2021-05-17T13:17:02-05:00 2020-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-07-01 460422673 Avera Health AVER 6053227300 3900 West Avera Drive No 300 Sioux Falls SD 57108 Julie Lautt Secretary/CFO 6053224700 2021-05-14 1 Kim Hunwardsen P00484560 6122536500 2021-05-14 2019 2022-09-23 18:48:47Z Bob Sutton 3900 West Avera Drive No 300 Sioux Falls SD 57108 298734909 0 0928 X www.avera.org X 1998 SD Promotion of Health 15 10 1666 11 3127307 1385305 17411813 23574843 247930370 257966861 -948594 1602327 9490800 12456161 273884389 295600192 13557706 15871633 0 0 151179804 143987528 0 0 736216 106096165 106869460 270833675 266728621 3050714 28871571 1324107753 1513047085 1014353811 1166092281 309753942 346954804 X Avera Health is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values. 0 0 229613429 15871633 267307000 Avera Health is a nonprofit corporation jointly sponsored by the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota and the Benedictine Convent of the Sacred Heart of Yankton, South Dakota, together referenced as the "Sisters." Avera Health acts as the leader of the Avera health ministry, serving as an overall parent to support its affiliated tax-exempt health care organizations. These organizations provide services principally in eastern South Dakota and surrounding states. Avera Health provides management consulting, fund raising and other administrative services to the hospitals, long-term health care facilities, clinics, services and programs that are sponsored or otherwise affiliated with the Sisters.Avera eCARE is a visionary care delivery model that provides rural health care professionals around-the-clock access to specialty care physicians, nurses and pharmacists. Using advanced communication technology, eCARE supports rural facilities in the provision of evidence-based, high-quality care and offsets workforce shortages in rural communities. eCARE is a natural extension of Avera's Health mission and its century-long commitment to its rural communities to maintain access to quality care close to home. Avera eCARE works with some of the most underserved populations in the United States. This includes frontier populations, long term care residents, Native American Reservations, disabled veterans, and inmates. By bringing high quality, on demand access to specialty care, these unique populations are able to receive care within their home community and in a familiar, culturally appropriate setting. They are treated in coordination with the local practitioners that best understand their ongoing care needs. 229613429 1 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 336 0 1 1666 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 15 10 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 0 AL AR FL GA HI KS KY MD MA MI MN MS NH NJ NM ND OR PA RI SC TN UT VA WV WI X X Jamie Schaefer 6053223992 3900 W Avera Dr Ste 300 Sioux Falls SD 57108 Bob Sutton President and CEO 40.00 2.50 X X 1759265 0 48495 David Flicek Pres/CEO - Avera McKennan 0.00 40.00 X 1224706 0 47164 James Breckenridge-Left 42020 CFO Avera Health; Sec/Treas 40.00 1.40 X 1018166 0 36856 David Erickson Chief Medical/Innovation Officer 40.00 0.00 X 859682 0 42358 Dr Luis Rojas-Espaillat Director 5.00 40.00 X 0 758354 46655 Richard Korman Senior VP - General Counsel 40.00 0.00 X 690650 0 48495 Todd Forkel Pres/CEO - Avera St. Luke's 0.00 44.00 X 690400 0 40607 James Veline - Senior Vice Pres - Chief Information Officer 40.00 0.00 X 680531 0 24058 Robin Bates - Executive VP Insurance Svcs & Population Health 40.00 0.00 X 660730 0 39016 Julie Lautt - Joined 42020 CFO Avera Health; Sec/Treas 39.40 1.40 X 518454 0 35583 Deanna Larson CEO - eCare 40.00 0.00 X 418995 0 36316 Dr Jason Wickersham Director 5.00 40.00 X 0 380390 42562 Dr Merritt Gregg Warren Chair 5.00 40.00 X X 0 182065 32913 Sister Janet Horstman Vice Chair 5.00 0.00 X X 0 0 0 Sister Mary Jaeger PVBM Director 5.00 1.00 X 0 0 0 Sister Debra Kolecka OSB Director 5.00 2.50 X 0 0 0 Sister Mary Kay Panowicz Director 5.00 1.00 X 0 0 0 Sister Penny Bingham Director 5.00 4.00 X 0 0 0 Sister Pam Donelan Director 5.00 0.00 X 0 0 0 Lori Essig Director 5.00 0.00 X 0 0 0 Robert Fouberg Director 5.00 1.00 X 0 0 0 Clark Sinclair Director 5.00 0.00 X 0 0 0 Doneen Hollingsworth Director 5.00 0.00 X 0 0 0 Gary Gaspar Director 5.00 0.00 X 0 0 0 8521579 1320809 521078 202 0 1 0 Avera McKennan 1325 S Cliff Avenue Sioux Falls SD 57117 Services, computer hardware & software 18420755 CDW Government 230 N Milwaukee Ave Vernon Hills IL 60061 Computer Hardware Consulting 17530000 Medical Information Technology Inc 1 Meditech