AVERA HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: AVERA HEALTH (EIN 46-0422673)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201321359349305487
Schema version: 2011v1.5
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	2013-05-15T14:46:26-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	6053224700	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	2013-05-13	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	2013-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	84730102	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	460	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	1860852	TotalGrossUBI
Net Unrelated Business Txbl Income	550548	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	13930641	ContributionsGrantsPriorYear
Contributions Grants Current Year	8237289	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	56880853	ProgramServiceRevenuePriorYear
Program Service Revenue CY	75219976	ProgramServiceRevenueCY
Investment Income Prior Year	3097724	InvestmentIncomePriorYear
Investment Income Current Year	315722	InvestmentIncomeCurrentYear
Other Revenue Prior Year	384343	OtherRevenuePriorYear
Other Revenue Current Year	607295	OtherRevenueCurrentYear
Total Revenue Prior Year	74293561	TotalRevenuePriorYear
Total Revenue Current Year	84380282	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5903271	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2459808	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	37127214	SalariesEtcPriorYear
Salaries Etc Current Year	50029701	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	20261316	OtherExpensePriorYear
Other Expenses Current Year	21641856	OtherExpensesCurrentYear
Total Expenses Prior Year	63291801	TotalExpensesPriorYear
Total Expenses Current Year	74131365	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11001760	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	10248917	RevenuesLessExpensesCY
Total Assets BOY	700195823	TotalAssetsBOY
Total Assets EOY	1060451267	TotalAssetsEOY
Total Liabilities BOY	523220103	TotalLiabilitiesBOY
Total Liabilities EOY	894626647	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	176975720	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	165824620	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	64895143	Expense
Grants	2367946	Grants
Revenue	75219976	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, SERVED 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 ACCORD 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 $16,592,276 CHARITY CARE/PATIENT 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 $ 33,585,417 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 ACCORD 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, 2012, WAS $35,978,177.ADDITIONAL COMMUNITY BENEFITS $34,300,416COMMUNITY 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 $84,478,109AVERA 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 FIVE REGIONAL CENTERS: AVERA ST. LUKE'S IN ABERDEEN, S.D.; AVERA MARSHALL REGIONAL MEDICAL CENTER IN MARSHALL, MINN.; AVERA QUEEN OF PEACE IN MITCHELL, S.D.; AVERA MCKENNAN IN SIOUX FALLS, S.D.; AND AVERA SACRED HEART IN YANKTON, S.D. 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, 2012 ARE:* PROVIDING SUPPORT SERVICES TO NEARLY 330 AFFILIATED HEALTH CARE FACILITIES* PROVIDING MORE THAN $1,935,394 (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	64895143	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	188	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	460	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	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
DR HERBERT A SALOUM
CHAIR	5.20	X	X	0	0	0
SISTER KATHLEEN CROWLEY
VICE CHAIR	5.00	X	X	0	0	0
SISTER LUCILLE WELBIG
DIRECTOR	5.00	X		0	0	0
DANIEL P MURPHY
DIRECTOR	5.00	X		0	0	0
BOB SUTTON
DIRECTOR	5.00	X		0	0	0
SISTER BARBARA MCTAGUE
DIRECTOR	5.00	X		0	0	0
SISTER MARY M THOMAS
DIRECTOR	5.00	X		0	0	0
SISTER MARY JAEGER
DIRECTOR	5.00	X		0	0	0
DAN EISENBRAUN
DIRECTOR	5.00	X		0	0	0
MARK SHLANTA
DIRECTOR	5.00	X		0	0	0
SISTER DEBRA KOLECKA
DIRECTOR	5.00	X		0	0	0
DR KIM W JUNDT
DIRECTOR	5.00	X		0	447476	30292
MARK BUCHE
DIRECTOR	5.00	X		0	0	0
DR J MICHAEL BACHARACH
DIRECTOR	5.00	X		0	0	0
KEN KARELS
DIRECTOR	5.00	X		0	0	0
JOHN PORTER
PRESIDENT & CEO	40.00	X	X	1149458	0	49310
JAMES BRECKENRIDGE
SEC/TREAS & SRVP FINANCE	40.00		X	593176	0	37767
FREDRICK SLUNECKA
CHIEF OPERATING OFFICER	40.00			999474	0	47257	X
DAVID ERICKSON
SR VP MEDICAL AFFAIR	40.00			522857	0	31447		X
RON JACOBSON
PRES/CEO-ST.LUKES	1.00			717478	0	46986		X
PAM REZAC
PRES/CEO-SACRED HEART	1.00			442362	0	51187		X
DAVID KAPASKA
PRES/CEO-MCKENNAN	1.00			656504	0	42862		X
MARY MAERTENS
PRES/CEO-MARSHALL	1.00			283750	0	48882		X
JEAN REED
FORMER SRVP STRATEGY/GOVERNANCE	40.00			438392	0	24738			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5803451	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	447476	TotalReportableCompFrmRltdOrgs
Total Other Compensation	410728	TotalOtherCompensation
Number Individuals GT100 K	61	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
MEDICAL INFORMATION TECHNOLOGY
1 MEDITECH CIRCLE	WESTWOOD	MA	02090	HARDWARE/SOFTWARE CONSULTING	4690534
CDW GOVERNMENT
230 N MILWAUKEE AVE	VERNON HILLS	IL	60061	COMPUTER HARDWARE	3774427
FIRST NATIONAL BANK
100 S PHILLIPS AVE	SIOUX FALLS	SD	57117	FINANCIAL MANAGEMENT	2237833
SDN COMMUNICATION
2900 WEST 10TH	SIOUX FALLS	SD	57104	COMMUNICATIONS	2088959
LSS DATA
6423 CITY WEST PARK	EDEN PRAIRIE	MN	55344	SOFTWARE CONSULTING	2024616

