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AVERA HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
AVERA HEALTH (EIN 46-0422673)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121369349302967
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T10:49:33-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15601 Green Valley Drive Suite 700AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554371145ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460422673EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Avera HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAVERNameControl
Phone6053227300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 West Avera Drive No 300AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJim BreckenridgeName
TitleSecretary/TreasurerTitle
Phone6053227300Phone
Date Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKim Hunwardsen CPAName
Phone9529446166Phone
Date Prepared2011-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn PorterNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13900 West Avera Drive No 300AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts48634031GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.avera.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionPromotion of HealthActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees325TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI1764279TotalGrossUBI
Net Unrelated Business Txbl Income537241NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1400471ContributionsGrantsPriorYear
Contributions Grants Current Year5772674ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34777947ProgramServiceRevenuePriorYear
Program Service Revenue CY40864118ProgramServiceRevenueCY
Investment Income Prior Year1007952InvestmentIncomePriorYear
Investment Income Current Year1201853InvestmentIncomeCurrentYear
Other Revenue Prior Year34895OtherRevenuePriorYear
Other Revenue Current Year11426OtherRevenueCurrentYear
Total Revenue Prior Year37221265TotalRevenuePriorYear
Total Revenue Current Year47850071TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2639789GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2238460GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18659019SalariesEtcPriorYear
Salaries Etc Current Year21571696SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16029318OtherExpensePriorYear
Other Expenses Current Year19118840OtherExpensesCurrentYear
Total Expenses Prior Year37328126TotalExpensesPriorYear
Total Expenses Current Year42928996TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-106861RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4921075RevenuesLessExpensesCY
Total Assets BOY485515498TotalAssetsBOY
Total Assets EOY570136185TotalAssetsEOY
Total Liabilities BOY366200796TotalLiabilitiesBOY
Total Liabilities EOY441702144TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119314702NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY128434041NetAssetsOrFundBalancesEOY
Mission DescriptionAvera 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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense38467840Expense
Grants2052265Grants
Revenue39092879Revenue
DescriptionAvera Health delivers health care to individuals and communities through a system of nearly 300 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 $16,214,143Charity 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 $ 24,948,636*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, 2010, was $34,200,460.Additional Community Benefits $33,669,600Community 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 $74,832,379Avera operates under the premise that social and institutional wellness are best promoted through joined 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, 2010 are:* Providing support services to nearly 300 affiliated health care facilities* Providing more than $153,380 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 moreDescription
Total Program Service Expense38467840TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096119NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees325NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryVINameOfForeignCountry
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jim BreckenridgeBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053224700TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Rodney W Fouberg
Chair5.00XX000
Sister Lucille Welbig
Vice Chair5.00XX000
Sister Aidan Bourke
Director5.00X000
Mark Buche
Director5.00X000
Sister Kathleen Crowley
Director5.00X000
Sister Mary Jaeger
Director5.00X000
Kevin Conlin
Director5.00X000
Sister Debra Kolecka
Director5.00X000
Dr James Reynolds
Director5.00X000
Mark Shalanta
Director5.00X000
DrHerbert A Saloum
Director5.00X646100
Dr Stephan Schroeder
Director5.00X016595518350
Bob Sutton
Director5.00X000
Sister Mary M Thomas
Director5.00X0119907403
Daniel P Murphy
Director5.00X000
John Porter
President & CEO40.00XX1015449043466
James Breckenridge
Sec/Treas & SrVp Finance40.00X493890033527
Fredrick Slunecka
Pres/CEO-McKennan1.00608919026966X
David Erickson
Sr VP Medical Affair40.00482314027794X
Ron Jacobson
Pres/CEO-St.Lukes1.00430720043466X
Pam Rezac
Pres/CEO-Sacred Heart1.00387249027794X
Jean Reed
Sr VP Strategy/Governance40.00368724028966X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3793726TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs285862TotalReportableCompFrmRltdOrgs
Total Other Compensation250732TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Medical Information Technology
PO Box 74569ChicagoIL60696IT consulting and contracting1761880
US Bank National Association
600 Nicollet MallMinneapolisMN55402Management Fee1411420
BVK
