AVERA QUEEN OF PEACE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: AVERA QUEEN OF PEACE (EIN 46-0224604)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201401349349300115
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T06:42:21-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	450250958	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 NICOLLET MALL STE 1300	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	554027033	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460224604	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	AVERA QUEEN OF PEACE HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	AVER	NameControl
Phone	6059952251	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 NORTH FOSTER STREET	AddressLine1
City	MITCHELL	City
State	SD	State
ZIP Code	57301	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM E FLETT	Name
Title	SEC/TREAS & VP OF FINANCE	Title
Phone	6059952251	Phone
Date Signed	2014-05-13	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KIM HUNWARDSEN CPA	Name
PTIN	P00484560	PTIN
Phone	6122536500	Phone
Date Prepared	2014-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	AVERA QUEEN OF PEACE HEALTH SERVICE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS A CLARK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	525 NORTH FOSTER STREET	AddressLine1
City	MITCHELL	City
State	SD	State
ZIP Code	57301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	98726059	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.AVERAQUEENOFPEACE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	PROMOTION OF HEALTH	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	998	TotalNbrEmployees
Total Nbr Volunteers	120	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	299594	ContributionsGrantsPriorYear
Contributions Grants Current Year	1738160	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	91771776	ProgramServiceRevenuePriorYear
Program Service Revenue CY	94804644	ProgramServiceRevenueCY
Investment Income Prior Year	1356570	InvestmentIncomePriorYear
Investment Income Current Year	1906582	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-185416	OtherRevenuePriorYear
Other Revenue Current Year	-289504	OtherRevenueCurrentYear
Total Revenue Prior Year	93242524	TotalRevenuePriorYear
Total Revenue Current Year	98159882	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	205016	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	540476	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	52453229	SalariesEtcPriorYear
Salaries Etc Current Year	54118975	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	189546	TotalFundrsngExpCurrentYear
Other Expense Prior Year	35084825	OtherExpensePriorYear
Other Expenses Current Year	37618998	OtherExpensesCurrentYear
Total Expenses Prior Year	87743070	TotalExpensesPriorYear
Total Expenses Current Year	92278449	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5499454	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5881433	RevenuesLessExpensesCY
Total Assets BOY	111663788	TotalAssetsBOY
Total Assets EOY	115213085	TotalAssetsEOY
Total Liabilities BOY	35720424	TotalLiabilitiesBOY
Total Liabilities EOY	33371299	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	75943364	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	81841786	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	AVERA IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	75679528	Expense
Grants	540476	Grants
Revenue	94804644	Revenue
Description	AVERA QUEEN OF PEACE'S MISSION IS TO PROVIDE HEALTHCARE SERVICES TO MITCHELL, SD RESIDENTS AND THE SURROUNDING AREA. THEY PROVIDE ACUTE CARE AND LONG-TERM HEALTHCARE SERVICES, OF WHICH THERE WERE 8,074 ACUTE PATIENT DAYS, 2,383 SWING-BED PATIENT DAYS, 1,056 NURSERY PATIENT DAYS, 29,530 NURSING HOME RESIDENT DAYS, 8,792 ASSISTED LIVING RESIDENT DAYS, AND 2,006 INDEPENDENT LIVING DAYS. THE BREAKOUT OF THESE STATISTICS PER FACILITY IS AS FOLLOWS.AVERA QUEEN OF PEACE HOSPITAL7,742 ACUTE PATIENT DAYS1,714 SWING-BED PATIENT DAYS1,056 NEWBORN PATIENT DAYSAVERA BRADY HEALTH AND REHABILITATION29,530 LONG-TERM CARE RESIDENT DAYS8,792 ASSISTED LIVING DAYS2,006 INDEPENDENT LIVING DAYSAVERA WESKOTA MEMORIAL MEDICAL CENTER (CAH)199 ACUTE PATIENT DAYS413 SWING-BED PATIENT DAYSAVERA DE SMET MEMORIAL HOSPITAL (CAH)133 ACUTE PATIENT DAYS256 SWING-BED PATIENT DAYS AVERA QUEEN OF PEACE MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND EQUIVALENT SERVICE STATISTICS. THE AMOUNT OF CHARGES FOREGONE, BASED ON ESTABLISHED RATES, WERE $2,130,534.AVERA QUEEN OF PEACE ALSO PROVIDES COMMUNITY BENEFIT HEALTH ACTIVITIES AT LESS THAN OR AT NO COST TO SUPPORT THOSE IN THE AREA SERVICED. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION PROGRAMS; SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND MEDICALLY UNDERSERVED; AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING THE YEAR ENDED JUNE 30, 2013, SPECIFIC ACTIVITIES INCLUDE MEALS DELIVERED TO RESIDENTIAL HOMES; MEETING FACILITIES; PROGRAMS FOR PATIENTS AND FAMILIES SUFFERING FROM CANCER, DIABETES, BREATHING DISORDERS, AND OTHERS; ASSISTANCE TO HEALTH EDUCATORS; EMERGENCY HEALTHCARE PROVIDERS; WELLNESS PROGRAMS; AND OVERNIGHT HOUSING FOR FAMILIES OF HOSPITALIZED PATIENTS.AS A MEMBER OF THE AVERA HEALTH NETWORK, AVERA QUEEN OF PEACE UPHOLDS THE VISION OF THE PRESENTATION AND BENEDICTINE SISTERS TO WORK THROUGH COLLABORATION TO PROVIDE A QUALITY, EFFECTIVE HEALTH MINISTRY AND TO IMPROVE THE HEALTH CARE OF INDIVIDUALS AND OUR COMMUNITIES THROUGH A REGIONALLY INTEGRATED NETWORK OF PERSONS AND INSTITUTIONS. AVERA QUEEN OF PEACE ENGAGES IN ACTIVITIES DESIGNED TO IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES IN RESPONSE TO A CALLING TO HEAL THE SICK, THE ELDERLY, AND THE OPPRESSED.	Description
Total Program Service Expense	75679528	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	174	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	998	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WILL FLETT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6059952251	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	525 NORTH FOSTER	AddressLine1
City	MITCHELL	City
State	SD	State
ZIP Code	57301	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
LORI ESSIG
CHAIRPERSON	2.50	0.00	X	X	0	0	0
TERRY TORGERSON
VICE CHAIR	2.50	0.00	X	X	0	0	0
LOREN NOESS
BOARD MEMBER	2.50	0.00	X		0	0	0
CHARLES BERGELEEN
BOARD MEMBER	2.50	0.00	X		0	0	0
SISTER KATHLEEN CROWLEY
BOARD MEMBER	2.50	10.00	X		0	0	0
DENNIS KRUSE
