AVERA HEALTH: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AVERA HEALTH (EIN 46-0422673)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201421359349308332
- 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 F
- Schedule G
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T15:43:13-05:00 | 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 | 460422673 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Health | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AVER | NameControl |
| Phone | 6053227300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 West Avera Drive No 300 | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 57108 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jim Breckenridge | Name |
| Title | Secretary/Treasurer | Title |
| Phone | 6053224700 | Phone |
| Date Signed | 2014-05-14 | 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 | 2014-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Porter | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 West Avera Drive No 300 | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 57108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 125436823 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.avera.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | SD | StateLegalDomicile |
| Activity Or Mission Description | Promotion of Health | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 837 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 1696039 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 327468 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8237289 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8049256 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 75219976 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 92494783 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 315722 | InvestmentIncomePriorYear |
| Investment Income Current Year | 792695 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 607295 | OtherRevenuePriorYear |
| Other Revenue Current Year | 23710523 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 84380282 | TotalRevenuePriorYear |
| Total Revenue Current Year | 125047257 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2459808 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2656331 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 50029701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 54745019 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21641856 | OtherExpensePriorYear |
| Other Expenses Current Year | 30221636 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 74131365 | TotalExpensesPriorYear |
| Total Expenses Current Year | 87622986 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10248917 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 37424271 | RevenuesLessExpensesCY |
| Total Assets BOY | 1060451267 | TotalAssetsBOY |
| Total Assets EOY | 1156273576 | TotalAssetsEOY |
| Total Liabilities BOY | 894626647 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 944979987 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 165824620 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 211293589 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Avera Health is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 74867101 | Expense |
| Grants | 2656331 | Grants |
| Revenue | 115806768 | Revenue |
| Description | Avera Health delivers health care to individuals and communities through a system of nearly 330 affiliated health care facilities, which are referred to collectively as "Avera." Avera, the health ministry of the Benedictine and Presentation Sisters, serves the people of eastern South Dakota and surrounding states with a wide spectrum of health services delivered through hospitals, long-term care facilities, clinics and other health programs.Avera Health VisionWorking with its partners, Avera Health shall provide a quality, cost-effective health ministry, which reflects Gospel values. We shall improve the health care of the people we serve through a regionally integrated network of persons and institutions.Avera ValuesIn caring for life, the Avera community is guided by the Gospel values of compassion, hospitality and stewardship.Avera is sponsored by the Benedictine Sisters of Yankton, S.D., and the Presentation Sisters of Aberdeen, S.D. In accordance with its Catholic mission, Avera adheres to "The Ethical and Religious Directives for Catholic Health Care Services".Avera facilities return any revenues over expenses that they receive to the people in their communities in three ways:We provide care of those who cannot afford to pay. Avera affiliates provide free or discounted health and health-related services to persons who cannot afford to pay all or part of a bill, including persons who are uninsured and low-income patients, using income-related discounts. As the number of uninsured persons grows, so does the need for charity care, or free or discounted health services provided to those who cannot afford to pay.Charity Care/Patient Assistance at cost $17,138,977Charity care/financial assistance is free or discounted health and health-related services provided to persons who cannot afford to pay all or part of a bill, including persons who are uninsured and low-income patients, using an income-related schedule. The dollar amount provided for charity care is based on the actual cost of providing that service, not the amount that would have been charged for that service. Charity care does not include bad debt.Unpaid Costs of Government and Other Programs $35,063,599 *Medicaid, State Children's Health Insurance Program (SCHIP), local and state government programs that reimburse health care providers for persons not eligible for Medicaid and other government programs provide health coverage for thousands of individuals in our region. However, they generally do not reimburse hospitals and doctors for the full costs of services. In many instances, payment is based on data from previous years that doesn't accurately reflect the rapidly changing nature of health services, such as new processes, new equipment, new technologies and rising costs for supplies.