SACRED HEART HEALTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SACRED HEART HEALTH SERVICES (EIN 46-0225483)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201401349349305420
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 G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T14:10:32-05:00	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	460225483	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SACRED HEART HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SACR	NameControl
Phone	6056688000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	501 SUMMIT STREET	AddressLine1
City	YANKTON	City
State	SD	State
ZIP Code	57078	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAMELA J REZAC	Name
Title	PRESIDENT & CEO	Title
Phone	6056688000	Phone
Date Signed	2014-05-13	DateSigned
Authorize Third Party	1	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 SACRED HEART HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PAMELA J REZAC	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	501 SUMMIT STREET	AddressLine1
City	YANKTON	City
State	SD	State
ZIP Code	57078	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	111563364	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.AVERASACREDHEART.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1911	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	PROMOTION OF HEALTH	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	1296	TotalNbrEmployees
Total Nbr Volunteers	350	TotalNbrVolunteers
Total Gross UBI	-28522	TotalGrossUBI
Net Unrelated Business Txbl Income	-30022	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1978184	ContributionsGrantsPriorYear
Contributions Grants Current Year	2019750	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	104992659	ProgramServiceRevenuePriorYear
Program Service Revenue CY	102558568	ProgramServiceRevenueCY
Investment Income Prior Year	4124658	InvestmentIncomePriorYear
Investment Income Current Year	6570874	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-299709	OtherRevenuePriorYear
Other Revenue Current Year	-412272	OtherRevenueCurrentYear
Total Revenue Prior Year	110795792	TotalRevenuePriorYear
Total Revenue Current Year	110736920	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	80496	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	147429	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	55857500	SalariesEtcPriorYear
Salaries Etc Current Year	55059477	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	135289	TotalFundrsngExpCurrentYear
Other Expense Prior Year	45475239	OtherExpensePriorYear
Other Expenses Current Year	46722976	OtherExpensesCurrentYear
Total Expenses Prior Year	101413235	TotalExpensesPriorYear
Total Expenses Current Year	101929882	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9382557	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8807038	RevenuesLessExpensesCY
Total Assets BOY	243651187	TotalAssetsBOY
Total Assets EOY	256656790	TotalAssetsEOY
Total Liabilities BOY	38657041	TotalLiabilitiesBOY
Total Liabilities EOY	38162313	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	204994146	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	218494477	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	1	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	83822191	Expense
Grants	147429	Grants
Revenue	102558568	Revenue
Description	AVERA SACRED HEART HOSPITAL (SACRED HEART HEALTH SERVICES) LEADS DELIVERY OF HEALTHCARE TO ITS REGION THROUGH OVER 1,000 EMPLOYEES (AS WELL AS 63 PHYSICIANS ON ITS ACTIVE MEDICAL STAFF) WHO COORDINATE CARE TO DELIVER PATIENT CARE AS AN INTEGRATED UNIT. AVERA SACRED HEART AND ITS AFFILIATES (REFERRED TO COLLECTIVELY AS SACRED HEART HEALTH SERVICES) ALSO WORK SEAMLESSLY TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE IN SOUTHEAST SOUTH DAKOTA AND NORTHEAST NEBRASKA. IN ADDITION TO THE 144 BED HOSPITAL, AVERA SACRED HEART INCLUDES TWO NURSING HOMES AND A CONGREGATE HOUSING FACILITY, A 23-BED CRITICAL ACCESS HOSPITAL, LONG-TERM CARE FACILITY, AND 2 CLINICS IN CREIGHTON, NE. IT ALSO MANAGES THREE HOSPITALS AND TWO NURSING HOMES. AVERA SACRED HEART OPERATES UNDER THE TENETS OF THE ROMAN CATHOLIC CHURCH AND IN ACCORDANCE WITH THE PHILOSOPHY AND VALUES ESTABLISHED FOR AVERA HEALTH, A SPONSORED HEALTH MINISTRY OF THE BENEDICTINE AND PRESENTATION SISTERS. AVERA SACRED HEART ENGAGES IN ACTIVITIES DESIGNED TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES THAT IT SERVES IN RESPONSE TO A CALLING TO HEAL THE SICK, THE ELDERLY AND THE OPPRESSED.REQUIREMENTS OF THE IRS COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT ORGANIZATIONS ARE INTEGRAL TO AVERA SACRED HEART HOSPITAL'S LARGER CHARITABLE MISSION OF IMPROVING HEALTH AND QUALITY OF LIFE. SPECIFICALLY, AVERA SACRED HEART IS GOVERNED BY AN INDEPENDENT BOARD INCLUDING COMMUNITY LEADERS, BUSINESS AND CLINICAL HEALTHCARE EXPERTS. THE BOARD HAS A HISTORY OF COMMITMENT TO ACT WITH THE HIGHEST INTEGRITY AND HAS BEEN PROACTIVELY EVALUATING OPPORTUNITIES TO VOLUNTARILY ADOPT GOVERNANCE BEST PRACTICES FOR THE BENEFIT OF THE COMMUNITY. * SACRED HEART HEALTH SERVICES MAKES MEDICAL CARE ACCESSIBLE TO THE COMMUNITIES IT SERVES REGARDLESS OF ABILITY TO PAY, OF WHICH THERE WERE 14,175 HOSPITAL PATIENT DAYS AND 83,279 NURSING HOME RESIDENT DAYS IN FISCAL YEAR 2013. AVERA SACRED HEART HOSPITAL WAS NAMED BY HEALTHGRADES AS ONE OF THE TOP 10% HOSPITALS IN THE NATION FOR PROVIDING AN OUTSTANDING PATIENT EXPERIENCE, SIX YEARS IN A ROW. THE HOSPITAL WAS A FIVE-STAR RECIPIENT FOR TREATMENT OF HEART ATTACK FOR 2 YEARS IN A ROW 2012-2013, AND A FIVE-STAR RECIPIENT FOR CAROTID SURGERY IN 2013. THEY WERE RANKED #2 IN SOUTH DAKOTA FOR TREATMENT OF STROKE IN 2013, RANKED #1 IN SOUTH DAKOTA FOR OVERALL PULMONARY SERVICES FOR 3 YEARS IN A ROW, RANKED #4 IN SOUTH DAKOTA FOR GENERAL SURGERY IN 2013, AND RANKED #4 IN SOUTH DAKOTA FOR GASTROINTESTINAL SERVICES IN 2013. THE HOSPITAL ALSO RECEIVED A PATIENT SAFETY EXCELLENCE AWARD FROM HEALTHGRADES.SACRED HEART HEALTH SERVICES OPERATES 2 FULL-TIME EMERGENCY DEPARTMENTS, ONE IN YANKTON AND ONE IN CREIGHTON, NEBRASKA, WHICH PROVIDE EMERGENCY CARE REGARDLESS OF ABILITY TO PAY. IN FISCAL YEAR 2013, THERE WERE 10,638 VISITS. AVERA SACRED HEART PROVIDES CLINICAL SERVICES NEEDED TO OPERATE THE EMERGENCY CENTER AND PROVIDES ON-SITE EMERGENCY MEDICAL, RESCUE AND MEDICAL TRANSPORTATION SERVICES. IN ADDITION, AVERA SACRED HEART, THROUGH ITS INTEGRATED NETWORK OF PROVIDERS, PROVIDES NON-EMERGENCY SERVICES TO THE COMMUNITY IT SERVES. IT MAKES THESE SERVICES ACCESSIBLE TO THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT PROGRAMS LIKE MEDICARE AND MEDICAID, REGARDLESS OF ABILITY TO PAY. AVERA'S CHARITY CARE POLICY PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTH CARE THEY RECEIVE. THE CHARITY CARE POLICY IS DESIGNED TO ENSURE THE COMMUNITIES SERVED BY AVERA FACILITIES HAVE ACCESS TO NEEDED HEALTHCARE SERVICES. THE AVERA SACRED HEART BOARD OF DIRECTORS OVERSEES SERVICES DELIVERED UNDER THE CHARITY CARE POLICY INCLUDING ASSESSING COMMUNITY NEEDS, APPROVING ELIGIBILITY CRITERIA AND MONITORING THE EFFECTIVENESS OF THE PROGRAM IN PROVIDING COMMUNITY ACCESS TO MEDICAL CARE.ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES UNDER THE CHARITY CARE POLICY IS BASED ON INCOME LEVELS AND FAMILY SIZE. APPLICATIONS FOR COVERAGE UNDER THE PROGRAM MAY BE OBTAINED AT ANY AVERA SACRED HEART PATIENT REGISTRATION AREA OR BY CALLING THE AVERA SACRED HEART OR AVERA CREIGHTON BUSINESS OFFICE. SACRED HEART HEALTH SERVICES MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CARE PROVIDED UNDER THE CHARITY CARE POLICY. SACRED HEART HEALTH SERVICES HAD CHARGES FORGONE FOR CHARITY FOR THE YEAR ENDED JUNE 30, 2013 OF APPROXIMATELY $2,364,000.SACRED HEART HEALTH SERVICES TAKES ITS MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IT SERVES A STEP FURTHER BY REACHING OUT TO MEET THE BROAD HEALTH NEEDS OF THE COMMUNITY. IT STRIVES TO IDENTIFY COMMUNITY NEEDS BEYOND BASIC HEALTH CARE, RESPOND TO THEM, AIMING TO MAKE A POSITIVE, LIFE-ENHANCING DIFFERENCE IN THE COMMUNITY. SACRED HEART HEALTH SERVICES TAKES A STRATEGIC, COMMUNITY NEEDS-BASED APPROACH TO DELIVERING BENEFITS TO THE COMMUNITY. AVERA SACRED HEART HOSPITAL DEMONSTRATES ITS COMMITMENT TO PROVIDING COMMUNITY BENEFIT THROUGH SPECIFIC ACCOMPLISHMENTS:E-TECHNOLOGY: AVERA SACRED HEART STARTED WITH ITS EICU PROGRAM SIX YEARS AGO. EICU IS A TELEMEDICINE-BASED SYSTEM THAT AIDS IN THE CARE OF ICU PATIENTS AT AVERA SACRED HEART AND ACROSS THE AVERA SYSTEM. PATIENTS RECEIVE CONSTANT, AROUND-THE-CLOCK MONITORING AND INTERVENTIONS FROM A REMOTE CARE TEAM IN ADDITION TO THE CARE THEY RECEIVE FROM THEIR BEDSIDE TEAM. IN ADDITION, AVERA SACRED HEART HOSPITAL, ALONG WITH ST. MICHAEL'S HOSPITAL/AVERA AND WAGNER COMMUNITY MEMORIAL HOSPITAL/AVERA, HAS LAUNCHED AN ESTROKE PROGRAM THAT WILL ENABLE PATIENTS SUFFERING STROKES TO BE MORE QUICKLY DIAGNOSED AND TREATED THROUGH THE USE OF TELEMEDICINE. AVERA HAS ALSO IMPLEMENTED AN E-PHARMACY PROGRAM WHERE FACILITIES WITHOUT 24 HOUR A DAY PHARMACIST COVERAGE CAN ACCESS PHARMACIST SERVICES REMOTELY.TEACHING HOSPITAL: AVERA SACRED HEART IS A TEACHING HOSPITAL, WHICH REFLECTS A STRONG COMMITMENT TO EDUCATION, RESEARCH AND A HIGH LEVEL OF CARE. IN THE SUMMER OF 2007, THE HOSPITAL OPENED THE NEW AVERA PROFESSIONAL OFFICE PAVILION & EDUCATION CENTER TO ENHANCE THEIR COMMITMENT TO MEDICAL EDUCATION. THE AVERA PAVILION IS THE NEW HOME OF THE UNIQUE YANKTON AMBULATORY PROGRAM FOR THE THIRD-YEAR MEDICAL STUDENTS OF THE SANFORD SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTH DAKOTA. THE PROGRAM CHALLENGES MEDICAL STUDENTS TO SOLVE CLINICAL PROBLEMS AND EXPERIENCE THE DOCTOR-PATIENT RELATIONSHIP THROUGH THE YEAR. YANKTON IS ONLY ONE OF THREE COMMUNITIES IN THE STATE WHERE A CAMPUS IS PROVIDED FOR THE SANFORD SCHOOL OF MEDICINE. THE OFFICE FOR THE DEAN OF THE YANKTON AMBULATORY PROGRAM OF THE AVERA SACRED HEART YANKTON CAMPUS IS NOW LOCATED ON THE FIRST FLOOR OF THE PAVILION. STUDY SPACE FOR THE MEDICAL STUDENTS IS ADJACENT TO THE ASHH MEDICAL LIBRARY. A UNIQUE COMPONENT TO THE PAVILION IS THE EXPANSION AND ENHANCEMENT OF EDUCATIONAL FACILITIES. ALONG WITH A 116-SEAT AUDITORIUM, THERE ARE ALSO THREE CONFERENCE ROOMS, ALL EQUIPPED WITH THE LATEST IN AUDIOVISUAL TECHNOLOGY.(CONTINUED ON PAGE 8 OF SCHEDULE O)	Description
Total Program Service Expense	83822191	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	0	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	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	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	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	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	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	182	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1296	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
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	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	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	JAMIE A SCHAEFER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6056688776	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	501 SUMMIT	AddressLine1
City	YANKTON	City
State	SD	State
ZIP Code	57078	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 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	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROB STEPHENSON
CHAIR	2.00	0.00	X	X	0	0	0
MICHAEL PIETILA
VICE CHAIR	2.00	0.00	X	X	0	0	0
AMY FREEBURG
BOARD MEMBER	2.00	0.00	X		0	0	0
SR JEANNE ANNETTE WEBER
BOARD MEMBER	2.00	0.00	X		0	0	0
SR CORRINE LEMMER
BOARD MEMBER	2.00	0.00	X		0	0	0
BRAD DYKES
BOARD MEMBER	2.00	0.00	X		0	0	0
JOHN PORTER
BOARD MEMBER	2.00	0.00	X		0	1149458	49310
CHARLES CAMMOCK
BOARD MEMBER	2.00	0.00	X		0	0	0
MARTY JANS
BOARD MEMBER	2.00	0.00	X		0	0	0
SR LUCILLE WELBIG
BOARD MEMBER	2.00	5.00	X		0	0	0
SR LYNN MARIE WELBIG
BOARD MEMBER	2.00	0.00	X		0	0	0
WAYNE A KINDLE
BOARD MEMBER	2.00	0.00	X		0	0	0
RUSS DEIDRICHSEN
BOARD MEMBER	2.00	0.00	X		0	0	0
PAMELA J REZAC
PRESIDENT & CEO	60.00	2.50	X	X	0	455478	51366
JAMIE A SCHAEFER
SEC/TREAS & VP FINANCE	52.00	1.00		X	181673	0	17550
DOUGLAS EKEREN
VP NETWORK SERVICES	52.00	2.50			194749	0	27419	X
MICHAEL PETERSON
PHYSICIAN	40.00	0.00			472349	0	46251		X
GREGORY TAYLOR
PHYSICIAN	40.00	0.00			500176	0	47204		X
STEVE GUTNIK
PHYSICIAN	40.00	0.00			687113	0	28751		X
MATTHEW G WINKELBAUER
PHYSICIAN	40.00	0.00			575690	0	993		X
TERENCE PEDERSON
PHYSICIAN	40.00	0.00			303413	0	23720		X
BARBARA LARSON
FORMER KEY EMPLOYEE - VP P	0.00	52.00			0	141758	43672			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2915163	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1746694	TotalReportableCompFrmRltdOrgs
Total Other Compensation	336236	TotalOtherCompensation
Number Individuals GT100 K	46	NumberIndividualsGT100K
Formers Listed	1	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
YANKTON ANESTHESIOLOGY PC
1000 W 4TH ST SUITE 13	YANKTON	SD	57078	ANESTHESIOLOGISTS	1586060
YANKTON MEDICAL CLINIC PC
PO BOX 706	YANKTON	SD	57078	PHYSICIAN SERVICES	627268
C & A INDUSTRIES
PO BOX 3037	OMAHA	NE	68103	TEMP STAFFING	587417
BROWNS MEDICAL IMAGING
14315 C CIR	OMAHA	NE	68144	IMAGING	389413
ASSOCIATED REGIONAL & UNIVERSITY
PO BOX 27964	SALT LAKE CITY	UT	84127	LAB SERVICES	235896

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Fundraising Events	71624	FundraisingEvents
Related Organizations	50000	RelatedOrganizations
Government Grants	1588067	GovernmentGrants
All Other Contributions	310059	AllOtherContributions
Noncash Contributions	73786	NoncashContributions
Total Contributions	2019750	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	622110	100109791	100109791
OTHER REVENUE	900099	1336731	1336731
NONMEDICAL OUTREACH	900099	1209937	1209937
INCOME FROM AFFILIATES	900099	7356	35878	-28522
