2022-05-16T15:18:08-05:00 2021-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-07-01 460422673 Avera Health AVER 6053227300 3900 West Avera Drive No 300 Sioux Falls SD 57108 Julie Lautt Secretary/CFO 6053224700 2022-05-13 1 Julie Lautt 999009999 Kim Hunwardsen P00484560 6122536500 2022-05-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Bob Sutton 3900 West Avera Drive No 300 Sioux Falls SD 57108 325452539 0 0928 X www.avera.org X 1998 SD Promotion of Health 15 10 1976 11 6639442 3179172 23574843 21836149 257966861 275697373 1602327 17107893 12456161 8927575 295600192 323568990 15871633 30646490 0 0 143987528 194034408 0 0 2316734 106869460 108462349 266728621 333143247 28871571 -9574257 1513047085 1761941902 1166092281 1374402196 346954804 387539706 X 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. 0 0 292572064 30646490 278210607 Avera Health is a nonprofit corporation jointly sponsored by the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota and the Benedictine Convent of the Sacred Heart of Yankton, South Dakota, together referenced as the "Sisters." 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. These organizations provide services principally in eastern South Dakota and surrounding states. Avera Health provides management consulting, fund raising and other administrative services to the hospitals, long-term health care facilities, clinics, services and programs that are sponsored or otherwise affiliated with the Sisters.Avel eCARE is a visionary care delivery model that provides rural health care professionals around-the-clock access to specialty care physicians, nurses and pharmacists. Using advanced communication technology, eCARE supports rural facilities in the provision of evidence-based, high-quality care and offsets workforce shortages in rural communities. eCARE is a natural extension of Avera's Health mission and its century-long commitment to its rural communities to maintain access to quality care close to home. Avel eCARE works with some of the most underserved populations in the United States. This includes frontier populations, long term care residents, Native American Reservations, disabled veterans, and inmates. By bringing high quality, on demand access to specialty care, these unique populations are able to receive care within their home community and in a familiar, culturally appropriate setting. They are treated in coordination with the local practitioners that best understand their ongoing care needs.During the COVID pandemic over the last two years, Avera Health and its affiliated entities have stewarded significant funding toward community benefit, from our own resources and from state and federal assistance and relief funds. When the first cases were identified in 2020, we created a 24/7 hotline people could call to inquire about testing, treatment, and later vaccination. This hotline minimized the burden of clinics and helped protect patients and the public by keeping patients from presenting to healthcare facilities in person. Along with the hotline, Avera launched an innovative and specialized program for caring for COVID patients at home, including daily check-ins, virtual visits (if needed) and at-home oxygen therapy. Throughout the pandemic this program has supported patients and kept hospitals from becoming overwhelmed.Additionally, we launched public awareness campaigns for masking and vaccination that included earned media, paid advertising, and digital presence. We set up testing sites and events, including a mass testing event for workers at the local protein plant. The state delegated vaccination efforts to South Dakota's health systems, and our state was recognized nationally for our "shots in arms" efficiency. Avera led efforts to prioritize those at highest risk, including not only elderly and infirm but homeless, congregate living residents and protein plant workers which included a high percentage of immigrants. We participated in national research for COVID therapies including convalescent plasma, monoclonal antibodies and antiviral medications. We worked with local and state officials to inform the public at regular press conferences and expanded bed capacity by reallocating resources across all hospitals in our system. Avera partnered with other health facilities and systems to ensure capacity for the sickest patients, and those in need of ICU care and ventilators. Avera also launched efforts to support and retain health care workforce, including such things as paying health insurance premiums, providing support payments, $2 across-the-board pay increases, increased on-call pay and shift differentials, and more. 292572064 1 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 261 0 1 1976 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 15 10 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 0 AL AR FL GA HI KS KY MD MA MI MN MS NH NJ NM OR PA RI SC TN UT VA WV WI X X Jamie Schaefer 6053223992 3900 W Avera Dr Ste 300 Sioux Falls SD 57108 Bob Sutton President/CEO 40.00 4.50 X X 1749379 0 51920 Dr Luis Rojas-Espaillat Director 5.00 40.00 X 0 759905 48824 Dr Jason Wickersham Director 5.00 40.00 X 0 406922 45525 Dr Merritt Gregg Warren Chair 5.00 40.00 X X 0 56466 11040 Sister Janet Horstman Vice Chair 5.00 0.00 X X 0 0 0 Sister Mary Jaeger PVBM Director 5.00 0.00 X 0 0 0 Sister Debra Kolecka OSB Director 5.00 3.00 X 0 0 0 Sister Mary Kay Panowicz Director 5.00 1.00 X 0 0 0 Sister Penny Bingham Director 5.00 4.00 X 0 0 0 Sister Pam Donelan Director 5.00 0.00 X 0 0 0 Lori Essig Director 5.00 0.00 X 0 0 0 Robert Fouberg Director 5.00 1.00 X 0 0 0 Clark Sinclair Director 5.00 0.00 X 0 0 0 Doneen Hollingsworth Director 5.00 0.00 X 0 0 0 Gary Gaspar Director 5.00 0.00 X 0 0 0 Julie Lautt CFO Avera Health; Sec/Treas 40.00 1.40 X 903545 0 36378 David Flicek Pres/CEO - Avera McKennan 0.00 42.00 X 1275864 0 45092 Todd Forkel Pres/CEO - Avera St. Luke's 0.00 42.00 X 728359 0 42148 Deanna Larson CEO - eCare 40.00 0.00 X 444674 0 40176 Tom Clark Chief Strategy & Growth Officer 40.00 0.00 X 587865 0 45092 Doug Ekeren President/CEO -Sacred Heart 0.00 47.00 X 626756 0 40677 David Erickson Chief Medical/Innovation Officer 40.00 4.00 X 905630 0 44796 Richard Korman Senior VP - General Counsel 40.00 0.00 X 732582 0 52055 James Veline - Senior Vice Pres - Chief Information Officer 40.00 0.00 X 1086624 0 20376 Robin Bates - Executive VP Insurance Svcs & Population 40.00 0.00 X 880985 0 26946 Richard Molseed Exec VP - Governance & Strategy 40.00 0.00 X 1771632 0 24321 Jim Breckenridge Former CFO Avera Health; Sec/Treas 0.00 0.00 X 329248 0 15667 12023143 1223293 591033 235 1 1 0 Avera McKennan 1325 S Cliff Avenue Sioux Falls SD 57117 Services 13975588 CDW Government 230 N Milwaukee Ave Vernon Hills IL 60061 Computer Hardware; Consulting 13430887 Medical Information Technology Inc 1 Meditech Circle Westwood MA 02090 Hardware/Software; Consulting 5192193 Medspeed 655 West Grand Avenue Elmhurst IL 60126 Courier Services 3848113 Cisco Systems Capital Corporation 170 W Tasman Dr San Jose CA 95134 Hardware/Software; Consulting 3390629 137 199382 451874 16372 1815012 19353509 1735275 21836149 ACS revenue 900099 202053582 202053582 Other revenue 900099 40572927 38503589 2069338 eCare revenue 900099 24425603 24425603 PACE revenue 561000 5596621 1614425 3982196 Premier expense credits 900099 2864269 2864269 184371 184371 275697373 199301 199301 1972913 1807270 165643 165643 165643 16908592 0 16908592 16908592 422265 16486327 273443 451874 76279 197164 197164 A/R Interest 900099 8564768 8564768 8564768 323568990 278210607 6639442 16882792 X 30587047 30587047 59443 59443 7015041 7015041 129740 129740 128547239 108205966 18892633 1448640 32328306 31194896 1037478 95932 17183227 14012853 2936641 233733 8830855 8286838 446135 97882 771413 714581 56832 1531254 1531254 249325 249325 34283919 30515769 3682616 85534 8093310 8039091 4103 50116 7504621 6676308 724229 104084 22041333 21827351 66637 147345 6133997 3974599 2123670 35728 699083 618465 71618 9000 553557 540080 13616 -139 850183 711914 138269 19659605 18871580 782743 5282 -482008 -542330 60322 Repairs and maintenance 4518654 4378647 139995 12 UBI tax 885964 885964 Lease and rental 34927 7253 27197 477 1133212 1095430 34674 3108 333143247 292572064 38254449 2316734 X 25050804 28905697 524649 1742261 30791487 29283558 584602 396483 8136519 15988570 233627462 131932154 98966598 101695308 1070788545 1294673040 165755052 148615736 12588 32516 16139552 16139552 96296689 124469181 1513047085 1761941902 25278499 34826307 7439578 6753531 23209808 20936012 951318025 1108976303 34732688 33371297 124113683 169538746 1166092281 1374402196 X 340335399 379904627 6619405 7635079 346954804 387539706 1513047085 1761941902 X -9574257 44963019 5196140 X 0 1 X 1 1 1 X 15789136 14467701 17411813 23574843 21836149 93079642 186830145 207086072 254799501 266987769 278210607 1193914094 202619281 221553773 272211314 290562612 300046756 1286993736 33177 101472 63613 368889 446030 1013181 122171044 130522462 166560168 178295346 177531681 775080701 122204221 130623934 166623781 178664235 177977711 776093882 510899854 2768304 1317953 157217 22385 199301 4465160 249441 509369 1094391 2515692 4368893 2768304 1567394 666586 1116776 2714993 8834053 343127 309458 260272 369995 197164 1480016 205730712 223430625 273138172 292049383 302958913 1297307805 0.39380 0.39150 0.00680 0.00560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 5752 0 1 243573 249325 0 Part II-B, Line 1: Through paid staff and paid consultants Avera Health meets with legislators. Avera Health provides grants to other organizations for lobbying and pays dues of which a small portion is attributable to lobbying. 0 1 X 6403165 1694590 432897 696359 36245 7798048 5765277 820309 128114 273739 36796 6403165 5295563 392984 629457 527554 25173 5765277 5004011 421937 280361 386932 23814 5295563 4854052 583639 147566 548377 32869 5004011 0.43770 0.13400 0.42830 0 0 948600 948600 33647748 12035818 21611930 3215169 2402582 812587 161363856 117493754 43870102 34452089 34452089 101695308 Interest in Innovation Institute 13047131 F Non-publicly traded hedge, private equity, debt, and multi-strategy funds 120178322 F Non-publicly traded real estate 15290283 F NPPC, LLC 100000 C 148615736 Deferred financing costs 14145515 Interest in South Dakota Community Foundation 1113321 Deferred compensation 95303456 Swap account 111332 Right of use operating lease 9684303 Line of credit - Avel 1200000 Tax Receivable Agreement 2911254 124469181 Estimated insurance claims payable 41441914 Bond interest payable 9266846 Due to affiliated entities 6438747 Deferred compensation 95303456 Deferred payroll tax 5168909 Long-term commitments 9950000 Right of use lease obligations 1968874 169538746 X Part IV, Line 2b: Avera Health administers the Avera Health Pooled Investment Fund, a fund that is maintained for the benefit of facilities that are sponsored, operated, or managed by Avera Health. Investments are made in conformity with the objectives and guidelines of the Avera Health Pooled Investment Committee. Within the fund, participating facilities share in a pool of investments that are managed by various fund managers. Investments that are held for participating facilities are recorded as Avera Health Pooled Investments with a corresponding liability account of Custodial Funds - Avera Health Pooled Investments on the balance sheet. Avera Health also holds its own investments within the pooled fund and records their allocated share of income and losses from these investments as investment income in the financial statements. Part V, Line 4: The Organization's endowment consists of funds established for a variety of purposes related to health and wellness programs in Avera affiliated organizations. Part X, Line 2: Avera Health and its sponsored organizations believe that they have appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Central America and the Caribbean - 0 0 Investments 120178322 0 0 0 0 0 0 120178322 0 120178322 0 0 1 1 0 0 Part III Accounting Method: Form 990, Schedule F, Part IV: Avera Health reviews its direct and indirect investments during the tax period for determining required foreign filings. The Organization's ownership interests in foreign corporations do not require a Form 5471 to be filed. The Organization invests in partnerships that hold direct or indirect interest in passive foreign investment companies. The investment partnerships have properly filed Form 8621, or the underlying investments did not generate any unrelated business income. Under these facts, Avera Health is not required to file an additional Form 8621. Race Against Breast Cancer 299277 209892 89385 0 0 0 0 0 56363 Deck the Halls 89491 71853 17638 0 0 0 0 0 0 12 314803 161460 153343 0 0 1473 1405 0 16546 703571 443205 260366 1473 1405 72909 75787 184579 1 Abbott House Foundation 909 Court Merrill St Mitchell SD 57301 460379896 501c3 22500 Sponsorship Aberdeen Catholic School System 1400 N Dakota St Aberdeen SD 57401 460336005 501c3 85971 Sponsorship Aberdeen Christian School 1500 Hwy 281 N Aberdeen SD 57401 911806433 501c3 10000 Sponsorship Aberdeen Development Corporation 506 S Main St Ste 2 Aberdeen SD 57401 466011831 501c6 10000 Sponsorship Aberdeen Ride Line 205 N 4th St Aberdeen SD 57401 466000010 501c3 20000 Sponsorship Alexander Mitchell Library Foundation Inc 215 SE 4th Ave Aberdeen SD 57401 460428183 501c3 30000 Sponsorship ALS Association - MNNDSD Chapter 1919 University Ave W Ste 175 Saint Paul MN 55104 411756085 501c3 10000 Sponsorship American Cancer Society 250 Williams St Atlanta GA 30303 131788491 501c3 52500 Sponsorship American Telemedicine Association 1100 Connecticut Ave NW Ste 540 Washington DC 20036 742676503 501c3 10000 Sponsorship Banquet 900 E 8th St Sioux Falls SD 571031604 460387495 501c3 56500 Sponsorship Beresford School District #61-2 301 W Maple Beresford SD 57004 476002216 City of Beresford 19552 Sponsorship Bishop Dudley Hospitality House 101 N Indiana Ave Sioux Falls SD 57103 911836528 501c3 16000 Sponsorship Bishop O'Gorman Catholic Schools 3100 W 41st St Sioux Falls SD 57105 460413591 501c3 1700000 Sponsorship Boy Scouts of America - Sioux Council 800 N West Ave Sioux Falls SD 57104 460224599 501c3 6000 Sponsorship Boys & Girls Club of Aberdeen Area 1121 1st Ave SE Aberdeen SD 57401 237062273 501c3 9000 Sponsorship Boys & Girls Club of Brookings SD Inc 1126 Southland Lane Brookings SD 57006 731630215 501c3 50250 Sponsorship Boys & Girls Club of the Sioux Empire 824 E 14th St Sioux Falls SD 57104 460399482 501c3 20000 Sponsorship Brookings School District 2130 8th St S Brookings SD 57006 466000834 City of Brookings 38162 Sponsorship Capital Area Counseling Service Inc 800 E Dakota PO Box 148 Pierre SD 57501 460305571 501c3 110000 Sponsorship Capital Area United Way PO Box 1111 Pierre SD 575011111 460403398 501c3 10506 Sponsorship Catholic Community Foundation for Eastern SD 523 N Duluth Ave Sioux Falls SD 571042714 466000424 501c3 110000 Sponsorship Central Lyon Community School 1010 S Greene St Rock Rapids IA 51246 426037624 City of Rock Rapids 15000 Sponsorship Charis Ministry Partners 1300 E 10th St Sioux Falls SD 57103 383775128 501c3 7000 Sponsorship Children's Home Society of South Dakota Foundation PO Box 1749 Sioux Falls SD 571011749 460224542 501c3 18000 Sponsorship Citizens Involvement Council 110 W Missouri Ave Pierre SD 57501 460317107 501c3 15000 Sponsorship City of Aberdeen 123 S Lincoln St Aberdeen SD 574014215 466000010 City of Aberdeen 200000 Sponsorship City of Pierre 2301 Patron Pkwy Ste 1 Pierre SD 57501 466000356 City of Pierre 75000 Sponsorship City of Yankton PO Box 176 Yankton SD 57078 466000567 City of Yankton 200000 Sponsorship Compass Center 1704 S Cleveland Ave Ste 3 Sioux Falls SD 57103 460350199 501c3 7500 Sponsorship Dakota Resources 25795 475th Ave Ste 1 Renner SD 57055 460442430 501c3 25000 Sponsorship Dakota Weslyan University 1200 W University Ave Mitchell SD 57301 460224589 501c3 34500 Scholarship; Sponsorship DakotAbilities 1116 S 4th Ave Sioux Falls SD 57105 460306216 501c3 16000 Sponsorship Delta Dental of South Dakota Foundation 804 N Euclid Ave Ste 101 Pierre SD 57501 911776857 501c3 20000 Sponsorship Destiny Healthcare International PO Box 90648 Sioux Falls SD 57109 510529480 501c3 30000 Sponsorship Downtown Sioux Falls Inc 230 S Phillips Ave Ste 306 Sioux Falls SD 571046708 363627217 501c4 22000 Sponsorship EmBe 300 W 11th St Sioux Falls SD 571046306 460234998 501c3 46778 Sponsorship Face It Together 5020 S Tennis Ln Ste 4 Sioux Falls SD 57108 272501220 501c3 20000 Sponsorship Fellowship of Christian Athletes 1208 Horizon Dr Marshall MN 56258 440610626 501c3 16000 Sponsorship Friends of Levitt Shell Sioux Falls 524 N Main Ave 106 Sioux Falls SD 57104 611699910 501c3 20000 Sponsorship Furniture Mission of South Dakota 209 N Nesmith Ave Sioux Falls SD 57103 810584450 501c3 15000 Sponsorship Greater Sioux Falls Chamber of Commerce 200 N Phillips Ave Ste 200 Sioux Falls SD 571046058 460189300 501c6 12800 Sponsorship Greatlife Cares Foundation 3800 W 53rd St Sioux Falls SD 57106 472447820 501c3 19500 Sponsorship GroundWorks 102 N Krohns Pl Ste 113 Sioux Falls SD 57103 475498537 501c3 7500 Sponsorship Habitat for Humanity 721 E Amidon St Sioux Falls SD 57104 460407140 501c3 6500 Sponsorship Harrisburg Baseball Association Inc PO Box 434 Harrisburg SD 57032 270606157 501c3 8000 Sponsorship Helpline Center Inc 1000 N West Ave Ste 310 Sioux Falls SD 571041314 237424387 501c3 15000 Sponsorship Junior Achievement of South Dakota 1000 N West Ave Ste 110 Sioux Falls SD 57104 460306352 501c3 25650 Sponsorship Leadership South Dakota PO Box 675 Platte SD 57369 462384525 501c3 11000 Sponsorship Leukemia & Lymphoma Society 1711 Broadway St NE Minneapolis MN 55413 135644916 501c3 20500 Sponsorship LifeScape Foundation 2011 W 26th St Ste 201 Sioux Falls SD 57105 465151247 501c3 15000 Sponsorship Lost and Foundation Association 5015 S Crossing Pl 110 Sioux Falls SD 57108 454306370 501c3 10000 Sponsorship Make-A-Wish Foundation of SD 1400 W 17th St Sioux Falls SD 57104 460375953 501c3 10000 Sponsorship McCrossan Boys Ranch 47135 260th St Sioux Falls SD 571079905 460311913 501c3 15000 Sponsorship Mitchell Area Safehouse Inc 1809 N Wisconsin St Mitchell SD 57301 460389086 501c3 10000 Sponsorship Mitchell School District 17-2 821 N Capital St Mitchell SD 57301 466001338 City of Mitchell 10000 Sponsorship Mitchell Technical College Foundation 1800 E Spruce St Mitchell SD 57301 460452950 501c3 92000 Sponsorship Mitchell United Way 417 N Main St Ste 103 Mitchell SD 57301 461250302 501c3 7354 Sponsorship Mount Marty College 1105 W 8th St Yankton SD 57078 460283336 501c3 286000 Scholarship; Sponsorship Multi-Cultural Center of Sioux Falls 515 N Main Ave Sioux Falls SD 57104 460445034 501c3 10000 Sponsorship NAMI South Dakota PO Box 88808 Sioux Falls SD 571098808 363593027 501c3 35000 Sponsorship National Kidney Foundation 2601 S Minnesota Ave Ste 105 Sioux Falls SD 57105 131673104 501c3 15500 Sponsorship National Multiple Sclerosis Society 733 Third Ave New York NY 10017 410790658 501c3 16000 Sponsorship No Way on Amendment A (SD Chamber of Commerce & Industry) PO Box 190 Pierre SD 57501 460141180 501c6 25000 Sponsorship NSU Foundation 620 15th Ave SE Aberdeen SD 57401 237002314 501c3 151000 Scholarship; Sponsorship Office of Attorney General 1302 E Hwy 14 Ste 2 Pierre SD 575018502 466000364 State of SD 50000 Sponsorship Pierre School District 211 S Poplar Pierre SD 57501 466001892 City of Pierre 10000 Sponsorship Prairie Family Business Association 4801 N Career Ave Sioux Falls SD 57107 466000364 City of Sioux Falls 5650 Sponsorship Presentation College 1500 N Main St Aberdeen SD 57401 460280847 501c3 100000 Scholarship; Sponsorship Presentation Sisters of the Blessed Virgin Mary 1500 N 2nd St Aberdeen SD 57401 460253283 501c3 22500 Sponsorship President's Bowl PO Box 1443 Sioux Falls SD 571011443 911776303 501c3 20000 Sponsorship Pride in the Tiger Foundation 400 Tiger Dr Marshall MN 56258 411948007 501c3 10000 Sponsorship REACH Literacy 2101 W 41st St Ste 23 Sioux Falls SD 57105 460396579 501c3 5500 Sponsorship River Cities Public Transit 1600 E Dakota Ave Pierre SD 57501 460449059 City of Pierre 8000 Sponsorship Ronald McDonald House Charities of SD 825 S Lake Ave Sioux Falls SD 57104 460371152 501c3 27000 Sponsorship Safe Harbor PO Box 41 Aberdeen SD 574020041 460344310 501c3 10000 Sponsorship SculptureWalk Inc 300 S Phillips Ave Ste L104 Sioux Falls SD 57104 208535871 501c3 17000 Sponsorship Sioux Empire Baseball Association 1601 W 44th Pl Ste 3 Sioux Falls SD 571056377 411903475 501c3 24000 Sponsorship Sioux Empire United Way 1000 N West Ave Ste 120 Sioux Falls SD 571041314 460233701 501c3 89800 Sponsorship Sioux Falls Area CASA Program PO Box 1901 Sioux Falls SD 571011901 460430647 501c3 10000 Sponsorship Sioux Falls Area Community Foundation 200 N Cherapa Pl Sioux Falls SD 57103 311748533 501c3 29500 Sponsorship Sioux Falls Family YMCA 220 S Minnesota Sioux Falls SD 57104 460225021 501c3 7000 Sponsorship Sioux Falls Public Schools Education Foundation PO Box 560 Sioux Falls SD 57101 263537657 501c3 11000 Sponsorship Sioux Falls School District 49-5 201 E 38th St Sioux Falls SD 571055898 466002586 City of Sioux Falls 115100 Sponsorship SMSU Foundation FH 229 Marshall MN 56258 237108470 501c3 60000 Sponsorship South Dakota Agricultural and Rural Leadership Foundation Box 2170 Animal Science Ctr 132 Brookings SD 57007 364293293 501c3 10000 Sponsorship South Dakota Chamber of Commerce and Industry PO Box 190 Pierre SD 575010190 460141180 501c6 10500 Sponsorship South Dakota Community Foundation Po Box 296 Pierre SD 57501 460398115 501c3 11270000 Sponsorship South Dakota Hall of Fame 1480 S Main Chamberlain SD 57325 460324210 501c3 31000 Sponsorship South Dakota Parks and Wildlife Foundation 523 E Capitol Ave Pierre SD 57501 460387968 501c3 52500 Sponsorship South Dakota State University Foundation 815 Medary Ave Lohr Build Brookings SD 57007 460273801 501c3 87000 Sponsorship South Dakota Symphony Orchestra 301 S Main Ave Sioux Falls SD 57104 466017026 501c3 40000 Sponsorship South Dakota Youth Foundation Inc 1310 Main Ave S Ste 109 Brookings SD 57006 474832848 501c3 10000 Sponsorship South Dakotans Decide Healthcare 3708 W Brooks Pl Sioux Falls SD 57106 862041240 501c4 250000 Sponsorship Southeast Technical Institute 2320 N Career Ave Sioux Falls SD 57107 466002586 City of Sioux Falls 27185 Sponsorship Special Olympics South Dakota 800 East I-90 Lane Sioux Falls SD 57104 460359776 501c3 10000 Sponsorship St Francis House 1301 E Austin St Sioux Falls SD 57103 460423202 501c3 60000 Sponsorship Teach for America-South Dakota 132 Main Street Mission SD 57555 133541913 501c3 10000 Sponsorship Teddy Bear Den 500 S Main Ave Sioux Falls SD 57104 311802800 501c3 8000 Sponsorship United Way & Volunteer Services of Greater Yankton 610 W 23rd St Ste 11 Yankton SD 57078 460252854 501c3 12240 Sponsorship United Way of Northeastern SD Inc PO Box 1065 Aberdeen SD 57401 237086355 501c3 15759 Sponsorship United Way of Southwest MN PO Box 41 Marshall MN 56258 416023143 501c3 5253 Sponsorship University of Sioux Falls 1101 W 22nd St Sioux Falls SD 57105 460224600 501c3 400000 Scholarship; Sponsorship USD Foundation 1110 N Dakota St Vermillion SD 57069 466018891 501c3 354100 Sponsorship Vision Brookings Foundation 2301 Research Park Way Ste 113 Brookings SD 57006 460440746 501c6 20000 Sponsorship Volunteers of America Dakotas PO Box 89306 Sioux Falls SD 571099306 237353508 501c3 15000 Sponsorship Washington Pavilion 301 S Main Ave Sioux Falls SD 57104 460435791 501c3 75763 Sponsorship WGB Management LLC (SF Skedaddle) 124 S Phillips Ave Sioux Falls SD 57104 844114013 15000 Sponsorship Yankton Area Arts Association 508 Douglas Yankton SD 57078 510172432 501c3 5500 Sponsorship Yankton Area Progressive Growth 803 E 4th St Yankton SD 57078 460348636 501c6 60000 Sponsorship Yankton School District 63-3 2410 W City Limits Rd Yankton SD 57078 466003280 City of Yankton 10000 Sponsorship Yankton Thrive Inc 803 E 4th St Yankton SD 57078 460348636 501c6 60000 Sponsorship Avera McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460224743 501c3 100001 Sponsorship Avera St Mary's 801 East Sioux Avenue Pierre SD 57501 460230199 501c3 14310 Sponsorship Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 501c3 18600 Sponsorship Avera Marshall 300 S Bruce Street Marshall MN 56258 410919153 501c3 15900 Sponsorship 105 11 Medical assistance to employees 18 43443 Medical educational scholarships 10 16000 Part I, Line 2: The Organization makes grants to other organizations exempt under 501(c)(3) to ensure the funds will be used for charitable purposes. During the year ending June 30, 2021, the Organization made contributions to other non-public charities in furtherance of community development. The contributions are approved by the Board for this purpose. Scholarship funds have different sets of criteria for determining eligibility and winners. Assistance to individuals is determined with assistance from each hospital's social services department or within a committee at the hospital. X X X X 1 0 0 0 0 0 0 1 0 Bob Sutton President/CEO 1647459 0 91108 0 10812 0 14250 0 37670 0 1801299 0 0 0 Richard Molseed Exec VP - Governance & Strategy 334204 0 0 0 1437428 0 14250 0 10071 0 1795953 0 0 0 David Flicek Pres/CEO - Avera McKennan 1191662 0 62652 0 21550 0 14250 0 30842 0 1320956 0 0 0 James Veline - Senior Vice Pres - Chief Information Officer 394644 0 0 0 691980 0 14250 0 6126 0 1107000 0 0 0 David Erickson Chief Medical/Innovation Officer 824656 0 46065 0 34909 0 14250 0 30546 0 950426 0 0 0 Julie Lautt CFO Avera Health; Sec/Treas 842009 0 55127 0 6409 0 14250 0 22128 0 939923 0 0 0 Robin Bates - Executive VP Insurance Svcs & Population 347690 0 2500 0 530795 0 14250 0 12696 0 907931 0 0 0 Dr Luis Rojas-Espaillat Director 0 685273 0 25500 0 49132 0 14250 0 34574 0 808729 0 0 Richard Korman Senior VP - General Counsel 683510 0 37839 0 11233 0 14250 0 37805 0 784637 0 0 0 Todd Forkel Pres/CEO - Avera St. Luke's 685402 0 35420 0 7537 0 8174 0 33975 0 770508 0 0 0 Doug Ekeren President/CEO -Sacred Heart 587258 0 28842 0 10656 0 14250 0 26426 0 667432 0 0 0 Tom Clark Chief Strategy & Growth Officer 547808 0 26164 0 13893 0 14250 0 30842 0 632957 0 0 0 Deanna Larson CEO - eCare 403627 0 21450 0 19597 0 14250 0 25926 0 484850 0 0 0 Dr Jason Wickersham Director 0 297119 0 108278 0 1525 0 14250 0 31274 0 452446 0 0 Jim Breckenridge Former CFO Avera Health; Sec/Treas 299918 0 0 0 29330 0 7703 0 7964 0 344915 0 0 0 Part I, Line 4a Richard Molseed received a severance payment of $1,413,802.80, James Veline received a severance payment of $673,519.20, and Robin Bates received a severance payment of $515,595.60. Part I, Line 7 During the current year, the organization paid certain executives incentive payments related to COVID and also paid some physician retention payments to certain physicians. A South Dakota Health and Educational Facilities Authority 460315509 83755VUS1 2012-05-01 206383927 Series 2012B refunded 2002 and 2008A bonds issued 4/11/02 and 6/18/08 0 0 0 B South Dakota Health and Educational Facilities Authority 460315509 83755VVY7 2014-06-26 61821688 Series 2014A Various capital projects 0 0 0 C South Dakota Health and Educational Facilities Authority 460315509 83755VG99 2017-10-11 242848916 Series 2017 refunded bond issued 6/18/08;const/equip healthcare facilities 0 0 0 D South Dakota Health and Educational Facilities Authority 460315509 83755VJ54 2019-11-13 50276218 Series 2019A refunded bond issued 4/3/2017 0 0 0 A 97153927 206383927 1032422 38100000 167251505 2013 1 0 1 1 B 61821688 821688 61000000 2015 0 0 1 1 C 20433916 242848916 1786422 190000000 51062494 0 1 1 1 D 50276218 50276218 0 1 1 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 06/30/2021 Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 06/30/2021 Schedule K, Part IV, Line 2C: The arbitrage analysis is performed annually, therefore the analysis was completed as of June 30, 2021 for Bonds A and B. Interstates Office Products Inc Owned by board member, Gary Gaspar 254833 Office product purchases 0 Katherine Schild Family member of Key Employee, Doug Ekeren 87000 Compensation and benefits as an employee 0 Laura Alexander Family member of Key Employee, Doug Ekeren 42740 Compensation and benefits as an employee 0 X 3 1142309 Avg of high/low X 6 128210 FMV X Windows, millwork, siding, shingles, lumber 1 200000 Cost X Furniture and flooring 1 116028 Cost X Fireplace; Patio furniture; privacy fence 1 58593 Cost X Mowers 6 56232 Cost X Auction items 2 16000 FMV X Items for patients and residents 8 14903 Cost X Fountain 1 3000 Cost 0 0 1 0 Part I, Column (b): The organization is reporting in Part I, column (b) the number of contributions. Part I, Line 33: Amounts included in revenue for the financial statement reporting are included on Schedule M. Additional non-cash contributions not included on Schedule M and the financial statements include items for the benefit of the Avera facilities which include special event donations. Form 990, Part VI Jim Breckenridge, Julie Lautt, Dr. Luis Rojas-Espaillat, Dr. Jason Wickersham, and Dr. Merritt Gregg Warren had a business relationship. Form 990, Part VI, Section A, line 6 Avera Health has two classes of members: Sponsorship Members and System Members. Sponsorship Members shall consist collectively of (i) those persons serving from time to time as the President and Council of the Presentation Sisters of the Blessed Virgin Mary of Aberdeen, South Dakota and (ii) those persons serving from time to time as the Prioress and Council of the Benedictine Convent of the Sacred Heart (Yankton, S.D.). System Members shall consist of six Sisters- three Presentation Sisters appointed by the Presentation Sponsorship Members and three Benedictine Sisters appointed by the Benedictine Sponsorship Members. Form 990, Part VI, Section A, line 7a The System Members have the power to appoint the Board of Directors of Avera Health and to suspend or remove a Director at any time, with or without cause. They also have the power to appoint a Benedictine Sister, Presentation Sister, or a Ministerial Juridic Person 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 a Presentation Sister, a Benedictine Sister, or a Ministerial Juridic Person 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 Avera Health President; (e) To review and approve expenditures outside of the annual operating and capital budgets, for Avera Health in accordance with established Avera Health fiscal policies; (f) To review and approve the Avera Health Strategic Plan; (g) To review and approve any and all Rescript Applications on behalf of Avera Health; (h) To adopt procedures for assuring that corporate actions are consistent with the philosophy, mission, Guiding Principles and values of Avera Health; (i) To provide recommendations to the Sponsorship Members on matters requiring Sponsorship Members' approval or action; (j) To adopt policies designed to effectuate the powers reserved to the System Members; and (k) 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 A, line 8b Avera Health does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the VP of Financial Reporting, Tax Manager, and Finance Committee (if applicable). After initial review the Form 990 is made available to the Board and other Operation Finance Leaders. In FY2021, the board was provided a copy of the return with the name of a donor who wished to remain anonymous removed from Schedule B. All other aspects of the return as provided to the board mirrored the return as filed with the IRS. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers board members, officers and key employees. At each board meeting, a request is made for all board members to disclose any potential conflict of interest pertaining to any item listed on the agenda or pertaining to any potential item that could be discussed during the course of the meeting. The declaration of conflict of interest is recorded in the meeting minutes. The board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting. A statement of conflict of interest disclosure is made on an annual basis by officers and directors. The information is maintained in a database and a report is provided to the board. Form 990, Part VI, Section B, line 15 Annually the Compensation Committee of Avera Health, which is comprised of six (6) system members appointed by the religious orders, meets with an independent consultant regarding fair market value for compensation of officers and key employees. The Compensation Committee approves all salaries based on comparable data and documents the basis for their decision in meeting minutes. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are not made available to the general public. Form 990, Part VI, Section B, Line 16b: There is no written policy or procedure. In the event of any such proposed transaction, the board or a committee with delegated authority reviews all materials, valuations and operational aspects for any proposed transaction. Such transaction would be evaluated in accordance with the exempt status of the organization and its applicable purposes. Any transaction also would be approved by the board and the member. Form 990, Part IX, line 11g Purchased services: Program service expenses 15,283,846. Management and general expenses 976,658. Fundraising expenses 74,133. Total expenses 16,334,637. Contract labor: Program service expenses 11,677,008. Management and general expenses 385,516. Fundraising expenses 0. Total expenses 12,062,524. Recruitment: Program service expenses 292,749. Management and general expenses 88,647. Fundraising expenses 0. Total expenses 381,396. Consulting fees: Program service expenses 2,227,132. Management and general expenses 2,231,795. Fundraising expenses 11,401. Total expenses 4,470,328. Medical Director fees: Program service expenses 144,799. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,799. Management fees: Program service expenses 890,235. Management and general expenses 0. Fundraising expenses 0. Total expenses 890,235. Form 990, Part X, Line 20: The issue price includes the filing Organization's share of the entire bond issue, which was issued to Avera Health on behalf of the Avera Obligated Group. The Avera Obligated Group consists of Avera Health, Avera McKennan, Avera St. Luke's, Avera Queen of Peace, Avera Sacred Heart, Avera Marshall, Avera St. Mary's, Avera St. Anthony's, Avera St. Benedict, Avera Holy Family, Avera Tyler, Avera Granite Falls, Avera Gettysburg and Avera at Home. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Avera Health's tax return (EIN 46-0422673). Form 990, Part XI, line 9: Net equity transfers 9,370,574. Other changes in net assets -1,730,234. Contributions received by Avera Health Foundation not reflected in financial statements -15,944,168. Net assets released from restrictions 844,144. Grants to organizations distributed by Avera Health Foundation not reflected in financial statements 12,655,824. Avel eCare LLC 3900 West Avera Drive Sioux Falls SD 571085721 Telehealth SD 26129177 14906477 Avera Health Avel Research and Education LLC 3900 West Avera Drive Sioux Falls SD 571085721 Telehealth education SD 0 495182 Avera Health Avera St Anthony's Hospital 300 N 2nd Street ONeill NE 68763 470463911 Healthcare services NE 501(c)(3) Line 3 Avera Health 1 Avera Holy Family 826 North 8th Street Estherville IA 51334 420680370 Healthcare services IA 501(c)(3) Line 3 Avera Health 1 Avera Holy Family Foundation 826 North 8th Street Estherville IA 51334 421317452 Support health related services IA 501(c)(3) Line 10 Avera Holy Family 1 St Benedict Health Center 401 West Glynn Drive Parkston SD 57366 460226738 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 St Benedict Health Center Foundation West Glynn Drive PO Box B Parkston SD 57366 460458725 Support health related services SD 501(c)(3) Line 12a, I St Benedict Health Center 1 Avera McKennan 1325 S Cliff Ave PO Box 5045 Sioux Falls SD 57117 460224743 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera Queen of Peace Hospital 525 North Foster Mitchell SD 57301 460224604 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Sacred Heart Health Services 501 Summit Street Yankton SD 57078 460225483 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera Gettysburg 606 East Garfield Gettysburg SD 57442 460234354 Healthcare services SD 501(c)(3) Line 3 Avera St Mary's 1 Avera at Home 5116 S Solberg Ave Sioux Falls SD 57108 460399291 Home services SD 501(c)(3) Line 10 Avera Health 1 Lewis and Clark Health Education and Service Agency 1000 W 4th Street Suite 9 Yankton SD 57078 460337013 Healthcare education SD 501(c)(3) Line 10 Sacred Heart Health Services 1 Avera St Luke's 305 South State Street Aberdeen SD 57401 460224598 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera St Mary's 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare services SD 501(c)(3) Line 3 Avera Health 1 Avera Marshall 300 S Bruce Street Marshall MN 56258 410919153 Healthcare services MN 501(c)(3) Line 3 Avera Health 1 Avera Tyler 240 Willow Street Tyler MN 56178 410853163 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 1 Avera Health Plans Inc 3900 West Avera Drive Suite 101 Sioux Falls SD 57108 460451539 Health financing & health plan admin SD 501(c)(4) Avera Health 1 Avera Granite Falls 345 10th Ave Granite Falls MN 56241 843156881 Healthcare services MN 501(c)(3) Line 3 Avera Marshall 0 Avera Home Medical Equipment of Floyd Valley Hospital LLC 714 Lincoln St NE Lemars IA 51031 820582350 Medical services - home medical equipment SD N/A 0 0 Avera Home Medical Equipment of Sioux Center LLC 38 19th St SW Sioux Center IA 51250 753203100 Medical services - home medical equipment SD N/A 0 0 Q&M Properties LLC 525 North Foster Mitchell SD 57301 731652049 Medical clinic building SD N/A 0 0 Surgical Associates Endoscopy Clinic LLC 310 S Penn Aberdeen SD 57401 460461429 Surgical associates SD N/A 0 0 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 0 0 Heart Hospital of South Dakota LLC 4500 W 69th Street Sioux Falls SD 57108 562143771 Healthcare Services SD N/A 0 0 Brookings Health System - Avera HME LLC 101 22nd Ave Suite 101 Brookings SD 57006 453204123 Healthcare Services SD N/A 0 0 National Rural ACO 4 LLC dba Prairie Hills Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 371780735 Accountable Care Organization KS N/A 0 0 National Rural ACO 5 LLC dba Great Plains Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 383958290 Accountable Care Organization KS N/A 0 0 Caravan Health ACO 41 LLC dba Prairie View Care Organization 7509 NW Tiffany Springs Parkway Kansas City MO 64153 821447782 Accountable Care Organization KS N/A 0 0 Accounts Management Inc 5132 S Cliff Ave Suite 101 Sioux Falls SD 57108 460373021 Collection agency SD Avera Health C 3184615 3041663 0.75000 1 Avera Property Insurance Inc 1000 West 4th Street Suite 1 Yankton SD 57078 460463155 Insurance SD Avera Health C 964061 1346422 1.00000 1 Valley Health Services 501 Summit Street Yankton SD 57078 460357149 Rental real estate SD Sacred Heart Health Services C 205477 1419106 1.00000 1 Alucent Biomedical Inc 1325 S Cliff Avenue PO Box 5045 Sioux Falls SD 571175045 471818349 Biotech Research SD Alumend LLC C 22990 35115239 1.00000 1 South Dakota State Medical Holding Company Inc 5300 South Broadband Lane Sioux Falls SD 57108 460401087 Insurance SD Avera Health C 35046731 24734794 1.00000 1 DakotaCare Administrative Services Inc 5300 South Broadband Lane Sioux Falls SD 57108 460424322 Insurance SD Avera Health C 8553679 13044420 1.00000 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 1 1 0 Accounts Management Inc L 435780 General Ledger Avera At Home L 3746244 General Ledger Avera Health Plans Inc L 624564 General Ledger Avera Marshall L 11290860 General Ledger Avera McKennan L 124034028 General Ledger Avera Queen Of Peace Hospital L 13546344 General Ledger Avera Sacred Heart Health Services L 17068596 General Ledger Avera St Luke's L 19881540 General Ledger Avera St Mary's L 9621516 General Ledger Avera McKennan K 1165813 Vendor Payment Listing Avera Sacred Heart Health Services K 87775 Vendor Payment Listing Avera Health Plans Inc P 16634735 Vendor Payment Listing Avera Marshall P 525424 Vendor Payment Listing Avera McKennan P 13758085 Vendor Payment Listing Avera Queen Of Peace Hospital P 280185 Vendor Payment Listing Avera Sacred Heart Health Services P 393125 Vendor Payment Listing Avera St Luke's P 232379 Vendor Payment Listing Avera St Mary's P 88856 Vendor Payment Listing Accounts Management Inc Q 64401 Customer Invoice Listing Avera At Home Q 743363 Customer Invoice Listing Avera Health Plans Inc Q 835122 Customer Invoice Listing Avera Holy Family Q 767224 Customer Invoice Listing Avera Marshall Q 2659493 Customer Invoice Listing Avera McKennan Q 39754417 Customer Invoice Listing Avera Queen Of Peace Hospital Q 4254554 Customer Invoice Listing Avera Sacred Heart Health Services Q 4361667 Customer Invoice Listing Avera St Anthony's Hospital Q 934524 Customer Invoice Listing Avera St Luke's Q 6579390 Customer Invoice Listing Avera St Mary's Q 2784163 Customer Invoice Listing St Benedict Health Center Q 632681 Customer Invoice Listing Avera At Home R 323217 General Ledger Avera Holy Family R 67332 General Ledger Avera Marshall R 180867 General Ledger Avera McKennan R 1575567 General Ledger Avera Queen Of Peace Hospital R 168878 General Ledger Avera Sacred Heart Health Services R 322091 General Ledger Avera St Luke's R 99205 General Ledger Avera St Mary's R 5526801 General Ledger St Benedict Health Center R 60270 General Ledger Avera McKennan B 100001 General Ledger Schedule R, Part III: Q&M Properties, LLC dissolved effective June 30, 2021. National Rural ACO 4 LLC liquidated effective December 31, 2020. Schedule R, Part I: The name Avera eCare, LLC changed to Avel eCare, LLC effective November 17, 2020.