*In accordance with "A Guide for Planning and Reporting Community Benefit" (St. Louis: Catholic Health Association of the United States, 2008), unpaid costs of Medicare are not included in this amount. The amount of unpaid costs of Medicare for the fiscal year ending June 30, 2013, was $35,978,177.Additional Community Benefits $34,770,983Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs. These programs and services are not provided for marketing purposes. A community benefit must meet at least one of the following criteria: improve access to health care services; enhance health of the community; advance medical or health care knowledge; or relieve or reduce the burden of government or other community efforts. Included in this category are community health improvement services, health professions education, subsidized health services, research activities, financial and in-kind contributions, community-building and leadership activities and community-benefit-operations activities.Total $86,983,519Avera operates under the premise that social and institutional wellness are best promoted through joint efforts of various religious and community-sponsored institutions. Choosing collaboration and empowerment enables us to be better stewards of our human, financial, technical and environmental resources.Our caregivers are supported by the resources and expertise of the region's largest health system. Management and other support services are provided through the Avera Central Office, and Avera's six regional centers: Avera St. Luke's in Aberdeen, SD; Avera Marshall Regional Medical Center in Marshall, MN.; Avera Queen of Peace in Mitchell, SD; Avera St. Mary's in Pierre, SD; Avera McKennan in Sioux Falls, SD; and Avera Sacred Heart in Yankton, SD. As a leading health system in the region, Avera is committed to meeting the needs of communities it serves through the provision of quality health care services guided by Christian values and by making a positive impact on the community. Avera Health acts as the leader of the Avera health ministry, serving as an overall parent to support its affiliated tax-exempt health care organizations. Through Avera Health, affiliates collaborate to improve the lives and health of individuals and of the communities we serve. This collaboration allows affiliates to access leading edge strategies and expertise while keeping administrative costs as low as possible.Avera Health serves health care facilities that are owned by Avera Health as well as facilities that are owned by local communities. Through Avera Health, affiliates are able to share costs of management, legal and other support services among many facilities rather than each facility incurring those costs separately. Avera Health provides a variety of services for the benefit of affiliates including coordinating the delivery of health care service to the region, overall strategic planning, group purchasing of supplies and services at lowest possible cost and education. Avera Health also coordinates joint investments and risk-management programs for affiliates.Some of the specific ways Avera Health has improved the communities we serve include during the year ended June 30, 2013 are:* Providing support services to nearly 330 affiliated health care facilities* Providing more than $2,073,229 (shown on Form 990, Part IX, line 1) in financial support for various projects in local communities* Sponsoring education programs including a gerontological care conference, nursing conference, ethics conference, parish nursing conference and more. | Description |
| Total Program Service Expense | 74867101 | 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 | 1 | 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 | 1 | 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | 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 | 213 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 837 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Name Of Foreign Country | VI | NameOfForeignCountry |
| 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jim Breckenridge | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6053224700 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 W Avera Dr Ste 300 | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 57108 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Mark Buche | ||||||||||
| Chair | 5.20 | 0.00 | X | X | 0 | 0 | 0 | |||
| Sister Mary Jaeger | ||||||||||
| Vice Chair | 5.00 | 4.00 | X | X | 0 | 0 | 0 | |||
| Dr Herbert Saloum | ||||||||||
| Director | 5.00 | 3.00 | X | 0 | 0 | 0 | ||||
| Daniel P Murphy | ||||||||||
| Director | 5.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Sister Barbara McTague | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Sister Mary M Thomas | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Sister Lucille Welbig | ||||||||||
| Director | 5.00 | 2.00 | X | 0 | 0 | 0 | ||||
| Sister Kathleen Crowley | ||||||||||
| Director | 5.00 | 6.50 | X | 0 | 0 | 0 | ||||
| Dan Eisenbraun | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Mark Shlanta | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Sister Debra Kolecka | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Dr Dale Vizcarra | ||||||||||
| Director | 5.00 | 40.00 | X | 0 | 203649 | 28606 | ||||
| Dr J Michael Bacharach | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| Ken Karels | ||||||||||
| Director | 5.00 | 0.00 | X | 0 | 0 | 0 | ||||
| John Porter | ||||||||||
| President & CEO | 40.00 | 2.00 | X | X | 1285069 | 0 | 50865 | |||
| James Breckenridge | ||||||||||
| Sec/Treas & SrVP Finance | 40.00 | 0.00 | X | 646415 | 0 | 39158 | ||||
| Fredrick Slunecka | ||||||||||
| Chief Operating Officer | 40.00 | 0.00 | 1007517 | 0 | 48865 | X | ||||
| David Flicek | ||||||||||
| Chief Administrative Officer | 40.00 | 1.00 | 419347 | 0 | 34909 | X | ||||
| David Erickson | ||||||||||
| Sr VP Medical Affair | 40.00 | 0.00 | 595396 | 0 | 32909 | X | ||||
| Todd Forkel | ||||||||||
| Pres/CEO-St. Lukes | 1.00 | 40.00 | 428322 | 0 | 17815 | X | ||||
| Pam Rezac | ||||||||||
| Pres/CEO-Sacred Heart | 1.00 | 40.00 | 455478 | 0 | 51366 | X | ||||
| David Kapaska | ||||||||||
| Pres/CEO-McKennan | 1.00 | 40.00 | 723774 | 0 | 48865 | X | ||||
| Tom Clark | ||||||||||
| Pres/CEO-Queen of Peace | 1.00 | 40.00 | 370576 | 0 | 46366 | X | ||||
| Jean Reed | ||||||||||
| Former SrVP Strategy/Goverance | 0.00 | 0.00 | 318062 | 0 | 7908 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6249956 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 203649 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 407632 | TotalOtherCompensation |
| Number Individuals GT100 K | 80 | 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 |
|---|---|---|---|---|---|
| Avera McKennan | |||||
| 1325 S Cliff Avenue | Sioux Falls | SD | 57117 | Services | 6757113 |
| CDW Government | |||||
| 230 N Milwaukee Ave | Vernon Hills | IL | 60061 | Computer Hardware | 4762463 |
| Medical Information Technology | |||||
| 1 Meditech Circle | Westwood | MA | 02090 | Hardware/Software Consulting | 2589842 |