INTEREST IN BENEDICTINE HEALTH FO	900099	-105247	-105247

Field	Value	IRS element (for citing)
Total Program Service Revenue	102558568	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1064985	TotalRevenueColumn
Exclusion	$1,064,985	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	135374	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	751506	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-616132	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-616132	TotalRevenueColumn
Exclusion	-$616,132	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5556355	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	50466	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5556355	Securities
Other	-50466	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5505889	TotalRevenueColumn
Exclusion	$5,505,889	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	69617	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	71624	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	24472	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	45145	TotalRevenueColumn
Exclusion	$45,145	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	INTEREST INCOME	Description
Business Code	900099	BusinessCode
Total Revenue Column	158715	TotalRevenueColumn
Exclusion	$158,715	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	158715	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	110736920	TotalRevenueColumn
Related Or Exempt Function Income	102587090	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-28522	UnrelatedBusinessRevenue
Exclusion	$6,158,602	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	127429	Total
Program Services	127429	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	20000	Total
Program Services	20000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	481087	Total
Management And General	481087	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	87302	Total
Program Services	87302	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	44064767	Total
Program Services	38989973	ProgramServices
Management And General	4981259	ManagementAndGeneral
Fundraising	93535	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1053897	Total
Program Services	849958	ProgramServices
Management And General	200336	ManagementAndGeneral
Fundraising	3603	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6559995	Total
Program Services	5779483	ProgramServices
Management And General	766807	ManagementAndGeneral
Fundraising	13705	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2812429	Total
Program Services	2407348	ProgramServices
Management And General	399294	ManagementAndGeneral
Fundraising	5787	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	22836	Total
Management And General	22836	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	7800	Total
Management And General	7800	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14297542	Total
Program Services	5851888	ProgramServices
Management And General	8445654	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	550187	Total
Program Services	76974	ProgramServices
Management And General	461790	ManagementAndGeneral
Fundraising	11423	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5909117	Total
Program Services	4948771	ProgramServices
Management And General	957773	ManagementAndGeneral
Fundraising	2573	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	218414	Total
Program Services	59121	ProgramServices
Management And General	159293	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1870340	Total
Program Services	1868934	ProgramServices
Management And General	1406	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	471936	Total
Program Services	392524	ProgramServices
Management And General	78448	ManagementAndGeneral
Fundraising	964	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	550739	Total
Program Services	178466	ProgramServices
Management And General	371455	ManagementAndGeneral
Fundraising	818	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	322099	Total
Program Services	322099	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6841865	Total
Program Services	6841865	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	931248	Total
Program Services	931248	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	9972446	9971661	785
BAD DEBT EXPENSE	3178159	3178159
EQUIPMENT LEASE AND REN	501078	355523	145555
LICENSES AND PERMITS	155718	115736	39982

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	921452	Total
Program Services	467729	ProgramServices
Management And General	450842	ManagementAndGeneral
Fundraising	2881	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	101929882	Total
Program Services	83822191	ProgramServices
Management And General	17972402	ManagementAndGeneral
Fundraising	135289	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2031112	BOY
EOY	4870900	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	679	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	17826710	BOY
EOY	15048834	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	60417	BOY
EOY	35416	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9991401	BOY
EOY	2258638	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2353157	BOY
EOY	2019902	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	834949	BOY
EOY	1382969	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	152036033	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	86889582	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	57423943	BOY
EOY	65146451	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	9111837	BOY
EOY	6688499	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	141923137	BOY
EOY	156793713	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	952712	BOY
EOY	1258681	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	638945	BOY
EOY	637051	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	502188	BOY
EOY	515736	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	243651187	BOY
EOY	256656790	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9764558	BOY
EOY	10769301	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	567529	BOY
EOY	490836	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	25787945	BOY
EOY	25217086	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	15312	BOY
EOY	18259	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2521697	BOY
EOY	1666831	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	38657041	BOY
EOY	38162313	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	191500652	BOY
EOY	204444147	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13035578	BOY
EOY	13592414	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	457916	BOY
EOY	457916	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	204994146	BOY
EOY	218494477	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	243651187	BOY
