AVERA MCKENNAN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: AVERA MCKENNAN (EIN 46-0224743)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201501349349305200
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-14T13:30:59-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 NICOLLET MALL STE 1300	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	554027033	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	460224743	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AVERA MCKENNAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	AVER	BusinessNameControlTxt
Phone	6053228000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1325 S CLIFF AVE PO BOX 5045	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	571175045	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JULIE NORTON	PersonNm
Person Title	SEC/TREAS & SR VP FINANCE	PersonTitleTxt
Phone	6053228000	PhoneNum
Signature	2015-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KIM HUNWARDSEN CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2015-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DR DAVID KAPASKA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1325 S CLIFF AVE PO BOX 5045	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	571175045	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$810,494,563	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AVERAMCKENNAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1911	FormationYr
Legal Domicile State	SD	LegalDomicileStateCd
Activity Or Mission	PROMOTION OF HEALTH	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	7087	TotalEmployeeCnt
Total Volunteers	1141	TotalVolunteersCnt
Total Gross UBI	$6,821,725	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,528,761	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,708,700	PYContributionsGrantsAmt
CY Contributions Grants	$5,749,535	CYContributionsGrantsAmt
PY Program Service Revenue	$747,902,697	PYProgramServiceRevenueAmt
CY Program Service Revenue	$794,241,246	CYProgramServiceRevenueAmt
PY Investment Income	$4,006,242	PYInvestmentIncomeAmt
CY Investment Income	$7,455,162	CYInvestmentIncomeAmt
PY Other Revenue	$1,900,322	PYOtherRevenueAmt
CY Other Revenue	$1,814,295	CYOtherRevenueAmt
PY Total Revenue	$757,517,961	PYTotalRevenueAmt
CY Total Revenue	$809,260,238	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,822,676	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,863,251	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$402,340,146	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$398,578,352	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$65,630	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$807,603	CYTotalFundraisingExpenseAmt
PY Other Expenses	$326,008,484	PYOtherExpensesAmt
CY Other Expenses	$364,453,303	CYOtherExpensesAmt
PY Total Expenses	$732,171,306	PYTotalExpensesAmt
CY Total Expenses	$766,960,536	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,346,655	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,299,702	CYRevenuesLessExpensesAmt
Total Assets BOY	$827,983,677	TotalAssetsBOYAmt