| LSS Data | |||||
| 6423 City West Park | Eden Prairie | MN | 55344 | Software Consulting | 2024616 |
| The Advisory Board | |||||
| 2445 M Street NW | Washington | DC | 20037 | Healthcare Consulting | 1110750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 72 | NumberOfContractorsGT100K |
| Fundraising Events | 870158 | FundraisingEvents |
| Government Grants | 427015 | GovernmentGrants |
| All Other Contributions | 6752083 | AllOtherContributions |
| Noncash Contributions | 418744 | NoncashContributions |
| Total Contributions | 8049256 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Support services | 561000 | 89564581 | 87857828 | 1706753 |
| Income from affiliates | 561000 | 2876193 | 2886907 | -10714 |
| Education & conference | 900099 | 39360 | 39360 | |
| Supporting revenue | 900099 | 14649 | 14649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 92494783 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 815096 | TotalRevenueColumn |
| Exclusion | $815,096 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 165284 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 165284 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165284 | TotalRevenueColumn |
| Exclusion | $165,284 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 34077 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 56478 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -22401 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -22401 | TotalRevenueColumn |
| Exclusion | -$22,401 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 566342 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 870158 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 333088 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 233254 | TotalRevenueColumn |
| Exclusion | $233,254 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Pierre Hospitals Gain | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 23311985 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23311985 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 23311985 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 125047257 | TotalRevenueColumn |
| Related Or Exempt Function Income | 114110729 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1696039 | UnrelatedBusinessRevenue |
| Exclusion | $1,191,233 | 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 | 2073229 | Total |
| Program Services | 2073229 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 583102 | Total |
| Program Services | 583102 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3658982 | Total |
| Management And General | 3658982 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124564 | Total |
| Program Services | 124564 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39127025 | Total |
| Program Services | 36851981 | ProgramServices |
| Management And General | 2275044 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 793081 | Total |
| Program Services | 733135 | ProgramServices |
| Management And General | 59946 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7768432 | Total |
| Program Services | 6984482 | ProgramServices |
| Management And General | 783950 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3272935 | Total |
| Program Services | 2827573 | ProgramServices |
| Management And General | 445362 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17772 | Total |
| Management And General | 17772 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 777789 | Total |
| Management And General | 777789 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14044 | Total |
| Management And General | 14044 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14590956 | Total |
| Program Services | 11706324 | ProgramServices |
| Management And General | 2884632 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1600615 | Total |
| Program Services | 1600615 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2690030 | Total |
| Program Services | 1836030 | ProgramServices |
| Management And General | 854000 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13478 | Total |
| Program Services | 13478 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1281287 | Total |
| Program Services | 762730 | ProgramServices |
| Management And General | 518557 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1281007 | Total |
| Program Services | 1043476 | ProgramServices |
| Management And General | 237531 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1140344 | Total |
| Program Services | 971700 | ProgramServices |
| Management And General | 168644 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181482 | Total |
| Program Services | 181482 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5148754 | Total |
| Program Services | 5122258 | ProgramServices |
| Management And General | 26496 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259230 | Total |
| Program Services | 250481 | ProgramServices |
| Management And General | 8749 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Grant Program Expenditu | 1063240 | 1063240 | |
| Food | 117914 | 97925 | 19989 |
| Project expenses | 10692 | 10692 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33002 | Total |
| Program Services | 28604 | ProgramServices |
| Management And General | 4398 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87622986 | Total |
| Program Services | 74867101 | ProgramServices |
| Management And General | 12755885 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12500896 | BOY |
| EOY | 19083600 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10726494 | BOY |
| EOY | 18407034 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5820292 | BOY |
| EOY | 5615816 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 930863 | BOY |
| EOY | 1815394 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 84569968 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 22393085 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22153315 | BOY |
| EOY | 62176883 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 605891309 | BOY |
| EOY | 657520238 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84606057 | BOY |
| EOY | 93959195 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 81858 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317822041 | BOY |
| EOY | 297613558 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1060451267 | BOY |
| EOY | 1156273576 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7198014 | BOY |
| EOY | 9870268 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5688709 | BOY |
| EOY | 8993817 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285614307 | BOY |