EOY	256656790	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8807038	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	6000753	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-1307460	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 Consolidated	X	FinancialStatementConsolidated

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	$13,523	OtherActivitiesAmount
Total Lobbying Expenditures IIB	13523	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	SACRED HEART HEALTH SERVICES 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	793011	BeginningOfYearBalance
Contributions	6400	Contributions
Investment Earnings Or Losses	58742	InvestmentEarningsOrLosses
Other Expenditures	18788	OtherExpenditures
End Of Year Balance	839365	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	801064	BeginningOfYearBalance
Contributions	5310	Contributions
Investment Earnings Or Losses	-480	InvestmentEarningsOrLosses
Other Expenditures	12883	OtherExpenditures
End Of Year Balance	793011	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	716457	BeginningOfYearBalance
Contributions	1120	Contributions
Investment Earnings Or Losses	87570	InvestmentEarningsOrLosses
Other Expenditures	4083	OtherExpenditures
End Of Year Balance	801064	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	676350	BeginningOfYearBalance
Contributions	540	Contributions
Investment Earnings Or Losses	41680	InvestmentEarningsOrLosses
Other Expenditures	2113	OtherExpenditures
End Of Year Balance	716457	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	721018	BeginningOfYearBalance
Contributions	11570	Contributions
Investment Earnings Or Losses	-18197	InvestmentEarningsOrLosses
Other Expenditures	38041	OtherExpenditures
End Of Year Balance	676350	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.54560	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.45440	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3538850	OtherCostOrOtherBasis
Book Value	3538850	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	88838917	OtherCostOrOtherBasis
Depreciation	54091047	Depreciation
Book Value	34747870	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	43560733	OtherCostOrOtherBasis
Depreciation	29312655	Depreciation
Book Value	14248078	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16097533	OtherCostOrOtherBasis
Depreciation	3485880	Depreciation
Book Value	12611653	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	65146451	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
ASSETS LIMITED TO USE - AVERA POOLED INVESTMENTS	155836028	F
INVESTMENT IN AFFILIATED ORGANIZATION	957685	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	156793713	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,180,000
MARKET VALUE OF INTEREST RATE SWAP	$486,831

Field	Value	IRS element (for citing)
Total Of Amounts	1666831	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	114122021	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	6000753	NetUnrealizedGainsInvestments
Other Revenues	-1288321	OtherRevenues
Revenue Not Rptd F990	4712432	RevenueNotRptdF990
Revenue Subtotal	109409589	RevenueSubtotal
Other Revenues Not Included	1327331	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1327331	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	110736920	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	100120771	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1369048	OtherExpensesIncluded
Expenses Not Rptd F990	1369048	ExpensesNotRptdF990
Expenses Subtotal	98751723	ExpensesSubtotal
Other Expenses Not Included	3178159	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3178159	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	101929882	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 2B:	RESIDENT TRUST FUNDS ARE HELD ON BEHALF OF THE RESIDENTS.
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ITS ENDOWMENT REPRESENTS DONOR-RESTRICTED ENDOWMENT FUNDS. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS.	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). CERTAIN CONSOLIDATED SUBSIDIARIES, INCLUDING VALLEY HEALTH SERVICES, ARE NOT TAX-EXEMPT ENTITIES AND ARE CONSIDERED PARTNERSHIPS OR DISREGARDED ENTITIES FOR TAX PURPOSES. 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 CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 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:
	ACCUMULATED LOSS INTEREST SWAP -22,247. LOSS ON REFINANCING 234,867. BAD DEBT EXPENSE REPORTED IN INCOME FOR FINANCIAL STATEMENT -3,178,159. RELATED ORGANIZATIONS' REVENUE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 1,677,218.	PART XI, LINE 2D - OTHER ADJUSTMENTS:
	CONTRIBUTIONS REPORTED IN FUND BALANCE ON FINANCIAL STATEMENTS 295,840. INVESTMENT INCOME REPORTED IN FUND BALANCE ON FINANCIAL STATEMENTS 981,491. TRANSFER FROM RELATED ORGANIZATION ELIMINATED FOR F/S PURPOSES 50,000.	PART XI, LINE 4B - OTHER ADJUSTMENTS:
	RELATED ORGANIZATIONS' EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENT 1,369,048.	PART XII, LINE 2D - OTHER ADJUSTMENTS:
	BAD DEBT EXPENSE REPORTED IN INCOME FOR FINANCIAL STATEMENT 3,178,159.	PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SIMPLY D'VINE	NameOfEvent1
Gross Receipts Event1	109391	GrossReceiptsEvent1
Charitable Contributions Event1	71624	CharitableContributionsEvent1
Gross Revenue Event1	37767	GrossRevenueEvent1
Food And Beverage Event1	1511	FoodAndBeverageEvent1
Entertainment Event1	650	EntertainmentEvent1
Other Direct Expenses Event1	8267	OtherDirectExpensesEvent1
Name Of Event2	ROSES JUST BECAUSE	NameOfEvent2
Gross Receipts Event2	31850	GrossReceiptsEvent2
Gross Revenue Event2	31850	GrossRevenueEvent2
Other Direct Expenses Event2	14044	OtherDirectExpensesEvent2
Gross Receipts Total	141241	GrossReceiptsTotal
Charitable Contributions Total	71624	CharitableContributionsTotal
Gross Revenue Total Events	69617	GrossRevenueTotalEvents
Food And Beverage Total Events	1511	FoodAndBeverageTotalEvents
Entertainment Total Events	650	EntertainmentTotalEvents
Other Direct Expenses Total Events	22311	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	24472	DirectExpenseSummaryEvents
Net Income Summary	45145	NetIncomeSummary

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	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	1746	PersonsServed
Total Community Benefit Expense	862412	TotalCommunityBenefitExpense
Net Community Benefit Expense	862412	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	4121	PersonsServed
Total Community Benefit Expense	12310341	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8342266	DirectOffsettingRevenue
Net Community Benefit Expense	3968075	NetCommunityBenefitExpense
Percent Of Total Expense	0.04010	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	1728	PersonsServed
Total Community Benefit Expense	3932772	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3123407	DirectOffsettingRevenue
Net Community Benefit Expense	809365	NetCommunityBenefitExpense