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	96	NumberOfContractorsGT100K
Fundraising Events	759671	FundraisingEvents
Government Grants	959742	GovernmentGrants
All Other Contributions	6517876	AllOtherContributions
Noncash Contributions	411143	NoncashContributions
Total Contributions	8237289	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SUPPORT SERVICES	561000	71414472	69577135	1837337
INCOME FROM AFFILIATES	561000	2832672	2809157	23515
MISCELLANEOUS REVENUE	900099	932845	932845
EDUCATION & CONFERENCE	900099	39987	39987

Field	Value	IRS element (for citing)
Total Program Service Revenue	75219976	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	362221	TotalRevenueColumn
Exclusion	$362,221	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	46499	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-46499	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-46499	TotalRevenueColumn
Exclusion	-$46,499	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	892719	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	759671	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	303321	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	589398	TotalRevenueColumn
Exclusion	$589,398	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	GAIN ON 2012 BOND	Description
Business Code	900099	BusinessCode
Total Revenue Column	17897	TotalRevenueColumn
Exclusion	$17,897	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	17897	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	84380282	TotalRevenueColumn
Related Or Exempt Function Income	73359124	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1860852	UnrelatedBusinessRevenue
Exclusion	$923,017	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2027256	Total
Program Services	2027256	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	432552	Total
Program Services	432552	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2916716	Total
Management And General	2916716	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	36136888	Total
Program Services	36136888	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10976097	Total
Program Services	10976097	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	22171	Total
Management And General	22171	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	732692	Total
Management And General	732692	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5100350	Total
Program Services	4258401	ProgramServices
Management And General	841949	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	616119	Total
Program Services	616119	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3609943	Total
Program Services	3212603	ProgramServices
Management And General	397340	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1000017	Total
Program Services	813284	ProgramServices
Management And General	186733	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1314738	Total
Program Services	1109233	ProgramServices
Management And General	205505	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	947979	Total
Program Services	696747	ProgramServices
Management And General	251232	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	468594	Total
Program Services	468594	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3669827	Total
Program Services	443016	ProgramServices
Management And General	3226811	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	181137	Total
Program Services	68731	ProgramServices
Management And General	112406	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MARKETING	2307907	2307907
GRANT PROGRAM EXPENDITU	1166448	1166448
UBI TAX	227494		227494
FOOD	58227	41658	16569