| EOY | 303801062 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 529354739 | BOY |
| EOY | 577774575 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66770878 | BOY |
| EOY | 44540265 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 894626647 | BOY |
| EOY | 944979987 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164409064 | BOY |
| EOY | 209732497 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 949113 | BOY |
| EOY | 1088551 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466443 | BOY |
| EOY | 472541 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165824620 | BOY |
| EOY | 211293589 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1060451267 | BOY |
| EOY | 1156273576 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 37424271 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 9951387 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 104754 | ReconcilationDonatedServices |
| Reconcilation Other Changes | -2011443 | ReconcilationOtherChanges |
| 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1400471 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5772674 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13930641 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8237289 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2238401 | CurrentTaxYear |
| Total | 31579476 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34777947 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40864118 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 56880853 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 75219976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 91365086 | CurrentTaxYear |
| Total | 299107980 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 36178418 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46636792 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 70811494 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 83457265 | CurrentTaxYearMinus1Year |
| Current Tax Year | 93603487 | CurrentTaxYear |
| Total | 330687456 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18814556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17719931 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18116948 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37279233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49428377 | CurrentTaxYear |
| Total | 141359045 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18814556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17719931 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18116948 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37279233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49428377 | CurrentTaxYear |
| Total | 141359045 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 189328411 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2775837 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3905961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1831569 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1214380 | CurrentTaxYearMinus1Year |
| Current Tax Year | 980380 | CurrentTaxYear |
| Total | 10708127 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2775837 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3905961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1831569 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1214380 | CurrentTaxYearMinus1Year |
| Current Tax Year | 980380 | CurrentTaxYear |
| Total | 10708127 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 392132 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 537241 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 435237 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 550548 | CurrentTaxYearMinus1Year |
| Current Tax Year | 241689 | CurrentTaxYear |
| Total | 2156847 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 39346387 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 51079994 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 73078300 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 85222193 | CurrentTaxYearMinus1Year |
| Current Tax Year | 94825556 | CurrentTaxYear |
| Total | 343552430 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.55110 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.55410 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03120 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.04340 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $570 | MailingsMembersAmount |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $306,413 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $13,767 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 320750 | 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 | Paid staff: Deb Fishcer Clemens = $4,957 and Danielle Hamann = $101 Grants to other organizations: The Lehman Group $12,000 Dougherty & Dougherty, LLP $21,240 Healthy Communities Ballot/IN: Sales Tax Initiative $272,813 Other Activities: Avera Day at the SD Legislature = $13,442 Ecare = $325 | 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 | 6046321 | BeginningOfYearBalance |
| Contributions | 328355 | Contributions |
| Investment Earnings Or Losses | 656901 | InvestmentEarningsOrLosses |
| Other Expenditures | 3729145 | OtherExpenditures |
| End Of Year Balance | 3302432 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10228130 | BeginningOfYearBalance |
| Contributions | 328691 | Contributions |
| Investment Earnings Or Losses | -4335972 | InvestmentEarningsOrLosses |
| Administrative Expenses | 174528 | AdministrativeExpenses |
| End Of Year Balance | 6046321 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 8535863 | Contributions |
| Investment Earnings Or Losses | 2080865 | InvestmentEarningsOrLosses |
| Other Expenditures | 388598 | OtherExpenditures |
| End Of Year Balance | 10228130 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.40780 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.47730 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.11490 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 13544035 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 948600 | OtherCostOrOtherBasis |
| Book Value | 14492635 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32260804 | OtherCostOrOtherBasis |
| Depreciation | 3829863 | Depreciation |
| Book Value | 28430941 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36861370 | OtherCostOrOtherBasis |
| Depreciation | 18017795 | Depreciation |
| Book Value | 18843575 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 955159 | OtherCostOrOtherBasis |
