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AVERA HEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
AVERA HEALTH (EIN 46-0422673)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201531349349306758
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T15:10:17-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554027033ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460422673EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AVERA HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlAVERBusinessNameControlTxt
Phone6053227300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 WEST AVERA DRIVE No 300AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57108ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJim BreckenridgePersonNm
Person TitleSecretary/TreasurerPersonTitleTxt
Phone6053224700PhoneNum
Signature2015-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2015-05-12PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn PorterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 WEST AVERA DRIVE No 300AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$135,049,558GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.avera.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionPromotion of HealthActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee837TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$1,589,065TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$104,051NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,049,256PYContributionsGrantsAmt
CY Contributions Grants$8,015,201CYContributionsGrantsAmt
PY Program Service Revenue$92,494,783PYProgramServiceRevenueAmt
CY Program Service Revenue$125,942,998CYProgramServiceRevenueAmt
PY Investment Income$792,695PYInvestmentIncomeAmt
CY Investment Income$572,957CYInvestmentIncomeAmt
PY Other Revenue$23,710,523PYOtherRevenueAmt
CY Other Revenue$278,813CYOtherRevenueAmt
PY Total Revenue$125,047,257PYTotalRevenueAmt
CY Total Revenue$134,809,969CYTotalRevenueAmt
PY Grants And Similar Paid$2,656,331PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,241,116CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$54,745,019PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,107,652CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$30,221,636PYOtherExpensesAmt
CY Other Expenses$42,106,832CYOtherExpensesAmt
PY Total Expenses$87,622,986PYTotalExpensesAmt
CY Total Expenses$119,455,600CYTotalExpensesAmt
PY Revenues Less Expenses$37,424,271PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,354,369CYRevenuesLessExpensesAmt
Total Assets BOY$1,156,273,576TotalAssetsBOYAmt
Total Assets EOY$1,372,317,642TotalAssetsEOYAmt
Total Liabilities BOY$944,979,987TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,121,323,279TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,293,589NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$250,994,363NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAvera 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$104,524,341ExpenseAmt
Grant$3,241,116GrantAmt
Revenue$125,942,998RevenueAmt
DescAvera Health delivers health care to individuals and communities through a system of nearly 330 affiliated health care facilities, which are referred to collectively as "Avera." Avera, the health ministry of the Benedictine and Presentation Sisters, serves the people of eastern South Dakota and surrounding states with a wide spectrum of health services delivered through hospitals, long-term care facilities, clinics and other health programs.Avera Health VisionWorking with its partners, Avera Health shall provide a quality, cost-effective health ministry, which reflects Gospel values. We shall improve the health care of the people we serve through a regionally integrated network of persons and institutions.Avera ValuesIn caring for life, the Avera community is guided by the Gospel values of compassion, hospitality and stewardship.Avera is sponsored by the Benedictine Sisters of Yankton, S.D., and the Presentation Sisters of Aberdeen, S.D. In accordance with its Catholic mission, Avera adheres to "The Ethical and Religious Directives for Catholic Health Care Services".Avera facilities return any revenues over expenses that they receive to the people in their communities in three ways:We provide care of those who cannot afford to pay. Avera affiliates provide free or discounted health and health-related services to persons who cannot afford to pay all or part of a bill, including persons who are uninsured and low-income patients, using income-related discounts. As the number of uninsured persons grows, so does the need for charity care, or free or discounted health services provided to those who cannot afford to pay.Charity Care/Patient Assistance at cost $22,098,628Charity care/financial assistance is free or discounted health and health-related services provided to persons who cannot afford to pay all or part of a bill, including persons who are uninsured and low-income patients, using an income-related schedule. The dollar amount provided for charity care is based on the actual cost of providing that service, not the amount that would have been charged for that service. Charity care does not include bad debt.Unpaid Costs of Government and Other Programs $35,540,386 *Medicaid, State Children's Health Insurance Program (SCHIP), local and state government programs that reimburse health care providers for persons not eligible for Medicaid and other government programs provide health coverage for thousands of individuals in our region. However, they generally do not reimburse hospitals and doctors for the full costs of services. In many instances, payment is based on data from previous years that doesn't accurately reflect the rapidly changing nature of health services, such as new processes, new equipment, new technologies and rising costs for supplies.