2020-07-10T15:45:44-05:00 2019-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-07-01 460422673 Avera Health AVER 6053227300 3900 West Avera Drive No 300 Sioux Falls SD 57108 Julie Norton Secretary/CFO 6053224700 2020-07-07 1 Kim Hunwardsen P00484560 6122536500 2020-07-07 216.147.181.49 2020-07-07 15:45:20 CD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2018 2021-01-29 14:40:06Z Bob Sutton 3900 West Avera Drive No 300 Sioux Falls SD 57108 277699711 0 0928 X www.avera.org X 1998 SD Promotion of Health 15 10 1570 11 2870170 635737 14467701 17411813 199967555 247930370 2304385 -948594 8717462 9490800 225457103 273884389 15582714 13557706 0 0 121091438 151179804 0 0 534689 98223646 106096165 234897798 270833675 -9440695 3050714 1282022027 1324107753 978667960 1014353811 303354067 309753942 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 223540735 13557706 254799501 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, 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. 223540735 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 1 327 0 1 1570 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 1 1 1 1 1 1 1 1 1 0 AL FL GA KS KY MD MA MI MS NV NH NJ ND OR PA RI SC TN UT WV WI AR HI MN NM VA X X Jamie Schaefer 6053223992 3900 W Avera Dr Ste 300 Sioux Falls SD 57108 Cathy Clark Chair 5.00 0.00 X X 0 0 0 Sister Janet Horstman Vice Chair 5.00 0.00 X X 0 0 0 Ken Karels Director 5.00 0.00 X 0 0 0 Sister Mary Jaeger PVBM Director 5.00 1.00 X 0 0 0 Sister Debra Kolecka OSB Director 5.00 0.50 X 0 0 0 Dan Eisenbraun Director 5.00 0.00 X 0 0 0 Clark Sinclair Director 5.00 0.00 X 0 0 0 Dr Merritt Gregg Warren Director 5.00 40.00 X 0 200957 33131 Sister Mary Kay Panowicz Director 5.00 0.00 X 0 0 0 Gary Gaspar Director 5.00 0.00 X 0 0 0 Sister Penny Bingham Director 5.00 4.00 X 0 0 0 Dr Luis Rojas-Espaillat Director 5.00 40.00 X 0 762030 43747 Dr Jason Wickersham Director 5.00 40.00 X 0 390578 39297 Sister Pam Donelan Director 5.00 0.00 X 0 0 0 Bob Sutton President and CEO 40.00 0.00 X X 1111629 0 45357 James Breckenridge CFO Avera Health; Sec/Treas 38.70 1.30 X 918859 0 34586 John Porter - Past President and CEO until 12/31/18 40.00 0.00 X 1790600 0 38688 Fredrick Slunecka - Chief Operating Officer until 8/24/18 40.00 0.00 X 3495804 0 28609 David Flicek Pres/CEO - Avera McKennan 0.00 40.00 X 1000651 0 46357 Deanna Larson CEO - eCare 40.00 0.00 X 377606 0 42904 David Erickson Chief Medical Officer 40.00 0.00 X 834052 0 41656 Todd Forkel Pres/CEO - Avera St. Luke's 0.00 42.00 X 666750 0 36229 Richard Korman Senior VP - General Counsel 40.00 0.00 X 674382 0 43857 Robin Bates - Executive VP Insurance Svcs & Population Health 40.00 0.00 X 575970 0 38688 James Veline - Senior Vice Pres - Chief Information Officer 40.00 0.00 X 625120 0 23391 12071423 1353565 536497 180 0 1 0 CDW Government 230 N Milwaukee Ave Vernon Hills IL 60061 Computer Hardware Consulting 22195670 Avera McKennan 1325 S Cliff Avenue Sioux Falls SD 57117 Services, computer hardware & software 14768710 Medical Information Technology 1 Meditech Circle Westwood MA 02090 Hardware/Software Consulting 6368024 Medspeed 655 West Grand Avenue Elmhurst IL 60126 Courier Services 3328255 Advisory Board Company 655 New York Ave NW Washington DC 20001 Strategic consulting 2814782 137 193575 973662 72246 1250431 14921899 382988 17411813 ACS revenue 900099 193094418 193094418 eCare revenue 900099 34047903 34047903 PACE revenue 561000 8687377 6142540 2544837 Premier expense credits 900099 8002704 8002704 Inc from affiliates 561000 -518948 -518948 4616916 4616916 247930370 157217 157217 2011651 1676143 335508 335508 335508 618998 6400 1731209 0 -1112211 6400 -1105811 508773 -1614584 668242 973662 407970 