Civic Intelligence

Avera Mckennan

990 • Fiscal year 2010 • EIN 46-0224743

Jul 01, 2009 to Jun 30, 2010 • Filed on May 12, 2011

1325 S Cliff Ave PO Box 504557117-5045
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

57th percentile

0.48x

Higher debt load relative to assets than 57% of similar nonprofits.

2010 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2010

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2010

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2010

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2010

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2010

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

$696,072,011

No earlier filing loaded for comparison.

Net Assets

$362,643,477

No earlier filing loaded for comparison.

Liabilities

$333,428,534

No earlier filing loaded for comparison.

Revenue

-

No earlier filing loaded for comparison.

Expenses

$571,872,950

No earlier filing loaded for comparison.

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $696,072,011Liabilities 2010: $333,428,534Net Assets 2010: $362,643,4772010Assets 2011: $762,444,106Liabilities 2011: $336,399,684Net Assets 2011: $426,044,4222011Assets 2012: $800,980,977Liabilities 2012: $348,719,013Net Assets 2012: $452,261,9642012Assets 2013: $827,983,677Liabilities 2013: $342,106,191Net Assets 2013: $485,877,4862013Assets 2014: $901,188,095Liabilities 2014: $350,186,666Net Assets 2014: $551,001,4292014Assets 2015: $923,254,007Liabilities 2015: $346,082,735Net Assets 2015: $577,171,2722015Assets 2016: $885,040,456Liabilities 2016: $333,331,066Net Assets 2016: $551,709,3902016Assets 2017: $924,237,536Liabilities 2017: $337,671,365Net Assets 2017: $586,566,1712017Assets 2018: $1,159,178,030Liabilities 2018: $511,785,453Net Assets 2018: $647,392,5772018Assets 2019: $1,220,148,914Liabilities 2019: $555,607,348Net Assets 2019: $664,541,5662019Assets 2020: $1,409,144,457Liabilities 2020: $752,454,389Net Assets 2020: $656,690,0682020Assets 2021: $1,439,516,677Liabilities 2021: $645,566,822Net Assets 2021: $793,949,8552021Assets 2022: $1,383,813,699Liabilities 2022: $620,515,284Net Assets 2022: $763,298,4152022Assets 2023: $1,411,648,717Liabilities 2023: $597,392,160Net Assets 2023: $814,256,5572023Assets 2024: $1,820,643,330Liabilities 2024: $814,768,536Net Assets 2024: $1,005,874,7942024

Highlighted filing

2010

Assets$696,072,011
Liabilities$333,428,534
Net Assets$362,643,477

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2010: $571,872,9502010Expenses 2011: $628,705,0772011Expenses 2012: $682,305,1392012Expenses 2013: $732,171,3062013Revenue 2014: $809,260,238Expenses 2014: $766,960,536Net Income 2014: $42,299,7022014Revenue 2015: $866,774,254Expenses 2015: $820,755,714Net Income 2015: $46,018,5402015Revenue 2016: $922,701,249Expenses 2016: $900,880,921Net Income 2016: $21,820,3282016Revenue 2017: $1,021,816,339Expenses 2017: $981,740,352Net Income 2017: $40,075,9872017Revenue 2018: $1,062,978,607Expenses 2018: $1,014,434,772Net Income 2018: $48,543,8352018Revenue 2019: $1,128,932,346Expenses 2019: $1,103,161,342Net Income 2019: $25,771,0042019Revenue 2020: $1,174,762,076Expenses 2020: $1,181,829,141Net Income 2020: -$7,067,0652020Revenue 2021: $1,371,059,282Expenses 2021: $1,278,846,398Net Income 2021: $92,212,8842021Revenue 2022: $1,412,729,099Expenses 2022: $1,405,209,002Net Income 2022: $7,520,0972022Revenue 2023: $1,488,868,703Expenses 2023: $1,457,774,738Net Income 2023: $31,093,9652023Revenue 2024: $1,712,450,547Expenses 2024: $1,579,131,228Net Income 2024: $133,319,3192024

Highlighted filing

2010

Revenue-
Expenses$571,872,950
Net Income-
Jump To
Filing Snapshot
Filing Period
Jul 1, 2009 to Jun 30, 2010
Signed
May 12, 2011
Return Version
2009v1.7
Gross Receipts
$603,717,161
Mission and Program Overview

Mission

Avera mckennan, as part of avera, is a health ministry rooted in the gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by christian values.