Total Assets EOY	$901,188,095	TotalAssetsEOYAmt
Total Liabilities BOY	$342,106,191	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$350,186,666	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$485,877,486	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$551,001,429	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AVERA MCKENNAN, AS PART OF AVERA, 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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$371,847,328	ExpenseAmt
Grant	$3,793,158	GrantAmt
Revenue	$522,642,583	RevenueAmt
Desc	AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTERAVERA MCKENNAN PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF CHARITABLE HEALTH CARE SERVICES. AVERA MCKENNAN OPERATES UNDER THE TENETS OF THE ROMAN CATHOLIC CHURCH AND IN ACCORDANCE WITH THE PHILOSOPHY AND VALUES ESTABLISHED FOR AVERA HEALTH, A SPONSORED MINISTRY OF THE BENEDICTINE AND PRESENTATION SISTERS.MAJOR SERVICE LINES INCLUDE ONCOLOGY, SURGERY, OBSTETRICS, PEDIATRICS, NEONATOLOGY, EMERGENCY AND TRAUMA, CRITICAL CARE INCLUDING EICU, RADIOLOGY AND DIAGNOSTIC IMAGING, PSYCHIATRY, PULMONARY, ORTHOPEDICS, NEUROLOGY, CARDIOLOGY AND GASTROENTEROLOGY. TRANSPLANT SERVICES INCLUDE SOLID ORGAN (KIDNEY AND PANCREAS) AND BONE MARROW TRANSPLANT.THE FOLLOWING ARE SPECIFIC EXEMPT PURPOSE ACHIEVEMENTS FOR AVERA MCKENNAN HOSPITAL:CHARITY AND UNCOMPENSATED CARE: AVERA MCKENNAN PROVIDES NECESSARY MEDICAL SERVICES (DIAGNOSTIC AND TREATMENT) FOR WHOMEVER COMES TO US FOR CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2014, SERVICES PROVIDED TO THOSE WHO ARE UNABLE TO PAY TOTALED $38,609,000.ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES UNDER THE CHARITY CARE POLICY IS BASED ON INCOME LEVELS. GENERALLY, INDIVIDUALS EARNING INCOME OF UP TO 400% OF THE FEDERAL POLICY INCOME GUIDELINES ARE ELIGIBLE FOR VARYING LEVELS OF DISCOUNTS, INCLUDING FULL DISCOUNTS FOR CERTAIN INCOME LEVELS. APPLICATION FOR COVERAGE UNDER THE PROGRAM MAY BE OBTAINED AT ANY AVERA MCKENNAN PATIENT REGISTRATION AREA OR BY CALLING AVERA MCKENNAN PATIENT FINANCIAL SERVICES.AVERA MCKENNAN HELPS PATIENTS APPLY FOR ANY APPLICABLE GOVERNMENT INSURANCE PROGRAMS, AND OFFERS HEALTH CARE SERVICES ON A DISCOUNTED OR CHARITABLE BASIS TO THOSE WHO ARE UNINSURED OR UNDERINSURED. CHARITY CARE IS NOT CAPPED BY A BUDGET FIGURE UNREIMBURSED EXPENSES ARE COVERED BY THE ORGANIZATION AS NEEDED, NOT UNTIL A BUDGET FIGURE IS MET.IN ADDITION TO CHARITY CARE, IN THE PAST FISCAL YEAR AVERA MCKENNAN PROVIDED $194,739 IN LODGING, TRANSPORTATION AND PRESCRIPTIONS TO THOSE IN NEED.ACCESSIBILITY TO HEALTH CARE: AVERA MCKENNAN MAKES MEDICAL CARE ACCESSIBLE TO THE ENTIRE COMMUNITY IT SERVES. IN 2014 AVERA MCKENNAN HAD 20,800 HOSPITAL DISCHARGES, 109,153 PATIENT DAYS AND 239,785 OUTPATIENT VISITS. AVERA MCKENNAN IS A VERIFIED LEVEL II TRAUMA CENTER AND WAS THE FIRST SUCH CENTER IN THE STATE OF SOUTH DAKOTA. AVERA MCKENNAN'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY WITH BOARD-CERTIFIED EMERGENCY SPECIALISTS AND PROVIDES EMERGENCY CARE REGARDLESS OF ABILITY TO