250 West Conventry CourtMilwaukeeWI53217marketing/consulting1328228
Navigant Consulting Inc
4511 Paysphere CircleChicagoIL60674Operational Consulting1300469
South Dakota Network LLC
PO Box 1817Sioux FallsSD57101telephone lines/service1255030
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K
Government Grants3912851GovernmentGrants
All Other Contributions1859823AllOtherContributions
Total Contributions5772674TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Support Services56100039179320375080991671221
Income from affiliates5610001651451155839393058
Education & Conference9000993334733347
FieldValueIRS element (for citing)
Total Program Service Revenue40864118TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1747053TotalRevenueColumn
Exclusion$1,747,053ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other238760Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities486886Securities
Other297074Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-486886Securities
Other-58314Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-545200TotalRevenueColumn
Exclusion-$545,200ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther investment incomDescription
Business Code900099BusinessCode
Total Revenue Column11426TotalRevenueColumn
Exclusion$11,426ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11426TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47850071TotalRevenueColumn
Related Or Exempt Function Income39099839RelatedOrExemptFunctionIncome
Unrelated Business Revenue1764279UnrelatedBusinessRevenue
Exclusion$1,213,279ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2185990Total
Program Services2185990ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total52470Total
Program Services52470ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1729147Total
Management And General1729147ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16249975Total
Program Services16249975ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3592574Total
Program Services3592574ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total572131Total
Management And General572131ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4788839Total
Program Services4253006ProgramServices
Management And General535833ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1460772Total
Program Services1460772ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3387712Total
Program Services3024744ProgramServices
Management And General362968ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total709014Total
Program Services539391ProgramServices
Management And General169623ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total812706Total
Program Services589759ProgramServices
Management And General222947ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total378399Total
Program Services319973ProgramServices
Management And General58426ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total476892Total
Program Services476892ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3118979Total
Program Services2498930ProgramServices
Management And General620049ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total175962Total
Program Services67508ProgramServices
Management And General108454ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Grant Program Expenditu20462532046253
Marketing931074931074
Miscellaneous19199717852913468
UBI Tax6811068110

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42928996Total
Program Services38467840ProgramServices
Management And General4461156ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8033791BOY
EOY16430963EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY227044BOY
EOY204445EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5044252BOY
EOY4255808EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6995791BOY
EOY6816237EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY682806BOY
EOY839480EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35268310LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10955449LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26970549BOY
EOY24312861EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY333627232BOY
EOY427248935EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY103263481BOY
EOY89198849EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY670552BOY
EOY828607EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY485515498BOY
EOY570136185EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4491160BOY
EOY5264656EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3594821BOY
EOY2779659EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY333058915BOY
EOY411446644EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25055900BOY
EOY22211185EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY366200796BOY
EOY441702144EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY119314702BOY
EOY128434041EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119314702BOY
EOY128434041EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY485515498BOY
EOY570136185EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years364146CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years343647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years895894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1400471CurrentTaxYearMinus1Year
Current Tax Year5772674CurrentTaxYear
Total8776832Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4483203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24624300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26077880CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34777947CurrentTaxYearMinus1Year
Current Tax Year40864118CurrentTaxYear