| Depreciation | 545427 | Depreciation |
| Book Value | 409732 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 62176883 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Non-publicly traded hedge funds | 80495948 | F |
| Non-publicly traded real estate | 11991165 | F |
| NPPC, LLC | 100000 | C |
| Premier Purchasing Partners, L.P. | 1372082 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 93959195 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Cash surrender value of life insurance | 2528348 |
| Related party receivables | 285536322 |
| Deferred financing costs | 1372980 |
| Bond project fund | 8175908 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 297613558 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated insurance claims payable | $36,364,376 |
| Due to affiliates | $8,175,889 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 44540265 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 136393712 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 9951387 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 104754 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 10157695 | OtherRevenues |
| Revenue Not Rptd F990 | 20213836 | RevenueNotRptdF990 |
| Revenue Subtotal | 116179876 | RevenueSubtotal |
| Other Revenues Not Included | 8867381 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 8867381 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 125047257 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 83736101 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 333088 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 333088 | ExpensesNotRptdF990 |
| Expenses Subtotal | 83403013 | ExpensesSubtotal |
| Other Expenses Not Included | 4219973 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 4219973 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 87622986 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part IV, Line 2b: | Avera Health administers the Avera Health Pooled Investment Fund, a fund that is maintained for the benefit of facilities that are sponsored, operated, or managed by Avera Health. Investments are made in conformity with the objectives and guidelines of the Avera Health Pooled Investment Committee. Within the fund, participating facilities share in a pool of investments that are managed by various fund managers. Investments that are held for participating facilities are recorded as Avera Health Pooled Investments with a corresponding liability account of Custodial Funds - Avera Health Pooled Investments on the balance sheet. Avera Health also holds its own investments within the pooled fund and records their allocated share of income and losses from these investments as investment income in the financial statements. | |
| Part V, Line 4: | The Organization's endowment consists of approximately 65 individual funds established for a variety of purposes related to health and wellness programs in Avera affiliated organizations. | Description of Intended Use of Endowment Funds: |
| Part X, Line 2: | Avera Health and most of its sponsored organizations are considered nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. These organizations are required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). Avera Health and certain sponsored organizations also file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report their unrelated business taxable income. Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The federal Form 990T filings for consolidated subsidiaries are no longer subject to federal tax examinations by tax authorities for years before 2010. Certain consolidated entities are subject to federal income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. Deferred tax assets and liabilities are not material as of June 30, 2013 and 2012. The Organization paid an immaterial amount of federal and state income taxes for the years ended June 30, 2013 and 2012. | Description of Uncertain Tax Positions Under FIN 48: |
| Insurance program admin income not recognized for tax reporting 11,238,344. Foundation expenses reported in revenue on financial statements -80,649. Non-operating depreciation reported in revenue for finanical statements -1,000,000. | Part XI, Line 2d - Other Adjustments: | |
| Contributions reported in fund balance on financial statements 403,652. Special events expenses reported in revenue on Form 990 -333,088. Investment income reported in fund balance on financial statement 5,015. Premier Program revenue included in expenses for financial statements 2,876,193. Contributions received by Foundation-not reflected in financial statements 5,915,609. | Part XI, Line 4b - Other Adjustments: | |
| Special event expenses reported in revenue on Form 990 333,088. | Part XII, Line 2d - Other Adjustments: | |
| Foundation expenses reported in revenue on financial statements 80,649. Premier Program revenue included in expenses for Form 990 2,876,193. Non-operating depreciation reported in expenses for Form 990 1,000,000. Project and operating expenses included in expense for Form 990 263,131. | Part XII, Line 4b - Other Adjustments: |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - | Region |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 0 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 0 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 1 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Race Against Breast Cancer | NameOfEvent1 |
| Gross Receipts Event1 | 493198 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 280674 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 212524 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 100 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 2600 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 123138 | OtherDirectExpensesEvent1 |
| Name Of Event2 | The Big Grape Reserve | NameOfEvent2 |
| Gross Receipts Event2 | 216177 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 170871 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 45306 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 14077 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 7864 | EntertainmentEvent2 |
| Total Number Of Other Events | 37 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 727125 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 418613 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 308512 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 150 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 1389 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 26789 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 60238 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 10768 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 85975 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1436500 | GrossReceiptsTotal |