PAY. AVERA MCKENNAN HAD 27,363 EMERGENCY DEPARTMENT VISITS IN FY 2014. OPERATING BOTH FIXED WING AND HELICOPTER MEDICAL AIR TRANSPORTS, AVERA MCKENNAN'S FLIGHT TEAMS COVER A LARGE GEOGRAPHIC AREA PROVIDING STATE-OF-THE-ART AIR TRANSPORT SERVICES AND ACCESS TO CRITICAL CARE, WITH 1,489 FLIGHTS IN THE PAST YEAR.HEALTH CARE CLINIC: IN 1992, AVERA MCKENNAN ESTABLISHED A HEALTH CARE CLINIC TO PROVIDE FREE CARE FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED IN THE COMMUNITY. THE CLINIC IS MANAGED BY A REGISTERED NURSE AND STAFFED BY REGISTERED NURSES, TWO MIDLEVEL PROVIDERS, MEDICAL RESIDENTS AND VOLUNTEER HEALTH CARE PROVIDERS. THE GOAL OF THE CLINIC IS TO PREVENT OR TREAT PATIENTS' MEDICAL CONDITIONS BEFORE THEY BECOME CATASTROPHIC. THE CLINIC AVERAGES 550 VISITS PER MONTH, PROVIDING PREVENTATIVE CARE, DIAGNOSIS AND TREATMENT OF ILLNESSES AND INJURIES, MEDICATION ASSISTANCE AND ASSISTANCE IN OBTAINING SPECIALIST CARE FOR PATIENTS WITH COMPLEX CASES. THE CLINIC ALSO SERVES TO TRAIN PHYSICIANS, NURSES AND OTHER HEALTH CARE STUDENTS. IT PROVIDES A FREE EVENING CLINIC ONE EVENING PER MONTH, STAFFED BY MEDICAL STUDENTS UNDER SUPERVISION OF PHYSICIANS. AVERA MCKENNAN IS THE ONLY HEALTH CARE ORGANIZATION TO PROVIDE FREE SERVICES SUCH AS THIS IN THE STATE OF SOUTH DAKOTA. THE CLINIC HAD 6,549 VISITS IN 2014, AND WAS OPERATED AT AN ANNUAL COST OF $964,435. AVERA MCKENNAN PARTNERS WITH THE NOT-FOR-PROFIT DESTINY CLINIC BY PROVIDING FUNDING OF $15,000 PER YEAR TO PROVIDE FREE EVENING CLINIC SERVICES.PARTNERSHIP IN LIVE WELL SIOUX FALLS: THE CITY OF SIOUX FALLS RECEIVED A COMMUNITY HEALTH TRANSFORMATION GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH, SPARKING A PROJECT TO IMPROVE THE HEALTH AND WELL-BEING OF THE CITIZENS OF SIOUX FALLS. GUIDED BY THE CITY OF SIOUX FALLS HEALTH DEPARTMENT, THIS ONGOING PROJECT IS KNOWN AS LIVE WELL SIOUX FALLS. IT INVOLVES MORE THAN 24 COMMUNITY PARTNER ORGANIZATIONS. AMONG THESE PARTNERS ARE AVERA MCKENNAN AND THE OTHER MAJOR HEALTH CARE SYSTEM IN SIOUX FALLS, SANFORD HEALTH. AVERA PLANS TO WORK IN PARTNERSHIP WITH THE CITY OF SIOUX FALLS AND SANFORD HEALTH TO ADDRESS THE PRIORITIES OF LIVE WELL SIOUX FALLS, AND ARRIVE AT SOLUTIONS WHICH ARE COLLABORATIVE IN NATURE.AVERA MCKENNAN COLLABORATES WITH LIVE WELL SIOUX FALLS TO PROMOTE THE BIG SQUEEZE, A HYPERTENSION INITIATIVE IN APRIL TO PROMOTE BLOOD PRESSURE SCREENING AND EDUCATION, WITH THE GOAL OF DIAGNOSING HIGH BLOOD PRESSURE. ONE IN THREE AMERICAN ADULTS HAVE HIGH BLOOD PRESSURE, BUT ONLY HALF OF THEM HAVE IT UNDER CONTROL, ADDING TO THE RISK OF STROKE, HEART ATTACK AND VASCULAR DISEASE.RESIDENCY/HEALTH PROFESSIONS TRAINING AND INTERNSHIPS: IN 2014, AVERA MCKENNAN HAD 88 MEDICAL SCHOOL RESIDENTS IN TRAINING AT AVERA MCKENNAN IN INTERNAL MEDICINE, FAMILY PRACTICE, PSYCHIATRY, GERIATRICS AND TRANSITIONAL RESIDENCY PROGRAMS OFFERED IN PARTNERSHIP WITH THE UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE. OVER 800 STUDENTS IN NURSING, PHARMACY, PHYSICIAN ASSISTANT PROGRAMS, RADIOLOGY AND RESPIRATORY THERAPY ALSO COMPLETED ROTATIONS AT AVERA