BOARD MEMBER	2.50	0.00	X		0	0	0
SISTER BONITA GACNIK
BOARD MEMBER	2.50	0.00	X		0	0	0
DAVID OLSON
BOARD MEMBER	2.50	0.00	X		0	0	0
JACQUELYN JOHNSON
BOARD MEMBER	2.50	0.00	X		0	0	0
KELLY SMITH MD
BOARD MEMBER/PHYSICIAN-AS OF 2/1/13	2.50	0.00	X		60103	0	0
DIANE SANDHOFF
BOARD MEMBER	2.50	0.00	X		0	0	0
JERRY THOMSEN
BOARD MEMBER	2.50	0.00	X		0	0	0
ROGER MUSICK
BOARD MEMBER	2.50	0.00	X		0	0	0
MICHAEL KRAUSE DO
BOARD MEMBER/PHYSICIAN	2.50	0.00	X		13333	0	0
PATRICIA MALTERS MD
BOARD MEMBER/PHYSICIAN	2.50	0.00	X		267446	0	20300
GREG VAN WALD
BOARD MEMBER	2.50	0.00	X		0	0	0
SISTER JOAN REICHELT
BOARD MEMBER	2.50	3.30	X		0	0	0
JENNIFER TEGETHOFF
BOARD MEMBER/PHYSICIAN-THRU 1/31/13	2.50	0.00	X		333197	0	24042
THOMAS CLARK
PRESIDENT & CEO	40.00	0.00	X	X	0	370576	46366
WILLIAM E FLETT
SEC/TREAS & VP OF FINANCE	40.00	0.00		X	136500	0	32879
BRIAN KAMPMANN MD
PHYSICIAN	40.00	0.00			824297	0	41734	X
STEPHEN DICK MD
PHYSICIAN	40.00	0.00			423437	0	39914	X
CHRISTOPHER KROUSE MD
PHYSICIAN	40.00	0.00			1007698	0	39914	X
MICHAEL HALEY MD
PHYSICIAN	40.00	0.00			518881	0	44734	X
DENNIS LELAND MD
PHYSICIAN	40.00	0.00			627978	0	43235	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4212870	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	370576	TotalReportableCompFrmRltdOrgs
Total Other Compensation	333118	TotalOtherCompensation
Number Individuals GT100 K	51	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AVERA HEALTH
3900 W AVERA DRIVE SUITE 300	SIOUX FALLS	SD	57108	SHARED SERVICES	4248762
CLARO GROUP LLC
321 N CLARK ST STE 1200	CHICAGO	IL	60654	CONSULTING SERVICES	300425
AEGIS THERAPIES INC
PO BOX 8103	FORT SMITH	AR	72902	PHYSICAL AND OCCUPATIONAL THERAPY	277245
DMS IMAGING LTD
26273 NETWORK PL	CHICAGO	IL	60673	NUCLEAR MEDICINE SERVICES PET SCANS	225120
PUETZ CORPORATION
800 N KIMBALL	MITCHELL	SD	57301	CONSTRUCTION SERVICES	175629

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Government Grants	1584127	GovernmentGrants
All Other Contributions	154033	AllOtherContributions
Total Contributions	1738160	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT & RESIDENT SERVICES	622110	92281656	92281656
OTHER REVENUE	900099	1473388	1473388
CAFETERIA	900099	483022	483022
INTEREST IN AVERA HEALTH FND	900099	454295	454295
COMMUNITY WELLNESS	900099	112283	112283

Field	Value	IRS element (for citing)
Total Program Service Revenue	94804644	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	120196	TotalRevenueColumn
Exclusion	$120,196	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	276673	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	566177	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-289504	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-289504	TotalRevenueColumn
Exclusion	-$289,504	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1758384	Securities
Other	28002	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1758384	Securities
Other	28002	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1786386	TotalRevenueColumn
Exclusion	$1,786,386	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	98159882	TotalRevenueColumn
Related Or Exempt Function Income	94804644	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,617,078	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	540476	Total
Program Services	540476	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	866194	Total
Program Services	672283	ProgramServices
Management And General	193911	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	265777	Total
Program Services	265777	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	41438204	Total
Program Services	34995195	ProgramServices
Management And General	6307268	ManagementAndGeneral
Fundraising	135741	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2394350	Total
Program Services	2022058	ProgramServices
Management And General	364477	ManagementAndGeneral
Fundraising	7815	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6548629	Total
Program Services	5527889	ProgramServices
Management And General	999489	ManagementAndGeneral
Fundraising	21251	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2605821	Total
Program Services	2199573	ProgramServices
Management And General	397909	ManagementAndGeneral
Fundraising	8339	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9092495	Total
Program Services	4463179	ProgramServices
Management And General	4629316	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	441506	Total
Program Services	40155	ProgramServices
Management And General	401351	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8819446	Total
Program Services	6800129	ProgramServices
Management And General	2006076	ManagementAndGeneral
Fundraising	13241	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	250744	Total
Program Services	151922	ProgramServices
Management And General	98822	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2034377	Total
Program Services	1366368	ProgramServices
Management And General	668009	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	266712	Total
Program Services	184192	ProgramServices
Management And General	80381	ManagementAndGeneral
Fundraising	2139	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	126952	Total
Program Services	46039	ProgramServices
Management And General	79893	ManagementAndGeneral
Fundraising	1020	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	694130	Total
Program Services	694130	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4119345	Total
Program Services	4119345	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	788502	Total
Program Services	788502	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	6989975	6989975
BAD DEBT EXPENSE	3248249	3248249
EQUIPMENT LEASE AND REN	170305	110578	59727
GRANT PROGRAM EXPENDITU	104383	104383

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	471877	Total
Program Services	349131	ProgramServices
Management And General	122746	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	92278449	Total
Program Services	75679528	ProgramServices
Management And General	16409375	ManagementAndGeneral
Fundraising	189546	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3368813	BOY
EOY	4401190	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1292	BOY
EOY	1813	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12573812	BOY
EOY	13089118	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	39762	BOY
EOY	5180	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1234335	BOY
EOY	1320954	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	957408	BOY