Percent Of Total Expense	0.00820	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	7595	PersonsServed
Total Community Benefit Expense	17105525	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11465673	DirectOffsettingRevenue
Net Community Benefit Expense	5639852	NetCommunityBenefitExpense
Percent Of Total Expense	0.05700	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	1408	PersonsServed
Total Community Benefit Expense	4705907	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4012100	DirectOffsettingRevenue
Net Community Benefit Expense	693807	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	163019	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14585	DirectOffsettingRevenue
Net Community Benefit Expense	148434	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	55650	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39476	DirectOffsettingRevenue
Net Community Benefit Expense	16174	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	54929	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41500	DirectOffsettingRevenue
Net Community Benefit Expense	13429	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	584338	TotalCommunityBenefitExpense
Net Community Benefit Expense	584338	NetCommunityBenefitExpense
Percent Of Total Expense	0.00590	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	1408	PersonsServed
Total Community Benefit Expense	5563843	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4107661	DirectOffsettingRevenue
Net Community Benefit Expense	1456182	NetCommunityBenefitExpense
Percent Of Total Expense	0.01470	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	9003	PersonsServed
Total Community Benefit Expense	22669368	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15573334	DirectOffsettingRevenue
Net Community Benefit Expense	7096034	NetCommunityBenefitExpense
Percent Of Total Expense	0.07170	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,971,671	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	24740821	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	33587184	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8846363	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	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 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 SACRED HEART HOSPITAL
1	501 SUMMIT STREET	YANKTON	SD	57078	X	X	X	2 PROVIDER-BASED CLINICS
AVERA CREIGHTON HOSPITAL
2	1503 MAIN STREET	CREIGHTON	NE	68729	X	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	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	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	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	State RegulationStateRegulation	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
AVERA SACRED HEART HOSPITAL
1	1	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	X	X	1	0	1	1	150.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	1
AVERA CREIGHTON HOSPITAL
2	1	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X		X	X	X	1	0	1	1	150.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	1	0	X	X	X	X	1	X	0	1

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
AVERA YANKTON CARE CENTER
1212 W 8TH STREET	YANKTON	SD	57078	LONG TERM CARE
AVERA SISTER JAMES CARE CENTER
2111 W 11TH STREET	YANKTON	SD	57078	LONG TERM CARE
AVERA SACRED HEART MAJESTIC BLUFFS
2111 W 11TH STREET	YANKTON	SD	57078	ASSISTED LIVING
AVERA SACRED HEART HOSPITAL-REHAB UNIT
501 SUMMIT STREET	YANKTON	SD	57078	REHAB UNIT
AVERA CREIGHTON CARE CENTRE
1603 MAIN STREET	CREIGHTON	NE	687292999	LONG TERM CARE
AVERA SACRED HEART HOSPITAL-DIALYSIS
501 SUMMIT STREET	YANKTON	SD	57078	DIALYSIS UNIT

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3C: A COMBINATION OF INCOME AND ASSETS TEST IS UTILIZED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. POINTS ARE ASSIGNED BASED ON INCOME AS A PERCENTAGE OF FPG AND NET ASSETS OWNED WITH POINTS DEDUCTED FOR ONGOING MEDICAL EXPENSES SUCH AS DRUGS. PATIENTS WITH THE FEWEST POINTS RECEIVE THE LARGEST DISCOUNT. 0-1 POINTS RECEIVE 100% DISCOUNT ON BILLS WHILE REMAINING DISCOUNTS RANGE FROM 10-90% DEPENDING ON POINT TOTALS AND DOLLAR AMOUNT OF CHARGES.
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, UNREIMBURSED MEDICAID, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WERE CONVERTED TO COST USING THE COST TO CHARGE RATIO BASED ON PRIOR YEAR MEDICARE COST REPORT. UNREIMBURSED MEDICAID USES A COST TO CHARGE RATIO THAT INCLUDES OTHER ACTIVITIES BEYOND HOSPITAL INPATIENT. THE AMOUNTS ON LINES 7E-I REPRESENT EXPENSES REPORTED IN THE GENERAL LEDGER AND COMPILED USING CBISA SOFTWARE.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $2,971,671 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT EXCLUDED FOR PURPOSES OF CALCULATING THIS PERCENTAGE.
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. SACRED HEART HEALTH SERVICES 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. NOTE 1 ON PAGE 8 OF THE FINANCIAL STATEMENTS DESCRIBES BAD DEBT EXPENSE.
PART III, LINE 8: PART III, LINES 5, 6, AND 7: THE MEDICARE REVENUES RECEIVED (LINE 5), ALLOWABLE COSTS (LINE 6), AND THE RESULTING SHORTFALL (LINE 7) DOES NOT INCLUDE A SIGNIFICANT PORTION OF THE ORGANIZATION'S EXPENSES. THESE LINES REQUIRE USE OF THE MEDICARE COST REPORT AS PREPARED BY THE REQUIRED GUIDELINES WHICH DISALLOWS NUMEROUS COSTS OF HOSPITALS, PARTICULARLY IF THEY ARE PART OF AN INTEGRATED SYSTEM SUCH AS SACRED HEART HEALTH SERVICES. IN THESE CASES THE ENTITY MUST FILE A HOME OFFICE COST REPORT WHICH "STEPS DOWN" OVERHEAD TO NON-COST REPORT ENTITIES DISPROPORTIONATELY TO ACTUAL ALLOWABLE SHARE AND ESSENTIALLY REMOVING THE COSTS FROM THE HOSPITAL'S COST REPORT ENTIRELY. EXAMPLES OF NON-COST REPORT ENTITIES OPERATED BY SACRED HEART HEALTH SERVICES INCLUDE CLINICS, A HOME MEDICAL EQUIPMENT STORE, LONG-TERM CARE FACILITIES, AND OTHER HEALTH CARE RELATED BUSINESSES. THERE ARE ALSO COSTS COMPLETELY DISALLOWED BY COST REPORT RULES SUCH AS BAD DEBT EXPENSE, MARKETING, CRNA'S, AND INTEREST EXPENSE. IN ADDITION TO THESE DISALLOWED COSTS WITHIN THE HOSPITAL, SACRED HEART HEALTH SERVICES OPERATES CLINICS, A HOME MEDICAL EQUIPMENT STORE, LONG-TERM CARE FACILITIES, AND OTHER HEALTH CARE RELATED BUSINESSES WHICH DO NOT FILE A COST REPORT.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. SACRED HEART HEALTH SERVICES FOLLOWS THE CHA GUIDELINES IN REPORTING COMMUNITY BENEFITS AND THEREFORE ANY MEDICARE SHORTFALL 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 COLLECTION AGENCY. 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. SACRED HEART HEALTH SERVICES DOES NOT REPORT ANY DATA TO ANY OF THE CREDIT AGENCIES, HOWEVER, THE COLLECTION AGENCIES SACRED HEART HEALTH SERVICES UTILIZES MAY REPORT TO THE CREDIT AGENCIES. ANY EXTENDED PAYMENT PLANS OFFERED BY THE HOSPITAL, OR THE HOSPITAL'S REPRESENTATIVE, IN SETTLING THE OUTSTANDING BILLS OF PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE INTEREST-FREE SO LONG AS THE REPAYMENT SCHEDULE IS MET.