*In accordance with "A Guide for Planning and Reporting Community Benefit" (St. Louis: Catholic Health Association of the United States, 2008), unpaid costs of Medicare are not included in this amount. The amount of unpaid costs of Medicare for the fiscal year ending June 30, 2014, was $51,036,521.Additional Community Benefits $40,408,260Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs. These programs and services are not provided for marketing purposes. A community benefit must meet at least one of the following criteria: improve access to health care services; enhance health of the community; advance medical or health care knowledge; or relieve or reduce the burden of government or other community efforts. Included in this category are community health improvement services, health professions education, subsidized health services, research activities, financial and in-kind contributions, community-building and leadership activities and community-benefit-operations activities.Total $99,047,274Avera operates under the premise that social and institutional wellness are best promoted through joint efforts of various religious and community-sponsored institutions. Choosing collaboration and empowerment enables us to be better stewards of our human, financial, technical and environmental resources.Our caregivers are supported by the resources and expertise of the region's largest health system. Management and other support services are provided through the Avera Central Office, and Avera's six regional centers: Avera St. Luke's in Aberdeen, SD; Avera Marshall Regional Medical Center in Marshall, MN.; Avera Queen of Peace in Mitchell, SD; Avera St. Mary's in Pierre, SD; Avera McKennan in Sioux Falls, SD; and Avera Sacred Heart in Yankton, SD. As a leading health system in the region, Avera is committed to meeting the needs of communities it serves through the provision of quality health care services guided by Christian values and by making a positive impact on the community. 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. Through Avera Health, affiliates collaborate to improve the lives and health of individuals and of the communities we serve. This collaboration allows affiliates to access leading edge strategies and expertise while keeping administrative costs as low as possible.Avera Health serves health care facilities that are owned by Avera Health as well as facilities that are owned by local communities. Through Avera Health, affiliates are able to share costs of management, legal and other support services among many facilities rather than each facility incurring those costs separately. Avera Health provides a variety of services for the benefit of affiliates including coordinating the delivery of health care service to the region, overall strategic planning, group purchasing of supplies and services at lowest possible cost and education. Avera Health also coordinates joint investments and risk-management programs for affiliates.Some of the specific ways Avera Health has improved the communities we serve include during the year ended June 30, 2014 are:* Providing support services to nearly 330 affiliated health care facilities* Providing $2,687,673 (shown on Form 990, Part IX, line 1) in financial support for various projects in local communities* Sponsoring education programs including a gerontological care conference, nursing conference, ethics conference, parish nursing conference and more.Desc
Total Program Service Expenses$104,524,341TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document388IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee837EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryVIForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jim BreckenridgeBusinessNameLine1
FieldValueIRS element (for citing)
Phone6053224700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 W Avera Dr Ste 300AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57108ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mark Buche
Chair5.200.00Yes (X)Yes (X)$0$0$0
Sister Mary Jaeger
Vice Chair5.005.00Yes (X)Yes (X)$0$0$0
Cathy Clark
Director5.000.00Yes (X)$0$0$0
Sister Janet Horstman
Director5.000.00Yes (X)$0$0$0
Sister Barbara McTague
Director5.000.00Yes (X)$0$0$0
Sister Mary Kay Panowicz
Director5.003.00Yes (X)$0$0$0
Sister JoAnn Sturzl
Director5.002.30Yes (X)$0$0$0
Merrit Warren MD
Director5.006.50Yes (X)$0$0$0
Dan Eisenbraun
Director5.000.00Yes (X)$0$0$0
Mark Shlanta
Director5.000.00Yes (X)$0$0$0
Sister Debra Kolecka
Director5.001.00Yes (X)$0$0$0
Dr Dale Vizcarra
Director5.0040.00Yes (X)$0$216,218$33,954
Dr J Michael Bacharach
Director5.000.00Yes (X)$0$0$0
Ken Karels
Director5.000.00Yes (X)$0$0$0
John Porter
President & CEO40.002.00Yes (X)Yes (X)$1,334,108$0$34,581
James Breckenridge
Sec/Treas & SrVP Finance40.000.00Yes (X)$701,996$0$22,231
Fredrick Slunecka
Chief Operating Officer40.000.00$1,032,419$0$32,081Yes (X)
David Flicek
Chief Administrative Officer40.001.00$531,634$0$35,637Yes (X)
David Erickson
Sr VP Medical Affair40.000.00$645,050$0$33,137Yes (X)
Todd Forkel
Pres/CEO-St. Lukes1.0040.00$445,623$0$33,137Yes (X)
Pamela Rezac
Pres/CEO-Sacred Heart1.0040.00$471,589$0$34,081Yes (X)
David Kapaska
Pres/CEO-McKennan1.0040.00$796,316$0$32,081Yes (X)
William McLean
SrVP Human Resoures/McKennan1.0040.00$396,265$0$25,321Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,355,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$216,218TotReportableCompRltdOrgAmt
Total Other Compensation$316,241TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K80IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Avera McKennan
1325 S Cliff AvenueSioux FallsSD57117Services$7,134,242
CDW Government
230 N Milwaukee AveVernon HillsIL60061Computer Hardware Consulting$5,205,840
Medical Information Technology
1 Meditech CircleWestwoodMA02090Hardware/Software Consulting$3,660,887
The Advisory Board
2445 M Street NWWashingtonDC20037Healthcare Consulting$2,141,597
LSS Systems
6423 City West ParkEden PrairieMN55344Software Consulting$1,889,683
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K71CntrctRcvdGreaterThan100KCnt
Federated Campaigns$54,200FederatedCampaignsAmt
Fundraising$482,937FundraisingAmt
Government Grants$1,111,628GovernmentGrantsAmt
All Other Contributions$6,366,436AllOtherContributionsAmt
Noncash Contributions$150,136NoncashContributionsAmt
Total Contributions$8,015,201TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Support services561000$119,899,245$118,259,672$1,639,573
Income from affiliates561000$5,776,003$5,826,511-$50,508
Supporting revenue900099$230,497$230,497
Education & conference900099$37,253$37,253
FieldValueIRS element (for citing)
Total Program Service Revenue$125,942,998TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$594,929TotalRevenueColumnAmt
Exclusion$594,929ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$166,284RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$166,284RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,284TotalRevenueColumnAmt
Exclusion$166,284ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$21,972OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$21,972OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21,972TotalRevenueColumnAmt
Exclusion-$21,972ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$330,146FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$482,937ContriRptFundraisingEventAmt