EOY	1461874	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	96536405	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	55390577	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	38003278	BOY
EOY	41145828	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	924180	BOY
EOY	938557	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	51789691	BOY
EOY	49838610	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	292572	BOY
EOY	1055564	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	200000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2478645	BOY
EOY	1754397	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	111663788	BOY
EOY	115213085	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	7863100	BOY
EOY	8094367	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	33476	BOY
EOY	46409	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	23448866	BOY
EOY	22845170	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4374982	BOY
EOY	2385353	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	35720424	BOY
EOY	33371299	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	73165461	BOY
EOY	78648850	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1981585	BOY
EOY	2392230	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	796318	BOY
EOY	800706	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	75943364	BOY
EOY	81841786	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	111663788	BOY
EOY	115213085	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5881433	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1632968	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-1615979	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$8,303	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8303	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	AVERA QUEEN OF PEACE HOSPITAL PAID DUES TO ORGANIZATIONS WHICH HAVE A PORTION OF THE DUES ATTRIBUTED TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1040814	BeginningOfYearBalance
Investment Earnings Or Losses	24205	InvestmentEarningsOrLosses
End Of Year Balance	1065019	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1034190	BeginningOfYearBalance
Investment Earnings Or Losses	6624	InvestmentEarningsOrLosses
End Of Year Balance	1040814	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	793583	BeginningOfYearBalance
Contributions	109334	Contributions
Investment Earnings Or Losses	131273	InvestmentEarningsOrLosses
End Of Year Balance	1034190	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1032880	BeginningOfYearBalance
Investment Earnings Or Losses	-239297	InvestmentEarningsOrLosses
End Of Year Balance	793583	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1028163	BeginningOfYearBalance
Investment Earnings Or Losses	4717	InvestmentEarningsOrLosses
End Of Year Balance	1032880	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.12780	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.75180	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.12040	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	448669	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2863464	OtherCostOrOtherBasis
Book Value	3312133	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1830496	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	52936601	OtherCostOrOtherBasis
Depreciation	28724932	Depreciation
Book Value	26042165	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35083425	OtherCostOrOtherBasis
Depreciation	25464318	Depreciation
Book Value	9619107	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3373750	OtherCostOrOtherBasis
Depreciation	1201327	Depreciation
Book Value	2172423	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	41145828	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN AFFILIATED ORGANIZATIONS	202981	C
INTEREST IN AVERA HEALTH FOUNDATION	2852897	F
INTEREST IN NET ASSETS OF MABEE TRUST	797190	F
ASSETS LIMITED TO USE - AVERA POOLED INVESTMENTS	45985542	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	49838610	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DERIVATIVE LIABILITY	$2,054,253
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$331,100

Field	Value	IRS element (for citing)
Total Of Amounts	2385353	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	96942736	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1632968	NetUnrealizedGainsInvestments
Other Revenues	-2323786	OtherRevenues
Revenue Not Rptd F990	-690818	RevenueNotRptdF990
Revenue Subtotal	97633554	RevenueSubtotal
Other Revenues Not Included	526328	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	526328	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	98159882	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	89030200	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	89030200	ExpensesSubtotal
Other Expenses Not Included	3248249	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3248249	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	92278449	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 2B:	THE ORGANIZATION HOLDS FUNDS IN TRUST ON BEHALF OF ITS RESIDENTS.
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENTS CONSIST OF A PORTION OF THEIR INTEREST IN THE NET ASSETS OF AVERA HEALTH FOUNDATION AND THEIR BENEFICIAL INTEREST IN THE MABEE TRUST. AVERA HEALTH FOUNDATION INCLUDES ENDOWMENT FUNDS WHICH HAVE BEEN ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT FUND ASSETS INCLUDED IN THE ORGANIZATION'S BENEFICIAL INTEREST IN THE MABEE TRUST HAVE BEEN ESTABLISHED TO PURCHASE EQUIPMENT AND FURNISHINGS FOR THE ORGANIZATION. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS (IF ANY), ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ORGANIZATION'S PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE DONOR RESTRICTED. THE ORGANIZATION CURRENTLY DOES NOT HAVE ANY BOARD-DESIGNATED ENDOWMENT FUNDS.	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X, LINE 2:	THE ORGANIZATION IS ORGANIZED AS A SOUTH DAKOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION BELIEVES THAT IT HAS 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 ORGANIZATION'S FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 984,972. RECLASSIFICATION OF ACCUMULATED LOSSES ON INTEREST RATE SWAP -60,509. PROVISION FOR BAD DEBTS INCLUDED IN REVENUE ON FINANCIAL STATEMENTS -3,248,249.	PART XI, LINE 2D - OTHER ADJUSTMENTS:
	GRANTS AND CONTRIBUTIONS RECORDED IN FUND BALANCE FOR FINANCIAL STATEMENTS 33,577. CHANGE IN INTEREST IN AVERA FOUNDATION RECORDED IN FUND BALANCE FOR F/S 413,998. CHANGE IN INTEREST IN MABEE TRUST RECORDED IN FUND BALANCE FOR F/S 78,753.	PART XI, LINE 4B - OTHER ADJUSTMENTS:
	PROVISION FOR BAD DEBTS INCLUDED IN REVENUE ON FINANCIAL STATEMENTS 3,248,249.	PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	865765	TotalCommunityBenefitExpense
Net Community Benefit Expense	865765	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	6947	PersonsServed
Total Community Benefit Expense	7702816	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5043418	DirectOffsettingRevenue
Net Community Benefit Expense	2659398	NetCommunityBenefitExpense
Percent Of Total Expense	0.02990	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	6947	PersonsServed
Total Community Benefit Expense	8568581	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5043418	DirectOffsettingRevenue
Net Community Benefit Expense	3525163	NetCommunityBenefitExpense
Percent Of Total Expense	0.03960	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	83661	PersonsServed
Total Community Benefit Expense	98953	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1205	DirectOffsettingRevenue
Net Community Benefit Expense	97748	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	1	PersonsServed
Total Community Benefit Expense	71657	TotalCommunityBenefitExpense
Net Community Benefit Expense	71657	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	5893	PersonsServed
Total Community Benefit Expense	950990	TotalCommunityBenefitExpense
Direct Offsetting Revenue	626459	DirectOffsettingRevenue
Net Community Benefit Expense	324531	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	46	NumberOfActivitiesOrPrograms
Persons Served	42619	PersonsServed
Total Community Benefit Expense	315185	TotalCommunityBenefitExpense
Net Community Benefit Expense	315185	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	74	NumberOfActivitiesOrPrograms
Persons Served	132174	PersonsServed
Total Community Benefit Expense	1436785	TotalCommunityBenefitExpense
Direct Offsetting Revenue	627664	DirectOffsettingRevenue
Net Community Benefit Expense	809121	NetCommunityBenefitExpense
Percent Of Total Expense	0.00900	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	74	NumberOfActivitiesOrPrograms
Persons Served	139121	PersonsServed
Total Community Benefit Expense	10005366	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5671082	DirectOffsettingRevenue
Net Community Benefit Expense	4334284	NetCommunityBenefitExpense
Percent Of Total Expense	0.04860	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	350	PersonsServed
Total Community Building Expense	740	TotalCommunityBuildingExpense
Net Community Building Expense	740	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3227	TotalCommunityBuildingExpense
Net Community Building Expense	3227	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	11321	PersonsServed
Total Community Building Expense	67926	TotalCommunityBuildingExpense
Direct Offsetting Revenue	45284	DirectOffsettingRevenue
Net Community Building Expense	22642	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	95	PersonsServed
Total Community Building Expense	953	TotalCommunityBuildingExpense
Net Community Building Expense	953	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	11766	PersonsServed
Total Community Building Expense	72846	TotalCommunityBuildingExpense
Direct Offsetting Revenue	45284	DirectOffsettingRevenue
Net Community Building Expense	27562	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,248,249	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	29954979	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	38570952	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8615973	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther	Critical Access HospitalCriticalAccessHospital
AVERA QUEEN OF PEACE HOSPITAL
1	525 NORTH FOSTER STREET	MITCHELL	SD	57301	X	X	X	5 PROVIDER BASED CLINICS
AVERA WESKOTA MEMORIAL MEDICAL CENTER
2	609 1ST STREET NE	WESSINGTON SPRINGS	SD	57382	X		X		X
AVERA DE SMET MEMORIAL HOSPITAL
3	306 PRAIRIE AVENUE SW	DE SMET	SD	57231	X		X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	Other Needs AddressedOtherNeedsAddressed	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Existing ResourcesExistingResources	Information GapsInformationGaps	Include Operational PlansIncludeOperationalPlans	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Adopt BudgetAdoptBudget
AVERA QUEEN OF PEACE HOSPITAL
1	1	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	0	0	1	1	150.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	1
AVERA WESKOTA MEMORIAL MEDICAL CENTER
2	1	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	0	0	1	1	150.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	1	X	X	X
AVERA DE SMET MEMORIAL HOSPITAL
3	1	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	0	0	1	1	150.000000000000	1	400.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	1	X	X	X	X	X	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
AVERA BRADY ASSISTED LIVING
1414 W CEDAR AVE	MITCHELL	SD	57301	ASSISTED LIVING
AVERA BRADY HEALTH AND REHAB
500 S OHMAN ST	MITCHELL	SD	57301	NURSING HOME

Form990 Schedule H Part VI Form990ScheduleHPartVI (31 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3C: TO DETERMINE ELIGIBILITY FOR CHARITY CARE, AVERA QUEEN OF PEACE HOSPITAL HAS DEVELOPED A TEST WHICH UTILIZES A COMBINATION OF HOUSEHOLD INCOME, HOUSEHOLD ASSETS, AND ALSO CONSIDERS UNPAID PAST AND ONGOING MEDICAL EXPENSES. CHARITY DISCOUNT MAY RANGE FROM 10 - 100% DEPENDING ON SCORE.
PART I, LINE 6A: PART 1, LINE 6A: OUR COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY AVERA HEALTH, A RELATED ORGANIZATION. IT IS AVAILABLE THROUGH THE WEBSITE AND REQUESTED MAILING, AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION.
PART I, LINE 7: CHARITY CARE AND UNREIMBURSED MEDICAID WAS CONVERTED TO COST USING THE COST TO CHARGE RATIO IN IRS WORKSHEET 2. THE AMOUNTS ON LINES 7E-I REPRESENT EXPENSES REPORTED IN THE GENERAL LEDGER.
PART I, L7 COL(F): AQOP BAD DEBT EXPENSE OF $3,248,249 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT EXCLUDED FOR PURPOSES OF CALCULATING THIS PERCENTAGE.
PART II: AVERA QUEEN OF PEACE SUPPORTS NUMEROUS ECONOMIC DEVELOPMENT ORGANIZATIONS WITH PARTICIPATION AT MEETINGS AND DONATIONS THROUGHOUT ITS SERVICE AREA. ADDITIONALLY, AVERA QUEEN OF PEACE WORKS WITH DAKOTA WESLEYAN UNIVERSITY, THE MITCHELL TECHNICAL INSTITUTE, AND LOCAL HIGH SCHOOLS TO ADDRESS HEALTHCARE WORKER SHORTAGES IN THE COMMUNITIES OF ITS SERVICE AREA.