Major Activities

Activity 2
Rural Critical Access HospitalsAvera McKennan owns or leases rural Critical Access Hospitals in Flandreau, Gregory, Dell Rapids, Milbank and Miller (Hand County), S.D. As such, they operate as a department of Avera McKennan. The hospitals in Flandreau, Gregory and Hand County serve medically underserved counties. In addition to the following exempt purpose achievements, rural hospitals participate in many of the above as part of Avera McKennan.Among services offered by rural hospitals are radiology and imaging, colonoscopy and endoscopy, therapy and rehabilitation, 24-hour emergency care, chemotherapy, orthopedics, cardiovascular testing and care, obstetrics, surgery, and dialysis.Charity and uncompensated care: As part of Avera McKennan, these facilities provide necessary medical services (diagnostic and treatment) for whomever comes to us for care, regardless of their ability to pay. In fiscal year 2010, charity and uncompensated care provided by rural hospitals based on charges foregone totaled $440,000.Accessibility to health care: Avera McKennan regional hospitals make medical care accessible to the entire community they serve regardless of a patient's ability to pay. In 2010 rural hospitals had 2,050 discharges, 8,361 patient days and 59,868 outpatient visits. Each of the hospitals provides 24-hour emergency care with eEmergency services through Avera McKennan. eICU services are also available at these hospitals, providing access to critical care medicine near home and lessening the need for transport. There is no additional billing to patients. Telemedicine consults are also offered at rural locations in a number of medical specialties.
Activity 3
ClinicsAvera McKennan provides clinical care, secondary and primary, in 67 owned/joint venture clinics in South Dakota, northwest Iowa, southwest Minnesota and northeastern Nebraska. In addition to the following exempt purpose achievements, clinics participate in many of the above as part of Avera McKennan. Clinic visits in 2010 totaled 895,906.Clinics provide primary care and urgent care, and among specialties are cardiology; dermatology; endocrinology; gastroenterology; hematology; hepatology; infectious disease; internal medicine; neonatology; nephrology; neurology and neurosurgery; OB/GYN; oncology; ophthalmology; orthopedics; pain management; pediatrics; psychiatry; pulmonology; sports medicine; surgery; and vascular services.Charity and uncompensated care: As part of Avera McKennan, clinics provide necessary medical services (diagnostic and treatment) for whoever comes to us for care, regardless of their ability to pay. In fiscal year 2010, charity and uncompensated care provided by clinics based on charges foregone totaled $1,282,000.Accessibility to health care: In addition to regular clinic hours, Avera McGreevy Clinic provides Urgent Care, seeing patients on a walk-in basis at two locations during the evening hours on weekdays, and throughout the daytime hours on Saturdays and Sundays. This provides greater accessibility without having to rely on emergency room care. In addition, through our Curaquick clinics, Avera offers convenient, affordable clinic care in local HyVee pharmacies. In 2010, Avera donated approximately 100 Curaquick Avera cards, good for one free visit, to students of Sioux Falls Catholic Schools and YWCA daycare, each valued at $59.Health Screenings: Avera McKennan clinics offered two free health screenings in 2010 including a skin cancer screening in cooperation with the another local hospital and pharmacy, serving 139 persons; and a men's health screening, providing free cholesterol, blood sugar, blood pressure and body-mass index scoring, serving 103 men.
Filing and Contact Details