Fundraising Direct Expenses$217,617FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,529TotalRevenueColumnAmt
Exclusion$112,529ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$134,809,969TotalRevenueColumnAmt
Related Or Exempt Func Income$124,353,933RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,589,065UnrelatedBusinessRevenueAmt
Exclusion$851,770ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,687,673TotalAmt
Program Services$2,687,673ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$553,443TotalAmt
Program Services$553,443ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,723,975TotalAmt
Management And General$3,723,975ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$128,898TotalAmt
Program Services$128,898ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,612,378TotalAmt
Program Services$52,318,049ProgramServicesAmt
Management And General$2,294,329ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,103,434TotalAmt
Program Services$1,041,817ProgramServicesAmt
Management And General$61,617ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,076,221TotalAmt
Program Services$9,234,214ProgramServicesAmt
Management And General$842,007ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,462,746TotalAmt
Program Services$4,010,990ProgramServicesAmt
Management And General$451,756ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,473TotalAmt
Management And General$20,473ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$653,500TotalAmt
Management And General$653,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,164,338TotalAmt
Program Services$18,068,429ProgramServicesAmt
Management And General$4,095,909ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,713,486TotalAmt
Program Services$1,713,486ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,970,732TotalAmt
Program Services$3,565,900ProgramServicesAmt
Management And General$1,404,832ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$340,624TotalAmt
Program Services$340,624ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,694,553TotalAmt
Program Services$917,474ProgramServicesAmt
Management And General$777,079ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,135,221TotalAmt
Program Services$955,142ProgramServicesAmt
Management And General$180,079ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,465,170TotalAmt
Program Services$1,158,028ProgramServicesAmt
Management And General$307,142ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$258,946TotalAmt
Program Services$258,946ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,424,105TotalAmt
Program Services$5,345,071ProgramServicesAmt
Management And General$79,034ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$227,918TotalAmt
Program Services$223,679ProgramServicesAmt
Management And General$4,239ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Grant Program Expenditu$1,430,698$1,430,698
Food$132,781$105,441$27,340
License & publications$85,278$85,278
Project expenses$54,833$54,833

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$334,176TotalAmt
Program Services$326,228ProgramServicesAmt
Management And General$7,948ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$119,455,600TotalAmt
Program Services$104,524,341ProgramServicesAmt
Management And General$14,931,259ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,083,600BOYAmt
EOY$15,968,518EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$385,850EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,407,034BOYAmt
EOY$20,602,716EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,615,816BOYAmt
EOY$13,299,979EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,815,394BOYAmt
EOY$3,359,137EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$96,241,879LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,347,262LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,176,883BOYAmt
EOY$68,894,617EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$657,520,238BOYAmt
EOY$736,782,319EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$93,959,195BOYAmt
EOY$116,166,617EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$81,858BOYAmt
EOY$72,494EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$297,613,558BOYAmt
EOY$396,785,395EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,156,273,576BOYAmt
EOY$1,372,317,642EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,870,268BOYAmt
EOY$15,828,911EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,993,817BOYAmt
EOY$18,999,349EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$303,801,062BOYAmt
EOY$323,567,541EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$577,774,575BOYAmt
EOY$639,694,294EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$35,127,161EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,540,265BOYAmt
EOY$88,106,023EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$944,979,987BOYAmt
EOY$1,121,323,279EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$209,732,497BOYAmt
EOY$249,236,026EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,088,551BOYAmt
EOY$1,261,151EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$472,541BOYAmt
EOY$497,186EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,293,589BOYAmt
EOY$250,994,363EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,156,273,576BOYAmt
EOY$1,372,317,642EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,354,369ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$20,850,064NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,496,341OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,772,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,930,641CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,237,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,049,256CurrentTaxYearMinus1YearAmt
Current Tax Year$8,015,201CurrentTaxYearAmt
Total$44,005,061TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,864,118CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,880,853CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75,219,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,494,783CurrentTaxYearMinus1YearAmt
Current Tax Year$125,942,998CurrentTaxYearAmt
Total$391,402,728TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,636,792CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,811,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83,457,265CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,544,039CurrentTaxYearMinus1YearAmt
Current Tax Year$133,958,199CurrentTaxYearAmt