Total130827448Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4847349CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24967947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26973774CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36178418CurrentTaxYearMinus1Year
Current Tax Year46636792CurrentTaxYear
Total139604280Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1551348CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18356276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17820549CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18814556CurrentTaxYearMinus1Year
Current Tax Year17719931CurrentTaxYear
Total74262660Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1551348CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18356276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17820549CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18814556CurrentTaxYearMinus1Year
Current Tax Year17719931CurrentTaxYear
Total74262660Total
FieldValueIRS element (for citing)
Public Support Total50965341620PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1955021CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1897477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2357097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2775837CurrentTaxYearMinus1Year
Current Tax Year3905961CurrentTaxYear
Total12891393Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1955021CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1897477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2357097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2775837CurrentTaxYearMinus1Year
Current Tax Year3905961CurrentTaxYear
Total12891393Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155683CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years318461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years448152CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year392132CurrentTaxYearMinus1Year
Current Tax Year542950CurrentTaxYear
Total1857378Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6958053CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27183885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29779023CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39346387CurrentTaxYearMinus1Year
Current Tax Year51085703CurrentTaxYear
Total154353051Total
FieldValueIRS element (for citing)
Public Support Percentage5090.42330PublicSupportPercentage509
Prior Year Support Percentage0.36680PriorYearSupportPercentage
Investment Income Percentage0.08350InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.08540PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$42,635DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,289OtherActivitiesAmount
Total Lobbying Expenditures IIB52924TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationAvera Day at the SD LegislatureExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis948600OtherCostOrOtherBasis
Book Value948600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6816616OtherCostOrOtherBasis
Depreciation1732993Depreciation
Book Value5083623BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27503094OtherCostOrOtherBasis
Depreciation9222456Depreciation
Book Value18280638BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24312861TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Accounts Management, Inc.290700C
Avera Communication, LLC140599C
Avera Health Plans, Inc.8675816C
Avera Property Insurance, LLC647062C
Non-publicly traded domestic common stock39963686F
Non-publicly traded partnerships38108904F
Premier Purchasing1372082C
FieldValueIRS element (for citing)
Total Of Book Value Securities89198849TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEstimated insurance claims payableDescription
Amount$22,211,185Amount
FieldValueIRS element (for citing)
Total Of Amounts22211185TotalOfAmounts
Total Revenue47850071TotalRevenue
Total Expenses42928996TotalExpenses
Excess Or Deficit For Year4921075ExcessOrDeficitForYear
Net Unrealized GL On Investments3134472NetUnrealizedGLOnInvestments
Other$1,063,792OtherAmount
Total Adjustments4198264TotalAdjustments
Excess Or Deficit Per FS9119339ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt60403382TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3134472NetUnrealizedGainsInvestments
Other Revenues9570015OtherRevenues
Revenue Not Rptd F99012704487RevenueNotRptdF990
Revenue Subtotal47698895RevenueSubtotal
Other Revenues Not Included151176OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt151176RevenueNotRptdOnFinStmt
Total Revenue Per Form99047850071TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42928990TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal42928990ExpensesSubtotal
Other Expenses Not Included6OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042928996TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 in 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 X:The Corporation has implemented FASB ASC 740-10 (formerly Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes). The Corporation undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination by relevant tax authorities, as defined by ASC 740-10. The Corporation is subject to income taxes on income from certain unrelated business activities. The Corporation is no longer subject to examinations by federal or state tax authorities for years prior to 2007.Description of Uncertain Tax Positions Under FIN 48:
Part XI, Line 8 - Other Adjustments:Book/Tax difference on partnerships: -151170. Transfers from affiliates, net: -8355053. Insurance program admin income not recognized for tax reporting: 9570015.
Part XII, Line 2d - Other Adjustments:Insurance program admin income not recognized for tax reporting: 9570015.
Part XII, Line 4b - Other Adjustments:Book/tax difference on partnerships: 151176.