PART III, LINE 4: BAD DEBT IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR. AVERA QUEEN OF PEACE DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE SINCE EVALUATIONS ARE COMPLETED TO DETERMINE THOSE AMOUNTS DUE AND WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE EVALUATION OF THE AMOUNT.THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES IS LOCATED IN FOOTNOTE 1 ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. AVERA QUEEN OF PEACE FOLLOWS THE CHA GUIDELINES IN REPORTING COMMUNITY BENEFITS AND THEREFORE ANY MEDICARE SHORTFALL (AS CALCULATED INCLUDING OUR NON-COST REPORT ENTITIES) IS EXCLUDED FROM OUR COMMUNITY BENEFIT REPORT. HOWEVER, MEDICARE IS THE ORGANIZATION'S LARGEST PAYER AND PATIENTS WITH MEDICARE COVERAGE ARE ACCEPTED REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED FROM PROVIDING THE SERVICES. THIS BASIS THEREFORE MEANS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A KEY ADVANTAGE FOR OUR COMMUNITY.
PART III, LINE 9B: IF THE PATIENT QUALIFIES FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME, UNINSURED PATIENTS AND IS COOPERATING WITH THE ORGANIZATION WITH REGARD TO EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE ORGANIZATION OR ITS AGENT SHALL NOT SEND, NOR INDICATE THAT IT WILL SEND, THE UNPAID BILL TO ANY OUTSIDE AGENCY IF DOING SO MAY NEGATIVELY IMPACT A PATIENT'S CREDIT. AT SUCH TIME AS THE ORGANIZATION SENDS THE UNCOLLECTED ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY SHALL REFLECT THE REDUCED-PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS. ANY EXTENDED PAYMENT PLANS OFFERED BY A HOSPITAL IN SETTLING THE OUTSTANDING BILLS OF LOW INCOME, UNINSURED PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE INTEREST-FREE SO LONG AS THE REPAYMENT SCHEDULE IS MET.
PART V, SECTION B, LINE 3: SIX FOCUS GROUPS WERE HELD TO COLLECT PRIMARY DATA FROM COMMUNITY LEADERS, SENIOR CITIZENS, SINGLE PARENTS, SMALL BUSINESS REPRESENTATIVES, LARGE BUSINESS REPRESENTATIVES, AND POST-SECONDARY STUDENTS. IN ADDITION, THE FOLLOWING INDIVIDUALS WERE CONSULTED IN CONDUCTING THE NEEDS ASSESSMENT: PRINCIPAL, LONGFELLOW ELEMENTARY SCHOOL; DIRECTOR OF ADULT SERVICES AND AGING, DAVISON COUNTY; PUBLIC HEALTH NURSE, DAVISON COUNTY; DIRECTOR OF FAMILY PLANNING, DAVISON COUNTY; AND PARISH HEALTH NURSE, FIRST LUTHERAN CHURCH.	AVERA QUEEN OF PEACE HOSPITAL
PART V, SECTION B, LINE 3: AVERA WESKOTA MEMORIAL HOSPITAL GATHERED BOTH SECONDARY AND PRIMARY DATA FOR THE ASSESSMENT. A COMMUNITY DEVELOPMENT SPECIALIST WITH THE PLANNING AND DEVELOPMENT DISTRICT GATHERED PRIMARY DATA BY CONDUCTING FOCUS GROUPS AND A NUMBER OF KEY INFORMANT INTERVIEWS. AVERA WESKOTA ALSO COLLECTED PRIMARY DATA THROUGH A SURVEY TOOL. THE SURVEY WAS UTILIZED TO REACH THE BROADER COMMUNITY AND WAS DISTRIBUTED TO THE FOLLOWING FOUR GROUPS OF PEOPLE THROUGHOUT THE WESSINGTON SPRINGS AREA: 1) COMMUNITY & COUNTY MEMBERS 2) HEALTH CARE PROVIDERS, STAFF & BOARD MEMBERS 3) UNINSURED/UNDERINSURED POPULATIONS & 4) COMMUNITY LEADERS.	AVERA WESKOTA MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 3: INPUT WAS GATHERED FROM INDIVIDUALS REPRESENTING THE FOLLOWING GROUPS: PUBLIC SAFETY, HEALTHCARE, LOW INCOME, CONTRACTORS/SELF EMPLOYED, SCHOOLS, SD DEPT OF HEALTH OFFICE OF RURAL HEALTH	AVERA DE SMET MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5C: THE CHNA IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/	AVERA QUEEN OF PEACE HOSPITAL
PART V, SECTION B, LINE 5C: THE CHNA IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/	AVERA WESKOTA MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 5C: THE CHNA IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/	AVERA DE SMET MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/	AVERA QUEEN OF PEACE HOSPITAL
PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/	AVERA WESKOTA MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/	AVERA DE SMET MEMORIAL HOSPITAL
PART V, SECTION B, LINE 7: ADEQUATE AND AFFORDABLE HOUSING: AVERA QUEEN OF PEACE CURRENTLY HAS REPRESENTATION ON THE MITCHELL DEVELOPMENT CORPORATION. THE MITCHELL DEVELOPMENT CORPORATION IS ACTIVE IN ATTRACTING INVESTMENT IN AFFORDABLE HOUSING.AFFORDABLE DENTAL CARE: A MOBILE DENTAL CARE CLINIC CURRENTLY ASSISTS LOCAL DENTIST IN PROVIDING FREE DENTAL SERVICES TO NEEDY CHILDREN. OUR FINDINGS OF PATIENTS ARE UNABLE TO FIND A DENTIST WITH AVAILABLE APPOINTMENTS OR WILLING TO ACCEPT UNINSURED PATIENTS WILL BE COMMUNICATED WITH DENTISTS. AFFORDABLE AND RELIABLE PUBLIC TRANSPORTATION: THE CITY OF MITCHELL CURRENTLY OPERATES A PUBLIC TRANSIT SYSTEM, IN ADDITION, A LOCAL COMPANY ALSO PROVIDES TRANSPORTATION SERVICES. OUR FINDINGS OF WAIT TIMES FOR TRANSPORTATION HAVE BEEN COMMUNICATED WITH TRANSPORTATION PROVIDERS.	AVERA QUEEN OF PEACE HOSPITAL