Filer

EIN
46-0224743
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Activity2/Description0Rural Critical Access HospitalsAvera McKennan owns or leases rural Critical Access Hospitals in Flandreau, Gregory, Dell Rapids, Milbank and Miller (Hand County), S.D. As such, they operate as a department of Avera McKennan. The hospitals in Flandreau, Gregory and Hand County serve medically underserved counties. In addition to the following exempt purpose achievements, rural hospitals participate in many of the above as part of Avera McKennan.Among services offered by rural hospitals are radiology and imaging, colonoscopy and endoscopy, therapy and rehabilitation, 24-hour emergency care, chemotherapy, orthopedics, cardiovascular testing and care, obstetrics, surgery, and dialysis.Charity and uncompensated care: As part of Avera McKennan, these facilities provide necessary medical services (diagnostic and treatment) for whomever comes to us for care, regardless of their ability to pay. In fiscal year 2010, charity and uncompensated care provided by rural hospitals based on charges foregone totaled $440,000.Accessibility to health care: Avera McKennan regional hospitals make medical care accessible to the entire community they serve regardless of a patient's ability to pay. In 2010 rural hospitals had 2,050 discharges, 8,361 patient days and 59,868 outpatient visits. Each of the hospitals provides 24-hour emergency care with eEmergency services through Avera McKennan. eICU services are also available at these hospitals, providing access to critical care medicine near home and lessening the need for transport. There is no additional billing to patients. Telemedicine consults are also offered at rural locations in a number of medical specialties.
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IRS990/Activity3/Description0ClinicsAvera McKennan provides clinical care, secondary and primary, in 67 owned/joint venture clinics in South Dakota, northwest Iowa, southwest Minnesota and northeastern Nebraska. In addition to the following exempt purpose achievements, clinics participate in many of the above as part of Avera McKennan. Clinic visits in 2010 totaled 895,906.Clinics provide primary care and urgent care, and among specialties are cardiology; dermatology; endocrinology; gastroenterology; hematology; hepatology; infectious disease; internal medicine; neonatology; nephrology; neurology and neurosurgery; OB/GYN; oncology; ophthalmology; orthopedics; pain management; pediatrics; psychiatry; pulmonology; sports medicine; surgery; and vascular services.Charity and uncompensated care: As part of Avera McKennan, clinics provide necessary medical services (diagnostic and treatment) for whoever comes to us for care, regardless of their ability to pay. In fiscal year 2010, charity and uncompensated care provided by clinics based on charges foregone totaled $1,282,000.Accessibility to health care: In addition to regular clinic hours, Avera McGreevy Clinic provides Urgent Care, seeing patients on a walk-in basis at two locations during the evening hours on weekdays, and throughout the daytime hours on Saturdays and Sundays. This provides greater accessibility without having to rely on emergency room care. In addition, through our Curaquick clinics, Avera offers convenient, affordable clinic care in local HyVee pharmacies. In 2010, Avera donated approximately 100 Curaquick Avera cards, good for one free visit, to students of Sioux Falls Catholic Schools and YWCA daycare, each valued at $59.Health Screenings: Avera McKennan clinics offered two free health screenings in 2010 including a skin cancer screening in cooperation with the another local hospital and pharmacy, serving 139 persons; and a men's health screening, providing free cholesterol, blood sugar, blood pressure and body-mass index scoring, serving 103 men.
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IRS990/ActivityOther/Description0Avera McKennan also provides Long-term care, Home Medical Equipment & Other Retail, Home Infusion, Research, Fitness Center, Regional Lab, and Mobile Services.
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IRS990/Description0Avera McKennan Hospital & University Health CenterAvera McKennan promotes the health of the community by providing a variety of charitable health care services. Avera McKennan operates under the tenets of the Roman Catholic Church and in accordance with the philosophy and values established for Avera Health, a sponsored ministry of the Benedictine and Presentation Sisters.