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	218213	Total
Program Services	119609	ProgramServices
Management And General	98604	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	74131365	Total
Program Services	64895143	ProgramServices
Management And General	9236222	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	15343895	BOY
EOY	12500896	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	648629	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11000954	BOY
EOY	10726494	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	10765618	BOY
EOY	5820292	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	762874	BOY
EOY	930863	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	39577462	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	17424147	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	23559100	BOY
EOY	22153315	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	534791104	BOY
EOY	605891309	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	100442658	BOY
EOY	84606057	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2880991	BOY
EOY	317822041	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	700195823	BOY
EOY	1060451267	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6703263	BOY
EOY	7198014	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3125829	BOY
EOY	5688709	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
EOY	285614307	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	488139251	BOY
EOY	529354739	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	25251760	BOY
EOY	66770878	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	523220103	BOY
EOY	894626647	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	154394102	BOY
EOY	164409064	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16685296	BOY
EOY	949113	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5896322	BOY
EOY	466443	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	176975720	BOY
EOY	165824620	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	700195823	BOY
EOY	1060451267	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	10248917	ReconcilationRevenueExpenses
Reconcilation Other Changes	-21400017	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	895894	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1400471	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5772674	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13930641	CurrentTaxYearMinus1Year
Current Tax Year	8237289	CurrentTaxYear
Total	30236969	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26077880	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	34777947	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	40864118	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	56880853	CurrentTaxYearMinus1Year
Current Tax Year	75219976	CurrentTaxYear
Total	233820774	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26973774	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	36178418	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	46636792	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	70811494	CurrentTaxYearMinus1Year
Current Tax Year	83457265	CurrentTaxYear
Total	264057743	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	17820549	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18814556	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17719931	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18116948	CurrentTaxYearMinus1Year
Current Tax Year	37279233	CurrentTaxYear
Total	109751217	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17820549	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18814556	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17719931	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18116948	CurrentTaxYearMinus1Year
Current Tax Year	37279233	CurrentTaxYear
Total	109751217	Total

Field	Value	IRS element (for citing)
Public Support Total509	154306526	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2357097	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2775837	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3905961	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1831569	CurrentTaxYearMinus1Year
Current Tax Year	1214380	CurrentTaxYear
Total	12084844	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2357097	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2775837	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3905961	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1831569	CurrentTaxYearMinus1Year
Current Tax Year	1214380	CurrentTaxYear
Total	12084844	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	448152	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	392132	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	537241	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	435237	CurrentTaxYearMinus1Year
Current Tax Year	550548	CurrentTaxYear
Total	2363310	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	29779023	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	39346387	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	51079994	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	73078300	CurrentTaxYearMinus1Year
Current Tax Year	85222193	CurrentTaxYear
Total	278505897	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.55410	PublicSupportPercentage509
Prior Year Support Percentage	0.52040	PriorYearSupportPercentage
Investment Income Percentage	0.04340	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.05790	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	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$75,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$33,240	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$13,442	OtherActivitiesAmount
Total Lobbying Expenditures IIB	121682	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	AVERA DAY AT THE SD LEGISLATURE	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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	0.28890	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.57390	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.13720	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	100000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	948600	OtherCostOrOtherBasis
Book Value	1048600	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7908376	OtherCostOrOtherBasis
Depreciation	3039634	Depreciation
Book Value	4868742	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29636087	OtherCostOrOtherBasis
Depreciation	14071682	Depreciation
Book Value	15564405	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	984399	OtherCostOrOtherBasis
Depreciation	312831	Depreciation
Book Value	671568	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	22153315	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
NON-PUBLICLY TRADED HEDGE FUNDS	71784753	F
NON-PUBLICLY TRADED REAL ESTATE	11349222	F
NPPC, LLC	100000	C
PREMIER PURCHASING PARTNERS, L.P.	1372082	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	84606057	TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
CASH SURRENDER VALUE OF LIFE INSURANCE	1965140
RELATED PARTY RECEIVABLES	281732351
DEFERRED FINANCING COSTS	1515020
BOND PROJECT FUND	32609530

Field	Value	IRS element (for citing)
Total Book Value Other Assets	317822041	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ESTIMATED INSURANCE CLAIMS PAYABLE	$34,709,999
DUE TO AFFILIATES	$32,060,879