PART V, SECTION B, LINE 7: LACK OF ASSISTED LIVING HOUSING: THIS FINDING WAS REPORTED TO THE LOCAL NURSING HOME BOARD OF DIRECTORS TO ADDRESS IN THEIR STRATEGIC PLANNING AS THEY CURRENTLY PROVIDE INDEPENDENT SENIOR HOUSING AND MAY BE ABLE TO ADD OR CONVERT SPACE FOR ASSISTED LIVING.	AVERA WESKOTA MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 7: DUE TO LIMITED FINANCIAL, PHYSICAL SPACE AND TIME LIMITATIONS, THE INTERDISCIPLINARY CHNA TEAM DID NOT PRIORITIZE/ASSIGN FOR IMPLEMENTATION AT THIS TIME: WATER QUALITY: ALL COMMENTS AND CONCERNS WILL BE ADDRESSED BY THE CITY OF DE SMET.PHYSICAL ACTIVITY: THE CITY OF DE SMET IS ADDRESSING THE WELLNESS NEEDS OF THE COMMUNITY WITH PLANS FOR CONSTRUCTION OF A COMMUNITY CENTER AND WELLNESS CENTER.DOMESTIC ABUSE: THIS NEED WILL BE ADDRESSED BY THE BROOKINGS ABUSE SHELTER RURAL OUTREACH PROGRAM AS THIS PROGRAM IS BEST QUALIFIED TO ADDRESS THIS NEED.	AVERA DE SMET MEMORIAL HOSPITAL
PART V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED IN THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY.	AVERA QUEEN OF PEACE HOSPITAL
PART V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED IN THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY.	AVERA WESKOTA MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED IN THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY.	AVERA DE SMET MEMORIAL HOSPITAL
PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.	AVERA QUEEN OF PEACE HOSPITAL
PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.	AVERA WESKOTA MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.	AVERA DE SMET MEMORIAL HOSPITAL
PART VI, LINE 2: AVERA QUEEN OF PEACE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENTS FOR EACH FACILITY DURING 2012 AND 2013. THE CHNA IMPLEMENTATION PLANS FOR AVERA WESKOTA MEMORIAL MEDICAL CENTER AND AVERA DE SMET MEMORIAL HOSPITAL WERE ADOPTED BY THE AVERA QUEEN OF PEACE GOVERNING BOARD ON MAY 28, 2013. THE CHNA IMPLEMENTATION PLAN FOR AVERA QUEEN OF PEACE HOSPITAL WAS ADOPTED BY THE AVERA QUEEN OF PEACE GOVERNING BOARD ON JUNE 25, 2013.
PART VI, LINE 3: ANYONE WHO IS UNINSURED RECEIVES A LETTER WITH THEIR ITEMIZED BILL WHICH DESCRIBES BOTH THE UNINSURED PROGRAM AND THE CHARITY CARE PROGRAM. ANY UNINSURED PATIENT IS CONTACTED BY PHONE OR LETTER BY OUR COLLECTIONS DEPARTMENT AT WHICH TIME OUR PROGRAMS ARE DESCRIBED. ALSO, INPATIENT AND SAME DAY SURGERY PATIENTS RECEIVE A BROCHURE IN THEIR ADMISSIONS PACKET. PRE-COLLECTION LETTERS ALSO INCLUDE INFORMATION REGARDING OUR CHARITY CARE AND UNINSURED PROGRAMS.
PART VI, LINE 4: AVERA QUEEN OF PEACE'S SERVICE AREA INCLUDES DAVISON COUNTY AND SURROUNDING COUNTIES IN SOUTH DAKOTA. IN 2010, THE POPULATION FOR DAVISON COUNTY WAS ESTIMATED TO BE 19,504. APPROXIMATELY 16.9% OF THE POPULATION IS AGE 65 OR OLDER. THE AVERAGE PER CAPITA INCOME IS $23,510 AND APPROXIMATELY 12% OF INDIVIDUALS ARE BELOW THE FEDERAL POVERTY LEVEL. THE NEAREST HOSPITAL IN THE AREA IS APPROXIMATELY 22 MILES FROM AVERA QUEEN OF PEACE.
PART VI, LINE 5: AVERA QUEEN OF PEACE IS A VERIFIED LEVEL II TRAUMA CENTER AND OPERATES AN EMERGENCY DEPARTMENT STAFFED 24 HOURS PER DAY WITH BOARD CERTIFIED PHYSICIANS. EMERGENCY CARE IS PROVIDED ON AN OPEN DOOR BASIS REGARDLESS OF ABILITY TO PAY. AVERA QUEEN OF PEACE LEASES TWO CRITICAL ACCESS HOSPITALS WHICH PROVIDE A BROAD RANGE OF INPATIENT, OUTPATIENT SERVICES AND 24 HOUR EMERGENCY ROOMS IN TWO VERY RURAL COMMUNITIES.AVERA QUEEN OF PEACE OWNS THREE RURAL HEALTH CLINICS WHICH PROVIDE PRIMARY CARE SERVICES IN THREE RURAL COMMUNITIES.SIMILAR TO THE HOSPITALS IN THE AQOP REGION, THESE CLINICS ARE OPERATED ON AN OPEN DOOR BASIS AND CARE IS PROVIDED REGARDLESS OF ABILITY TO PAY.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL LICENSED AND QUALIFIED APPLICANTS. THE AVERA QUEEN OF PEACE BOARD OF DIRECTORS IS PRINCIPALLY COMPRISED OF COMMUNITY MEMBERS FROM THE PRIMARY AND SECONDARY SERVICES AREAS. MEMBERS COME FROM A VARIETY OF BACKGROUNDS INCLUDING BANKING, EDUCATION, AGRICULTURE, HEALTHCARE AND PRIVATE INDUSTRY.