| Charitable Contributions Total | 870158 | CharitableContributionsTotal |
| Gross Revenue Total Events | 566342 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 150 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1389 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 26889 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 76915 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 18632 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 209113 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 333088 | DirectExpenseSummaryEvents |
| Net Income Summary | 233254 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| South Dakota State University Foundation | ||||||||||
| 815 Medary Street | Brookings | SD | 57007 | 460273801 | 501(c)(3) | 1570000 | Charitable Assistance | |||
| SDREI | ||||||||||
| PO Box 2282 | Sioux Falls | SD | 571051505 | 460442430 | 501(c)(3) | Charitable Assistance | 25000 | Book | Note Forgiveness | |
| Catholic Foundation of Eastern SD | ||||||||||
| 523 North Duluth | Sioux Falls | SD | 57104 | 466068924 | 501(c)(3) | 207998 | Charitable Assistance | |||
| Mounty Marty College | ||||||||||
| 1105 W 8th Street | Yankton | SD | 57078 | 460283336 | 501(c)(3) | 51000 | Charitable Assistance | |||
| Los Cabos Children's Foundation | ||||||||||
| 3800 W 53rd St | Sioux Fals | SD | 57106 | 202882711 | 501(c)(3) | 35000 | Charitable Assistance | |||
| Catholic Health Association | ||||||||||
| 4455 Woodson Rd | St Louis | MO | 63134 | 430653271 | 501(c)(3) | 16667 | Charitable Assistance | |||
| Avera St Luke's | ||||||||||
| 305 S State St | Aberdeen | SD | 57401 | 460224598 | 501(c)(3) | 22827 | Equipment and Programs | |||
| Kids Against Hunger | ||||||||||
| 5100 W 35th Street | Sioux Falls | SD | 57106 | 234386211 | 501(c)(3) | 18000 | Charitable Assistance | |||
| University of South Dakota Foundation | ||||||||||
| 111 N Dakota | Vermillion | SD | 57069 | 466018891 | 501(c)(3) | 32000 | Charitable Assistance | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 9 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| Haiti scholarships | 24 | 26200 |
| Out of pocket medical assistance | 69 | 79112 |
| Health insurance premium assistance | 522 | 477790 |
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 makes grants to other organizations exempt under 501(c)(3) to ensure the funds will be used for charitable purposes. During the year ending June 30, 2013, the Organization made contributions to other non-public charities in furtherance of community development. The contributions are approved by the Board for this purpose. Scholarship funds have different sets of criteria for determining eligibility and winners. Assistance to individuals is determined with assistance from each hospital's social services department or within a committee at the hospital. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Dale Vizcarra | ||||||||||||||
| Director | 0 | 202079 | 0 | 0 | 0 | 1570 | 0 | 4259 | 0 | 25074 | 0 | 232982 | 0 | 0 |
| John Porter | ||||||||||||||
| President & CEO | 998702 | 0 | 0 | 0 | 286367 | 0 | 30475 | 0 | 22634 | 0 | 1338178 | 0 | 0 | 0 |
| James Breckenridge | ||||||||||||||
| Sec/Treas & SrVP Finance | 517603 | 0 | 0 | 0 | 128812 | 0 | 30475 | 0 | 9847 | 0 | 686737 | 0 | 0 | 0 |
| Fredrick Slunecka | ||||||||||||||
| Chief Operating Officer | 791541 | 0 | 0 | 0 | 215976 | 0 | 30475 | 0 | 20183 | 0 | 1058175 | 0 | 0 | 0 |
| David Flicek | ||||||||||||||
| Chief Administrative Officer | 378960 | 0 | 0 | 0 | 40387 | 0 | 13475 | 0 | 22303 | 0 | 455125 | 0 | 0 | 0 |
| David Erickson | ||||||||||||||
| Sr VP Medical Affair | 478391 | 0 | 0 | 0 | 117005 | 0 | 13475 | 0 | 20489 | 0 | 629360 | 0 | 0 | 0 |
| Todd Forkel | ||||||||||||||
| Pres/CEO-St. Lukes | 355280 | 0 | 0 | 0 | 73042 | 0 | 0 | 0 | 18580 | 0 | 446902 | 0 | 0 | 0 |
| Pam Rezac | ||||||||||||||
| Pres/CEO-Sacred Heart | 369570 | 0 | 0 | 0 | 85908 | 0 | 30475 | 0 | 21739 | 0 | 507692 | 0 | 0 | 0 |
| David Kapaska | ||||||||||||||
| Pres/CEO-McKennan | 578511 | 0 | 0 | 0 | 145263 | 0 | 30475 | 0 | 19702 | 0 | 773951 | 0 | 0 | 0 |
| Tom Clark | ||||||||||||||
| Pres/CEO-Queen of Peace | 290779 | 0 | 0 | 0 | 79797 | 0 | 25956 | 0 | 21053 | 0 | 417585 | 0 | 0 | 0 |
| Jean Reed | ||||||||||||||
| Former SrVP Strategy/Goverance | 318062 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8617 | 0 | 326679 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | All Senior Executives are eligible for $2,500 per year to pay for social club dues. If an employee chooses to take advantage of this benefit, the amount is included in their taxable income. Those paid: John Porter. |
| Part I, Line 4a | Jean Reed ceased employment prior to FY2013. As a result, severance payments equal to $325,970 were paid. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| South Dakota Health and Educational Facilities Authority | ||||||||
| A | 460315509 | 83755VUS6 | 2012-05-01 | 206383927 | 2012 funded a project and refunded Series 2008A and Series 2002 | 0 | 0 | 0 |
| South Dakota Health and Educational Facilities Authority | ||||||||
| B | 460315509 | 83755VNH3 | 2008-07-01 | 61495000 | 2008C refunded 2006 Series | 0 | 0 | 0 |
| South Dakota Health and Educational Facilities Authority | ||||||||
| C | 460315509 | 83755VNB6 | 2008-06-18 | 189222932 | 2008B refunded Series 1994, 2000, and bridge loan | 1 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Credit EnhancementCreditEnhancement | Year Of Subst CompletionYearOfSubstCompletion | Amount Bond DefeasedAmountBondDefeased |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 206387545 | 47759316 | 1032422 | 6011168 | 134111382 | 17326942 | 1 | 1 | 0 | 1 | |||
| B | 61495000 | 388831 | 61075000 | 1 | 0 | 1 | 1 | 31169 | 2008 | ||||
| C | 189222932 | 1272562 | 91009361 | 96658796 | 1 | 0 | 0 | 1 | 282213 | 2010 | 131265000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| C | 0 | 1 | 1 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||||||
| A | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | ||||
| Bank of | |||||||||||||
| B | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | America/Merrill | 25.000000000000 | 0 | 1 |
| Bank of | |||||||||||||
| C | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | America/Merrill | 24.100000000000 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K, Part IV, Line 2C: | Identifier |
| Explanation | The arbitrage analysis is performed annually, therefore the analysis was completed as of June 30, 2013. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Linda Breckenridge | |||