(continued on page 1 of Schedule O)Major service lines include oncology, surgery, orthopedics, obstetrics, pediatrics, neonatology, emergency and trauma, critical care including eICU, radiology and diagnostic imaging, psychiatry, pulmonary, neurology, cardiology and gastroenterology. Transplant services include solid organ (kidney and pancreas) and bone marrow transplant.The following are specific exempt purpose achievements for Avera McKennan Hospital:Charity and uncompensated care: Avera McKennan provides necessary medical services (diagnostic and treatment) for whomever comes to us for care, regardless of their ability to pay. In fiscal year 2010, services provided to those who are unable to pay totaled $25,618,000 based on charges foregone. Eligibility for discounted or free services under the charity care policy is based on income levels. Generally, individuals earning income of up to 400% of the Federal Policy Income Guidelines are eligible for varying levels of discounts, including full discounts for certain income levels. Application for coverage under the program may be obtained at any Avera McKennan patient registration area or by calling Avera McKennan Patient Financial Services.Accessibility to health care: Avera McKennan makes medical care accessible to the entire community it serves. In 2010 Avera McKennan had 19,567 hospital discharges, 103,551 patient days and 194,947 outpatient visits. Avera McKennan is a verified Level II trauma center and was the first such Center in the State of South Dakota. Avera McKennan's Emergency Department is staffed 24 hours a day with board-certified emergency specialists and provides emergency care regardless of ability to pay. Avera McKennan had 24,528 Emergency Department visits in FY 2010. Operating both Fixed Wing and Helicopter medical air transports, Avera McKennan's flight teams cover a large geographic area providing state-of-the-art air transport services and access to critical care, with 1,247 flights in the past year.Health Care Clinic: In 1992, Avera McKennan established a Health Care Clinic to provide free care for people who are uninsured or underinsured in the community. The clinic is managed by a Registered Nurse and staffed by Registered Nurses, two midlevel providers, medical residents and volunteer health care providers. The goal of the clinic is to prevent or treat patients' medical conditions before they become catastrophic. The clinic averages 620 visits per month, providing preventative care, diagnosis and treatment of illnesses and injuries, medication assistance and assistance in obtaining specialist care for patients with complex cases. The clinic also serves to train physicians, nurses and other health care students. It provides a free evening clinic one evening per month, staffed by medical students under supervision of physicians. Avera McKennan is the only health care organization to provide free services such as this in the state of South Dakota. The clinic had 7,465 visits in fiscal year 2010.Residency/Health Professions Training and Internships: In 2010, Avera McKennan had 80 medical school residents in training in Internal Medicine, Family Practice, Psychiatry and Transitional Residency Programs offered in partnership with the University of South Dakota School of Medicine. Over 1,200 students in nursing, pharmacy, physician assistant programs, radiology and respiratory therapy also completed rotations at Avera McKennan. Avera McKennan has many joint agreements with institutions of higher education for both clinical and educational programming. In non-clinical areas, Avera McKenna
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IRS990/Form990PartVIISectionA/NamePerson3Sister Candyce Chrystal
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IRS990/Form990PartVIISectionA/NamePerson6Sister Janice Klein
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IRS990/Form990PartVIISectionA/NamePerson18Fredrick W Slunecka
IRS990/Form990PartVIISectionA/NamePerson19Julie N Norton
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IRS990/Form990PartVIISectionA/NamePerson21David Flicek
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IRS990/Form990PartVIISectionA/NamePerson25Kelly McCaul MD
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IRS990/Form990PartVIISectionA/NamePerson27Daniel Tynan MD
IRS990/Form990PartVIISectionA/NamePerson28Leonard Gutnik MD
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/Officer1X
IRS990/Form990PartVIISectionA/Officer2X
IRS990/Form990PartVIISectionA/Officer3X
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IRS990/Form990PartVIISectionA/OtherCompensation10
IRS990/Form990PartVIISectionA/OtherCompensation20
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IRS990/Form990PartVIISectionA/OtherCompensation50
IRS990/Form990PartVIISectionA/OtherCompensation60
IRS990/Form990PartVIISectionA/OtherCompensation70
IRS990/Form990PartVIISectionA/OtherCompensation80
IRS990/Form990PartVIISectionA/OtherCompensation90
IRS990/Form990PartVIISectionA/OtherCompensation100
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IRS990/Form990PartVIISectionA/OtherCompensation120
IRS990/Form990PartVIISectionA/OtherCompensation130
IRS990/Form990PartVIISectionA/OtherCompensation140
IRS990/Form990PartVIISectionA/OtherCompensation150
IRS990/Form990PartVIISectionA/OtherCompensation160
IRS990/Form990PartVIISectionA/OtherCompensation170
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IRS990/Form990PartVIISectionA/OtherCompensation2031220
IRS990/Form990PartVIISectionA/OtherCompensation2134798
IRS990/Form990PartVIISectionA/OtherCompensation2230050
IRS990/Form990PartVIISectionA/OtherCompensation2328068
IRS990/Form990PartVIISectionA/OtherCompensation2434698
IRS990/Form990PartVIISectionA/OtherCompensation2524990
IRS990/Form990PartVIISectionA/OtherCompensation2637698
IRS990/Form990PartVIISectionA/OtherCompensation2735449
IRS990/Form990PartVIISectionA/OtherCompensation2830471
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization20
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization30
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization40
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization50
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization60
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization70
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization80
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization90
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization100
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IRS990/Form990PartVIISectionA/ReportableCompFromOrganization140
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization150
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization160
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization170
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization180
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization19348892
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IRS990/Form990PartVIISectionA/ReportableCompFromOrganization281073487
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs00
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs10
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs20
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs30
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs40
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs50
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs60
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs70
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs80
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs90
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs100
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs110
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs120
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs130
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs140
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs150
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IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs250
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IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs270
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IRS990/Form990PartVIISectionA/Title0Chairman
IRS990/Form990PartVIISectionA/Title1Vice Chair
IRS990/Form990PartVIISectionA/Title2Board Trustee
IRS990/Form990PartVIISectionA/Title3Board Trustee
IRS990/Form990PartVIISectionA/Title4Board Trustee
IRS990/Form990PartVIISectionA/Title5Board Trustee
IRS990/Form990PartVIISectionA/Title6Board Trustee
IRS990/Form990PartVIISectionA/Title7Board Trustee
IRS990/Form990PartVIISectionA/Title8Board Trustee
IRS990/Form990PartVIISectionA/Title9Board Trustee
IRS990/Form990PartVIISectionA/Title10Board Trustee
IRS990/Form990PartVIISectionA/Title11Board Trustee
IRS990/Form990PartVIISectionA/Title12Board Trustee
IRS990/Form990PartVIISectionA/Title13Board Trustee
IRS990/Form990PartVIISectionA/Title14Board Trustee
IRS990/Form990PartVIISectionA/Title15Board Trustee
IRS990/Form990PartVIISectionA/Title16Board Trustee
IRS990/Form990PartVIISectionA/Title17Board Trustee
IRS990/Form990PartVIISectionA/Title18President & CEO
IRS990/Form990PartVIISectionA/Title19Sec/Treas & SrVP Finance
IRS990/Form990PartVIISectionA/Title20Sr Vice President
IRS990/Form990PartVIISectionA/Title21Sr Vice President
IRS990/Form990PartVIISectionA/Title22Director-Pharmacy
IRS990/Form990PartVIISectionA/Title23AVP-Surgery
IRS990/Form990PartVIISectionA/Title24Physician
IRS990/Form990PartVIISectionA/Title25Physician
IRS990/Form990PartVIISectionA/Title26Physician
IRS990/Form990PartVIISectionA/Title27Physician
IRS990/Form990PartVIISectionA/Title28Physician
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1,821$815$1,006$1,712$1,579$133
2023Detailed filing. Detailed filing data is available for this year.$1,412$597$814$1,489$1,458$31.1
2022Detailed filing. Detailed filing data is available for this year.$1,384$621$763$1,413$1,405$7.52
2021Detailed filing. Detailed filing data is available for this year.$1,440$646$794$1,371$1,279$92.2
2020Detailed filing. Detailed filing data is available for this year.$1,409$752$657$1,175$1,182$7.07
2019Detailed filing. Detailed filing data is available for this year.$1,220$556$665$1,129$1,103$25.8
2018Detailed filing. Detailed filing data is available for this year.$1,159$512$647$1,063$1,014$48.5
2017Detailed filing. Detailed filing data is available for this year.$924$338$587$1,022$982$40.1
2016Detailed filing. Detailed filing data is available for this year.$885$333$552$923$901$21.8
2015Detailed filing. Detailed filing data is available for this year.$923$346$577$867$821$46.0
2014Detailed filing. Detailed filing data is available for this year.$901$350$551$809$767$42.3
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$828$342$486$732
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$801$349$452$682
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$762$336$426$629
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$696$333$363$572