Total$435,407,789TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,719,931CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,116,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,279,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,428,377CurrentTaxYearMinus1YearAmt
Current Tax Year$67,619,274CurrentTaxYearAmt
Total$190,163,763TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,719,931CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,116,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,279,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,428,377CurrentTaxYearMinus1YearAmt
Current Tax Year$67,619,274CurrentTaxYearAmt
Total$190,163,763TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$245,244,026PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,905,961CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,831,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,214,380CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$980,380CurrentTaxYearMinus1YearAmt
Current Tax Year$761,213CurrentTaxYearAmt
Total$8,693,503TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,905,961CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,831,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,214,380CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$980,380CurrentTaxYearMinus1YearAmt
Current Tax Year$761,213CurrentTaxYearAmt
Total$8,693,503TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$537,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$435,237CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$550,548CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$328,468CurrentTaxYearMinus1YearAmt
Current Tax Year$105,051CurrentTaxYearAmt
Total$1,956,545TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,079,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73,078,300CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,222,193CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,852,887CurrentTaxYearMinus1YearAmt
Current Tax Year$134,824,463CurrentTaxYearAmt
Total$446,057,837TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.54980PublicSupportCY509Pct
Public Support PY5090.56080PublicSupportPY509Pct
Investment Income CY0.01950InvestmentIncomeCYPct
Investment Income PY0.03120InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$685MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$33,200GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$15,564DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$49,449TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationGrants to other organizations: The Lehman Group $12,000 Dougherty & Dougherty, LLP $21,200 Other Activities: Avera Day at the SD Legislature = $15,563ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,302,432BeginningYearBalanceAmt
Contributions$477,896ContributionsAmt
Investment Earnings Or Losses$155,637InvestmentEarningsOrLossesAmt
Other Expenditures$370,880OtherExpendituresAmt
Administrative Expenses$22,314AdministrativeExpensesAmt
End Year Balance$3,542,771EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,046,321BeginningYearBalanceAmt
Contributions$328,355ContributionsAmt
Investment Earnings Or Losses$656,901InvestmentEarningsOrLossesAmt
Other Expenditures$3,729,145OtherExpendituresAmt
End Year Balance$3,302,432EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,228,130BeginningYearBalanceAmt
Contributions$328,691ContributionsAmt
Investment Earnings Or Losses-$4,335,972InvestmentEarningsOrLossesAmt
Administrative Expenses$174,528AdministrativeExpensesAmt
End Year Balance$6,046,321EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$8,535,863ContributionsAmt
Investment Earnings Or Losses$2,080,865InvestmentEarningsOrLossesAmt
Other Expenditures$388,598OtherExpendituresAmt
End Year Balance$10,228,130EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.59930BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.25940PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.14130TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$13,544,035InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$948,600OtherCostOrOtherBasisAmt
Book Value$14,492,635BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,744,865OtherCostOrOtherBasisAmt
Depreciation$4,226,851DepreciationAmt
Book Value$25,518,014BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,628,793OtherCostOrOtherBasisAmt
Depreciation$1,035,647DepreciationAmt
Book Value$1,593,146BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,112,592OtherCostOrOtherBasisAmt
Depreciation$22,084,764DepreciationAmt
Book Value$17,027,828BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,262,994OtherCostOrOtherBasisAmt
Book Value$10,262,994BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,894,617TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Non-publicly traded hedge funds$95,555,214F
Non-publicly traded real estate$16,810,265F
NPPC, LLC$100,000C
Premier Purchasing Partners, L.P.$1,372,082C
Premier Stock$2,329,056F
FieldValueIRS element (for citing)
Total Book Value Securities$116,166,617TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Cash surrender value of life insurance$1,536,675
Related party receivables$337,981,861
Deferred financing costs$2,053,683
Bond project fund$55,213,176
FieldValueIRS element (for citing)
Total Book Value Other Assets$396,785,395TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Estimated insurance claims payable$35,088,625
Due to affiliates$51,366,553
Bond interest payable$1,650,845
FieldValueIRS element (for citing)
Total Liability$88,106,023TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$154,339,416TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$20,850,064NetUnrealizedGainsInvstAmt
Other Revenue$10,295,237OtherRevenueAmt
Revenue Not Reported$31,145,301RevenueNotReportedAmt
Revenue Subtotal$123,194,115RevenueSubtotalAmt
Other Revenues Not Included$11,615,854OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$11,615,854RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$134,809,969TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$112,714,228TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$217,617OtherExpensesIncludedAmt
Expenses Not Reported$217,617ExpensesNotReportedAmt
Expenses Subtotal$112,496,611ExpensesSubtotalAmt
Other Expenses Not Included$6,958,989OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$6,958,989ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$119,455,600TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 approximately 65 individual funds established for a variety of purposes related to health and wellness programs in Avera affiliated organizations.