| Spouse of Sec/Treas & SrVP Finance | 124564 | Employee compensation | 0 |
| SDN Communications | |||
| Director of the board is CEO of SDN Communications | 545179 | Voice data and video services | 0 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 6750 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 8 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 368828 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Avg of high/low | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Event tickets | 1 | 6346 | FMV |
| X | Gift certificates | 1 | 9000 | FMV |
| X | T-shirts | 1 | 19560 | FMV |
| X | Wine | 1 | 8260 | FMV |
| 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 |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Non Reporting of Revenue: | Identifier |
| Return Reference | Part I, Line 33: | ReturnReference |
| Explanation | The only amounts included in revenue for the financial statement reporting are non-cash contributions of stock securities, art, grain and other miscellaneous non-cash items. Non-cash contributions not included for financial statements include items for the benefit of the Avera facilities which include such things as drugs, medical supplies, and special event donations. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The organization has two classes of members: Sponsorship Members and System Members. Sponsorship Members shall consist collectively of (i) those persons serving from time to time as the President and Council of the Presentation Sisters of the Blessed Virgin Mary of Aberdeen, South Dakota and (ii) those persons serving from time to time as the Prioress and Council of the Benedictine Convent of the Sacred Heart (Yankton, S.D.). System Members shall consist of six Sisters- three Presentation Sisters appointed by the Presentation Sponsorship Members and three Benedictine Sisters appointed by the Benedictine Sponsorship Members. | |
| Form 990, Part VI, Section A, line 7a | The System Members have the power to appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause. They also have the power to appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health. | |
| Form 990, Part VI, Section A, line 7b | The following powers shall be reserved to and exercised exclusively by the Sponsorship Members and none of the following actions shall be taken by Avera Health without action of the Sponsorship Members: (a) To approve the adoption, amendment or repeal of the statements of philosophy, mission, Guiding Principles and values of Avera Health; (b) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Avera Health, and to give final approval of any such action with respect thereto; (c) To establish policies regarding the alienation of real property and precious artifacts associated with the healthcare ministry which are under the canonical stewardship of the Presentation Sisters or the Benedictine Sisters; (d) To approve any plan of merger, consolidation or dissolution of Avera Health, or the divestiture of any sponsored work or ministry associated with Avera Health; (e) To change the composition of the Sponsorship Members, including the addition of other individuals, parties or entities to be Sponsorship Members; and (f) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of Avera Health. The following powers shall be reserved to and exercised exclusively by the System Members and none of the following actions shall be taken by Avera Health without action of the System Members: (a) To appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause; (b) To appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health; (c) To appoint the Chair and Vice Chair of the Board of Directors; (d) To appoint, evaluate, suspend or remove the President and Chief Executive Officer; (e) To review and approve the operating and capital budgets, including expenditures outside of budget, and the strategic plan, of Avera Health; (f) To adopt procedures for assuring that corporate actions are consistent with the philosophy, mission, Guiding Principles and values of Avera Health; (g) To provide recommendations to the Sponsorship Members on matters requiring Sponsorship Members' approval or action; (h) To adopt policies designed to effectuate the powers reserved to the System Members; and (i) To exercise oversight of the Guiding Principles and such authorities which may be assigned or delegated by the Sponsorship Members. | |
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed by the CEO and CFO. After initial reviews, the return is provided to the board prior to filing. | |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board. | |
| Form 990, Part VI, Section B, line 15 | Annually the Compensation Committee of Avera Health, which is comprised of six (6) system members appointed by the religious orders, meets with an independent consultant regarding fair market value for compensation of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. | |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents, conflict of interest policy, and financial statements are not made available to the general public. | |
| Form 990, Part IX, line 11g | Purchased & contracted services: Program service expenses 10,395,445. Management and general expenses 2,838,845. Fundraising expenses 0. Total expenses 13,234,290. Repairs and maintenance: Program service expenses 1,201,680. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,201,680. Professional fees: Program service expenses 109,199. Management and general expenses 45,787. Fundraising expenses 0. Total expenses 154,986. | Other Fees |
| Form 990, Part XI, line 9: | Net equity transfers 12,649,228. Insurance program admin income not recognized for tax reporting 11,238,344. Other changes in unrestricted net assets 16,594. Payment to purchase Avera St. Mary's Hospital -70,000,000. Equity transfer from Avera St. Mary's Hospital 50,000,000. Contributions received by Foundation-not reflected in financial statements -5,915,609. | Changes in Net Assets or Fund Balances: |
| Form 990, Part VI Question 16b: | There is no written policy or procedure. In the event of any such proposed transaction, the board or a committee with delegated authority reviews all materials, valuations and operational aspects for any proposed transaction. Such transaction would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Any transaction also would be approved by the board and the member. | |