PART V, SECTION B, LINE 3: AVERA SACRED HEART HOSPITAL UTILIZED A CONSULTANT TO ASSIST WITH THE PROCESS OF CONDUCTING FOCUS GROUPS TO ENSURE PARTICIPANTS FELT AT EASE TO SHARE THEIR OPINIONS. ADDITIONAL FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BY HOSPITAL PERSONNEL IN COUNTIES OUTSIDE THE IMMEDIATE SERVICE AREA. PERSONAL INVITATIONS WERE SENT TO ORGANIZATIONS AND INDIVIDUALS REPRESENTING THE BROAD INTEREST OF THE COMMUNITIES, INCLUDING AREAS MOST IMPACTED BY HEALTH DISPARITIES.	AVERA SACRED HEART HOSPITAL
PART V, SECTION B, LINE 3: AVERA CREIGHTON HOSPITAL USED INTERVIEWS, SURVEYS, AND FOCUS GROUPS ENSURING THEY REACHED INDIVIDUALS WITH SPECIFIC KNOWLEDGE REGARDING INSURANCE ISSUES, HEALTH REFORM, MEDICAL SPECIALISTS, RURAL HEALTH ISSUES, POPULATION ISOLATION, JOB LOSS, WATER ISSUES, SKIN CANCER, AFFORDABLE HOUSING, AND ELDERLY. SPECIFIC TARGETED PARTICIPANTS INCLUDED REPRESENTATIVES OF NORTH CENTRAL DISTRICT HEALTH DEPARTMENT, NORTH CENTRAL COMMUNITY CARE PARTNERSHIP, REGION 4 BEHAVIORAL HEALTH SYSTEM, AND HEARTLAND COUNSELING.	AVERA CREIGHTON HOSPITAL
PART V, SECTION B, LINE 4: AVERA CREIGHTON HOSPITAL PARTNERED WITH THE TEN OTHER HOSPITALS IN THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT INCLUDING ANTELOPE MEMORIAL HOSPITAL, AVERA ST. ANTHONY'S HOSPITAL, OSMOND GENERAL HOSPITAL, PLAINVIEW COMMUNITY HOSPITAL, TILDEN COMMUNITY HOSPITAL, NIOBRARA VALLEY HOSPITAL, WEST HOLT MEMORIAL HOSPITAL, BROWN COUNTY HOSPITAL, CHERRY COUNTY HOSPITAL, AND ROCK COUNTY HOSPITAL IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT.	AVERA CREIGHTON 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 SACRED HEART 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 CREIGHTON 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 SACRED HEART 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 CREIGHTON HOSPITAL
PART V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE BILLING INVOICES, IN THE EMERGENCY ROOM, WAITING ROOMS, IN THE ADMISSIONS OFFICE, AND TO PATIENTS UPON ADMISSION.	AVERA SACRED HEART HOSPITAL
PART V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE BILLING INVOICES, IN THE EMERGENCY ROOM, WAITING ROOMS, IN THE ADMISSIONS OFFICE, AND TO PATIENTS UPON ADMISSION.	AVERA CREIGHTON 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 SACRED HEART 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 CREIGHTON HOSPITAL
PART VI, LINE 2: AVERA SACRED HEART HOSPITAL INCLUDES COMMUNITY MEMBERS ON COMMITTEES, BOARDS AND ADVISORY GROUPS TO ALLOW COMMUNITY REACTION AND INPUT IN THE ACTIONS WE TAKE. WE ALSO REVIEW ALL DATA PROVIDED BY THE HEALTH DEPARTMENTS REGARDING DISEASE RATES, MORTALITY, MORBIDITY, POPULATION CHANGES, ETC. THE HOSPITAL ALSO CONDUCTS FOCUS GROUPS, CONSUMER PERCEPTION STUDIES, AND PATIENT SATISFACTION SURVEYS TO IDENTIFY PRIMARY NEEDS OF THE COMMUNITY AND RESPONDS WITH PREVENTATIVE/EDUCATIONAL INFORMATION OR ACTIVITIES FOR THE COMMUNITY.
PART VI, LINE 3: THE BROCHURE "UNDERSTANDING YOUR HEALTH CARE BILLS" IS PROVIDED IN VISIBLE LOCATIONS EXPERIENCING HIGH VOLUMES OF INPATIENT OR OUTPATIENT REGISTRATIONS SUCH AS THE ADMITTING OFFICE, THE BILLING/BUSINESS OFFICE, AND EMERGENCY DEPARTMENT AS WELL AS THE ORGANIZATION WEBSITE. PATIENTS ARE ALSO MADE AWARE OF POSSIBLE ELIGIBILITY WHEN GIVEN THE "PATIENT RIGHTS AND RESPONSIBILITIES" BROCHURE UPON ADMISSION. THE PATIENT ADVOCATE WORKS WITH UNINSURED/UNDERINSURED PATIENTS TO ENROLL THEM IN APPLICABLE SOCIAL SERVICE PROGRAMS AND/OR IDENTIFY CHARITY, COUNTY OR RISK POOL ELIGIBILITY.
PART VI, LINE 4: AVERA SACRED HEART HOSPITAL PRIMARILY SERVES THE CITY AND COUNTY OF YANKTON, SD AND THE SURROUNDING SOUTH DAKOTA COUNTIES OF BON HOMME, CHARLES MIX, CLAY AND HUTCHINSON, AND CEDAR COUNTY AND KNOX IN NEBRASKA. U.S CENSUS STATISTICS INDICATE THAT 12% OF THE CITY OF YANKTON'S INDIVIDUAL RESIDENTS FALL BELOW THE FEDERAL POVERTY GUIDELINES. FOR FISCAL YEAR 2013, 47.5% OF OUR REVENUE CAME FROM MEDICARE AND MEDICARE ADVANTAGE PLANS, AND 12.1% CAME FROM MEDICAID AND MEDICAID REPLACEMENT PLANS.
PART VI, LINE 5: THE HOSPITAL BOARD IS COMPRISED OF INDIVIDUALS WHO REPRESENT THE INTERESTS OF THE COMMUNITY SERVED BY THE ORGANIZATION. THE HOSPITAL OFFERS STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SELECTED SERVICES SUCH AS RADIATION ONCOLOGY, DESIGNATED REHABILITATION UNIT, AND SWINGBED SERVICES WOULD NOT BE AVAILABLE IN OUR SERVICE AREA UNLESS PROVIDED BY THE ORGANIZATION. THE HOSPITAL SERVES ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY, PROVIDING 24 HOUR A DAY EMERGENCY SERVICES. THE FACILITY PARTICIPATES IN THE EDUCATION OF MEDICAL STUDENTS FROM THE UNIVERSITY OF SOUTH DAKOTA THROUGH THEIR YANKTON LOCATION. THE HOSPITAL ALSO OFFERS A 2 -YEAR RADIATION TECHNOLOGIST PROGRAM THAT GRADUATES APPROXIMATELY 6 STUDENTS PER YEAR. SACRED HEART HOSPITAL ALSO PROVIDES CLINICAL EDUCATION FOR MOUNT MARTY COLLEGE STUDENTS. THE HOSPITAL IS ALSO PROUD OF THE FACT THAT 350 INDIVIDUALS CHOSE TO VOLUNTEER AT THE FACILITY DURING FISCAL YEAR 2013.