260272 260272 A/R Interest 900099 8895020 8895020 8895020 273884389 254799501 2870170 -1197095 X 13416436 13416436 141270 141270 8340349 8340349 64943 64943 106704240 82482432 23944793 277015 7953793 6128122 1806094 19577 20665347 16040821 4594408 30118 7451132 5400155 2033379 17598 65067 65067 1378863 1378863 76076 76076 39627303 36749293 2764381 113629 9470507 9452833 13798 3876 4277095 4127871 137288 11936 19232026 18885420 316841 29765 4658429 3247934 1410193 302 2523934 2198982 309134 15818 1655598 1440245 204657 10696 -289170 -289170 20567084 19976311 587503 3270 328609 300756 27853 License & publications 997612 975103 22494 15 Foundation expenses 497254 497254 Grant Prog Expenditures 338181 338181 UBI tax 109314 109314 582383 221434 359875 1074 270833675 223540735 46758251 534689 X 22583709 7363825 230615 468176 15166840 18407145 4652651 30300 511303 390547 10269822 8751307 200911058 99260669 98521120 101650389 796174085 863048803 180652447 184637649 21208 19068 16139552 16139552 137098675 123200992 1282022027 1324107753 31744090 22360372 3745366 7023290 28066451 20421000 708539428 773420079 29145378 26271641 177427247 164857429 978667960 1014353811 X 300038875 306039762 2824509 2905394 490683 808786 303354067 309753942 1282022027 1324107753 X 3050714 1237154 2112007 X 0 1 X 1 1 1 X 12575041 17527901 15789136 14467701 17411813 77771592 150269980 170255307 186830145 207086072 254799501 969241005 162845021 187783208 202619281 221553773 272211314 1047012597 5755 78763 33177 101472 63613 282780 93124170 113505331 122171044 130522462 166560168 625883175 93129925 113584094 122204221 130623934 166623781 626165955 420846642 626811 456596 2768304 1317953 157217 5326881 85611 61242 249441 509369 905663 712422 517838 2768304 1567394 666586 6232544 425855 162425 343127 309458 260272 1501137 163983298 188463471 205730712 223430625 273138172 1054746278 0.39900 0.41850 0.00590 0.00660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 25138 0 1 50938 76076 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 5295563 392984 629457 527554 25173 5765277 5004011 421937 280361 386932 23814 5295563 4854052 583639 147566 548377 32869 5004011 4361194 413851 391376 277515 34854 4854052 3542771 367555 782973 296350 35755 4361194 0.54000 0.22000 0.24000 0 0 948600 948600 29846312 9374420 20471892 4560160 2875043 1685117 140778621 87011206 53767415 24777365 24777365 101650389 Interest in Innovation Institute 12409914 F Non-publicly traded hedge, private equity, debt, and multi-strategy funds 157556360 F Non-publicly traded real estate 14228354 F NPPC, LLC 100000 C Premier Purchasing Partners, L.P. 343021 F 184637649 Deferred financing costs 7945113 Bond project fund 51383899 Interest in South Dakota Community Foundation 1091195 Deferred compensation 62780785 123200992 Estimated insurance claims payable 43871296 Bond interest payable 7942275 Due to affiliated entities 50263073 Deferred compensation 62780785 164857429 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 157556360 0 0 0 0 0 0 157556360 0 157556360 1 0 1 1 0 0 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 441085 277355 163730 2149 145142 The Big Grape Reserve 112206 93778 18428 19196 23286 47 1088613 602529 486084 218197 1641904 973662 668242 21345 386625 407970 260272 1 Aberdeen Catholic School System 1400 N Dakota St Aberdeen SD 57401 460336005 501c3 91421 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 18000 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 40150 Sponsorship American Cancer Society Cancer Action Network 4904 S Technopolis Dr Sioux Falls SD 57106 522340031 501c4 7500 Sponsorship American Heart Association - Midwest Affiliate PO Box 50035 Prescott AZ 863045035 135613797 501c3 