Part X, Line 2:Avera Health and most of its sponsored organizations are considered nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. These organizations are required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). Avera Health and certain sponsored organizations also file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report their unrelated business taxable income. 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 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. The federal Form 990T filings for consolidated subsidiaries are no longer subject to federal tax examinations by tax authorities for years before 2011.
Part XI, Line 2d - Other Adjustments:Insurance program admin income not recognized for tax reporting 11,281,120. Foundation expenses reported in revenue on financial statements -75,347. Non-operating depreciation reported in revenue for financial statements -910,536.
Part XI, Line 4b - Other Adjustments:Contributions reported in fund balance on financial statements 210,000. Fundraising events expenses reported in revenue on Form 990 -217,617. Investment income reported in fund balance on financial statement 166,499. Premier Program revenue included in expenses for financial statements 5,776,003. Transfer to affiliate included in Other Income for financial statements 17,849. Contributions received by Foundation - not reflected in financial statements 5,663,120.
Part XII, Line 2d - Other Adjustments:Fundraising event expenses reported in revenue on Form 990 217,617.
Part XII, Line 4b - Other Adjustments:Foundation expenses reported in revenue on financial statements 75,347. Premier Program revenue included in expenses for Form 990 5,776,003. Non-operating depreciation reported in expenses for Form 990 910,536. Project and operating expenses included in expense for Form 990 197,103.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean -RegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1Race Against Breast CancerNameOfEvent1Amt
Gross Receipts Event1$495,109GrossReceiptsEvent1Amt
Charitable Contri Event1$293,172CharitableContriEvent1Amt
Gross Revenue Event1$201,937GrossRevenueEvent1Amt
Non Cash Prizes Event1$96,055NonCashPrizesEvent1Amt
Rent Facility Costs Event1$14,842RentFacilityCostsEvent1Amt
Food And Beverage Event1$4,818FoodAndBeverageEvent1Amt
Entertainment Event1$5,008EntertainmentEvent1Amt
Other Direct Expenses Event1$13,667OtherDirectExpensesEvent1Amt
Name Of Event2The Big Grape ReserveNameOfEvent2Amt
Gross Receipts Event2$174,691GrossReceiptsEvent2Amt
Charitable Contri Event2$130,041CharitableContriEvent2Amt
Gross Revenue Event2$44,650GrossRevenueEvent2Amt
Non Cash Prizes Event2$914NonCashPrizesEvent2Amt
Rent Facility Costs Event2$21,837RentFacilityCostsEvent2Amt
Food And Beverage Event2$31,258FoodAndBeverageEvent2Amt
Entertainment Event2$1,300EntertainmentEvent2Amt
Other Direct Expenses Event2$1,692OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$143,283GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$59,724CharitableContriOtherEventsAmt
Gross Revenue Other Events$83,559GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,387NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$1,170RentFcltyCostsOtherEventsAmt
Entertainment Other Events$1,772EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$21,897OthDirectExpnssOtherEventsAmt
Gross Receipts Total$813,083GrossReceiptsTotalAmt
Charitable Contributions Tot$482,937CharitableContributionsTotAmt
Gross Revenue Total Events$330,146GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$98,356NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$37,849RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$36,076FoodAndBeverageTotalEventsAmt
Entertainment Total Events$8,080EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$37,256OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$217,617DirectExpenseSummaryEventsAmt
Net Income Summary$112,529NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (27 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
South Dakota State University Foundation
815 Medary StreetBrookingsSD57007460273801501(c)(3)$1,532,600Charitable Assistance
Catholic Foundation of Eastern SD
523 N Duluth AveSioux FallsSD57104466000424501(c)(3)$130,000Charitable Assistance
Mounty Marty College
1105 W 8th StreetYanktonSD57078460283336501(c)(3)$52,000Charitable Assistance
University of South Dakota Foundation
111 N DakotaVermillionSD57069466018891501(c)(3)$30,000Charitable Assistance
Sisters of the Presentation of the Blessed Virgin Mary
1500 N Second StAberdeenSD57401460253283501(c)(3)$7,500Charitable Assistance
Coalition to Protect America's Healthcare
PO Box 30211BethesdaMD20824522253225501(c)(4)$30,000Charitable Assistance