Circle Westwood MA 02090 Hardware/Software Consulting 6885049 Medspeed 655 West Grand Avenue Elmhurst IL 60126 Courier Services 3925782 Optum - The Advisory Board Company 655 New York Ave NW Washington DC 20001 Strategic consulting 2697133 141 206480 591039 50356 1414520 21312448 1206437 23574843 ACS revenue 900099 206275684 206275684 eCare revenue 900099 36326555 36326555 PACE revenue 561000 9752390 6190272 3562118 Premier expense credits 900099 6769138 6769138 Inc from affiliates 561000 -1156906 -1156906 257966861 22385 22385 1938348 1597533 340815 340815 340815 2883497 1116334 187221 1767163 -187221 1579942 381280 1198662 603624 591039 233629 369995 369995 A/R Interest 900099 8900781 8900781 Gain on insurance proceeds 900099 2844570 2844570 11745351 295600192 267307000 3127307 1591042 X 15660805 15660805 210828 210828 4937975 4937975 83166 83166 116159591 93744172 22011305 404114 11876982 10602368 1249512 25102 2452430 1308576 1123352 20502 8477384 7111819 1338354 27211 257553 194794 62759 1382495 1382495 142772 142772 36468694 34351151 2013884 103659 6953971 6926419 16853 10699 6263123 6086534 163977 12612 18318400 17884422 327856 106122 5494731 3800450 1694281 1715744 1425475 281904 8365 580114 544988 30137 4989 -297791 -244278 -53513 21506980 20910042 593679 3259 367537 220297 147240 UBI tax 291934 291934 Repairs and maintenance 4216382 4192096 24286 Bad debt expense 789868 789868 Dues and credentialing 542553 214510 319677 8366 1874400 1777726 95458 1216 266728621 229613429 36378976 736216 X 7363825 25050804 468176 524649 18407145 30791487 30300 390547 584602 8751307 8136519 218755389 119788791 101650389 98966598 863048803 1070788545 184637649 165755052 19068 12588 16139552 16139552 123200992 96296689 1324107753 1513047085 22360372 25278499 7023290 7439578 20421000 23209808 773420079 951318025 26271641 34732688 164857429 124113683 1014353811 1166092281 X 306039762 340335399 3714180 6619405 309753942 346954804 1324107753 1513047085 X 28871571 -1018196 9347487 X 0 1 X 1 1 1 X 17527901 15789136 14467701 17411813 23574843 88771394 170255307 186830145 207086072 254799501 266987769 1085958794 187783208 202619281 221553773 272211314 290562612 1174730188 78763 33177 101472 63613 368889 645914 113505331 122171044 130522462 166560168 178295346 711054351 113584094 122204221 130623934 166623781 178664235 711700265 463029923 456596 2768304 1317953 157217 22385 4722455 61242 249441 509369 1094391 1914443 517838 2768304 1567394 666586 1116776 6636898 162425 343127 309458 260272 369995 1445277 188463471 205730712 223430625 273138172 292049383 1182812363 0.39150 0.39900 0.00560 0.00590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 28809 0 1 113963 142772 0 Part II-B, Line 1: Through paid staff and paid consultants Avera Health meets with legislatures. Avera Health provides grants to other organizations for lobbying and pays dues of which a small portion is attributable to lobbying. 0 1 X 5765277 820309 128114 273739 36796 6403165 5295563 392984 629457 527554 25173 5765277 5004011 421937 280361 386932 23814 5295563 4854052 583639 147566 548377 32869 5004011 4361194 413851 391376 277515 34854 4854052 0.48660 0.20060 0.31280 0 0 948600 948600 31738384 9677947 22060437 4888418 3274123 1614295 155722499 106836721 48885778 25457488 25457488 98966598 Interest in Innovation Institute 12710060 F Non-publicly traded hedge, private equity, debt, and multi-strategy funds 139392102 F Non-publicly traded real estate 13467135 F NPPC, LLC 100000 C Premier Purchasing Partners, L.P. 85755 F 165755052 Deferred financing costs 14091157 Bond project fund 76 Interest in South Dakota Community Foundation 1113321 Deferred compensation 69416453 Swap account 115129 Right of use operating lease 11560553 96296689 Estimated insurance claims payable 33352132 Bond interest payable 9322994 Due to affiliated entities 9977767 Deferred compensation 69416453 Deferred payroll tax 2044337 124113683 X Part IV, Line 2b: Avera Health administers the Avera Health Pooled Investment Fund, a fund that is maintained for the benefit of facilities that are sponsored, operated, or managed by Avera Health. Investments are made in conformity with the objectives and guidelines of the Avera Health Pooled Investment Committee. Within the fund, participating facilities share in a pool of investments that are managed by various fund managers. Investments that are held for participating facilities are recorded as Avera Health Pooled Investments with a corresponding liability account of Custodial Funds - Avera Health Pooled Investments on the balance sheet. Avera Health also holds its own investments