MCKENNAN. AVERA MCKENNAN HAS MANY JOINT AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION FOR BOTH CLINICAL AND EDUCATIONAL PROGRAMMING. IN NON-CLINICAL AREAS, AVERA MCKENNAN OFFERED 98 PAID AND UNPAID INTERNSHIPS IN 2014 IN THE AREAS OF MARKETING, HUMAN RESOURCES, FINANCE, FOUNDATION, AND NETWORK OPERATIONS. AVERA MCKENNAN IS CURRENTLY AFFILIATED WITH APPROXIMATELY 90 INSTITUTIONS OF HIGHER EDUCATION.PATIENT AND COMMUNITY EDUCATION: AVERA MCKENNAN IS A REGIONAL LEADER IN OFFERING EDUCATIONAL PROGRAMS FOR A VARIETY OF LEARNERS, LEADERS AND EMPLOYEES. UTILIZING ADVANCED TECHNOLOGY, MANY OF THESE PROGRAMS ARE PROVIDED ELECTRONICALLY THROUGHOUT THE TRI-STATE AREA. EDUCATIONAL SESSIONS ARE OFFERED TO MEDICAL STAFF, EMPLOYEES, HEALTH CARE PROFESSIONALS, STUDENTS AT ALL LEVELS AND THE GENERAL PUBLIC. UTILIZING AVERA MCKENNAN'S EDUCATION CENTER, A BROAD CROSS-SECTION OF CLASSES INVOLVING DIVERSE AUDIENCES ARE PROVIDED AS A COMMUNITY SERVICE EACH YEAR.* ONLINE RESOURCES: AVERA MCKENNAN OFFERS VAST FREE PATIENT EDUCATIONAL ONLINE RESOURCES ON ITS PUBLIC WEBSITE ON NUMEROUS HEALTH TOPICS, WITH SUGGESTIONS FOR LIFESTYLE CHANGE, BEHAVIOR MODIFICATION AND MANAGEMENT FOR IMPROVED HEALTH.* TO BE WELL FREE EDUCATION EVENTS WERE HELD ON TOPICS INCLUDING ORTHOPEDICS, CANCER, DIABETES, WEIGHT LOSS/HEALTHY EATING, MULTIPLE SCLEROSIS, ANXIETY AND ACUPUNCTURE. * FORUMS: THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE FRIDAY FORUMS, IN WHICH SCHOOL COUNSELORS AND THERAPISTS ARE INVITED TO PRESENTATIONS ON CHILDREN'S MENTAL HEALTH TOPICS SUCH AS CONFLICT CYCLES, REACTIVE ATTACHMENT DISORDER, DEPRESSION AND BIPOLAR DISORDER IN CHILDREN, AND TEEN SUBSTANCE USE, ABUSE AND ADDICTION. THESE SESSIONS, HELD NINE TIMES EACH YEAR, ARE ATTENDED IN PERSON BY APPROXIMATELY 80. THROUGHOUT 2014, VIDEOS OF THESE PRESENTATIONS WERE VIEWED 401 TIMES ONLINE.* THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE MONTHLY EDUCATIONAL SESSIONS ON VARIOUS TOPICS FOLLOWED BY DISCUSSION FOR ADULTS WHO HAVE BEEN IMPACTED BY A LOVED ONE'S MENTAL ILLNESS. TOPICS HAVE INCLUDED GRIEF AND LOSS, ANXIETY, AND PARENTING STRATEGIES FOR MANAGING CHALLENGING BEHAVIORS.* WOMEN'S & CHILDREN'S SERVICES: AVERA MCKENNAN'S WOMEN'S & CHILDREN'S SERVICES OFFERS A NUMBER OF PARENTING AND COMMUNITY EDUCATION OPPORTUNITIES, FOR FREE OR AT A MINIMAL COST. IN FISCAL YEAR 2014, 151 CHILDBIRTH EDUCATION CLASSES WERE HELD WITH 593 ATTENDEES. A TOTAL OF 17 PARENT AND FAMILY EDUCATION CLASSES WERE HELD WITH 180 ATTENDEES. A TOTAL OF 64 CAR SEATS WERE ISSUED THROUGH THE SOUTH DAKOTA CHILD SAFETY SEAT DISTRIBUTION PROGRAM. FREE BURN EDUCATION WAS PROVIDED TO 2,931 STUDENTS DURING PRESENTATIONS IN SCHOOLS.* DAYCARE TRAINING: FREE OF CHARGE, AVERA MCKENNAN OFFERS FOUR IN-SERVICE TRAINING SESSIONS PER MONTH TO DAYCARE PROVIDERS THROUGH THE EMBE, WITH A TOTAL OF 36 SCHEDULED ANNUALLY, AND ADDITIONAL SESSIONS FOR REQUESTED TOPICS. SUPPORT GROUPS: AVERA MCKENNAN OFFERS APPROXIMATELY 10 FREE SUPPORT GROUPS. THEY RANGE IN TOPIC FROM CANCER TO LIVER DISEASE, DIABETES, BONE MARROW TRANSPLANT, STROKE AND GRIEF AND LOSS. THE ORGANIZATION PROVIDES FREE MEETING SPACE AS WELL AS SPEAKERS AND LEADERS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$41,500,891	ExpenseAmt