PART VI, LINE 6: AVERA IS A SPONSORED MINISTRY OF THE BENEDICTINE AND PRESENTATION SISTERS. THE COMMUNITIES IN WHICH AVERA HEALTH OPERATES ALL HAVE UNIQUE HEALTH AND COMMUNITY BENEFITS NEEDS. IN KEEPING WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES, EACH HOSPITAL STRIVES TO MEET ITS COMMUNITY'S IDENTIFIED NEEDS. THE CORPORATE STAFF OF AVERA HEALTH ADVOCATES FOR ALL MEMBERS REGARDING COMMUNITY BENEFIT RELATED MATTERS OF STATE, REGIONAL AND NATIONAL IMPORTANCE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AVERA HEALTH
3900 W AVERA DRIVE	SIOUX FALLS	SD	57108	460422673	501(C)(3)	21000	USD SCHOLARSHIP FUND
AVERA ST ANTHONY HOSPITAL FOUNDATION
300 N 2ND ST	ONEILL	NE	68763	470463911	501(C)(3)	20000	BUILDING PROJECT
UNIVERSITY OF SOUTH DAKOTA
PO BOX 5555	VERMILLION	SD	57069	466000364	STATE OF SD	50000	OUTCOMES RESEARCH
UNITED WAY OF YANKTON
610 W 23RD	YANKTON	SD	57078	460252854	501(C)(3)	12000	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	4	NumberOfRecipients
Amount Of Cash Grant	20000	AmountOfCashGrant

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 ALSO TAX-EXEMPT. IN FISCAL YEAR 2013, 4 MEDICAL SCHOOL STUDENTS WERE CHOSEN FOR $5,000 SCHOLARSHIPS.	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 (10 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
JOHN PORTER
BOARD MEMBER	0	901311	0	500	0	247647	0	31098	0	19361	0	1199917	0	0
PAMELA J REZAC
PRESIDENT & CEO	0	369570	0	0	0	85908	0	30475	0	21739	0	507692	0	0
JAMIE A SCHAEFER
SEC/TREAS & VP FINANCE	155858	0	7434	0	18381	0	0	0	17550	0	199223	0	0	0
DOUGLAS EKEREN
VP NETWORK SERVICES	166698	0	8162	0	19889	0	0	0	27419	0	222168	0	0	0
MICHAEL PETERSON
PHYSICIAN	436353	0	0	0	35996	0	0	0	46251	0	518600	0	0	0
GREGORY TAYLOR
PHYSICIAN	452804	0	0	0	47372	0	0	0	47204	0	547380	0	0	0
STEVE GUTNIK
PHYSICIAN	591795	0	0	0	95318	0	0	0	28751	0	715864	0	0	0
MATTHEW G WINKELBAUER
PHYSICIAN	420291	0	127117	0	28282	0	0	0	993	0	576683	0	0	0
TERENCE PEDERSON
PHYSICIAN	224954	0	57858	0	20601	0	0	0	23720	0	327133	0	0	0
BARBARA LARSON
FORMER KEY EMPLOYEE - VP P	0	114129	0	6687	0	20942	0	0	0	43671	0	185429	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 SACRED HEART 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

Field	Value	IRS element (for citing)
Name Person	GREGORY TAYLOR	NamePerson
Relationship With Organization	EMPLOYEE	RelationshipWithOrganization
Purpose Of Loan	PHYSICIAN COMMUNITY NEEDS	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$100,000	OriginalPrincipalAmount
Balance Due	35416	BalanceDue
Default	0	Default
Approved By Board	0	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	35416	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JANET JANS
SPOUSE OF BOARD MEMBER	59913	EMPLOYEE COMPENSATION	0
ALLISON DIEDRICHSEN
SPOUSE OF BOARD MEMBER	27389	EMPLOYEE COMPENSATION	0
YANKTON MEDICAL CLINIC
PARTNER OF YANKTON MEDICAL CLINIC IS BOARD MEMBER OF ORGANIZATION	627268	PROFESSIONAL SERVICES	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	58359	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	37	NumberOfContributions
Noncash Contribs Rptd F990	15427	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NEW PROGRAM SERVICES	FORM 990, PART III, LINE 2	THE LATEST TECHNOLOGY IN CANCER RADIATION TREATMENT IS NOW AVAILABLE IN YANKTON AT THE AVERA SACRED HEART CANCER CENTER WITH THE ADDITION OF THE VARIAN IX LINEAR ACCELERATOR. THE DEVICE WILL PROVIDE FAR MORE ACCURACY IN RADIATION THERAPY, AND WILL WORK MUCH FASTER THAN CURRENT EQUIPMENT AND BECAME OPERATIONAL IN MARCH OF 2013.
	FORM 990, PART VI, SECTION A, LINE 2	JOHN PORTER, SR. LUCILLE WELBIG AND PAMELA J. REZAC HAVE A BUSINESS RELATIONSHIP.
	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	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. 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
	FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED INITIALLY BY THE CEO AND 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 BOARD MEMBERS. THE INFORMATION IS MAINTAINED IN A DATABASE AND A REPORT IS PROVIDED TO THE BOARD.
		THE CEO IS COMPENSATED BY AVERA HEALTH SYSTEM. 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 OTHER OFFICERS, DIRECTORS, AND KEY EMPLOYEES IS REVIEWED ANNUALLY. THE ORGANIZATION UTILIZES THE RESOURCES OF AN OUTSIDE INDEPENDENT AGENCY FOR MARKET COMPARABILITY. THE COMPENSATION IS APPROVED WITHIN THE ANNUAL BUDGET APPROVED BY THE BOARD.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 PER IRS INSTRUCTIONS AND THEREFORE AVAILABLE TO THE GENERAL PUBLIC.
OTHER FEES	FORM 990, PART IX, LINE 11G	REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 1,693,513. MANAGEMENT AND GENERAL EXPENSES 263,061. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,956,574. CONSULTING: PROGRAM SERVICE EXPENSES 799,289. MANAGEMENT AND GENERAL EXPENSES 168,279. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 967,568. PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,359,086. MANAGEMENT AND GENERAL EXPENSES 3,358,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,717,427. ACS FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,655,973. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,655,973.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CAPITAL TRANSFERS, NET -2,585,975. NET ASSETS RELEASED FROM DONOR RESTRICTION -363,034. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 234,867. TRANSFER FROM RELATED ORGANIZATION ELIMINATED FOR F/S PURPOSES -50,000. TRANSFER OF ASSETS FROM HEALTH MANAGEMENT SERVICES 1,376,684. OTHER ADJUSTMENTS 79,998.
	FORM 990, PART XII, LINE 2C:	THE AUDIT COMMITTEE OF AVERA HEALTH, PARENT ORGANIZATION, SELECTS THE AUDITOR AND REVIEWS THE AUDITED FINANCIAL STATEMENTS FOR SACRED HEART HEALTH SERVICES.