Sioux Empire United Way
1000 N West Ave Ste 120Sioux FallsSD57104460233701501(c)(3)$11,000Charitable Assistance
South Dakota Humanities Council
1215 Trail Ridge Rd Ste ABrookingsSD57006460316222501(c)(3)$10,000Charitable Assistance
Sacred Heart Monastery
1005 W 8th StreetYanktonSD57078460224541501(c)(3)$7,500Charitable Assistance
(no name)
Charitable Assistance
South Dakota Golf Association Junior Golf Foundation
4809 W 41st Street Ste 201Sioux FallsSD57106460449824501(c)(3)$30,500Charitable Assistance
Habitat for Humanity South Dakota
PO Box 8116BrookingsSD57006460454907501(c)(3)$6,500Charitable Assistance
Hill City Area Chamber of Commerce
PO Box 253Hill CitySD57745460386435501(c)(6)$7,500Charitable Assistance
Philanthropy Promotions Inc
2601 W 60th St NSioux FallsSD57107870695596501(c)(3)$7,500Charitable Assistance
South Dakota Agricultural & Rural Leadership Foundation
1905 N Plaza BlvdRapid CitySD57702364293293501(c)(3)$10,000Charitable Assistance
Sioux Falls Jazz & Blues Society
PO Box 1285Sioux FallsSD57101460418356501(c)(3)$20,000Charitable Assistance
South Dakota High School Coaches Association
801 W Eagle Ridge StreetSioux FallsSD57108237297479501(c)(3)$6,500Charitable Assistance
Special Olympics of South Dakota
800 East I-90 LaneSioux FallsSD57104460359776501(c)(3)$53,000Charitable Assistance
McCrossan Boys Ranch
47135 260th StreetSioux FallsSD57107460311913501(c)(3)$8,000Charitable Assistance
American Heart Association
PO Box 4002902Des MoinesIA50340135613797501(c)(3)$25,000Charitable Assistance
Boys & Girls Club of the Sioux Empire
824 E 14th StreetSioux FallsSD57104460399482501(c)(3)$6,300Charitable Assistance
Catholic Relief Services
228 W Lexington StreetBaltimoreMD21201135563422501(c)(3)$16,667Charitable Assistance
Downtown Sioux Falls
230 S Phillips AveSioux FallsSD57104363627217501(c)(3)$13,000Charitable Assistance
Forward Sioux Falls
PO Box 907Sioux FallsSD57101460396647501(c)(3)$15,000Charitable Assistance
Governor's Office of Economic Development
711 E Wells AvePierreSD57501466000364State of SD$15,000Charitable Assistance
Healing Words Foundation
PO Box 752BrookingsSD57006452513019501(c)(3)$68,750Charitable Assistance
Presentation College
1500 North MainAberdeenSD57401460280847501(c)(3)$200,000Charitable Assistance
FieldValueIRS element (for citing)
Total501c3 Org24Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Haiti scholarships16$17,700
Premium assistance to employees629$456,631
Out of pocket medical assistance168$79,112

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe 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, 2014, 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Dale Vizcarra
Director$0$214,565$0$0$0$1,653$0$11,152$0$23,201$0$250,571$0$0
John Porter
President & CEO$1,038,280$0$0$0$295,828$0$13,475$0$23,654$0$1,371,237$0$0$0
James Breckenridge
Sec/Treas & SrVP Finance$549,530$0$0$0$152,466$0$13,475$0$9,939$0$725,410$0$0$0
Fredrick Slunecka
Chief Operating Officer$804,860$0$0$0$227,559$0$13,475$0$20,118$0$1,066,012$0$0$0
David Flicek
Chief Administrative Officer$385,091$0$0$0$146,543$0$13,475$0$23,011$0$568,120$0$0$0
David Erickson
Sr VP Medical Affair$510,134$0$0$0$134,916$0$13,475$0$20,745$0$679,270$0$0$0
Todd Forkel
Pres/CEO-St. Lukes$363,587$0$0$0$82,036$0$13,475$0$20,483$0$479,581$0$0$0
Pamela Rezac
Pres/CEO-Sacred Heart$378,174$0$0$0$93,415$0$13,475$0$21,434$0$506,498$0$0$0
David Kapaska
Pres/CEO-McKennan$618,552$0$0$0$177,764$0$13,475$0$19,960$0$829,751$0$0$0
William McLean
SrVP Human Resoures/McKennan$311,535$0$0$0$84,730$0$13,475$0$12,508$0$422,248$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1aFormAndLineReferenceDesc
ExplanationAll Senior Executives are eligible for $2,500 per year to pay for social club dues. If an employee chooses to take advantage of this benefit, the amount is included in their taxable income. Those paid: John Porter.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
South Dakota Health and Educational Facilities Authority
A46031550983755VUS12012-05-01$206,383,9272012A funded a project and refunded Series 2008A and Series 2002000
South Dakota Health and Educational Facilities Authority
B46031550983755VNH32008-07-01$61,495,0002008C refunded 2006 Series000
South Dakota Health and Educational Facilities Authority
C46031550983755VNB62008-06-18$189,222,9322012B refunded Series 1994, 2000, and bridge loan000
South Dakota Health and Educational Facilities Authority
D46031550983755VVY72014-06-26$61,821,688Various capital projects000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtSubstantial CompletionSubstantialCompletionYrBond DefeasedBondDefeasedAmt
