2011-05-16T10:49:33-05:00 2010-06-30 Eide Bailly LLP 5601 Green Valley Drive Suite 700 Minneapolis MN 554371145 990 2009-07-01 460422673 Avera Health AVER 6053227300 3900 West Avera Drive No 300 Sioux Falls SD 57108 Jim Breckenridge 6053227300 2011-05-12 1 Kim Hunwardsen CPA 9529446166 2011-05-12 2009 2016-02-24 21:20:13Z John Porter 3900 West Avera Drive No 300 Sioux Falls SD 57108 48634031 0 X www.avera.org X 1998 SD Promotion of Health 16 12 325 12 1764279 537241 1400471 5772674 34777947 40864118 1007952 1201853 34895 11426 37221265 47850071 2639789 2238460 0 18659019 21571696 0 0 16029318 19118840 37328126 42928996 -106861 4921075 485515498 570136185 366200796 441702144 119314702 128434041 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. 1 0 38467840 2052265 39092879 Avera 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 more 38467840 1 1 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 119 0 1 325 1 1 1 1 CJ VI BD 0 0 0 0 0 0 0 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Jim Breckenridge 6053224700 3900 W Avera Dr STE 300 Sioux Falls SD 57108 Rodney W Fouberg 5.00 X X 0 0 0 Sister Lucille Welbig 5.00 X X 0 0 0 Sister Aidan Bourke 5.00 X 0 0 0 Mark Buche 5.00 X 0 0 0 Sister Kathleen Crowley 5.00 X 0 0 0 Sister Mary Jaeger 5.00 X 0 0 0 Kevin Conlin 5.00 X 0 0 0 Sister Debra Kolecka 5.00 X 0 0 0 Dr James Reynolds 5.00 X 0 0 0 Mark Shalanta 5.00 X 0 0 0 DrHerbert A Saloum 5.00 X 6461 0 0 Dr Stephan Schroeder 5.00 X 0 165955 18350 Bob Sutton 5.00 X 0 0 0 Sister Mary M Thomas 5.00 X 0 119907 403 Daniel P Murphy 5.00 X 0 0 0 John Porter 40.00 X X 1015449 0 43466 James Breckenridge 40.00 X 493890 0 33527 Fredrick Slunecka 1.00 X 608919 0 26966 David Erickson 40.00 X 482314 0 27794 Ron Jacobson 1.00 X 430720 0 43466 Pam Rezac 1.00 X 387249 0 27794 Jean Reed 40.00 X 368724 0 28966 3793726 285862 250732 47 0 1 0 Medical Information Technology PO Box 74569 Chicago IL 60696 IT consulting and contracting 1761880 US Bank National Association 600 Nicollet Mall Minneapolis MN 55402 Management Fee 1411420 BVK 250 West Conventry Court Milwaukee WI 53217 marketing/consulting 1328228 Navigant Consulting Inc 4511 Paysphere Circle Chicago IL 60674 Operational Consulting 1300469 South Dakota Network LLC PO Box 1817 Sioux Falls SD 57101 telephone lines/service 1255030 31 3912851 1859823 5772674 Support Services 561000 39179320 37508099 1671221 Income from affiliates 561000 1651451 1558393 93058 Education & Conference 900099 33347 33347 40864118 1747053 1747053 238760 486886 297074 -486886 -58314 -545200 -545200 Other investment incom 900099 11426 11426 11426 47850071 39099839 1764279 1213279 2185990 2185990 52470 52470 1729147 1729147 16249975 16249975 3592574 3592574 572131 572131 4788839 4253006 535833 1460772 1460772 3387712 3024744 362968 709014 539391 169623 812706 589759 222947 378399 319973 58426 476892 476892 3118979 2498930 620049 175962 67508 108454 Grant Program Expenditu 2046253 2046253 Marketing 931074 931074 Miscellaneous 191997 178529 13468 UBI Tax 68110 68110 42928996 38467840 4461156 0 8033791 16430963 227044 204445 5044252 4255808 6995791 6816237 682806 839480 35268310 10955449 26970549 24312861 333627232 427248935 103263481 89198849 670552 828607 485515498 570136185 4491160 5264656 3594821 2779659 333058915 411446644 25055900 22211185 366200796 441702144 X 119314702 128434041 119314702 128434041 485515498 570136185 X 0 1 1 X 1 1 X 364146 343647 895894 1400471 5772674 8776832 4483203 24624300 26077880 34777947 40864118 130827448 4847349 24967947 26973774 36178418 46636792 139604280 0 1551348 18356276 17820549 18814556 17719931 74262660 1551348 18356276 17820549 18814556 17719931 74262660 65341620 1955021 1897477 2357097 2775837 3905961 12891393 1955021 1897477 2357097 2775837 3905961 12891393 155683 318461 448152 392132 542950 1857378 6958053 27183885 29779023 39346387 51085703 154353051 0.42330 0.36680 0.08350 0.08540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 42635 0 1 10289 52924 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Avera Day at the SD Legislature 0 1 948600 948600 6816616 1732993 5083623 27503094 9222456 18280638 24312861 Accounts Management, Inc. 290700 C Avera Communication, LLC 140599 C Avera Health Plans, Inc. 8675816 C Avera Property Insurance, LLC 647062 C Non-publicly traded domestic common stock 39963686 F Non-publicly traded partnerships 38108904 F Premier Purchasing 1372082 C 89198849 Estimated insurance claims payable 22211185 22211185 47850071 42928996 4921075 3134472 1063792 4198264 9119339 60403382 3134472 9570015 12704487 47698895 151176 151176 47850071 42928990 0 42928990 6 6 42928996 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: Description of Uncertain Tax Positions Under FIN 48: 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. 