Part XIII, Line 4b - Other Adjustments:Book/tax difference on partnership expenses: 6.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent0TotalAmountSpent

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
SDSU Foundation
815 Medary AveBrookingsSD57007460273801501(c)(3)1516500Donation
SDREI
PO Box 2282Sioux FallsSD571051505460442430501(c)(3)Note forgiveness25000booknote forgiveness
Catholic Foundation of Eastern SD
523 North DuluthSioux FallsSD57104466068924501(c)(3)96152Donation
The First Nine
7604 W Russell StSioux FallsSD57104460449824501(c)(3)25000Donation
SD Healthcare Workforce
PO Box 296Sioux FallsSD57105466000364SD Hlthcare Wkforce35000Donation
Mitchell Regional Development
601 N MainMitchellSD57301460394983501(c)(3)50000Donation
Avera Brady
500 S Olamn StMitchellSD57301420224604501(c)(3)10000Donation
Lewis and Clark Behavorial Health
1028 Walnut StreetYanktonSD57045460309601501(c)(3)6000Donation
Mitchell Park and Recreation
1300 North MainMitchellSD57301466000305City of Mitchell20000Donation
Platte Health Center
601 E 7th StPlatteSD57369460239781501(c)(3)100000Donation
Avera Marshall
300 S Bruce StMarshallMN56258410919153501(c)(3)10000Donation
Education and Resource Center
1900 S Bill DriveSioux FallsSD57110201470473501(c)(3)112500Donation
Alzheimer Association of SD
1321 W 22nd StreetSioux FallsSD57105320151779501(c)(3)5000Employee assistance
Forward Sioux Falls
PO Box 97Sioux FallsSD5710146039664715000Donation
Special Olympics of SD
305 W 39th StSioux FallsSD57105460359976501(c)(3)50000Donation
Catholic Family Services
523 N Duluth AveSioux FallsSD57104460275690501(c)(3)5000Donation
SD Voices for Children
808 N West AveSioux FallsSD57104460425502501(c)(3)5000Donation
SDGA
4809 West 41st StSioux FallsSD57106460449824501(c)(3)10000Donation
March of Dimes
1000 N West 41st St Ste 104Sioux FallsSD57104131846366501(c)(3)6000Donation
American Heart Association
208 La Salle St Suite 1500ChicagoIL60604135613797501(c)(3)29000Donation
Walsh Family FundLos Cabos Children's Foundation
3800 West 53rd StSioux FallsSD57010202882711501(c)(3)35000Donation
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants21TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Haiti scholarships99000Scholarship assistance to offset expense for travel to Haiti to complete mission work for Avera Health
Out of pocket medical assistance3743313Up to $1,200 per employee for out of pocket medical assistance in cases of extensive medical expenses

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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 June 30, 2010, the organization made a contribution to Forward Sioux Falls, a partnership with two tax exempt partners, to help further community development. The contribution is approved by the board for this purpose. Grants to individuals for the Haiti Scholarship are monitored through an application process that is approved by the mission coordinator. Grants to individuals for out of pocket medical assistance are submitted by individuals via written request and approved by a committee for the appropriate amount of assistance to be provided.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr Stephan Schroeder
0163891000206402742015607018430400
John Porter
9991890001626002868701645901060595000
James Breckenridge
4872270006663028687058450528422000
Fredrick Slunecka
595304000136150121870160920637198000
David Erickson
472056000102580121870165860511087000
Ron Jacobson
42479600059240286870156670475074000
Pam Rezac
376453000107960121870163870415823000
Jean Reed
35996900087550121870175490398460000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1aReturnReference
ExplanationAll Senior Executives are eligible for $2,500 per year to pay for social club dues. If an employee chooses to take advantage of this benefit, the amount is included in their taxable income. Those paid: James Breckenridge, David Erickson, Ron Jacobson, John Porter, Jean Reed, Pam Rezac, and Fred Slunecka.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
South Dakota Health and Educational Facilities Authority
46031550983755VNB62008-06-18189222932Avera Health Series 2008A Refunded series 1994, 2000, bridge loan00
South Dakota Health and Educational Facilities Authority
46031550983755VNH32008-07-0161495000Avera Health Series 2008C Refunded 2006 Series00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1892229323276443314910299257500020101001
6149500014223248379320081011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011000.009700.001000.010700
001000.001600.000000.001600

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Bank of
010America/Merrill25.000000000000000
(no name)
011000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Linda Breckenridge
spouse of officer119012employee compensation0
Rhodes Anderson
Board Member is 35% shareholder126134insurance premiums0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 2New Program ServicesIn April 2009, Avera Health began providing e-consult, e-pharmacy, e-emergency to regional and managed facilities.