	PART III, LINE 4A:	(CONTINUED FROM PAGE 4 OF SCHEDULE O) RESIDENCY/HEALTH PROFESSIONS TRAINING: AT ANY ONE TIME, 10 TO 15 SANFORD SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTH DAKOTA MEDICAL STUDENTS ARE IN TRAINING AT AVERA SACRED HEART HOSPITAL. IN ADDITION, STUDENTS IN NURSING, PHARMACY, PHYSICIAN ASSISTANT PROGRAMS, RADIOLOGY AND RESPIRATORY THERAPY ALSO AFFILIATE HERE. AVERA SACRED HEART ALSO HAS A RADIOLOGY TECHNOLOGIST SCHOOL, WHICH GRADUATES 6 TO 8 NEW RADIOLOGY TECHNOLOGISTS EACH YEAR. PREVENTIVE CARE A PRIORITY: AVERA SACRED HEART HAS TAKEN STEPS TO ENHANCE PREVENTIVE CARE FOR PEOPLE OF ALL AGES THROUGH THE MANY EDUCATIONAL PROGRAMS, HEALTH SCREENINGS AND FAIRS THAT ARE HELD THROUGHOUT THE YEAR. AVERA SACRED HEART HOLDS SCREENINGS THROUGHOUT THE REGION AT THEIR RURAL HEALTH CLINICS AS WELL AS IN YANKTON. THE HOSPITAL IS NOW CONNECTED TO THE ASK-A-NURSE PROGRAM THAT PROVIDES GENERAL INFORMATION CONCERNING HEALTH-RELATED TOPICS. OUR WEB SITE INCORPORATES THE "ADAM" SOFTWARE THAT PROVIDES A UNIQUE LEVEL OF HEALTH-RELATED INFORMATION TO THE CONSUMER. IN 2009, AVERA SACRED HEART HOSPITAL INTRODUCED PLANET HEART (IN CONJUNCTION WITH THE AVERA HEART HOSPITAL) AND AN IN-HOUSE CARDIOVASCULAR SCREENING PACKAGE TO KEEP THE PEOPLE WE SERVED BETTER INFORMED ABOUT THEIR HEALTH. BASED ON COMMUNITY NEEDS, WE ARE CONTINUALLY STRIVING TO PROVIDE MORE PREVENTATIVE TOOLS AND RISK ASSESSMENTS TO OUR POPULATION. COMMUNITY EDUCATION: AVERA SACRED HEART REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT SOUTHEASTERN SOUTH DAKOTA AND NORTHEASTERN NEBRASKA IN A VARIETY OF WAYS. FOR THE PAST FIVE YEARS, AVERA SACRED HEART HAS PARTNERED WITH HYVEE FOODS OF YANKTON AND THE YANKTON PUBLIC SCHOOL SYSTEM TO PROMOTE BETTER EATING HABITS FOR STUDENTS AND CENTERED ON THE "MY PLATE" CONCEPT. COMMUNITY FLU SHOT CLINICS ARE GENERALLY HELD THROUGHOUT THE REGION. THROUGH WELL COORDINATED EFFORTS STATEWIDE WITH OTHER HOSPITALS AND STATE ENTITIES, AVERA SACRED HEART WAS ABLE TO EFFECTIVELY DISTRIBUTE THE VACCINE DOSES IT RECEIVED IN A TIMELY AND EFFICIENT MANNER. WE ARE PROUD OF OUR CONTINUING 'TO BE WELL' HEALTH CARE EDUCATIONAL SERIES THAT PROVIDES EDUCATION TO THE COMMUNITY ON A VARIETY OF DISEASES AND CHRONIC CONDITIONS. EDUCATIONAL SESSIONS ARE OFFERED TO MEDICAL STAFF, STUDENTS, EMPLOYEES, HEALTH CARE PROFESSIONALS, STUDENTS OF ALL LEVELS AND THE GENERAL PUBLIC. UTILIZING THE AVERA PROFESSIONAL OFFICE PAVILION AND EDUCATION CENTER, HUNDREDS OF CLASSES INVOLVING THOUSANDS OF PEOPLE ARE PROVIDED AS A COMMUNITY SERVICE EACH YEAR. OTHER EXAMPLES OF COMMUNITY EDUCATION INCLUDE OUR STUDENT/YOUTH MENTORING PROGRAMS AND PARISH NURSING. PARTNERSHIPS WITH SCHOOLS, CHURCHES, BUSINESSES AND OTHER ORGANIZATIONS MAKE MANY OF THESE PROGRAMS POSSIBLE. AS AN INTEGRATED ORGANIZATION, AVERA AND AVERA SACRED HEART ARE LEADERS IN THE IMPLEMENTATION OF THE ELECTRONIC PATIENT RECORD (EMR). IN FISCAL YEAR 2013, SEVERAL NEW CLINICS WERE ADDED TO THE ASHH ELECTRONIC MEDICAL RECORD SYSTEM AS THE NATION MOVES TOWARD MORE INTEGRATED MEDICINE. COMMITMENT TO QUALITY: AVERA SACRED HEART IS ACCREDITED BY THE JOINT COMMISSION AND JUST RECEIVED ANOTHER THREE-YEAR ACCREDITATION IN 2011.
	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 SACRED HEART HEALTH SERVICES. IN ACCORDANCE WITH IRS INSTRUCTIONS, INFORMATION RELATED TO THE TAX EXEMPT BOND REPORTING IS BEING REPORTED ON AVERA HEALTH'S TAX RETURN (EIN 46-0422673).
	FORM 990, PART VI, LINE 16:	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.

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	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 9	N/A	0
HEALTH MANAGEMENT SERVICES
501 SUMMIT	YANKTON	SD	57078	460399291	ADULT DAYCARE AND HOMEMAKING SERVICES	SD	501(C)(3)	LINE 9		1	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		1	SACRED HEART HEALTH SERVICES
AVERA ST ANTHONY'S HOSPITAL
300 N 2ND STREET	ONEILL	NE	68763	470463911	HEALTHCARE SERVICES	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 ST	MARSHALL	MN	56258	410919153	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA MARSHALL FOUNDATION
300 S BRUCE ST	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
AVERA QUEEN OF PEACE HOSPITAL
525 N FOSTER STREET	MITCHELL	SD	57301	460224604	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA ST LUKE'S
305 SOUTH STATE STREET	ABERDEEN	SD	57401	460224598	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA HEALTH
AVERA GETTYSBURG
606 EAST GARFIELD	GETTYSBURG	SD	57442	460234354	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3		0	AVERA ST MARY'S
AVERA ST MARY'S
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	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	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC
310 S PENNSYLVANIA ST	ABERDEEN	SD	57401	460461429	SURGICAL ASSOCIATES	SD	N/A
AVERA HOME MEDICAL EQUIPMENT LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	460488198	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD		AVERA MCKENNAN	RELATED	-74017	883064	0	0	0.23000
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 MN AVE 102	SIOUX FALLS	SD	57117	800619999	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
Q&M PROPERTIES
525 NORTH FOSTER	MITCHELL	SD	57301	731652049	MEDICAL CLINIC BUILDING	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 (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
VALLEY HEALTH SERVICES INC
501 SUMMIT STREET	YANKTON	SD	57078	460357149	RENTAL REAL ESTATE	SD	N/A	C	65691	1538202	1.00000	0
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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	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	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HEALTH MANAGEMENT SERVICES
S	493262	RECORDED IN GENERAL LEDGER
LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY
L	83192	RECORDED IN GENERAL LEDGER
LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY
M	425787	RECORDED IN GENERAL LEDGER
LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY
P	70507	RECORDED IN GENERAL LEDGER
LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY
B	50000	RECORDED IN GENERAL LEDGER