within the pooled fund and records their allocated share of income and losses from these investments as investment income in the financial statements. Part V, Line 4: The Organization's endowment consists of funds established for a variety of purposes related to health and wellness programs in Avera affiliated organizations. Part X, Line 2: Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Central America and the Caribbean - 0 0 Investments 139392102 0 0 0 0 0 0 139392102 0 139392102 1 0 1 1 0 0 Part III Accounting Method: Form 990, Schedule F, Part IV: Avera Health reviews its direct and indirect investments during the tax period for determining required foreign filings. The Organization's ownership interests in foreign corporations do not require a Form 5471 to be filed. The Organization invests in partnerships that hold direct or indirect interest in passive foreign investment companies. The investment partnerships have properly filed Form 8621, or the underlying investments did not generate any unrelated business income. Under these facts, Avera Health is not required to file an additional Form 8621. Race Against Breast Cancer 353171 159096 194075 62887 Hearts in Healing 99847 22365 77482 11250 10432 27 741645 409578 332067 149060 1194663 591039 603624 11250 222379 233629 369995 1 Aberdeen Catholic School System 1400 N Dakota St Aberdeen SD 57401 460336005 501c3 89421 Sponsorship Aberdeen Christian School 1500 Hwy 281 N Aberdeen SD 57401 911806433 501c3 10000 Sponsorship Aberdeen Ride Line 205 N 4th St Aberdeen SD 57401 466000010 501c3 20000 Sponsorship ALS Association - MNNDSD Chapter 1919 University Ave W Ste 175 Saint Paul MN 55104 411756085 501c3 12500 Sponsorship American Cancer Society 250 Williams St Atlanta GA 30303 131788491 501c3 20650 Sponsorship American Cancer Society Cancer Action Network 4904 S Technopolis Dr Sioux Falls SD 57106 522340031 501c4 10000 Sponsorship Avera St Mary's Hospital 801 E Sioux Ave Pierre SD 57501 460230199 501c3 10000 Sponsorship Banquet 900 E 8th St Sioux Falls SD 571031604 460387495 501c3 61916 Sponsorship Beresford School District #61-2 301 W Maple Beresford SD 57004 476002216 City of Beresford 21000 Sponsorship Bishop Dudley Hospitality House 101 N Indiana Ave Sioux Falls SD 57103 911836528 501c3 15000 Sponsorship Bishop O'Gorman Catholic Schools 3100 W 41st St Sioux Falls SD 57105 460413591 501c3 1000000 Sponsorship Boy Scouts of America - Sioux Council 800 N West Ave Sioux Falls SD 57104 460224599 501c3 6000 Sponsorship Boys & Girls Club of Aberdeen Area 1121 1st Ave SE Aberdeen SD 57401 237062273 501c3 12000 Sponsorship Boys & Girls Club of Northern Plains 1126 Southland Lane Brookings SD 57006 731630215 501c3 80000 Sponsorship Boys & Girls Club of the Sioux Empire 824 E 14th St Sioux Falls SD 57104 460399482 501c3 15500 Sponsorship Brookings School District 2130 8th St S Brookings SD 57006 466000834 City of Brookings 38162 Sponsorship Capital Area Counseling Service Inc 800 E Dakota PO Box 148 Pierre SD 57501 460305571 501c3 50000 Sponsorship Capital Area United Way PO Box 1111 Pierre SD 575011111 460403398 501c3 5150 Sponsorship Catholic Community Foundation for Eastern SD 523 N Duluth Ave Sioux Falls SD 571042714 466000424 501c3 105000 Sponsorship Central Lyon Community School 1010 S Greene St Rock Rapids IA 51246 426037624 City of Rock Rapids 15000 Sponsorship Charis Ministry Partners 1300 E 10th St Sioux Falls SD 57103 383775128 501c3 7000 Sponsorship Children's Home Society of South Dakota Foundation PO Box 1749 Sioux Falls SD 571011749 460224542 501c3 12000 Sponsorship Compass Center 1704 S Cleveland Ave Ste 3 Sioux Falls SD 57103 460350199 501c3 7000 Sponsorship Dakota Resources 25795 475th Ave Ste 1 Renner SD 57055 460442430 501c3 45000 Sponsorship Dakota Wesleyan University 1200 W University Ave Mitchell SD 57301 460224589 501c3 29500 Scholarship Sponsorship DakotAbilities 1116 S 4th Ave Sioux Falls SD 57105 460306216 501c3 15000 Sponsorship Daktronics Inc PO Box 86 Minneapolis MN 55486 460306862 18750 Sponsorship Delta Dental of South Dakota Foundation 804 N Euclid Ave Ste 101 Pierre SD 57501 911776857 501c3 20000 Sponsorship Destiny Healthcare International PO Box 90648 Sioux Falls SD 57109 510529480 501c3 15000 Sponsorship Dow Rummel Village 1321 W Dow Rummel St Sioux Falls SD 57104 460271277 501c3 75000 Sponsorship EmBe 300 W 11th St Sioux Falls SD 571046306 460234998 501c3 45015 Sponsorship Etc for Her 1112 S Holly Dr Sioux Falls SD 57104 263803061 19000 Sponsorship Family Visitation Center 311 E 14th St Sioux Falls SD 57104 263654937 501c3 30000 Sponsorship Feeding South Dakota 4701 N Westport Ave Sioux Falls SD 57107 363293534 501c3 42240 Sponsorship Fellowship of Christian Athletes 1208 Horizon Dr Marshall MN 56258 440610626 501c3 16500 Sponsorship Forward Sioux Falls 200 N Phillips Ave Ste 101 Sioux Falls SD 57104 460396647 150000 Sponsorship Furniture Mission of South Dakota 209 N Nesmith Ave Sioux Falls SD 57103 810584450 501c3 12500 Sponsorship Girl Scouts - Dakota Horizons 1101 S Marion Rd Sioux Falls SD 571063466 460250744 501c3 6000 Sponsorship Glory House of Sioux Falls 4000 S West Ave Sioux Falls SD 57105 460308425 501c3 30000 Sponsorship Governor's Office of Economic Development 711 E Wells Ave Pierre SD 57501 466000364 State of SD 15000 Sponsorship Ground Works MidwestSDAITC 102 N Krohns Pl Ste 116 Sioux Falls SD 57106 475498537 501c3 7500 Sponsorship Harrisburg Baseball Association PO Box 434 Harrisburg SD 57032 270606157 501c3 8250 Sponsorship Helpline Center Inc 1000 N West Ave Ste 310 Sioux Falls SD 571041314 237424387 501c3 15000 Sponsorship Junior Achievement of South Dakota 1000 N West Ave Ste 110 Sioux Falls SD 57104 460306352 501c3 24450 Sponsorship Leukemia & Lymphoma Society 1711 Broadway St NE Minneapolis MN 55413 135644916 501c3 16000 Sponsorship LifeScape Foundation 2011 W 26th St Ste 201 Sioux Falls SD 57105 465151247 501c3 12000 Sponsorship Make-A-Wish Foundation of SD 1400 W 17th St Sioux Falls SD 57104 460375953 501c3 10000 Sponsorship McCrossan Boys Ranch 47135 260th St Sioux Falls SD 571079905 460311913 501c3 12000 Sponsorship Mitchell Aquatic Club PO Box 1371 Mitchell SD 57301 460461058 501c3 25000 Sponsorship Mitchell Corn Palace 604 N Main St Mitchell SD 57301 466000305 55000 Sponsorship Mitchell School District 17-2 821 N Capital St Mitchell SD 57301 466001338 City of Mitchell 11000 Sponsorship Mount Marty College 1105 W 8th St Yankton SD 57078 460283336 501c3 337000 Scholarship Sponsorship NAMI South Dakota PO Box 88808 Sioux Falls SD 571098808 363593027 501c3 35000 Sponsorship National Kidney Foundation 2601 S Minnesota Ave Ste 105 Sioux Falls SD 57105 131673104 501c3 15500 Sponsorship National Multiple Sclerosis Society 733 Third Ave New York NY 10017 410790658 501c3 16000 Sponsorship NSU Foundation 620 15th Ave SE Aberdeen SD 57401 237002314 501c3 150000 Scholarship Sponsorship Oahe Family YMCA 900 E Church St Pierre SD 57501 237169291 501c3 60000 Sponsorship Pathways Shelter for the Homeless 412 E 4th St Yankton SD 57078 473974624 501c3 6000 Sponsorship Pierre Area Referral Service 110 W Missouri Ave Pierre SD 57501 460317107 501c3 11000 Sponsorship Pierre School District 211 S Poplar St Pierre SD 57501 466001892 City of Pierre 6600 Sponsorship Pink Gorilla Events 3121 S 6th St Ste C Lincoln NE 68502 320214633 12000 Sponsorship Post 8 Baseball PO Box 431 Pierre SD 57501 466008690 501c19 10000 Sponsorship Prairie Family Business Association 4801 N Career Ave Ste 140 Sioux Falls SD 57107 466000364 State of SD 5500 Sponsorship Presentation College 1500 N Main St Aberdeen SD 57401 460280847 501c3 800000 Scholarship Sponsorship Presentation Sisters of the Blessed Virgin Mary 1500 N 2nd St Aberdeen SD 57401 460253283 501c3 22500 Sponsorship Pride in the Tiger Foundation 400 Tiger Dr Marshall MN 56258 411948007 501c3 10000 Sponsorship River Cities Public Transit 1600 E Dakota Ave Pierre SD 57501 460449059 501c3 18500 Sponsorship Ronald McDonald House Charities of SD 825 S Lake Ave Sioux Falls SD 57104 460371152 501c3 30000 Sponsorship Safe Harbor PO Box 41 Aberdeen SD 574020041 460344310 501c3 10000 Sponsorship SculptureWalk Inc 300 S Phillips Ave Ste L104 Sioux Falls SD 57104 208535871 501c3 17000 Sponsorship SDARL Foundation PO Box 2170 Brookings SD 57007 364293293 501c3 10000 Sponsorship SDSU Foundation PO Box 525 Brookings SD 570069935 460273801 501c3 105010 Sponsorship Sioux Empire Baseball Association 1601 W 44th Pl Ste 3 Sioux Falls SD 571056377 411903475 501c3 30000 Sponsorship Sioux Empire Fastpitch Softball Association 605 S Watson Ave Ste 100 Sioux Falls SD 57106 237223489 501c3 7505 Sponsorship Sioux Empire United Way 1000 N West Ave Ste 120 Sioux Falls SD 571041314 460233701 501c3 89050 Sponsorship Sioux Falls Area Chamber of Commerce PO Box 1425 Sioux Falls SD 571011425 460189300 501c6 5150 Sponsorship Sioux Falls Jazz & Blues Society PO Box 1285 Sioux Falls SD 571011285 460418356 501c3 20000 Sponsorship Sioux Falls Public Schools Education Foundation PO Box 560 Sioux Falls SD 57101 263537657 501c3 8800 Sponsorship Sioux Falls School District 49-5 201 E 38th St Sioux Falls SD 571055898 466002586 City of Sioux Falls 13000 Sponsorship Siux Falls Area Community Foundation 200 N Cherapa Pl Sioux Falls SD 57103 311748533 501c3 7500 Sponsorship SMSU Foundation FH 229 Marshall MN 56258 237108470 501c3 60000 Sponsorship South Dakota Community Foundation Po Box 296 Pierre SD 57501 460398115 501c3 52000 Sponsorship South Dakota Hall of Fame 1480 S Main Chamberlain SD 57325 460324210 501c3 25000 Sponsorship South Dakota Healthcare Coalition 804 N Western Avenue Sioux Falls SD 57104 460272951 501c6 25000 Sponsorship South Dakota Symphony Orchestra 301 S Main Ave Sioux Falls SD 57104 466017026 501c3 70000 Sponsorship South Dakota Youth Foundation Inc 1310 Main Ave S Ste 109 Brookings SD 57006 474832848 501c3 10000 Sponsorship Southeast Technical Institute 2320 N Career Ave Sioux Falls SD 57107 466002586 State of SD 24916 Sponsorship Special Olympics South Dakota 800 East I-90 Lane Sioux Falls SD 57104 460359776 501c3 10000 Sponsorship St Francis House 1301 E Austin St Sioux Falls SD 57103 460423202 501c3 60000 Sponsorship Teach for America-South Dakota 132 Main Street Mission SD 57555 133541913 501c3 12500 Sponsorship Teddy Bear Den 500 S Main Ave Sioux Falls SD 57104 311802800 501c3 9000 Sponsorship United Way & Volunteer Services of Greater Yankton 610 W 23rd St Ste 11 Yankton SD 57078 460252854 501c3 17000 Sponsorship United Way of Northeastern SD Inc PO Box 1065 Aberdeen SD 57401 237086355 501c3 15450 Sponsorship United Way of Southwest MN PO Box 41 Marshall MN 56258 416023143 501c3 5150 Sponsorship University of Sioux Falls 1101 W 22nd St Sioux Falls SD 57105 460224600 501c3 400000 Scholarship Sponsorship USD Foundation 1110 N Dakota St Vermillion SD 57069 466018891 501c3 253000 Sponsorship USD Sanford School of Medicine Dept of Family Medicine Sioux Falls SD 57105 466000364 State of SD 30500 Sponsorship Vision Brookings Foundation 2301 Research Park Way Ste 113 Brookings SD 57006 460440746 501c3 20000 Sponsorship Volunteers of America Dakotas PO Box 89306 Sioux Falls SD 571099306 237353508 501c3 15000 Sponsorship Washington High School 501 N Sycamore Ave Sioux Falls SD 57110 466002586 City of Sioux Falls 90000 Sponsorship Washington Pavilion 301 S Main Ave Sioux Falls SD 57104 460435791 501c3 73600 Sponsorship Yankton Area Progressive Growth 803 E 4th St Yankton SD 57078 460348636 501c6 60000 Sponsorship Yankton School District 63-3 2410 W City Limits Rd Yankton SD 57078 466003280 City of Yankton 10000 Sponsorship 93 10 Haiti scholarships 12 14400 Medical assistance to employees 22 45765 Medical educational scholarships 6 12500 Part I, Line 2: The Organization makes grants to other organizations exempt under 501(c)(3) to ensure the funds will be used for charitable purposes. During the year ending June 30, 2020, the Organization made contributions to other non-public charities in furtherance of community development. The contributions are approved by the Board for this purpose. Scholarship funds have different sets of criteria for determining eligibility and winners. Assistance to individuals is determined with assistance from each hospital's social services department or within a committee at the hospital. X X X X 0 0 0 0 0 0 0 0 0 Bob Sutton President and CEO 1704844 0 0 0 54421 0 14000 0 34495 0 1807760 0 0 0 David Flicek Pres/CEO - Avera McKennan 1184996 0 480 0 39230 0 14000 0 33164 0 1271870 0 0 0 James Breckenridge-Left 42020 CFO Avera Health; Sec/Treas 945274 0 1760 0 71132 0 14000 0 22856 0 1055022 0 0 0 David Erickson Chief Medical/Innovation Officer 810480 0 3490 0 45712 0 14000 0 28358 0 902040 0 0 0 Dr Luis Rojas-Espaillat Director 0 659097 0 24000 0 75257 0 14000 0 32655 0 805009 0 0 Richard Korman Senior VP - General Counsel 670689 0 0 0 19961 0 14000 0 34495 0 739145 0 0 0 Todd Forkel Pres/CEO - Avera St. Luke's 673697 0 0 0 16703 0 7952 0 32655 0 731007 0 0 0 James Veline - Senior Vice Pres - Chief Information Officer 639962 0 0 0 40569 0 14000 0 10058 0 704589 0 0 0 Robin Bates - Executive VP Insurance Svcs & Population Health 623879 0 0 0 36851 0 14000 0 25016 0 699746 0 0 0 Julie Lautt - Joined 42020 CFO Avera Health; Sec/Treas 516081 0 400 0 1973 0 14000 0 21583 0 554037 0 0 0 Deanna Larson CEO - eCare 395535 0 675 0 22785 0 14000 0 22316 0 455311 0 0 0 Dr Jason Wickersham Director 0 277834 0 101166 0 1390 0 14000 0 28563 0 422953 0 0 Dr Merritt Gregg Warren Chair 0 143235 0 32161 0 6669 0 9257 0 23656 0 214978 0 0 A South Dakota Health and Educational Facilities Authority 460315509 83755VUS1 2012-05-01 206383927 Series 2012B refunded 2002 and 2008A bonds issued 4/11/02 and 6/18/08 0 0 0 B South Dakota Health and Educational Facilities Authority 460315509 83755VVY7 2014-06-26 61821688 Series 2014A Various capital projects 0 0 0 C South Dakota Health and Educational Facilities Authority 460315509 83755VG99 2017-10-11 242848916 Series 2017 refunded bond issued 6/18/08;const/equip healthcare facilities 0 0 0 D South Dakota Health and Educational Facilities Authority 460315509 83755VJ54 2019-11-13 50276218 Series 2019A refunded bond issued 4/3/2017 0 0 0 A 93973927 206383927 1032422 38100000 167251505 2013 1 0 1 1 B 61821688 821688 61000000 2015 0 0 1 1 C 20193916 242848916 1786422 190000000 51062494 0 1 1 1 D 50276218 50276218 0 1 1 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 06/30/2020 Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 06/30/2020 Schedule K, Part IV, Line 2C: The arbitrage analysis is performed annually, therefore the analysis was completed as of June 30, 2020 for Bonds A and B. Grant Flicek Family member of David Flicek, key employee 83166 Compensation as an employee 0 Interstates Office Products Inc Owned by board member, Gary Gaspar 291123 Office product purchases 0 X 1 50000 FMV X 11 962393 Avg of high/low X 7 53794 Cost X 100 ipads 100 80000 Cost X Lodging 2 20100 FMV X Items for patients and residents 1 15900 Cost X Toys 1 7000 Cost X 265 gallons ethanol 1 6250 FMV X Quilts 1 6000 FMV X Microscope 1 5000 Cost 0 0 1 0 Part I, Column (b): The organization is reporting in Part I, column (b) a combination of number of contributions and number of items received. Part I, Line 33: Amounts included in revenue for the financial statement reporting are included on Schedule M. Additional non-cash contributions not included on Schedule M and the financial statements include items for the benefit of the Avera facilities which include special event donations. Form 990, Part VI, Section A, line 6 The organization has two classes of members: Sponsorship Members and System Members. Sponsorship Members shall consist collectively of (i) those persons serving from time to time as the President and Council of the Presentation Sisters of the Blessed Virgin Mary of Aberdeen, South Dakota and (ii) those persons serving from time to time as the Prioress and Council of the Benedictine Convent of the Sacred Heart (Yankton, S.D.). System Members shall consist of six Sisters- three Presentation Sisters appointed by the Presentation Sponsorship Members and three Benedictine Sisters appointed by the Benedictine Sponsorship Members. Form 990, Part VI, Section A, line 7a The System Members have the power to appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause. They also have the power to appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health. Form 990, Part VI, Section A, line 7b The following powers shall be reserved to and exercised exclusively by the Sponsorship Members and none of the following actions shall be taken by Avera Health without action of the Sponsorship Members: (a) To approve the adoption, amendment or repeal of the statements of philosophy, mission, Guiding Principles and values of Avera Health; (b) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Avera Health, and to give final approval of any such action with respect thereto; (c) To establish policies regarding the alienation of real property and precious artifacts associated with the healthcare ministry which are under the canonical stewardship of the Presentation Sisters or the Benedictine Sisters; (d) To approve any plan of merger, consolidation or dissolution of Avera Health, or the divestiture of any sponsored work or ministry associated with Avera Health; (e) To change the composition of the Sponsorship Members, including the addition of other individuals, parties or entities to be Sponsorship Members; and (f) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of Avera Health. The following powers shall be reserved to and exercised exclusively by the System Members and none of the following actions shall be taken by Avera Health without action of the System Members: (a) To appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause; (b) To appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health; (c) To appoint the Chair and Vice Chair of the Board of Directors; (d) To appoint, evaluate, suspend or remove the President and Chief Executive Officer; (e) To review and approve the operating and capital budgets, including expenditures outside of budget, and the strategic plan, of Avera Health; (f) To adopt procedures for assuring that corporate actions are consistent with the philosophy, mission, Guiding Principles and values of Avera Health; (g) To provide recommendations to the Sponsorship Members on matters requiring Sponsorship Members' approval or action; (h) To adopt policies designed to effectuate the powers reserved to the System Members; and (i) To exercise oversight of the Guiding Principles and such authorities which may be assigned or delegated by the Sponsorship Members. Form 990, Part VI, Section A, line 8b Avera Health does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the VP of Financial Reporting, Tax Manager, and Finance Committee (if applicable). After initial review the Form 990 is made available to the Board and other Operation Finance Leaders. In FY2020, the board was provided a copy of the return with the name of a donor who wished to remain anonymous removed from Schedule B. All other aspects of the return as provided to the board mirrored the return as filed with the IRS. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board. Form 990, Part VI, Section B, line 15 Annually the Compensation Committee of Avera Health, which is comprised of six (6) system members appointed by the religious orders, meets with an independent consultant regarding fair market value for compensation of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are not made available to the general public. Form 990, Part VI, Section B, Line 16b: There is no written policy or procedure. In the event of any such proposed transaction, the board or a committee with delegated authority reviews all materials, valuations and operational aspects for any proposed transaction. Such transaction would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Any transaction also would be approved by the board and the member. Form 990, Part IX, line 11g Purchased services: Program service expenses 10,359,688. Management and general expenses 160,039. Fundraising expenses 52,681. Total expenses 10,572,408. Contract labor: Program service expenses 19,886,691. Management and general expenses 511,123. Fundraising expenses 0. Total expenses 20,397,814. Recruitment: Program service expenses 266,004. Management and general expenses 71. Fundraising expenses 0. Total expenses 266,075. Consulting fees: Program service expenses 3,294,300. Management and general expenses 1,342,651. Fundraising expenses 50,978. Total expenses 4,687,929. Medical Director fees: Program service expenses 544,468. Management and general expenses 0. Fundraising expenses 0. Total expenses 544,468. Form 990, Part X, Line 20: The issue price includes the filing Organization's share of the entire bond issue, which was issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Sacred Heart, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg and Avera at Home. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Avera Health's tax return (EIN 46-0422673). Form 990, Part XI, line 9: Net equity transfers 14,140,763. Other changes in net assets -1,609,504. Contributions received by Avera Health Foundation not reflected in financial statements -13,101,012. Net assets released from restrictions -69,868. Grants to organizations distributed by Avera Health Foundation not reflected in financial statements 9,987,108. Avera eCare LLC 3900 West Avera Drive Sioux Falls SD 571085721 Telehealth SD 0 0 Avera Health Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 470463911 Healthcare services NE 501(c)(3) Line 3 Avera Health 1 Avera Holy Family 826 North 8th Street Estherville IA 51334 420680370 Healthcare services IA 501(c)(3) Line 3 Avera Health 1 Avera Holy Family Foundation 826 North 8th Street Estherville IA 51334 421317452 Support health related services IA 501(c)(3) Line 10 Avera Holy Family 1 St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 460226738 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 St Benedict Health Center Foundation West Glynn Drive PO Box B Parkston SD 57366 460458725 Support health related services SD 501(c)(3) Line 12a, I St Benedict Health Center 1 Avera McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460224743 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera Queen of Peace Hospital 525 North Foster Mitchell SD 57301 460224604 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Sacred Heart Health Services 501 Summit Street Yankton SD 57078 460225483 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera Gettysburg 606 East Garfield Gettysburg SD 57442 460234354 Healthcare services SD 501(c)(3) Line 3 Avera St Mary's 1 Avera at Home 5116 S Solberg Ave Sioux Falls SD 57108 460399291 Home services SD 501(c)(3) Line 10 Avera Health 1 Lewis and Clark Health Education and Service Agency 1000 W 4th Street Suite 9 Yankton SD 57078 460337013 Healthcare education SD 501(c)(3) Line 10 Sacred Heart