Grant	$7,996	GrantAmt
Revenue	$52,616,286	RevenueAmt
Desc	RURAL CRITICAL ACCESS HOSPITALSAVERA MCKENNAN OWNS OR LEASES RURAL CRITICAL ACCESS HOSPITALS IN FLANDREAU, GREGORY, DELL RAPIDS, MILBANK AND MILLER (HAND COUNTY), S.D. AS SUCH, THEY OPERATE AS A DEPARTMENT OF AVERA MCKENNAN. THE HOSPITALS IN FLANDREAU, GREGORY AND HAND COUNTY SERVE MEDICALLY UNDERSERVED COUNTIES. IN ADDITION TO THE EXEMPT PURPOSE ACHIEVEMENTS, THE RURAL HOSPITALS PARTICIPATE IN MANY OF THE ACTIVIES DESCRIBED IN PART III, LINE 4A AS PART OF AVERA MCKENNAN.AMONG SERVICES OFFERED BY RURAL HOSPITALS ARE RADIOLOGY AND IMAGING, COLONOSCOPY AND ENDOSCOPY, THERAPY AND REHABILITATION, 24-HOUR EMERGENCY CARE, CHEMOTHERAPY, ORTHOPEDICS, CARDIOVASCULAR TESTING AND CARE, OBSTETRICS, SURGERY, AND DIALYSIS.CHARITY AND UNCOMPENSATED CARE: AS PART OF AVERA MCKENNAN, THESE FACILITIES PROVIDE NECESSARY MEDICAL SERVICES (DIAGNOSTIC AND TREATMENT) FOR WHOMEVER COMES TO US FOR CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2014, CHARITY AND UNCOMPENSATED CARE PROVIDED BY RURAL HOSPITALS TOTALED $750,000.ACCESSIBILITY TO HEALTH CARE: AVERA MCKENNAN REGIONAL HOSPITALS MAKE MEDICAL CARE ACCESSIBLE TO THE ENTIRE COMMUNITY THEY SERVE REGARDLESS OF A PATIENT'S ABILITY TO PAY. IN 2014 RURAL HOSPITALS HAD 1,568 DISCHARGES, 6,946 PATIENT DAYS AND 61,706 OUTPATIENT VISITS. EACH OF THE HOSPITALS PROVIDES 24-HOUR EMERGENCY CARE WITH EEMERGENCY SERVICES THROUGH AVERA MCKENNAN. EICU SERVICES ARE ALSO AVAILABLE AT THESE HOSPITALS, PROVIDING ACCESS TO CRITICAL CARE MEDICINE NEAR HOME AND LESSENING THE NEED FOR TRANSPORT. THERE IS NO ADDITIONAL BILLING TO PATIENTS. TELEMEDICINE CONSULTS ARE ALSO OFFERED AT RURAL LOCATIONS IN A NUMBER OF MEDICAL SPECIALTIES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$176,702,553	ExpenseAmt
Grant	$56,152	GrantAmt
Revenue	$145,122,814	RevenueAmt
Desc	CLINICSAVERA MCKENNAN PROVIDES CLINICAL CARE, SECONDARY AND PRIMARY, IN 90 OWNED/JOINT VENTURE CLINICS IN SOUTH DAKOTA, NORTHWEST IOWA, SOUTHWEST MINNESOTA AND NORTHEASTERN NEBRASKA. IN ADDITION TO THE FOLLOWING EXEMPT PURPOSE ACHIEVEMENTS, CLINICS PARTICIPATE IN MANY OF THE ABOVE AS PART OF AVERA MCKENNAN. CLINIC VISITS IN 2014 TOTALED 1,018,686.CLINICS PROVIDE PRIMARY CARE AND URGENT CARE, AND AMONG SPECIALTIES ARE CARDIOLOGY; DERMATOLOGY; ENDOCRINOLOGY; GASTROENTEROLOGY; HEMATOLOGY; HEPATOLOGY; INFECTIOUS DISEASE; INTERNAL MEDICINE; NEONATOLOGY; NEPHROLOGY; NEUROLOGY AND NEUROSURGERY; OB/GYN; ONCOLOGY; OPHTHALMOLOGY; ORTHOPEDICS; PAIN MANAGEMENT; PEDIATRICS; PSYCHIATRY; PULMONOLOGY; SPORTS MEDICINE; SURGERY; AND VASCULAR SERVICES.CHARITY AND UNCOMPENSATED CARE: AS PART OF AVERA MCKENNAN, CLINICS PROVIDE NECESSARY MEDICAL SERVICES (DIAGNOSTIC AND TREATMENT) FOR WHOEVER COMES TO US FOR CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2014, CHARITY AND UNCOMPENSATED CARE PROVIDED BY CLINICS TOTALED $646,000.ACCESSIBILITY TO HEALTH CARE: IN ADDITION TO REGULAR CLINIC HOURS, AVERA MCGREEVY CLINIC PROVIDES URGENT CARE, SEEING PATIENTS ON A WALK-IN BASIS AT TWO LOCATIONS DURING THE EVENING HOURS ON WEEKDAYS, AND THROUGHOUT THE DAYTIME HOURS ON SATURDAYS AND SUNDAYS. THIS PROVIDES GREATER ACCESSIBILITY WITHOUT HAVING TO RELY ON EMERGENCY ROOM CARE. IN ADDITION, THROUGH OUR CURAQUICK CLINIC, AVERA OFFERS CONVENIENT, AFFORDABLE CLINIC CARE IN A LOCAL HYVEE PHARMACY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$53,770,484	ExpenseAmt
Grant	$5,945	GrantAmt
Revenue	$74,368,493	RevenueAmt
Desc	AVERA MCKENNAN ALSO PROVIDES LONG-TERM CARE, HOME MEDICAL EQUIPMENT & OTHER RETAIL, HOME INFUSION, RESEARCH, FITNESS CENTER, REGIONAL LAB AND MOBILE SERVICES.MEDICAL RESEARCH: AS A RESEARCH INSTITUTION, AVERA MCKENNAN DRAWS PHYSICIANS WHO ARE COMMITTED TO SEEKING NEW TREATMENTS AND PREVENTIVE MEASURES. THE AVERA RESEARCH INSTITUTE IN 2014 PARTICIPATED IN OVER 90 CLINICAL TRIALS, INVOLVING CANCER, ALZHEIMER'S DISEASE, BEHAVIORAL HEALTH, DIABETES AND MORE. THE AVERA RESEARCH INSTITUTE ALSO CONTINUES ONGOING APPLIED RESEARCH IN THE AREA OF DEVELOPING A NOVEL PHOTOCHEMICAL TISSUE BONDING TECHNOLOGY THAT HAS VASCULAR, OPHTHALMOLOGIC AND DERMATOLOGICAL APPLICATIONS. THROUGH ITS GENETICS LAB, AVERA MCKENNAN IS STUDYING CLINICAL APPLICATIONS OF PERSONALIZED MEDICINE THROUGH PHARMACOGENOMICS IN AREAS OF PAIN MANAGEMENT, BEHAVIORAL HEALTH, CARDIOVASCULAR HEALTH, INTERNAL MEDICINE, AND CANCER. IN FISCAL YEAR 2014, AVERA MCKENNAN OPERATED THE AVERA RESEARCH INSTITUTE AT A LOSS OF $6,912,736.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$53,770,484	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$5,945	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$74,368,493	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$643,821,256	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	423	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	7087	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JULIE NORTON	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6053228000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1325 S CLIFF AVE	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	571175045	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVE ROZENBOOM
CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BENDER
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID KAPASKA DO
PRESIDENT & CEO	40.00	0.00	Yes (X)	Yes (X)	$0	$796,316	$32,081
SISTER JANICE KLEIN
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
GENE JONES JR
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
AMY KRIE MD
BOARD TRUSTEE	40.00	0.00	Yes (X)		$746,760	$0	$21,157
SISTER KATHRYN EASLEY
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
KIM PEDERSON MD
BOARD TRUSTEE	40.00	0.00	Yes (X)		$298,963	$0	$36,933
SISTER JOAN REICHELT
BOARD TRUSTEE	2.00	43.80	Yes (X)		$0	$0	$0
GREG SCHROEDER MD
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
FRED THURMAN
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
DAVID FLECK
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JAMES WIEDERRICH
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
BILL ROSSING MD
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
CINDY WALSH
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
DAVID CHICOINE
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
SISTER CANDYCE CHRYSTAL
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
HUGH VENRICK
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
RAED SULAIMAN MD
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
CAROL TWEDT
BOARD TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JULIE N NORTON
SEC/TREAS & SRVP FINANCE	40.00	0.00		Yes (X)	$391,679	$0	$45,363
JUDY BLAUWET
SR VICE PRESIDENT	40.00	0.00			$347,006	$0	$28,136	Yes (X)
DAVID FLICEK
CHIEF ADMINISTRATIVE OFFICER	1.00	40.00			$0	$531,634	$35,637	Yes (X)
STEVE PETERSEN
AVP-PHARMACY	40.00	0.00			$195,012	$0	$33,245	Yes (X)
MARY LEEDOM
AVP-SURGERY	40.00	0.00			$180,386	$0	$12,486	Yes (X)
CURT HOHMAN
SR VICE PRESIDENT	40.00	0.00			$286,411	$0	$27,830	Yes (X)
KELLY MCCAUL MD ABIM FRCPC
HEMATOLOGY, TRANSPLANTATION	40.00	0.00			$1,203,726	$0	$28,630		Yes (X)
HENDRICK KLOPPER MD
NEUROSURGERY	40.00	0.00			$1,245,102	$0	$39,174		Yes (X)
BRIAN KNUTSON MD
DERMATOLOGY	40.00	0.00			$1,180,921	$0	$41,613		Yes (X)
MICHAEL PUUMALA MD
NEUROSURGERY	40.00	0.00			$1,221,900	$0	$39,613		Yes (X)
DANIEL TYNAN MD
NEUROSURGERY	40.00	0.00			$1,220,879	$0	$42,113		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,518,745	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,327,950	TotReportableCompRltdOrgAmt
Total Other Compensation	$464,011	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	605	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
AVERA CENTRAL SERVICES
3900 WEST AVERA DRIVE	SIOUX FALLS	SD	57108	SHARED SERVICES	$36,079,586
SIOUX FALLS CONSTRUCTION
PO BOX 2728	SIOUX FALLS	SD	571072728	CONSTRUCTION	$14,216,408
SANFORD SCHOOL OF MEDICINE
1400 W 22ND ST 120	SIOUX FALLS	SD	571051505	PHYSICIAN SERVICES	$3,169,198
ASSOCIATED REGIONAL & UNIVERSITY PATHOLO
PO BOX 27964	SALT LAKE CITY	UT	84127	LAB TESTING	$1,883,742
PHYSICIANS LABORATORY LTD
1301 S CLIFF AVE SUITE 700	SIOUX FALLS	SD	571051019	PATHOLOGY	$1,695,573

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	88	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$50,997	FederatedCampaignsAmt
Related Organizations	$1,236,154	RelatedOrganizationsAmt
Government Grants	$408,221	GovernmentGrantsAmt
All Other Contributions	$4,054,163	AllOtherContributionsAmt
Total Contributions	$5,749,535	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE RE	622110	$727,549,429	$727,549,429
OTHER PATIENT AND CLIN	621500	$41,428,068	$35,798,598	$5,629,470
INCOME FROM SUBSIDIARI	423000	$10,930,002	$10,873,368	$56,634
MEANINGFUL USE REVENUE	900099	$4,817,656	$4,817,656
INTEREST IN FOUNDATION	900099	$2,492,661	$2,492,661

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,023,430	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,006,589	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,841	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$794,241,246	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,238	TotalRevenueColumnAmt