PART VI, LINE 6: THE COMMUNITIES IN WHICH AVERA OPERATES ALL HAVE UNIQUE HEALTH AND COMMUNITY BENEFIT NEEDS AND IN KEEPING WITH THE CATHOLIC HEALTHCARE ASSOCIATION GUIDELINES EACH HOSPITAL STRIVES TO MEET ITS COMMUNITY'S IDENTIFIED NEEDS. THE AVERA CENTRAL OFFICE ADVOCATES FOR ALL ON COMMUNITY BENEFIT RELATED MATTERS OF STATE, REGIONAL AND NATION IMPORTANCE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
MITCHELL TECH INSTITUTE FOUNDATION
821 N CAPITAL	MITCHELL	SD	57301	460452950	501(C)(3)	45000	DONATION
UNIVERSITY OF SOUTH DAKOTA
414 E CLARK ST	VERMILLION	SD	57069	466018891	STATE OF SD	24000	DONATION
MITCHELL CHARITABLE FOUNDATION
PO BOX 1366	MITCHELL	SD	57301	460390971	501(C)(3)	70000	DONATION
DAKOTA WESLEYAN UNIVERSITY
1200 W UNIVERSITY AVE	MITCHELL	SD	57301	460224589	501(C)(3)	328500	DONATION
MITCHELL SKATING & HOCKEY
PO BOX 5	MITCHELL	SD	57301	460425100	501(C)(3)	25000	DONATION
LAKE AREA TECHNICAL INSTITUTE FOUNDATION
1201 ARROW AVENUE	WATERTOWN	SD	57201	363860861	501(C)(3)		DONATION	21000	APPRAISAL	DIMENSION XPAND CHEMISTRY ANALYZER

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE ORGANIZATION ONLY MAKES GRANTS TO OTHER ORGANIZATIONS WHICH ARE TAX-EXEMPT UNDER SECTION 501(C)(3).	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICIA MALTERS MD
BOARD MEMBER/PHYSICIAN	222602	0	25650	0	19194	0	20300	0	476	0	288222	0	0	0
JENNIFER TEGETHOFF
BOARD MEMBER/PHYSICIAN-THRU 1/31/13	223237	0	109289	0	671	0	20300	0	4221	0	357718	0	0	0
THOMAS CLARK
PRESIDENT & CEO	0	290779	0	0	0	79797	0	25956	0	21053	0	417585	0	0
WILLIAM E FLETT
SEC/TREAS & VP OF FINANCE	133942	0	2240	0	318	0	10455	0	22723	0	169678	0	0	0
BRIAN KAMPMANN MD
PHYSICIAN	605931	0	187263	0	31103	0	20300	0	22615	0	867212	0	0	0
STEPHEN DICK MD
PHYSICIAN	344967	0	70013	0	8457	0	20300	0	20563	0	464300	0	0	0
CHRISTOPHER KROUSE MD
PHYSICIAN	879737	0	96850	0	31111	0	20300	0	21126	0	1049124	0	0	0
MICHAEL HALEY MD
PHYSICIAN	282009	0	227852	0	9020	0	20300	0	25010	0	564191	0	0	0
DENNIS LELAND MD
PHYSICIAN	331298	0	293768	0	2912	0	20300	0	23585	0	671863	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	SCHEDULE J, PART I LINE 3: THE PRESIDENT/CEO'S COMPENSATION IS PAID BY A RELATED ORGANIZATION, AVERA HEALTH. AVERA QUEEN OF PEACE RELIED ON THE RELATED ORGANIZATION FOR DETERMINING THE COMPENSATION FOR THE PRESIDENT/CEO USING THE METHODS DESCRIBED IN PART I, LINE 3.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
PATRICIA MALTERS
EMPLOYEE	RECRUITMENT	X	$30,000	2590	0	1	1
DAVID MALTERS
EMPLOYEE	RECRUITMENT	X	$30,000	2590	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	5180	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DAVID MALTERS MD
FAMILY MEMBER OF BOARD MEMBER	237449	COMPENSATION	0
JAMES VALLEY IMAGING LTD
BOARD MEMBER IS 33% OWNER OF CORPORATION	59163	PAYMENT FOR MEDICAL DIRECTOR SERVICES	0
ANDREA MALTERS
FAMILY MEMBER OF BOARD MEMBER	28328	COMPENSATION	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	SISTER KATHLEEN CROWLEY HAS A BUSINESS RELATIONSHIP WITH THOMAS CLARK.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS AVERA HEALTH, A NONPROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF SOUTH DAKOTA AND EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED.
FORM 990, PART VI, SECTION A, LINE 7A	AVERA HEALTH, AS THE SOLE MEMBER, HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	AVERA HEALTH HAS THE FOLLOWING RIGHTS AS THE MEMBER. 1) TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE STATEMENTS OF PHILOSOPHY, MISSION AND VALUES OF CORPORATION; 2) TO INITIATE THE ADOPTION, AMENDMENT OR REPEAL OF ANY PROVISION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, AND TO GIVE FINAL APPROVAL OF ANY SUCH ACTION WITH RESPECT THERETO; 3) TO APPROVE AND ACT UPON THE ALIENATION OF REAL PROPERTY AND PRECIOUS ARTIFACTS UNDER THE CANONICAL STEWARDSHIP OF THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY OF ABERDEEN, SOUTH DAKOTA ("PRESENTATION SISTERS") OR THE BENEDICTINE SISTERS OF SACRED HEART MONASTERY ("BENEDICTINE SISTERS"), PURSUANT TO THE POLICIES ESTABLISHED BY THE MEMBER; 4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION, OR THE DIVESTITURE OF A SPONSORED WORK OR MINISTRY ASSOCIATED WITH THE CORPORATION; 5) TO APPROVE THE CREATION OF NEW SPONSORED WORKS OR MINISTRIES TO BE CONDUCTED BY OR UNDER THE AUTHORITY OF THE CORPORATION; 6) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE BOARD OF DIRECTORS OF THE CORPORATION. 7) TO APPOINT AND/OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. 8) TO APPROVE OPERATING/CAPITAL BUDGETS AND STRATEGIC PLANS OF THE CORPORATION. 9) TO APPROVE EXPENDITURES OUTSIDE OF OPERATING AND CAPITAL BUDGETS EXCEEDING DEFINED THRESHOLDS ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 10) TO APPROVE ACQUISITIONS, SALES AND LEASES, ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 11) TO ESTABLISH AND MAINTAIN EMPLOYEE BENEFIT PROGRAMS. 12) TO ESTABLISH AND MAINTAIN INSURANCE PROGRAMS. 13) TO APPROVE MAJOR COMMUNITY FUND DRIVES. 14) TO APPROVE THE APPOINTMENT OF AUDITORS. 15) TO ADOPT POLICIES DESIGNED TO EFFECTUATE THE RESERVED POWERS OF THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11	THE RETURN IS REVIEWED INITIALLY BY THE CFO. THE RETURN IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
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.
