2023-10-09T15:20:37-05:00 2022-12-31 450250958 Eide Bailly LLP 345 N Reid Pl Ste 400 Sioux Falls SD 571037034 990 2022-07-01 460458725 St Benedict Health Center Foundation STBE 6059283311 401 West Glynn Drive Parkston SD 57366 Lindsay Weber President/CEO St Benedict Hth Ctr 6059283311 2023-10-05 1 Lindsay Weber 999009999 1 Laurie Hanson CPA P00851848 6053391999 2023-10-05 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X Lindsay Weber 401 West Glynn Drive Parkston SD 57366 31063 0 X www.averastbenedict.org X 1999 SD Support health related services X 8 8 0 8 0 0 151051 15582 0 0 24109 15481 0 0 175160 31063 92769 18607 0 0 0 0 0 0 0 15737 4109 108506 22716 66654 8347 1699579 0 0 0 1699579 0 X Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values. 0 1 18607 18607 The purpose of the Foundation is to operate and act exclusively as a public foundation for the benefit of St. Benedict Health Center. The Foundation is pledged to support health related services, including education of health care professionals, in a timely and fiscally responsible manner, thereby strengthening the holistic role of its affiliated organizations and programs. The Foundation transferred all of its assets to St. Benedict Health Center on December 1, 2022. 18607 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X Lindsay Weber 6059283311 401 W Glynn Dr Parkston SD 57366 Christopher Braley Chair 0.30 0.00 X X 0 0 0 Glenn Harnisch Vice Chair 0.30 0.00 X X 0 0 0 Diane Sandhoff Secretary 0.30 0.00 X X 0 0 0 Robert Monson Director 0.30 0.00 X 0 0 0 Mark Morehouse Director 0.30 0.00 X 0 0 0 Jerauld Heinert Director 0.30 0.00 X 0 0 0 Mike Bowar Director 0.30 0.00 X 0 0 0 Dan Neugebauer Director 0.30 0.00 X 0 0 0 Rita Blasius - Left 82022 President/CEO St. Benedict 0.50 41.50 X 0 332761 180 Lindsay Weber - Joined 82022 President/CEO St. Benedict 0.50 41.50 X 0 124552 17456 0 457313 17636 0 0 1 0 0 15582 15582 15481 0 15481 15481 15481 31063 0 0 15481 X 18607 18607 4109 4109 22716 18607 4109 0 0 0 0 0 0 0 0 0 0 0 0 1699579 0 0 0 0 1699579 0 0 0 X 596427 0 1103152 0 1699579 0 1699579 0 X 8347 407 -1708333 X 0 0 0 X X 1 St Benedict Health Center 460226738 3 1 18607 0 1 18607 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1665261 15582 15481 18607 4109 1673608 1598607 151051 24109 92769 15737 1665261 1458033 107615 70879 30869 7051 1598607 1289696 216099 30940 70791 7911 1458033 1096100 255560 44043 101047 4960 1289696 0.53743 0.03435 0.42822 0 1 1 0 Part V, Line 4: The balance of the Organization's endowments were transferred to St. Benedict Health Center, the Organization's supported organization. 1 St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 460226738 501(c)(3) 18607 0 Support for equipment and financial needs 1 0 Part I, Line 2: St. Benedict Health Center Foundation supports St. Benedict Health Center exclusively. The Foundation is a supporting organization of the Health Center and there is a close working relationship, therefore the funds are used properly and for the purposes intended. 1 0 0 0 0 0 0 0 0 Rita Blasius - Left 82022 President/CEO St. Benedict 0 130358 0 200684 0 1719 0 0 0 180 0 332941 0 0 Part I, Line 3 St. Benedict Health Center Foundation relied on St. Benedict Health Center, a related organization, for determining the compensation for the top management official using methods described in Part I, Line 3. Part I, Line 4a Rita Blasius received $200,684 in severance pay. Cash and investments 2022-12-01 1708333 Book Value 460226738 St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 501(c)(3) 0 0 0 0 1 1 1 1 0 Form 990, Part III, line 3 The organization ceased conducting activities and dissolved, transferring all assets to St. Benedict Health Center, the supported organization. Form 990, Part VI, Section A, line 1a The Executive Committee of the Foundation consists of the Chairperson of the Board, the Vice Chairperson of the Board, the Executive Director of the Foundation and one or more members of the Board of Directors. When the Board of Directors is not in session, the Executive Committee has authority of the Board of Directors except as limited by South Dakota law or resolution of the Board. A majority of the members of the Executive Committee constitutes a quorum. Form 990, Part VI, Section A, line 6 The sole member of the corporation is St. Benedict Health Center, a nonprofit corporation organized and existing under the laws of the state of South Dakota and exempt under 501(c)(3) of the Internal Revenue Code of 1986, as amended. Form 990, Part VI, Section A, line 7a St. Benedict Health Center, as the sole member of the organization elects the officers and directors to the Foundation board. Form 990, Part VI, Section A, line 7b St. Benedict Health Center has the following rights as the member. A) To change the philosophy and mission of the Foundation; B) To approve the adoption, amendment or repeal of the Articles of Incorporation of the Foundation; C) To appoint officers of the Foundation; to fill vacancies in any Foundation corporate office, and to remove officers whenever in the corporate member's sole judgement the best interests of the Foundation would be served thereby; D) To appoint directors of the Foundation; to fill vacancies on the board of directors, and to remove directors whenever in the corporate member's sole judgement the best interests of the Foundation would be served thereby; E) To approve the purchase, sale, lease or mortgage of real property or buildings; F) To approve the merger, consolidation or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation; G) To approve the annual operating and capital budgets of the Foundation, if any, and variances thereto if greater than limits established by the corporate member from time to time, and; H) To approve the long-range strategic plan of the Foundation. Form 990, Part VI, Section A, line 8b The Executive Committee did not meet during the fiscal year. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the Avera Health VP of Financial Reporting, Tax Manager, Facility CEO and Finance Committee (if applicable). After initial review the Form 990 is made available to the Board and other Operation Finance Leaders. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers board members and officers. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board. Form 990, Part VI, Section B, line 15 The President and CEO is compensated by St. Benedict Health Center, a related exempt organization. St. Benedict Health Center has a process in place for determining compensation. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part IX, line 11g Administrative: Program service expenses 0. Management and general expenses 4,109. Fundraising expenses 0. Total expenses 4,109. Form 990, Part XI, line 9: Transfer of Assets to St. Benedict Health Center -1,708,333. Avera Health 3900 West Avera Drive Suite 300 Sioux Falls SD 57108 460422673 Promotion of Health SD 501(c)(3) Line 11 N/A 0 St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 460226738 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 470463911 Healthcare services NE 501(c)(3) Line 3 Avera Health 0 Avera Holy Family 826 North 8th Street Estherville IA 51334 420680370 Healthcare services IA 501(c)(3) Line 3 Avera Health 0 Holy Family Hospital Foundation 826 North 8th Street Estherville IA 51334 421317452 Support Health Related Services IA 501(c)(3) Line 11 Avera Holy Family 0 Avera McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460224743 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera Queen of Peace Hospital 525 North Foster Street Mitchell SD 57301 460224604 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Sacred Heart Health Services 501 Summit Street Yankton SD 57078 460225483 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera at Home 5300 S Broadband Lane Sioux Falls SD 57108 460399291 Home services SD 501(c)(3) Line 11 Avera Health 0 Lewis and Clark Health Education and Service Agency 1000 W 4th ST Suite 9 Yankton SD 57078 460337013 Healthcare services SD 501(c)(3) Line 11 Sacred Heart Health Services 0 Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera Marshall 300 S Bruce ST Marshall MN 56258 410919153 Healthcare Services MN 501(c)(3) Line 3 Avera Health 0 Avera Gettysburg 606 East Garfield Gettysburg SD 57442 460234354 Healthcare services SD 501(c)(3) Line 3 Avera St Mary's 0 Avera St Mary's 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare services SD 501(c)(3) Line 3 Avera Health 0 Avera Tyler 240 Willow Street Tyler MN 56178 410853163 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Health Plans Inc 3900 West Avera Drive Suite 101 Sioux Falls SD 57108 460451539 Health financing and health plan admin SD 501(c)(4) Avera Health 0 Avera Granite Falls 345 10th Ave Granite Falls MN 56241 843156881 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Home Medical Equipment of Floyd Valley Hospital LLC 714 Lincoln ST NE Lemars IA 51031 820582350 Medical services - home medical equipment SD N/A 0 0 Avera Home Medical Equipment of Sioux Center LLC 38 19th ST SW Sioux Center IA 51250 753203100 Medical services - home medical equipment SD N/A 0 0 Avera Home Medical Equipment of Spencer Hospital LLC 2400 S Minnesota Ave Sioux Falls SD 57117 800619999 Medical services - home medical equipment SD N/A 0 0 Surgical Associates Endoscopy Clinic LLC 310 S Pennsylvania St Aberdeen SD 57401 460461429 Surgical Associates SD N/A 0 0 Heart Hospital of South Dakota LLC 4500 W 69th Street Sioux Falls SD 57108 562143771 Healthcare Services SD N/A 0 0 Brookings Health System - Avera HME LLC 101 22nd Ave Suite 101 Brookings SD 57006 453204123 Medical services - home medical equipment SD N/A 0 0 Caravan Health ACO 41 LLC dba Prairie View Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 821447782 Accountable Care Organization MO N/A 0 0 Caravan Health ACO 15 LLC dba Prairie Vista Care Organization 7509 NW Tiffany Springs Parkway Ste Kansas City MO 64153 611843657 Accountable Care Organization MO N/A 0 0 Avera Home Medical Equipment of Lakes Regional Healthcare LLC 2301 Hwy 71 South Ste D Spirit Lake IA 51360 862949748 Medical services - home medical equipment IA N/A 0 0 Accounts Management Inc 5132 S Cliff Avenue Suite 101 Sioux Falls SD 57108 460373021 Collection Agency SD N/A C 0 Avera Property Insurance Inc 1000 West 4th Street Suite 1 Yankton SD 57078 460463155 Insurance SD N/A C 0 Valley Health Services 501 Summit Street Yankton SD 57078 460357149 Rental Real Estate SD N/A C 0 Alucent Biomedical Inc 1325 S Cliff Avenue PO Box 5045 Sioux Falls SD 571175045 471818349 Biotech Research SD N/A C 0 South Dakota State Medical Holding Company Inc 5300 South Broadband Lane Sioux Falls SD 57108 460401087 Insurance SD N/A C 0 DakotaCare Administrative Services Inc 5300 South Broadband Lane Sioux Falls SD 57108 460424322 Insurance SD N/A C 0 Alucent Australia Pty Ltd Level 10 30 Collings Street Melbourne VIC 3000 AS Biotech Research AS N/A 0 Kore Cares In Home Services LLC 5300 South Broadband Lane Sioux Falls SD 57108 882778902 In-Home Care Services SD N/A S 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0