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. Central America and the Caribbean Investments 0 0 0 1 SDSU Foundation 815 Medary Ave Brookings SD 57007 460273801 501(c)(3) 1516500 Donation SDREI PO Box 2282 Sioux Falls SD 571051505 460442430 501(c)(3) 25000 book note forgiveness Note forgiveness Catholic Foundation of Eastern SD 523 North Duluth Sioux Falls SD 57104 466068924 501(c)(3) 96152 Donation The First Nine 7604 W Russell St Sioux Falls SD 57104 460449824 501(c)(3) 25000 Donation SD Healthcare Workforce PO Box 296 Sioux Falls SD 57105 466000364 SD Hlthcare Wkforce 35000 Donation Mitchell Regional Development 601 N Main Mitchell SD 57301 460394983 501(c)(3) 50000 Donation Avera Brady 500 S Olamn St Mitchell SD 57301 420224604 501(c)(3) 10000 Donation Lewis and Clark Behavorial Health 1028 Walnut Street Yankton SD 57045 460309601 501(c)(3) 6000 Donation Mitchell Park and Recreation 1300 North Main Mitchell SD 57301 466000305 City of Mitchell 20000 Donation Platte Health Center 601 E 7th St Platte SD 57369 460239781 501(c)(3) 100000 Donation Avera Marshall 300 S Bruce St Marshall MN 56258 410919153 501(c)(3) 10000 Donation Education and Resource Center 1900 S Bill Drive Sioux Falls SD 57110 201470473 501(c)(3) 112500 Donation Alzheimer Association of SD 1321 W 22nd Street Sioux Falls SD 57105 320151779 501(c)(3) 5000 Employee assistance Forward Sioux Falls PO Box 97 Sioux Falls SD 57101 460396647 15000 Donation Special Olympics of SD 305 W 39th St Sioux Falls SD 57105 460359976 501(c)(3) 50000 Donation Catholic Family Services 523 N Duluth Ave Sioux Falls SD 57104 460275690 501(c)(3) 5000 Donation SD Voices for Children 808 N West Ave Sioux Falls SD 57104 460425502 501(c)(3) 5000 Donation SDGA 4809 West 41st St Sioux Falls SD 57106 460449824 501(c)(3) 10000 Donation March of Dimes 1000 N West 41st St Ste 104 Sioux Falls SD 57104 131846366 501(c)(3) 6000 Donation American Heart Association 208 La Salle St Suite 1500 Chicago IL 60604 135613797 501(c)(3) 29000 Donation Walsh Family FundLos Cabos Children's Foundation 3800 West 53rd St Sioux Falls SD 57010 202882711 501(c)(3) 35000 Donation 21 1 Haiti scholarships 9 9000 Scholarship assistance to offset expense for travel to Haiti to complete mission work for Avera Health Out of pocket medical assistance 37 43313 Up to $1,200 per employee for out of pocket medical assistance in cases of extensive medical expenses Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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 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. X 0 0 X X X X 0 0 0 0 0 0 0 0 0 Dr Stephan Schroeder 0 163891 0 0 0 2064 0 2742 0 15607 0 184304 0 0 John Porter 999189 0 0 0 16260 0 28687 0 16459 0 1060595 0 0 0 James Breckenridge 487227 0 0 0 6663 0 28687 0 5845 0 528422 0 0 0 Fredrick Slunecka 595304 0 0 0 13615 0 12187 0 16092 0 637198 0 0 0 David Erickson 472056 0 0 0 10258 0 12187 0 16586 0 511087 0 0 0 Ron Jacobson 424796 0 0 0 5924 0 28687 0 15667 0 475074 0 0 0 Pam Rezac 376453 0 0 0 10796 0 12187 0 16387 0 415823 0 0 0 Jean Reed 359969 0 0 0 8755 0 12187 0 17549 0 398460 0 0 0 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: James Breckenridge, David Erickson, Ron Jacobson, John Porter, Jean Reed, Pam Rezac, and Fred Slunecka. South Dakota Health and Educational Facilities Authority 460315509 83755VNB6 2008-06-18 189222932 Avera Health Series 2008A Refunded series 1994, 2000, bridge loan 0 0 South Dakota Health and Educational Facilities Authority 460315509 83755VNH3 2008-07-01 61495000 Avera Health Series 2008C Refunded 2006 Series 0 0 189222932 32764433 1491029 92575000 2010 1 0 0 1 61495000 142232 483793 2008 1 0 1 1 0 1 1 0 0 0.00970 0.00100 0.01070 0 0 0 1 0 0 0.00160 0.00000 0.00160 0 0 1 0 Bank of America/Merrill 25.000000000000 0 0 0 0 1 1 0 0 0 Linda Breckenridge spouse of officer 119012 employee compensation 0 Rhodes Anderson Board Member is 35% shareholder 126134 insurance premiums 0 Form 990, Part III, line 2 New Program Services In April 2009, Avera Health began providing e-consult, e-pharmacy, e-emergency to regional and managed facilities. Form 990, Part VI, Section A, line 6 The organization has two classes of members: Sponsorship Members and System 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 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. 