Field	Value	IRS element (for citing)
Total Of Amounts	66770878	TotalOfAmounts
Total Revenue	84380282	TotalRevenue
Total Expenses	74131365	TotalExpenses
Excess Or Deficit For Year	10248917	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-217576	NetUnrealizedGLOnInvestments
Other	-$21,182,441	OtherAmount
Total Adjustments	-21400017	TotalAdjustments
Excess Or Deficit Per FS	-11151100	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	94171987	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-217576	NetUnrealizedGainsInvestments
Other Revenues	15591586	OtherRevenues
Revenue Not Rptd F990	15374010	RevenueNotRptdF990
Revenue Subtotal	78797977	RevenueSubtotal
Other Revenues Not Included	5582305	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	5582305	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	84380282	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	74093842	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	303321	OtherExpensesIncluded
Expenses Not Rptd F990	303321	ExpensesNotRptdF990
Expenses Subtotal	73790521	ExpensesSubtotal
Other Expenses Not Included	340844	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	340844	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	74131365	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (8 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:	THE CORPORATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	BOOK/TAX DIFFERENCE ON PARTNERSHIPS -458,656. TRANSFERS FROM AFFILIATES, NET 8,186,918. INSURANCE PROGRAM ADMIN INCOME NOT RECOGNIZED FOR TAX REPORTING 16,391,086. ELIMINATION OF INVESTMENT IN SUBSIDIARIES -9,819,071. FOUNDATION CHANGES IN FUND BALANCE -5,415,421. ELIMINATION OF EXPENSES PAID TO AVERA HEALTH BY AVERA HEALTH FOUNDATION -208,187. OTHER CHANGES IN UNRESTRICTED NET ASSETS 242,415. PRIOR PERIOD ADJUSTMENT ON AVERA HEALTH FOUNDATION MERGER -30,101,525. TOTAL TO SCHEDULE D, PART XI, LINE 8: -21,182,441.	PART XI, LINE 8 - OTHER ADJUSTMENTS:
	INSURANCE PROGRAM ADMIN INCOME NOT RECOGNIZED FOR TAX REPORTING 16,391,086. FOUNDATION EXPENSES REPORTED IN REVENUE ON FINANCIAL STATEMENTS -340,820. BOOK/TAX DIFFERENCE IN PARTNERSHIPS -458,680.	PART XII, LINE 2D - OTHER ADJUSTMENTS:
	FOUNDATION NET ASSETS RELEASED FROM RESTRICTION 1,019,257. CONTRIBUTIONS REPORTED IN FUND BALANCE ON FINANCIAL STATEMENTS 4,470,616. SPECIAL EVENTS EXPENSES REPORTED IN REVENUE ON FORM 990 -303,321. FOUNDATION EXPENSES REPORTED IN FUND BALANCE ON FINANCIAL STATEMENTS -244,737. FOUNDATION NET TRANSFERS FROM AFFILIATES 599,930. FOUNDATION INVESTMENT INCOME REPORTED IN FUND BALANCE ON FINANCIAL STATEMENT 40,560.	PART XII, LINE 4B - OTHER ADJUSTMENTS:
	SPECIAL EVENT EXPENSES REPORTED IN REVENUE ON FORM 990 303,321.	PART XIII, LINE 2D - OTHER ADJUSTMENTS:
	BOOK/TAX DIFFERENCE ON PARTNERSHIP EXPENSES 24. FOUNDATION EXPENSES REPORTED IN REVENUE ON FINANCIAL STATEMENTS 340,820.	PART XIII, 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	473710	GrossReceiptsEvent1
Charitable Contributions Event1	265733	CharitableContributionsEvent1
Gross Revenue Event1	207977	GrossRevenueEvent1
Rent Facility Costs Event1	10207	RentFacilityCostsEvent1
Food And Beverage Event1	11957	FoodAndBeverageEvent1
Entertainment Event1	250	EntertainmentEvent1
Other Direct Expenses Event1	81691	OtherDirectExpensesEvent1
Name Of Event2	THE BIG GRAPE RESERVE	NameOfEvent2
Gross Receipts Event2	197194	GrossReceiptsEvent2
Charitable Contributions Event2	157403	CharitableContributionsEvent2
Gross Revenue Event2	39791	GrossRevenueEvent2
Rent Facility Costs Event2	3267	RentFacilityCostsEvent2
Food And Beverage Event2	5598	FoodAndBeverageEvent2
Entertainment Event2	3226	EntertainmentEvent2
Other Direct Expenses Event2	887	OtherDirectExpensesEvent2
Total Number Of Other Events	52	TotalNumberOfOtherEvents
Gross Receipts Other Events	981486	GrossReceiptsOtherEvents
Charitable Contrib Other Events	336535	CharitableContribOtherEvents
Gross Revenue Other Events	644951	GrossRevenueOtherEvents
Cash Prizes Other Events	175	CashPrizesOtherEvents
Non Cash Prizes Other Events	2833	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	22906	RentFacilityCostsOtherEvents
Food And Beverage Other Events	117527	FoodAndBeverageOtherEvents
Entertainment Other Events	3395	EntertainmentOtherEvents
Other Direct Expenses Other Events	39402	OtherDirectExpensesOtherEvents
Gross Receipts Total	1652390	GrossReceiptsTotal
Charitable Contributions Total	759671	CharitableContributionsTotal
Gross Revenue Total Events	892719	GrossRevenueTotalEvents
Cash Prizes Total Events	175	CashPrizesTotalEvents
Non Cash Prizes Total Events	2833	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	36380	RentFacilityCostsTotalEvents
Food And Beverage Total Events	135082	FoodAndBeverageTotalEvents
Entertainment Total Events	6871	EntertainmentTotalEvents
Other Direct Expenses Total Events	121980	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	303321	DirectExpenseSummaryEvents
Net Income Summary	589398	NetIncomeSummary

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 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
815 MEDARY AVE	BROOKINGS	SD	57007	460273801	STATE OF SD	1521000	CHARITABLE ASSISTANCE
SDREI
PO BOX 2282	SIOUX FALLS	SD	571051505	460442430	501(C)(3)		NOTE FORGIVENESS	25000	BOOK	NOTE FORGIVENESS
CATHOLIC FOUNDATION OF EASTERN SD
523 NORTH DULUTH	SIOUX FALLS	SD	57104	466068924	501(C)(3)	216477	CHARITABLE ASSISTANCE
SD COMMUNITY FOUNDATION
PO BOX 296	PIERRE	SD	57501	460398115	501(C)(3)	10000	CHARITABLE ASSISTANCE
MOUNTY MARTY COLLEGE
1105 W 8TH STREET	YANKTON	SD	57078	460283336	501(C)(3)	51000	CHARITABLE ASSISTANCE
LOS CABOS CHILDRENS FOUNDATION
3800 W 53RD ST	SIOUX FALS	SD	57106	202882711	501(C)(3)	14000	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)	91862	EQUIPMENT AND PROGRAMS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	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	26700
OUT OF POCKET MEDICAL ASSISTANCE	60	122247
HEALTH INSURANCE PREMIUM ASSISTANCE	453	283605

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, 2012, THE ORGANIZATION MADE CONTRIBUTIONS TO OTHER NON-PUBLIC CHARITIES AND GOVERNMENTAL TYPE ENTITIES 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 (10 entries)

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 KIM W JUNDT
0	316770	0	73176	0	57530	0	12250	0	18042	0	477768	0	0
JOHN PORTER
901311	0	500	0	247647	0	31098	0	19361	0	1199917	0	0	0
JAMES BRECKENRIDGE
469467	0	500	0	123209	0	29975	0	8428	0	631579	0	0	0
FREDRICK SLUNECKA
768660	0	500	0	230314	0	30245	0	17972	0	1047691	0	0	0
DAVID ERICKSON
420686	0	500	0	101671	0	13475	0	18559	0	554891	0	0	0
RON JACOBSON
631189	0	500	0	85789	0	29975	0	17538	0	764991	0	0	0
PAM REZAC
356092	0	500	0	85770	0	29975	0	21212	0	493549	0	0	0
DAVID KAPASKA
504214	0	500	0	151790	0	25849	0	17709	0	700062	0	0	0
MARY MAERTENS
250872	0	500	0	32378	0	29975	0	19304	0	333029	0	0	0
JEAN REED
385170	0	500	0	52722	0	4226	0	20807	0	463425	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 FY2012. AS A RESULT, SEVERANCE PAYMENTS EQUAL TO $463,425 WERE PAID.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