A$138,152,545$206,387,545$47,759,316$1,032,422$6,011,168$134,111,382$17,326,942Yes (1)Yes (1)0Yes (1)
B$61,495,000$388,831$61,075,000Yes (1)0Yes (1)Yes (1)$31,1692008
C$62,192,932$189,222,932$1,272,562$91,009,361$96,658,796Yes (1)0Yes (1)Yes (1)$282,2132010$131,265,000
D$61,821,688$821,688$61,000,000000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)000.000000.000000.0000000Yes (1)
B00Yes (1)000.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndBusiness Name Line2HedgeProviderName/BusinessNameLine2Term Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A0000Yes (1)000Yes (1)
Bank of
B000Yes (1)Yes (1)Yes (1)00Yes (1)America/Merrill25.0000000000000Yes (1)
Bank of
C000Yes (1)Yes (1)Yes (1)00Yes (1)America/Merrill24.10000000000000
(no name)
D00000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IV, Line 2C:FormAndLineReferenceDesc
ExplanationThe arbitrage analysis is performed annually, therefore the analysis was completed as of June 30, 2014 for Bonds B and C.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Linda Breckenridge
Spouse of Sec/Treas & SrVP Finance$128,898Employee compensation and benefits0
SDN Communications
Director of the board is CEO of SDN Communications$820,932Voice data and video services0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$150,136NoncashContributionsRptF990Amt
Method Of Determining RevenuesAvg of high/lowMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 33:FormAndLineReferenceDesc
ExplanationThe 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 such things as drugs, medical supplies, and special event donations.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The 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 7aThe 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 7bThe 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 8bAvera Health does not have any committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the CEO and CFO. After initial reviews, the return is provided to the board prior to filing.
Form 990, Part VI, Section B, line 12cThe 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 15Annually 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 19The Organization's governing documents, conflict of interest policy, and financial statements are not made available to the general public.
Form 990, Part IX, line 11gPurchased & contracted services: Program service expenses 17,038,476. Management and general expenses 4,078,019. Fundraising expenses 0. Total expenses 21,116,495. Repairs and maintenance: Program service expenses 891,089. Management and general expenses 0. Fundraising expenses 0. Total expenses 891,089. Professional fees: Program service expenses 138,864. Management and general expenses 17,890. Fundraising expenses 0. Total expenses 156,754.
Form 990, Part XI, line 9:Net equity transfers -2,250,000. Insurance program admin income not recognized for tax reporting 11,281,120. Other changes in unrestricted net assets 128,341. Contributions received by Foundation-not reflected in financial statements -5,663,120.
Form 990, Part VI Question 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 X, Line 20:Avera Health is only disclosing a portion of the tax exempt bonds on Part X, Line 20. The bonds were issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Marshall, Avera St. Mary's, and Avera Sacred Heart. In accordance with IRS Instructions, information related to the entire tax exempt bond reporting is being reported on Avera Health's tax return on Schedule K.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Avera Communication LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 West Avera Drive Suite 300AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code571085434ZIPCode
FieldValueIRS element (for citing)
EIN460453770EIN
Primary ActivitiesTelecommunicationsPrimaryActivitiesTxt
Legal Domicile StateSDLegalDomicileStateCd
Total Income$630,870TotalIncomeAmt
End Of Year Assets$472,098EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Avera HealthBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Avera St Anthony's Hospital
300 N 2nd StreetONeillNE68763470463911Healthcare servicesNE501(c)(3)Line 3Avera HealthYes (1)
Avera Holy Family
826 North 8th StreetEsthervilleIA51334420680370Healthcare servicesIA501(c)(3)Line 3Avera HealthYes (1)
Avera Holy Family Foundation
826 North 8th StreetEsthervilleIA51334421317452Support of Holy Family Hospital and Home Health AgencyIA501(c)(3)Line 9Avera Holy Family0
St Benedict Health Center
401 West Glynn DriveParkstonSD57366460226738Healthcare servicesSD501(c)(3)Line 3Avera HealthYes (1)
St Benedict Health Center Foundation
West Glynn Drive PO Box BParkstonSD57366460458725Support health related servicesSD501(c)(3)Line 11a, ISt Benedict Health Center0