Form 990, Part VI, Section A, line 6The organization has two classes of members: Sponsorship Members and System Members.
Form 990, Part VI, Section A, line 7aThe System Members have the power to appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause. They also have the power to appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health.
Form 990, Part VI, Section A, line 7bThe following powers shall be reserved to and exercised exclusively by the Sponsorship Members and none of the following actions shall be taken by Avera Health without action of the Sponsorship Members: (a) To approve the adoption, amendment or repeal of the statements of philosophy, mission, Guiding Principles and values of Avera Health; (b) To initiate the adoption, amendment or repeal of any provision of the Articles of Incorporation or Bylaws of Avera Health, and to give final approval of any such action with respect thereto; (c) To establish policies regarding the alienation of real property and precious artifacts associated with the healthcare ministry which are under the canonical stewardship of the Presentation Sisters or the Benedictine Sisters; (d) To approve any plan of merger, consolidation or dissolution of Avera Health, or the divestiture of any sponsored work or ministry associated with Avera Health; (e) To change the composition of the Sponsorship Members, including the addition of other individuals, parties or entities to be Sponsorship Members; and (f) To approve the creation of new sponsored works or ministries to be conducted by or under the authority of Avera Health. The following powers shall be reserved to and exercised exclusively by the System Members and none of the following actions shall be taken by Avera Health without action of the System Members: (a) To appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause; (b) To appoint Benedictine or Presentation Sisters to the Boards of Directors of any sponsored work or ministry of Avera Health; (c) To appoint the Chair and Vice Chair of the Board of Directors; (d) To appoint, evaluate, suspend or remove the President and Chief Executive Officer; (e) To review and approve the operating and capital budgets, including expenditures outside of budget, and the strategic plan, of Avera Health; (f) To adopt procedures for assuring that corporate actions are consistent with the philosophy, mission, Guiding Principles and values of Avera Health; (g) To provide recommendations to the Sponsorship Members on matters requiring Sponsorship Members' approval or action; (h) To adopt policies designed to effectuate the powers reserved to the System Members; and (i) To exercise oversight of the Guiding Principles and such authorities which may be assigned or delegated by the Sponsorship Members.
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the CEO and CFO. After initial reviews, the return is provided to the board prior to filing.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest Policy covers Board members, officers and key employees. At each board meeting, a request is made for all Board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The Declaration of Conflict of Interest is recorded in the meeting minutes. The Board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the Board.
Form 990, Part VI, Section B, line 15Annually the Compensation Committee of Avera Health, which is comprised of six (6) System Members appointed by the Religious Orders, meets with an independent consultant regarding fair market value of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy, and financial statements are not made available to the general public.
Form 990, Part VII, Section A:The following individuals dedicated a minimum of 40 hours per week to related organizations. Fred Slunecka - Avera McKennan Dr. Stephan Schroeder - Avera McKennan Sister Mary Thomas - Avera McKennan Ron Jacobson - Avera St. Luke's Pam Rezac - Avera Sacred Heart James Breckenridge, John Porter, Fred Slunecka, Ron Jacobson, and Pam Rezac provide an additional 1 hour per week to Avera Health Foundation.
Form 990 Schedule K, Part I, column (f), Line 1: Series 2008 A/B Series explanation (cont.) Avera Health 2008A series also funded a project. 2008B Fund the project, a 257,000 sq ft cancer and surgery center.
Form 990 Schedule K Part I, Lines A-D, Column (e): The Form 8038 combines the Avera Series 2008A and Series 2008B bond on Part III, Line 21(b) in the amount of $189,222,932. Part II, Line 4, Columns A-D: $14,918,776 of unspent proceeds from the 2008 A series was proportionately allocated across 2008 A-1 and 2008 A-2. $17,845,657 of unspent proceeds from the 2008 B series was proportionately allocated across 2008 B-1 and 2008 B-2 $142,232 of unspent proceeds from the 2008 C is related to the 2006 series bonds. Part II, Line 5, Columns A-E: The Total Costs of Issuance, $1,974,822 were allocated across the CUSIP's based on the percentage of the total 2008 bond issue. The issuance costs were incurred in whole and are not directly attributable to any specific bond CUSIP. Part II, Line 7, Columns A-D: All of the proceeds of the 2008 B-1 and 2008 B-2 and approximately $42,255,000 of the 2008 A-1 and 2008 A-2 bonds were utilized for the Avera McKennan project. The $42,255,000 was spread proportionately across the 2008 A-1 and 2008 A-2 bonds. Schedule K, Part II, Line 8: The project was substantially completed roughly November 2010, within Avera's Fiscal 2011. Part III, Line 3c: The members of the obligated group generally issue or refinance bonds on a 2 year cycle. During the bond issues or re-financing, Bond Counsel reviews any and all contracts that may result in private business use. General counsel and staff attorney's review all contracts as they are drafted and finalized. Part III, Line 7: Each member of the Obligated Group has adopted and established management practices and procedures to ensure post-issuance compliance of their tax-exempt bond liabilities. These practices and procedures have not been formalized in a written policy however. Schedule K, Part IV, Line 2: Series 2008A ($139,205,000) is a variable rate demand revenue bond issue. Series 2008B ($50,320,000) is a fixed rate bond issue. Avera Health is not disclosing 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, and Avera Sacred Heart. In accordance with IRS Instructions, information related to the tax exempt bond reporting is being reported on Avera Health's tax return.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Avera Communication LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13900 West Avera Drive Suite 300AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code571085434ZIPCode
FieldValueIRS element (for citing)
EIN460453770EIN
Primary ActivitiestelecommunicationsPrimaryActivities
Legal Domicile StateSDLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Avera Health Foundation
3900 West Avera DriveSioux FallsSD57108460367530grant makingSD501(c)(3)7N/A
Avera St Anthony's Hospital
300 N 2nd StreetONeillNE68763470463911healthcare servicesNE501(c)(3)3N/A
Avera Holy Family
826 North 8th StreetEsthervilleIA51334420680370healthcare servicesIA501(c)(3)3N/A
Avera Holy Family Foundation
826 North 8th StreetEsthervilleIA51334421317452support of Holy Family Hospital and Home Health AgencyIA501(c)(3)9Avera Holy Family
St Benedict Hospital Inc
401 West Glynn DriveParkstonSD57366460226738healthcare servicesSD501(c)(3)3N/A
St Benedict Health Center Foundation
West Glynn Drive PO Box BParkstonSD57366460458725support health related servicesSD501(c)(3)11aSt Benedict Hospital Inc
Avera McKennan
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460224743healthcare servicesSD501(c)(3)3N/A
Avera Queen of Peace Hospital
525 North FosterMitchellSD57301460224604healthcare servicesSD501(c)(3)3N/A
Sacred Heart Health Services
501 Summit StreetYanktonSD57078460225483healthcare servicesSD501(c)(3)3N/A
Sacred Heart Rural Health Clinics
501 Summit StreetYanktonSD57078460423930clinic servicesSD501(c)(3)3Sacred Heart Health Services
Health Management Services
501 Summit StreetYanktonSD57078460399291adult daycare and homemaking servicesSD501(c)(3)9Sacred Heart Health Services
Lewis and Clark Health Education and Service Agency
1000 W 4th Street Suite 9YanktonSD57078460337013healthcare educationSD501(c)(3)9Sacred Heart Health Services
Benedictine Health Foundation
1017 West Fifth StreetYanktonSD57078410370373support for organizations providing health care servicesSD501(c)(3)11bSacred Heart Health Services
Avera St Luke's
305 South State StreetAberdeenSD57401460224598healthcare servicesSD501(c)(3)3N/A
Avera Workers' Compensation Trust
3900 West Avera DriveSioux FallsSD57108460407148economical coverage of workers' compensation claimsSD501(c)(3)11bN/A
Avera Marshall
300 S Bruce StreetMarshallMN56258410919153healthcare servicesMN501(c)(3)3N/A
Avera Marshall Foundation
300 S Bruce StreetMarshallMN56258411784801FundraisingMN501(c)(3)7Avera Marshall

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Avera Home Medical Equipment LLC
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117460488198medical services - home medical equipmentSDN/A
Midwest Regional Imaging Services LLC
1325 S Cliff Ave PO Box 5045Sioux FallsSD57117470874983health care - medical imagingSDN/A
Mersco Medical of Pierre LLC
329 E DakotaPierreSD57501460444002medical services - home medical equipmentSDN/A
Avera Home Medical Equipment of Floyd Valley Hospital LLC
714 Lincoln St NELemarsIA51031820582350medical services - home medical equipmentIAN/A
Avera Home Medical Equipment of Estherville LLC
PO Box 5045Sioux FallsIA57117201686097medical services - home medical equipmentIAN/A
Avera Home Medical Equipment of Sioux Center LLC
38 19th St SWSioux CenterIA51250753203100medical services - home medical equipmentIAN/A
Avera Home Medical Equipment of Marshall LLC
1104 East College DriveMarshallMN56258205271924medical services - home medical equipmentMNN/A
Q&M Properties LLC
525 North FosterMitchellSD57301731652049medical clinic buildingSDN/A
Surgical Associates Endoscopy Clinic LLC
310 S PennAberdeenSD57401460461429surgical associatesSDN/A
Avera Home Medical Equipment of Spencer Hospital LLC
2400 S Minnesota AveSioux FallsSD57117800619999Medical Services - home medical equipmentSDN/A
Marshall Medical Services LLC
300 S Bruce StMarshallMN56258208874448medical servicesMNN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Accounts Management Inc
5132 S Cliff Ave Suite 101Sioux FallsSD57108460373021collection agencySDN/AC15720068263240.75000
Avera Health Plans Inc
3900 West Avera Drive Suite 101Sioux FallsSD57108460451539health financing and health plan adminSDN/AC56268286170468761.00000
Avera Property Insurance Inc
610 W 23rd St PO Box 38YanktonSD57078460463155insuranceSDN/AC57602613301341.00000
Valley Health Services
501 Summit StreetYanktonSD57078460357149medical equipmentSDN/AC
Northern Dakota Health Company
305 S State StreetAberdeenSD57401460385179clinicsSDN/AC
Avera Pace Inc
3900 West Avera DriveSioux FallsSD57108460341869healthcare servicesSDN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Avera McKennan
P18837492
Avera St Luke's
P4231380
Avera Queen of Peace
P3320844
Avera Sacred Heart
P3754368
Avera Worker's Compensation Trust
P586667
Avera McKennan
N120085
Avera McKennan
O71964
Avera Marshall
P840678
Avera Holy Family
Avera St Anthony's Hospital
Avera Health Foundation
St Benedict Hospital Inc
Account Management Inc
Avera Health Plans Inc
Avera Property Insurance Inc

Form990 Schedule R Part VI Form990ScheduleRPartVI

Name Of Business NameOfBusiness

FieldValueIRS element (for citing)
Business Name Line1Premier Purchasing Partners LPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112255 El Camino Real Ste 100AddressLine1
CitySan DiegoCity
StateCAState
ZIP Code92130ZIPCode
FieldValueIRS element (for citing)
EIN330387407EIN
Primary Activitygroup purchasingPrimaryActivity
Legal Domicile StateCALegalDomicileState
All Partners C3 S0AllPartnersC3S
Share Of EOY Assets2766690ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
Code V$110,994CodeVAmount
General Or Managing Partner0GeneralOrManagingPartner