| Form 990, Part X, Line 20: | Avera Health is only disclosing a portion of the tax exempt bonds on Part X, Line 20. The bonds were issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Marshall, Avera St. Mary's, and Avera Sacred Heart. In accordance with IRS Instructions, information related to the entire tax exempt bond reporting is being reported on Avera Health's tax return on Schedule K. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Communication LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 West Avera Drive Suite 300 | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 571085434 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460453770 | EIN |
| Primary Activities | Telecommunications | PrimaryActivities |
| Legal Domicile State | SD | LegalDomicileState |
| Total Income | 1224093 | TotalIncome |
| EOY Assets | 448400 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avera Health | BusinessNameLine1 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Avera St Anthony's Hospital | ||||||||||
| 300 N 2nd Street | ONeill | NE | 68763 | 470463911 | Healthcare services | NE | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera Holy Family | ||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 420680370 | Healthcare services | IA | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera Holy Family Foundation | ||||||||||
| 826 North 8th Street | Estherville | IA | 51334 | 421317452 | Support of Holy Family Hospital and Home Health Agency | IA | 501(c)(3) | Line 9 | Avera Holy Family | 0 |
| St Benedict Health Center | ||||||||||
| 401 West Glynn Drive | Parkston | SD | 57366 | 460226738 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera Health | 1 |
| St Benedict Health Center Foundation | ||||||||||
| West Glynn Drive PO Box B | Parkston | SD | 57366 | 460458725 | Support health related services | SD | 501(c)(3) | Line 11a, I | St Benedict Health Center | 0 |
| Avera McKennan | ||||||||||
| 1325 S Cliff Ave PO Box 5045 | Sioux Falls | SD | 57117 | 460224743 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera Queen of Peace Hospital | ||||||||||
| 525 North Foster | Mitchell | SD | 57301 | 460224604 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera Health | 1 |
| Sacred Heart Health Services | ||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460225483 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera Gettysburg | ||||||||||
| 606 East Garfield | Gettysburg | SD | 57442 | 460234354 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera St Mary's | 0 |
| Health Management Services | ||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460399291 | Adult daycare and homemaking services | SD | 501(c)(3) | Line 9 | Sacred Heart Health Services | 0 |
| 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 | Sacred Heart Health Services | 0 |
| Avera St Luke's | ||||||||||
| 305 South State Street | Aberdeen | SD | 57401 | 460224598 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera St Mary's | ||||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare services | SD | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera Marshall | ||||||||||
| 300 S Bruce Street | Marshall | MN | 56258 | 410919153 | Healthcare services | MN | 501(c)(3) | Line 3 | Avera Health | 1 |
| Avera Marshall Foundation | ||||||||||
| 300 S Bruce Street | Marshall | MN | 56258 | 411784801 | Fundraising | MN | 501(c)(3) | Line 7 | Avera Marshall | 0 |
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 |
|---|---|---|---|---|---|---|---|
| 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 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 |
| Q&M Properties LLC | |||||||
| 525 North Foster | Mitchell | SD | 57301 | 731652049 | Medical clinic building | SD | N/A |
| Surgical Associates Endoscopy Clinic LLC | |||||||
| 310 S Penn | Aberdeen | SD | 57401 | 460461429 | Surgical associates | SD | N/A |
| Avera Home Medical Equipment of Spencer Hospital LLC | |||||||
| 2400 S Minnesota Ave | Sioux Falls | SD | 57117 | 800619999 | Medical Services - home medical equipment | SD | N/A |
| Heart Hospital of South Dakota LLC | |||||||
| 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Accounts Management Inc | |||||||||||||
| 5132 S Cliff Ave Suite 101 | Sioux Falls | SD | 57108 | 460373021 | Collection agency | SD | Avera Health | C | 1792064 | 1072901 | 0.75000 | 1 | |
| Avera Health Plans Inc | |||||||||||||
| 3900 West Avera Drive Suite 101 | Sioux Falls | SD | 57108 | 460451539 | Health financing and health plan admin | SD | Avera Health | C | 85614505 | 25366343 | 1.00000 | 1 | |
| Avera Property Insurance Inc | |||||||||||||
| 610 W 23rd St PO Box 38 | Yankton | SD | 57078 | 460463155 | Insurance | SD | Avera Health | C | 738058 | 911329 | 1.00000 | 1 | |
| Valley Health Services | |||||||||||||
| 501 Summit Street | Yankton | SD | 57078 | 460357149 | Medical equipment | SD | C | 0 | N/A | ||||
| 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 | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | 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 | 1 | 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 | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Avera Marshall | ||
| D | 208074 | Change in note receivable |
| Avera McKennan | ||
| D | 333298 | Change in note receivable |
| Avera McKennan | ||
| L | 28854591 | General ledger |
| Avera Queen of Peace Hospital | ||
| L | 4710874 | General ledger |
| Avera St Luke's | ||
| L | 6670103 | General ledger |
| Sacred Heart Health Services | ||
| L | 6019033 | General ledger |
| Avera Marshall | ||
| L | 2362111 | General ledger |
| Avera Marshall | ||
| Q | 1956792 | Customer invoice listing |
| Avera McKennan | ||
| Q | 31957350 | Customer invoice listing |
| Avera Queen of Peace Hospital | ||
| Q | 5155428 | Customer invoice listing |
| Sacred Heart Health Services | ||
| Q | 5652567 | Customer invoice listing |
| Avera St Luke's | ||
| Q | 6565518 | Customer invoice listing |
| Avera Health Plans Inc | ||
| Q | 59580 | Customer invoice listing |
| Avera St Benedict Health Center | ||
| Q | 205158 | Customer invoice listing |
| Avera McKennan | ||
| P | 6857408 | Vendor listing of payments |
| Avera Queen of Peace Hospital | ||
| P | 174057 | Vendor listing of payments |
| Sacred Heart Health Services | ||
| P | 812571 | Vendor listing of payments |
| Avera St Luke's | ||
| P | 391166 | Vendor listing of payments |
| Avera Holy Family | ||
| Q | 159067 | Customer invoice listing |
| Avera St Anthony's | ||
| Q | 255647 | Customer invoice listing |
| Avera Marshall | ||
| P | 85962 | Vendor listing of payments |
| Avera Property Insurance | ||
| L | 1509671 | General ledger |
| Avera Health Plans Inc | ||
| L | 157398 | General ledger |