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
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
460315509	83755VNH3	2008-07-01	61495000	2008C REFUNDED 2006 SERIES	0	0	0
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
460315509	83755VNB6	2008-06-18	189222932	2008A REFUNDED SERIES 1994, 2000, AND BRIDGE LOAN	1	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement	Year Of Subst CompletionYearOfSubstCompletion	Amount Bond DefeasedAmountBondDefeased
206387545	47759316	1032422	6011168	134111382	17469639	1	0	1
61495000		388831		61075000		1	1	1	31169	2008
189222932		1272562	91009361	96658796		1	0	1	282213	2010	131265000

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
0	1	1
1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	1	0	0	0	0
BANK OF
0	1	1	0	0	0	AMERICA/MERRILL	25.000000000000	0	1
BANK OF
0	1	1	0	0	0	AMERICA/MERRILL	24.100000000000	0	0

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 OFFICER	122359	EMPLOYEE COMPENSATION	0
SDN COMMUNICATIONS
DIRECTOR OF THE BOARD IS CEO OF SDN COMMUNICATIONS	2088959	VOICE DATA AND VIDEO SERVICES	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	14	NumberOfContributions
Noncash Contribs Rptd F990	221640	NoncashContribsRptdF990
Method Of Determining Revenues	AVG OF HIGH/LOW	MethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	114892	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	LAWN TRACTOR	1	1700	FMV
X	GRAIN	6	72911	SELLING PRICE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	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, DONATED LAND, AND GRAIN. 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 (13 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 BENEDCITINE 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 VII, SECTION A:	THE FOLLOWING INDIVIDUALS DEDICATED A MINIMUM OF 40 HOURS PER WEEK TO RELATED ORGANIZATIONS. DR. KIM JUNDT - AVERA ST. LUKE'S RON JACOBSON - AVERA ST. LUKE'S PAM REZAC - SACRED HEART HEALTH SERVICES MARY MAERTENS - AVERA MARSHALL THE FOLLOWING INDIVIDUALS PROVIDE THE INDICATED HOURS PER WEEK TO VARIOUS RELATED ORGANIZATIONS: SISTER BARBARA MCTAGUE - AVERA WORKERS' COMPENSATION TRUST (1) SISTER KATHLEEN CROWLEY - AVERA HOLY FAMILY (1), AVERA QUEEN OF PEACE HOSPITAL (2.5), AVERA WORKERS' COMPENSATION TRUST (1) SISTER LUCILLE WELBIG - AVERA WORKERS' COMPENSATION TRUST (1), SACRED HEART HEALTH SERVICES (2) SISTER MARY JAEGER - AVERA ST. ANTHONY'S HOSPITAL (1), ST. BENEDICT HEALTH CENTER (2), AVERA WORKERS' COMPENSATION TRUST (1) SISTER DEBRA KOLECKA - AVERA WORKERS' COMPENSATION TRUST (1) SISTER MARY THOMAS - AVERA WORKERS' COMPENSATION TRUST (1)
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -217,576. BOOK/TAX DIFFERENCE ON PARTNERSHIPS -458,656. TRANSFERS FROM AFFILIATES, NET 8,186,918. INSURANCE PROGRAM ADMIN INCOME NOT RECOGNIZED FOR TAX REPORTING 16,391,086. ELIMINATION OF INVESTMENT IN SUBSIDIARIES -9,819,071. FOUNDATION CHANGES IN FUND BALANCE -5,415,421. ELIMINATION OF EXPENSES PAID TO AVERA HEALTH BY AVERA HEALTH FOUNDATION -208,187. OTHER CHANGES IN UNRESTRICTED NET ASSETS 242,415. PRIOR PERIOD ADJUSTMENT ON AVERA HEALTH FOUNDATION MERGER -30,101,525. TOTAL TO FORM 990, PART XI, LINE 5: -21,400,017.	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 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.
FORM 990, PART X, LINES 28 AND 29	AS OF JUNE 30, 2011, AVERA HEALTH FOUNDATION MERGED WITH AVERA HEALTH. A PRIOR PERIOD ADJUSTMENT WAS POSTED IN THE CURRENT YEAR TO ELIMINATE FUNDS HELD FOR RELATED ENTITIES.
FORM 8621, PART IV	AVERA HEALTH IS FILING FORM 8621 AS A SHAREHOLDER IN VARIOUS FOREIGN FUNDS AS THEY ARE CONSIDERED TO BE PASSIVE FOREIGN INVESTMENT COMPANIES. THE DISTRIBUTIONS FROM THESE FUNDS TO AVERA HEALTH ARE NOT TAXABLE AND THEREFORE NOT INCLUDED ON PART IV OF FORM 8621. THE FUNDS ARE IDENTIFIED BELOW: SHEPHERD INVESTMENTS INTERNATIONAL, LTD. THE CANYON VALUE REALIZATION FUND SCP OCEAN FUND, LTD.