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. Avera Communication LLC 3900 West Avera Drive Suite 300 Sioux Falls SD 571085434 460453770 telecommunications SD N/A Avera Health Foundation 3900 West Avera Drive Sioux Falls SD 57108 460367530 grant making SD 501(c)(3) 7 N/A Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 470463911 healthcare services NE 501(c)(3) 3 N/A Avera Holy Family 826 North 8th Street Estherville IA 51334 420680370 healthcare services IA 501(c)(3) 3 N/A 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) 9 Avera Holy Family St Benedict Hospital Inc 401 West Glynn Drive Parkston SD 57366 460226738 healthcare services SD 501(c)(3) 3 N/A St Benedict Health Center Foundation West Glynn Drive PO Box B Parkston SD 57366 460458725 support health related services SD 501(c)(3) 11a St Benedict Hospital Inc Avera McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460224743 healthcare services SD 501(c)(3) 3 N/A Avera Queen of Peace Hospital 525 North Foster Mitchell SD 57301 460224604 healthcare services SD 501(c)(3) 3 N/A Sacred Heart Health Services 501 Summit Street Yankton SD 57078 460225483 healthcare services SD 501(c)(3) 3 N/A Sacred Heart Rural Health Clinics 501 Summit Street Yankton SD 57078 460423930 clinic services SD 501(c)(3) 3 Sacred Heart Health Services Health Management Services 501 Summit Street Yankton SD 57078 460399291 adult daycare and homemaking services SD 501(c)(3) 9 Sacred Heart Health Services Lewis and Clark Health Education and Service Agency 1000 W 4th Street Suite 9 Yankton SD 57078 460337013 healthcare education SD 501(c)(3) 9 Sacred Heart Health Services Benedictine Health Foundation 1017 West Fifth Street Yankton SD 57078 410370373 support for organizations providing health care services SD 501(c)(3) 11b Sacred Heart Health Services Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 healthcare services SD 501(c)(3) 3 N/A Avera Workers' Compensation Trust 3900 West Avera Drive Sioux Falls SD 57108 460407148 economical coverage of workers' compensation claims SD 501(c)(3) 11b N/A Avera Marshall 300 S Bruce Street Marshall MN 56258 410919153 healthcare services MN 501(c)(3) 3 N/A Avera Marshall Foundation 300 S Bruce Street Marshall MN 56258 411784801 Fundraising MN 501(c)(3) 7 Avera Marshall 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 Mersco 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 IA N/A Avera Home Medical Equipment of Estherville LLC PO Box 5045 Sioux Falls IA 57117 201686097 medical services - home medical equipment IA N/A Avera Home Medical Equipment of Sioux Center LLC 38 19th St SW Sioux Center IA 51250 753203100 medical services - home medical equipment IA N/A Avera Home Medical Equipment of Marshall LLC 1104 East College Drive Marshall MN 56258 205271924 medical services - home medical equipment MN 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 Marshall Medical Services LLC 300 S Bruce St Marshall MN 56258 208874448 medical services MN N/A Accounts Management Inc 5132 S Cliff Ave Suite 101 Sioux Falls SD 57108 460373021 collection agency SD N/A C 1572006 826324 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 56268286 17046876 1.00000 Avera Property Insurance Inc 610 W 23rd St PO Box 38 Yankton SD 57078 460463155 insurance SD N/A C 576026 1330134 1.00000 Valley Health Services 501 Summit Street Yankton SD 57078 460357149 medical equipment SD N/A C Northern Dakota Health Company 305 S State Street Aberdeen SD 57401 460385179 clinics SD N/A C Avera Pace Inc 3900 West Avera Drive Sioux Falls SD 57108 460341869 healthcare services SD N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 Avera McKennan P 18837492 Avera St Luke's P 4231380 Avera Queen of Peace P 3320844 Avera Sacred Heart P 3754368 Avera Worker's Compensation Trust P 586667 Avera McKennan N 120085 Avera McKennan O 71964 Avera Marshall P 840678 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 Premier Purchasing Partners LP 12255 El Camino Real Ste 100 San Diego CA 92130 330387407 group purchasing CA 0 2766690 0 110994 0