Avera McKennan
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460224743Healthcare servicesSD501(c)(3)Line 3Avera HealthYes (1)
Avera Queen of Peace Hospital
525 North FosterMitchellSD57301460224604Healthcare servicesSD501(c)(3)Line 3Avera HealthYes (1)
Sacred Heart Health Services
501 Summit StreetYanktonSD57078460225483Healthcare servicesSD501(c)(3)Line 3Avera HealthYes (1)
Avera Gettysburg
606 East GarfieldGettysburgSD57442460234354Healthcare servicesSD501(c)(3)Line 3Avera St Mary's0
Avera at Home
5116 S Solberg AveSioux FallsSD57108460399291Home servicesSD501(c)(3)Line 9Avera HealthYes (1)
Lewis and Clark Health Education and Service Agency
1000 W 4th Street Suite 9YanktonSD57078460337013Healthcare educationSD501(c)(3)Line 9Sacred Heart Health Services0
Avera St Luke's
305 South State StreetAberdeenSD57401460224598Healthcare servicesSD501(c)(3)Line 3Avera HealthYes (1)
Avera St Mary's
801 East Sioux AvenuePierreSD57501460230199Healthcare servicesSD501(c)(3)Line 3Avera HealthYes (1)
Avera Marshall
300 S Bruce StreetMarshallMN56258410919153Healthcare servicesMN501(c)(3)Line 3Avera HealthYes (1)
Avera Marshall Foundation
300 S Bruce StreetMarshallMN56258411784801FundraisingMN501(c)(3)Line 7Avera Marshall0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Avera Home Medical Equipment LLC
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460488198Medical services - home medical equipmentSDN/A
Home Medical of Pierre LLC
329 E DakotaPierreSD57501460444002Medical services - home medical equipmentSDN/A
Avera Home Medical Equipment of Floyd Valley Hospital LLC
714 Lincoln St NELemarsIA51031820582350Medical services - home medical equipmentSDN/A
Avera Home Medical Equipment of Estherville LLC
PO Box 5045Sioux FallsSD57117201686097Medical services - home medical equipmentSDN/A
Avera Home Medical Equipment of Sioux Center LLC
38 19th St SWSioux CenterIA51250753203100Medical services - home medical equipmentSDN/A
Avera Home Medical Equipment of Marshall LLC
1104 East College DriveMarshallMN56258205271924Medical services - home medical equipmentSDN/A
Q&M Properties LLC
525 North FosterMitchellSD57301731652049Medical clinic buildingSDN/A
Surgical Associates Endoscopy Clinic LLC
310 S PennAberdeenSD57401460461429Surgical associatesSDN/A
Avera Home Medical Equipment of Spencer Hospital LLC
2400 S Minnesota AveSioux FallsSD57117800619999Medical Services - home medical equipmentSDN/A
Heart Hospital of South Dakota LLC
4500 W 69th StreetSioux FallsSD57108562143771Healthcare ServicesSDN/A
Brookings Health System - Avera HME LLC
101 22nd Ave Suite 101BrookingsSD57006453204123Healthcare ServicesSDN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Accounts Management Inc
5132 S Cliff Ave Suite 101Sioux FallsSD57108460373021Collection agencySDAvera HealthC$1,815,954$978,7520.75000Yes (1)
Avera Health Plans Inc
3900 West Avera Drive Suite 101Sioux FallsSD57108460451539Health financing and health plan adminSDAvera HealthC$84,345,243$24,159,3151.00000Yes (1)
Avera Property Insurance Inc
610 W 23rd St PO Box 38YanktonSD57078460463155InsuranceSDAvera HealthC$332,617$1,176,1971.00000Yes (1)
Valley Health Services
501 Summit StreetYanktonSD57078460357149Medical equipmentSDC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Avera Marshall
D$208,074Change in note receivable
Avera McKennan
D$333,298Change in note receivable
Avera McKennan
L$43,732,188General ledger
Avera Queen of Peace Hospital
L$6,723,420General ledger
Avera St Luke's
L$94,080,876General ledger
Avera Sacred Heart Health Services
L$8,641,524General ledger
Avera Marshall
L$3,440,820General ledger
Avera Marshall
Q$1,905,938Customer invoice listing
Avera McKennan
Q$32,942,140Customer invoice listing
Avera Queen of Peace Hospital
Q$5,249,982Customer invoice listing
Avera Sacred Heart Health Services
Q$5,485,032Customer invoice listing
Avera St Luke's
Q$7,870,967Customer invoice listing
Avera St Benedict Health Center
Q$195,532Customer invoice listing
Avera McKennan
P$8,502,261Vendor listing of payments
Avera Queen of Peace Hospital
P$193,354Vendor listing of payments
Avera Sacred Heart Health Services
P$935,139Vendor listing of payments
Avera St Luke's
P$221,507Vendor listing of payments
Avera Holy Family
Q$187,189Customer invoice listing
Avera St Anthony's
Q$296,907Customer invoice listing
Avera Marshall
P$377,146Vendor listing of payments
Avera Property Insurance
L$1,611,996General ledger
Avera Health Plans Inc
L$149,076General ledger
Accounts Management
L$266,244General ledger
Avera at Home
L$591,696General ledger
Avera St Mary's
L$3,689,916General ledger
Avera at Home
Q$99,578Customer invoice listing
Avera St Mary's
Q$2,799,277Customer invoice listing