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
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

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
SACRED HEART RURAL HEALTH CLINICS
501 SUMMIT STREET	YANKTON	SD	57078	460423930	CLINIC SERVICES	SD	501(C)(3)	LINE 3	SACRED HEART HEALTH SERVICES	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 WORKERS' COMPENSATION TRUST
3900 WEST AVERA DRIVE	SIOUX FALLS	SD	57108	460407148	ECONOMICAL COVERAGE OF WORKERS' COMPENSATION CLAIMS	SD	501(C)(3)	LINE 11B, II	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
MIDWEST REGIONAL IMAGING SERVICES LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	470874983	HEALTH CARE - MEDICAL IMAGING	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	IA	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	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
ACCOUNTS MANAGEMENT INC
5132 S CLIFF AVE SUITE 101	SIOUX FALLS	SD	57108	460373021	COLLECTION AGENCY	SD	N/A	C	1575398	1167692	0.75000
AVERA HEALTH PLANS INC
3900 WEST AVERA DRIVE SUITE 101	SIOUX FALLS	SD	57108	460451539	HEALTH FINANCING AND HEALTH PLAN ADMIN	SD	N/A	C	83147153	22837781	1.00000
AVERA PROPERTY INSURANCE INC
610 W 23RD ST PO BOX 38	YANKTON	SD	57078	460463155	INSURANCE	SD	N/A	C	679744	831873	1.00000
VALLEY HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460357149	MEDICAL EQUIPMENT	SD	N/A	C

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
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 (21 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
AVERA MARSHALL
D	205797	CHANGE IN NOTE RECEIVABLE
AVERA MCKENNAN
D	204407	CHANGE IN NOTE RECEIVABLE
AVERA MCKENNAN
K	20346012	GENERAL LEDGER
AVERA QUEEN OF PEACE HOSPITAL
K	3575868	GENERAL LEDGER
AVERA ST LUKE'S
K	4680492	GENERAL LEDGER
SACRED HEART HEALTH SERVICES
K	4321316	GENERAL LEDGER
AVERA MARSHALL
K	1568868	GENERAL LEDGER
AVERA WORKER'S COMPENSATION TRUST
K	655000	GENERAL LEDGER
AVERA MARSHALL
P	80094	REPORT FROM ACCOUNTING SYSTEM
AVERA MCKENNAN
P	19465870	REPORT FROM ACCOUNTING SYSTEM
AVERA QUEEN OF PEACE HOSPITAL
P	3260979	REPORT FROM ACCOUNTING SYSTEM
SACRED HEART HEALTH SERVICES
P	3606163	REPORT FROM ACCOUNTING SYSTEM
AVERA ST LUKE'S
P	3372622	REPORT FROM ACCOUNTING SYSTEM
AVERA HEALTH PLANS INC
P	160693	REPORT FROM ACCOUNTING SYSTEM
ST BENEDICT HEALTH CENTER
P	101299	REPORT FROM ACCOUNTING SYSTEM
AVERA MCKENNAN
O	2491543	VENDOR LISTING OF PAYMENTS
AVERA QUEEN OF PEACE HOSPITAL
O	164412	VENDOR LISTING OF PAYMENTS
SACRED HEART HEALTH SERVICES
O	147555	VENDOR LISTING OF PAYMENTS
AVERA ST LUKE'S
O	258086	VENDOR LISTING OF PAYMENTS
AVERA WORKER'S COMPENSATION TRUST
O	117378	VENDOR LISTING OF PAYMENTS
AVERA HOLY FAMILY
P	58707	REPORT FROM ACCOUNTING SYSTEM