15000 Sponsorship American Red Cross of Eastern SD 808 N West Ave Sioux Falls SD 57104 530196605 501c3 15000 Sponsorship Avera St Mary's Hospital 801 E Sioux Ave Pierre SD 57501 460230199 501c3 10000 Sponsorship Bishop O'Gorman Catholic Schools 3100 W 41st St Sioux Falls SD 57105 460413591 501c3 1000000 Sponsorship Boys & Girls Club of Aberdeen Area 1121 1st Ave SE Aberdeen SD 57401 237062273 501c3 6000 Sponsorship Boys & Girls Club of Brookings SD Inc 1126 Southland Lane Brookings SD 57006 731630215 501c3 40000 Sponsorship Boys & Girls Club of the Sioux Empire 824 E 14th St Sioux Falls SD 57104 460399482 501c3 15000 Sponsorship Brandon Valley Hockey Association PO Box 174 Brandon SD 57005 451828894 501c3 10000 Sponsorship Brookings School District 2130 8th St S Brookings SD 57006 466000834 City of Brookings 37050 Sponsorship Catholic Community Foundation for Eastern SD 523 N Duluth Ave Sioux Falls SD 571042714 466000424 501c3 100000 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 6000 Sponsorship Citizens Involvement Council 2520 E Franklin Pierre SD 57501 460317107 501c3 10000 Sponsorship City of Pierre Inaugural Committee 1714 N Lincoln Pierre SD 57501 466000356 City of Pierre 12500 Sponsorship Compass Center 1704 S Cleveland Ave Ste 3 Sioux Falls SD 57103 460350199 501c3 7500 Sponsorship Dakota Resources 25795 475th Ave Ste 1 Renner SD 57055 460442430 501c3 7500 Sponsorship Dakota Weslyan University 1200 W University Ave Mitchell SD 57301 460224589 501c3 30000 Sponsorship DakotAbilities 1116 S 4th Ave Sioux Falls SD 57105 460306216 501c3 15000 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 Dive In Yankton 804 E 4th St Yankton SD 57078 261801357 501c3 100000 Sponsorship Dow Rummel Village 1321 W Dow Rummel St Sioux Falls SD 57104 460271277 501c3 25000 Sponsorship Downtown Sioux Falls Inc 230 S Phillips Ave Ste 306 Sioux Falls SD 571046708 363627217 501c4 20000 Sponsorship EmBe 300 W 11th St Sioux Falls SD 571046306 460234998 501c3 49500 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 8000 Sponsorship Girl Scouts - Dakota Horizons 1101 S Marion Rd Sioux Falls SD 571063466 460250744 501c3 6000 Sponsorship Great Plains Zoo and Delbridge Museum 805 S Kiwanis Ave Sioux Falls SD 57104 466015015 501c3 30000 Sponsorship Ground Works Midwest 102 N Krohns Pl Ste 116 Sioux Falls SD 57106 475498537 501c3 7500 Sponsorship Helpline Center Inc 1000 N West Ave Ste 310 Sioux Falls SD 571041314 237424387 501c3 15000 Sponsorship Hy-Vee #1631 4101 S Louise Ave Sioux Falls SD 571062327 420325638 7990 Sponsorship Junior Achievement of South Dakota 1000 N West Ave Ste 110 Sioux Falls SD 57104 460306352 501c3 23025 Sponsorship Leukemia & Lymphoma Society 1711 Broadway St NE Minneapolis MN 55413 135644916 501c3 15000 Sponsorship Levitt at the Falls 524 N Main Ave Ste 106 Sioux Falls SD 57104 611699910 501c3 10000 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 11000 Sponsorship Mitchell Aquatic Club PO Box 1371 Mitchell SD 57301 460461058 501c3 25000 Sponsorship Mitchell Area Cooperative PO Box 1087 Mitchell SD 57301 460394983 501c3 5500 Sponsorship Mitchell School District 17-2 821 N Capital St Mitchell SD 57301 466001338 City of Mitchell 10000 Sponsorship Mitchell Technical Institute 1800 E Spruce St Mitchell SD 57301 460452950 501c3 45250 Sponsorship Mitchell United Way PO Box 729 Mitchell SD 573010729 461250302 501c3 17391 Sponsorship Mount Marty College 1105 W 8th St Yankton SD 57078 460283336 501c3 55682 Sponsorship NAMI South Dakota PO Box 88808 Sioux Falls SD 571098808 363593027 501c3 30000 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 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 9585 Sponsorship Post 8 Baseball PO Box 431 Pierre SD 57501 466008690 501c3 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 201700 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 36000 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 44000 Sponsorship SDARL Foundation PO Box 2170 Brookings SD 57007 364293293 501c3 10000 Sponsorship SDSU Foundation PO Box 525 Brookings SD 570069935 460273801 501c3 85000 Sponsorship Sioux Empire Baseball Association 1601 W 44th Pl Ste 3 Sioux Falls SD 571056377 411903475 501c3 31100 Sponsorship Sioux Empire Fastpitch Softball Association 605 S Watson Ave Ste 100 Sioux Falls SD 57106 237223489 501c3 7503 Sponsorship Sioux Empire United Way 1000 N West Ave Ste 120 Sioux Falls SD 571041314 460233701 501c3 85000 Sponsorship Sioux Falls Area CASA Program PO Box 1901 Sioux Falls SD 571011901 460430647 501c3 10000 Sponsorship Sioux Falls Area Chamber of Commerce PO Box 1425 Sioux Falls SD 571011425 460189300 501c6 22223 Sponsorship Sioux Falls Catholic Schools 3100 W 41st St Sioux Falls SD 57105 460413591 501c3 1000000 Sponsorship Sioux Falls Development Foundation PO Box 907 Sioux Falls SD 571010907 460243934 501c3 10000 Sponsorship Sioux Falls Family YMCA 220 S Minnesota Ave Sioux Falls SD 57104 460225021 501c3 7500 Sponsorship Sioux Falls Jazz & Blues Society PO Box 1285 Sioux Falls SD 571011285 460418356 501c3 20500 Sponsorship Sioux Falls School District 49-5 201 E 38th St Sioux Falls SD 571055898 466002586 City of Sioux Falls 13000 Sponsorship Sioux Falls Youth Hockey Association 5000 S Minnesota Ave Ste 300 Sioux Falls SD 57108 460427805 501c3 7500 Sponsorship SMSU Foundation FH 229 Marshall MN 56258 237108470 501c3 32500 Sponsorship South Dakota Hall of Fame 1480 S Main Chamberlain SD 57325 460324210 501c3 50000 Sponsorship South Dakota Symphony Orchestra 301 S Main Ave Sioux Falls SD 57104 466017026 501c3 37500 Sponsorship South Dakota Youth Foundation Inc 1310 Main Ave S Ste 109 Brookings SD 57006 474832848 501c3 10000 Sponsorship Special Olympics South Dakota 800 East I-90 Lane Sioux Falls SD 57104 460359776 501c3 14000 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 8000 Sponsorship United Way & Volunteer Services of Greater Yankton 610 W 23rd St Ste 11 Yankton SD 57078 460252854 501c3 12000 Sponsorship United Way of Northeastern SD Inc PO Box 1065 Aberdeen SD 57401 237086355 501c3 15000 Sponsorship University of Sioux Falls 1101 W 22nd St Sioux Falls SD 57105 460224600 501c3 400000 Sponsorship USD Sanford School of Medicine Dept of Family Medicine Sioux Falls SD 57105 466000364 State of SD 25000 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 50000 Sponsorship Vote Yes for Schools PO Box 705 Sioux Falls SD 571050705 831220586 25000 Sponsorship Washington Pavilion 301 S Main Ave Sioux Falls SD 57104 460435791 501c3 70000 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 89 8 Haiti scholarships 34 42000 Medical assistance to employees 49 89270 Medical educational scholarships 5 10000 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, 2019, 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 1 0 0 0 0 0 0 0 0 Dr Merritt Gregg Warren Director 0 167451 0 25938 0 7568 0 10042 0 23088 0 234087 0 0 Dr Luis Rojas-Espaillat Director 0 659434 0 24000 0 78596 0 13750 0 29997 0 805777 0 0 Dr Jason Wickersham Director 0 296811 0 88709 0 5058 0 13750 0 25547 0 429875 0 0 Bob Sutton President and CEO 854418 0 2500 0 254711 0 13750 0 31607 0 1156986 0 0 0 James Breckenridge CFO Avera Health; Sec/Treas 693359 0 1720 0 223780 0 13750 0 20836 0 953445 0 0 0 John Porter - Past President and CEO until 12/31/18 1338101 0 4220 0 448279 0 13750 0 24938 0 1829288 0 0 0 Fredrick Slunecka - Chief Operating Officer until 8/24/18 626336 0 2675999 0 193469 0 13750 0 14859 0 3524413 0 0 0 David Flicek Pres/CEO - Avera McKennan 762321 0 2960 0 235370 0 13750 0 32607 0 1047008 0 0 0 Deanna Larson CEO - eCare 302254 0 650 0 74702 0 13750 0 29154 0 420510 0 0 0 David Erickson Chief Medical Officer 605786 0 3460 0 224806 0 13750 0 27906 0 875708 0 0 0 Todd Forkel Pres/CEO - Avera St. Luke's 529517 0 427 0 136806 0 8682 0 27547 0 702979 0 0 0 Richard Korman Senior VP - General Counsel 506538 0 2022 0 165822 0 13750 0 30107 0 718239 0 0 0 Robin Bates - Executive VP Insurance Svcs & Population Health 450790 0 1960 0 123220 0 13750 0 24938 0 614658 0 0 0 James Veline - Senior Vice Pres - Chief Information Officer 478779 0 2500 0 143841 0 13750 0 9641 0 648511 0 0 0 Part I, Line 4a Fredrick Slunecka received $2,673,499 in severance payments during 2018. The amount is reported on Schedule J, Part II, column B (ii). A South Dakota Health and Educational Facilities Authority 460315509 83755VUS1 2012-05-01 206383927 2012A funded a project and refunded Series 2008A and Series 2002 0 0 0 B South Dakota Health and Educational Facilities Authority 460315509 83755VNH3 2008-07-01 61495000 2008C refunded 2006 Series 0 0 0 C South Dakota Health and Educational Facilities Authority 460315509 83755VNB6 2008-06-18 189222932 2012B refunded Series 1994, 2000, and bridge loan 0 0 0 D South Dakota Health and Educational Facilities Authority 460315509 83755VVY7 2014-06-26 61821688 2014A Various capital projects 0 0 0 A 146108927 206383927 1032422 38100000 167251505 2014 1 1 1 1 B 9345000 61495000 388831 31169 61075000 2010 1 0 1 1 C 73877932 189222932 1272562 282213 91009361 96658796 2010 1 0 1 1 D 61821688 821688 61000000 2015 0 0 1 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 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 1 1 Bank of America/Merrill 25.000000000000 0 1 0 0 1 C 0 0 0 1 1 1 Bank of America/Merrill 24.100000000000 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part IV, Line 2C: The arbitrage analysis is performed annually, therefore the analysis was completed as of June 30, 2019 for Bonds A, B, and C. A South Dakota Health and Educational Facilities Authority 460315509 83755VG99 2017-10-11 242848916 2017 refunded bond issued 6/18/08;construct/equip healthcare facilities 0 0 0 A 19988916 242848916 1786422 190000000 51062494 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 Grant Flicek Family member of David Flicek, key employee 64943 Compensation as an employee 0 Interstates Office Products Inc Owned by board member, Gary Gaspar 860457 Office product purchases 0 X 7 291356 Avg of high/low X Items to be auctioned 1 70339 Cost X Items for patients and residents 1 11293 Cost X Stained glass from St. Edwards Church 1 10000 FMV 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: The only amounts included in revenue for the financial statement reporting are non-cash contributions of stock securities. Non-cash contributions not included for 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. 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 11,705,116. Management and general expenses 195,199. Fundraising expenses 8,784. Total expenses 11,909,099. Contracted services: Program service expenses 19,858,875. Management and general expenses 2,349,517. Fundraising expenses 26,180. Total expenses 22,234,572. Repairs and maintenance: Program service expenses 1,454,407. Management and general expenses 234. Fundraising expenses 0. Total expenses 1,454,641. Professional fees: Program service expenses 392,338. Management and general expenses 0. Fundraising expenses 3,505. Total expenses 395,843. Recruitment: Program service expenses 299,130. Management and general expenses 7,734. Fundraising expenses 0. Total expenses 306,864. Consulting fees: Program service expenses 3,039,427. Management and general expenses 211,697. Fundraising expenses 75,160. Total expenses 3,326,284. 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 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 14,915,853. Insurance program admin income not recognized for tax reporting -8,577,674. Other changes in net assets 4,238. Contributions received by Avera Health Foundation not reflected in financial statements -12,525,716. Net assets released from restrictions -416,204. Grants to organizations distributed by Avera Health Foundation not reflected in financial statements 8,711,510. 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 0 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 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 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 0 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 0 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 0 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 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 Accounts Management Inc 5132 S Cliff Ave Suite 101 Sioux Falls SD 57108 460373021 Collection agency SD Avera Health C 2911124 2307295 0.75000 1 Avera Property Insurance Inc 610 W 23rd St PO Box 38 Yankton SD 57078 460463155 Insurance SD Avera Health C 634363 983713 1.00000 1 Valley Health Services 501 Summit Street Yankton SD 57078 460357149 Rental real estate SD N/A C 0 Alucent Medical 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 2600 W 49th Street Sioux Falls SD 57105 460401087 Insurance SD Avera Health C 36841232 22869433 1.00000 1 DakotaCare Administrative Services Inc 2600 W 49th Street Sioux Falls SD 57105 460424322 Insurance SD Avera Health C 6199724 6035868 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 Accounts Management Inc L 419028 General ledger Avera at Home L 2628826 General ledger Avera Health Plans Inc L 461892 General ledger Avera Marshall L 7502256 General ledger Avera McKennan L 113690868 General ledger Avera Queen of Peace Hospital L 14159220 General ledger Avera Sacred Heart Health Services L 17747244 General ledger Avera St Luke's L 20790156 General ledger Avera St Mary's L 9058716 General ledger South Dakota State Medical Holding Company L 99996 General ledger Avera Health Plans Inc P 18351422 Vendor payment listing Avera Marshall P 877898 Vendor payment listing Avera McKennan P 17586387 Vendor payment listing Avera Queen of Peace Hospital P 476368 Vendor payment listing Avera Sacred Heart Health Services P 455973 Vendor payment listing Avera St Luke's P 359789 Vendor payment listing Avera St Mary's P 132222 Vendor payment listing Avera at Home Q 769437 Customer invoice listing Avera Health Plans Inc Q 443048 Customer invoice listing Avera Holy Family Q 314895 Customer invoice listing Avera Marshall Q 2052495 Customer invoice listing Avera McKennan Q 28405718 Customer invoice listing Avera Queen of Peace Hospital Q 3467244 Customer invoice listing Avera Sacred heart Health Services Q 3468378 Customer invoice listing Avera St Anthony's Hospital Q 510292 Customer invoice listing Avera St Luke's Q 5135122 Customer invoice listing Avera St Mary's Q 1959697 Customer invoice listing St Benedict Health Center Q 315562 Customer invoice listing South Dakota State Medical Holding Company Q 482400 Customer invoice listing Avera at Home R 753631 General ledger Avera Holy Family R 688398 General ledger Avera Marshall R 80896 General ledger Avera McKennan R 3437464 General ledger Avera Queen of Peace Hospital R 526765 General ledger Avera Sacred Heart Health Services R 749907 General ledger Avera St Luke's R 71250 General ledger Avera St Mary's R 83096 General ledger