Health Services 1 Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera St Mary's 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera Marshall 300 S Bruce Street Marshall MN 56258 410919153 Healthcare services MN 501(c)(3) Line 3 Avera Health 1 Avera Tyler 240 Willow Street Tyler MN 56178 410853163 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 1 Avera Health Plans Inc 3900 West Avera Drive Suite 101 Sioux Falls SD 57108 460451539 Health financing & health plan admin SD 501(c)(4) Avera Health 1 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 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 Q&M Properties LLC 525 North Foster Mitchell SD 57301 731652049 Medical clinic building SD N/A Surgical Associates Endoscopy Clinic LLC 310 S Penn Aberdeen SD 57401 460461429 Surgical associates SD N/A Avera Home Medical Equipment of Spencer Hospital LLC 2400 S Minnesota Ave Sioux Falls SD 57117 800619999 Medical Services - home medical equipment SD N/A Heart Hospital of South Dakota LLC 4500 W 69th Street Sioux Falls SD 57108 562143771 Healthcare Services SD N/A Brookings Health System - Avera HME LLC 101 22nd Ave Suite 101 Brookings SD 57006 453204123 Healthcare Services SD N/A National Rural ACO 4 LLC dba Prairie Hills Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 371780735 Accountable Care Organization KS N/A National Rural ACO 5 LLC dba Great Plains Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 383958290 Accountable Care Organization KS N/A Caravan Health ACO 41 LLC dba Prairie View Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 821447782 Accountable Care Organization KS N/A Accounts Management Inc 5132 S Cliff Ave Suite 101 Sioux Falls SD 57108 460373021 Collection agency SD Avera Health C 3160692 3643799 0.75000 1 Avera Property Insurance Inc 1000 West 4th Street Suite 1 Yankton SD 57078 460463155 Insurance SD Avera Health C 335936 1236947 1.00000 1 Valley Health Services 501 Summit Street Yankton SD 57078 460357149 Rental real estate SD Sacred Heart Health Services C 92299 1297980 1.00000 1 Alucent Biomedical Inc 1325 S Cliff Avenue PO Box 5045 Sioux Falls SD 571175045 471818349 Biotech Research SD Alumend LLC C -8559224 3037615 1.00000 1 South Dakota State Medical Holding Company Inc 5300 South Broadband Lane Sioux Falls SD 57108 460401087 Insurance SD Avera Health C 27224257 19435807 1.00000 1 DakotaCare Administrative Services Inc 5300 South Broadband Lane Sioux Falls SD 57108 460424322 Insurance SD Avera Health C 5042594 4895784 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 Accounts Management Inc L 435780 General ledger Avera at Home L 3746244 General ledger Avera Health Plans Inc L 480372 General ledger Avera Marshall L 11290860 General ledger Avera McKennan L 124034028 General ledger Avera Queen of Peace Hospital L 13546344 General ledger Avera Sacred Heart Health Services L 17068596 General ledger Avera St Luke's L 19881540 General ledger Avera St Mary's L 9621516 General ledger Avera McKennan K 685268 Vendor payment listing Avera Sacred Heart Health Services K 54720 Vendor payment listing Avera Health Plans Inc P 19903545 Vendor payment listing Avera Marshall P 285276 Vendor payment listing Avera McKennan P 19516063 Vendor payment listing Avera Queen of Peace Hospital P 336336 Vendor payment listing Avera Sacred Heart Health Services P 435700 Vendor payment listing Avera St Luke's P 316919 Vendor payment listing Avera St Mary's P 102550 Vendor payment listing Accounts Management Inc Q 81130 Customer invoice listing Avera at Home Q 724599 Customer invoice listing Avera Health Plans Inc Q 683091 Customer invoice listing Avera Holy Family Q 606696 Customer invoice listing Avera Marshall Q 2149841 Customer invoice listing Avera McKennan Q 33920256 Customer invoice listing Avera Queen of Peace Hospital Q 4298387 Customer invoice listing Avera Sacred Heart Health Services Q 4468415 Customer invoice listing Avera St Anthony's Hospital Q 782524 Customer invoice listing Avera St Luke's Q 5920157 Customer invoice listing Avera St Mary's Q 2654862 Customer invoice listing St Benedict Health Center Q 476174 Customer invoice listing South Dakota State Medical Holding Company Q 419844 Customer invoice listing Avera at Home R 318341 General ledger Avera Holy Family R 76649 General ledger Avera Marshall R 188071 General ledger Avera McKennan R 9053778 General ledger Avera Queen of Peace Hospital R 237267 General ledger Avera Sacred Heart Health Services R 814092 General ledger Avera St Luke's R 304931 General ledger Avera St Mary's R 219414 General ledger St Benedict Health Center R 70092 General ledger