	THE CEO IS COMPENSATED BY AVERA HEALTH. 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 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. THE COMPENSATION OF THE SENIOR VP OF FINANCE IS DETERMINED BY HUMAN RESOURCES BASED ON A MARKET ANALYSIS OF COMPARABLE POSITIONS. THE COMPENSATION IS APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 PER IRS INSTRUCTIONS AND THEREFORE ARE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART XI, LINE 9:	CAPITAL CONTRIBUTIONS, NET -2,600,951. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 984,972.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THE AUDIT COMMITTEE OF AVERA HEALTH, PARENT ORGANIZATION, SELECTS THE AUDITOR AND REVIEWS THE AUDITED FINANCIAL STATEMENTS FOR AVERA QUEEN OF PEACE.
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 MARSHALL, AVERA ST. MARY'S, AND AVERA SACRED HEART. 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).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
AVERA HEALTH
3900 WEST AVERA DRIVE SUITE 300	SIOUX FALLS	SD	57108	460422673	PROMOTION OF HEALTH	SD	501(C)(3)	LINE 9	N/A	0
AVERA GETTYSBURG
606 EAST GARFIELD	GETTYSBURG	SD	57442	460234354	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA ST MARY'S
AVERA ST ANTHONY'S HOSPITAL
300 N 2ND STREET	ONEILL	NE	68763	470463911	HEALTHCARE EDUCATION	NE	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA HOLY FAMILY
826 NORTH 8TH STREET	ESTHERVILLE	IA	51334	420680370	HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA HOLY FAMILY FOUNDATION
826 NORTH 8TH STREET	ESTHERVILLE	IA	51334	421317452	FUNDRAISING	IA	501(C)(3)	LINE 9		0	AVERA HOLY FAMILY
AVERA MARSHALL
300 S BRUCE STREET	MARSHALL	MN	56258	410919153	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA MARSHALL FOUNDATION
300 S BRUCE STREET	MARSHALL	MN	56258	411784801	FUNDRAISING	MN	501(C)(3)	LINE 7		0	AVERA MARSHALL
ST BENEDICT HEALTH CENTER
401 WEST GLYNN DRIVE	PARKSTON	SD	57366	460226738	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH
ST BENEDICT HEALTH CENTER FOUNDATION
WEST GLYNN DRIVE PO BOX B	PARKSTON	SD	57366	460458725	SUPPORT HEALTH RELATED SERVICES	SD	501(C)(3)	LINE 11A, I		0	ST BENEDICT HEALTH CENTER
AVERA MCKENNAN
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	460224743	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH
SACRED HEART HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460225483	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA ST MARY'S
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH
HEALTH MANAGEMENT SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460399291	ADULT DAYCARE AND HOMEMAKING SERVICES	SD	501(C)(3)	LINE 9		0	SACRED HEART HEALTH SERVICES
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 9		0	SACRED HEART HEALTH SERVICES
AVERA ST LUKE'S
305 SOUTH STATE STREET	ABERDEEN	SD	57401	460224598	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
Q&M PROPERTIES LLC
525 NORTH FOSTER	MITCHELL	SD	57301	731652049	MEDICAL CLINIC BUILDING	SD	AVERA QUEEN OF PEACE	RELATED	-512	397766	0	1	0.50000
AVERA HOME MEDICAL EQUIPMENT LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	460488198	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD								N/A
MRIS LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	470874983	HEALTH CARE SERVICES INCLUDING AIRCRAFT	SD								N/A
HOME MEDICAL EQUIPMENT OF PIERRE LLC
329 E DAKOTA	PIERRE	SD	57501	460444002	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD								N/A
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 ESTHERVILLE LLC
PO BOX 5045	SIOUX FALLS	SD	57117	201686097	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
AVERA HOME MEDICAL EQUIPMENT OF MARSHALL LLC
1104 EAST COLLEGE DRIVE	MARSHALL	MN	56258	205271924	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD								N/A
AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC
2400 S MINNESOTA AVE 102	SIOUX FALLS	SD	57117	800619999	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD								N/A
SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC
310 S PENNSYLVANIA ST	ABERDEEN	SD	57401	460461429	SURGICAL ASSOCIATES	SD								N/A
HEART HOSPITAL OF SOUTH DAKOTA LLC
10720 SIKES PLACE SUITE 300	CHARLOTTE	NC	28277	562143771	HEALTHCARE SERVICES	NC								N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
ACCOUNTS MANAGEMENT INC
5132 S CLIFF AVE SUITE 101	SIOUX FALLS	SD	57108	460373021	COLLECTION AGENCY	SD	N/A	C	0
AVERA HEALTH PLANS INC
3900 WEST AVERA DRIVE SUITE 101	SIOUX FALLS	SD	57108	460451539	HEALTH FINANCING AND HEALTH PLAN ADMINISTRATION	SD	N/A	C	0
AVERA PROPERTY INSURANCE INC
610 W 23RD ST STE 1 PO BOX 38	YANKTON	SD	57078	460463155	INSURANCE	SD	N/A	C	0
DR DONALD & MARGUERITE MABEE TRUST
C/O FIRST NATIONAL BANK OF SOUTH DA	MITCHELL	SD	57301	466056202	INVESTING	SD		T	1	AVERA QUEEN OF PEACE HOSPITAL	78753	797190	1.00000
VALLEY HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460357149	RENTAL REAL ESTATE	SD	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg