE BOARD RECOMMENDS AND APPROVES ANY ADDITIONAL BONUS COMPENSATION THAT IS GIVEN TO THE CEO/ADMINISTRATOR. |
| PART I, LINE 7 | CEO, GLENN ZEVENBERGEN'S BONUS IS DISCRETIONARY AND IS DETERMINED BY THE BOARD OF DIRECTORS. |
| SCHEDULE J, PART II: | THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH AVERA MCKENNAN HOSPITAL IN WHICH SERVICES OF THE CEO/ADMINISTRATOR, GLENN ZEVENBERGEN, ARE PAID THROUGH AVERA MCKENNAN HOSPITAL, 1325 S CLIFF AVENUE, SIOUX FALLS, SD 57117-5045. HHC IS BILLED FROM AVERA MCKENNAN HOSPITAL FOR HIS COMPENSATION. AS THE EMPLOYEE IS CONSIDERED A COMMON LAW EMPLOYEE OF HHC, COMPENSATION IS SHOWN AS PAID BY THE ORGANIZATION ON PART VII OF THE 990 AND ON SCHEDULE J, PART II. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DENISE VANZEE | |||
| FAMILY MEMBER OF CURRENT BOARD MEMBER | $55,372 | COMPENSATION | 0 |
| ALYSSA VANBEEK | |||
| FAMILY MEMBER OF CURRENT BOARD MEMBER | $33,908 | COMPENSATION | 0 |
| BROOKE HEERINGA | |||
| FAMILY MEMBER OF CURRENT BOARD MEMBER | $38,124 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE CLASS OF MEMBERSHIP AVAILABLE TO ANY PERSON WHO MAKES A DONATION OF AT LEAST $300. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS VOTE ON VACANCIES AT THE ANNUAL MEETING. THE BOARD OF DIRECTORS NOMINATES ONE CANDIDATE FOR EACH VACANCY. THE ELECTED DIRECTOR MUST RECEIVE A MAJORITY OF THE VOTES OF THE MEMBERSHIP. ONE MEMBER OF THE GOVERNING BODY IS APPOINTED BY AVERA MCKENNAN. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE COMMITTEES BRING RECOMMENDATIONS TO THE BOARD; THE FULL BOARD VOTES ON RECOMMENDATIONS. COMMITTEES DON'T HAVE FULL AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO/ADMINISTRATOR AND CFO REVIEW THE 990 IN DETAIL. UPON COMPLETION OF THE REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE CEO/ADMINISTRATOR AND CFO PRESENT THE 990 TO THE BOARD OF DIRECTORS AT THE MEETING HELD PRIOR TO ITS FILING IF SO REQUESTED BY ANY BOARD MEMBER. WHETHER PRESENTED IN A BOARD MEETING OR NOT, THE 990 IS NOT FILED UNTIL EACH BOARD MEMBER HAS BEEN GIVEN A COPY. |
| FORM 990, PART VI, SECTION B, LINE 12C | A STATEMENT IS GIVEN TO BOARD MEMBERS, THE CEO/ADMINISTRATOR, AND THE CFO, ASKING FOR ANY POTENTIAL ISSUES THAT COULD GIVE RISE TO A CONFLICT. THEY ARE REQUIRED TO DISCLOSE ANY CONFLICTS AND SIGN OFF ON THE STATEMENT ANNUALLY. THE BOARD DETERMINES AND REVIEWS ANY POSSIBLE CONFLICT OF INTERESTS THAT MAY ARISE. IF ANY CONFLICTS ARISE, THE AFFECTED PERSON(S) MUST REFRAIN FROM DISCUSSION AND VOTING ON ANYTHING DEALING WITH THE ITEM CAUSING CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | CEO - THE REGIONAL MANAGER AT AVERA MCKENNAN HOSPITAL EVALUATES THE CEO/ADMINISTRATOR ANNUALLY AND MEETS WITH THE BOARD OF DIRECTORS FROM HEGG HEALTH CENTER. THE REGIONAL MANAGER RECOMMENDS A SALARY ADJUSTMENT FOR THE CEO/ADMINISTRATOR. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR APPROVAL OF THE SALARY ADJUSTMENT. THE REGIONAL MANAGER USES POLICIES AND PROCEDURES AS SET FORTH BY AVERA MCKENNAN HOSPITAL. THE DELIBERATION AND DECISION IS DOCUMENTED AT AVERA MCKENNAN HOSPITAL AND IN THE BOARD MINUTES. CFO - THE HUMAN RESOURCES DIRECTOR USES THE IHA SURVEY FROM THE PREVIOUS YEAR TO DETERMINE A MINIMUM AND MAXIMUM RANGE FOR MARKET SALARY ADJUSTMENTS. A RECOMMENDATION IS MADE TO THE BOARD. MERIT INCREASES ARE DETERMINED THROUGH A REVIEW PROCESS. THE PROCESS IS COMPLETED ANNUALLY AND IS DOCUMENTED IN THE PERSONNEL FILE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST WITH THE APPROVAL OF THE BOARD. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 1,653,826. NET ASSETS RELEASED FROM RESTRICTIONS -53,340. |