Exclusion	$14,238	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,420,910	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,234,325	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$186,585	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,585	TotalRevenueColumnAmt
Exclusion	$186,585	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,423,805	SecuritiesAmt
Other	$17,119	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,423,805	SecuritiesAmt
Other	$17,119	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,440,924	TotalRevenueColumnAmt
Exclusion	$7,440,924	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COMMERCIAL TESTING	621500	$671,445	$671,445
INTEREST INCOME	900099	$508,930		$508,930
SPORTS PROGRAM	900099	$447,335	$447,335

Field	Value	IRS element (for citing)
Other Revenue Total	$1,627,710	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$809,260,238	TotalRevenueColumnAmt
Related Or Exempt Func Income	$789,047,231	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,821,725	UnrelatedBusinessRevenueAmt
Exclusion	$7,641,747	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,763,251	TotalAmt
Program Services	$3,763,251	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$100,000	TotalAmt
Program Services	$100,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,660,928	TotalAmt
Program Services	$1,551,291	ProgramServicesAmt
Management And General	$1,109,637	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$537,998	TotalAmt
Program Services	$537,998	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$317,761,849	TotalAmt
Program Services	$290,793,520	ProgramServicesAmt
Management And General	$26,559,516	ManagementAndGeneralAmt
Fundraising	$408,813	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$21,327,019	TotalAmt
Program Services	$18,942,374	ProgramServicesAmt
Management And General	$2,357,661	ManagementAndGeneralAmt
Fundraising	$26,984	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,086,855	TotalAmt
Program Services	$31,030,581	ProgramServicesAmt
Management And General	$3,994,914	ManagementAndGeneralAmt
Fundraising	$61,360	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,203,703	TotalAmt
Program Services	$18,985,996	ProgramServicesAmt
Management And General	$2,188,629	ManagementAndGeneralAmt
Fundraising	$29,078	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$279,931	TotalAmt
Program Services	$279,931	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$268,836	TotalAmt
Program Services	$244,914	ProgramServicesAmt
Management And General	$23,922	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$52,577	TotalAmt
Program Services	$23,648	ProgramServicesAmt
Management And General	$28,929	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$35,663	TotalAmt
Management And General	$35,663	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$65,630	TotalAmt
Fundraising	$65,630	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$112,632,442	TotalAmt
Program Services	$57,480,240	ProgramServicesAmt
Management And General	$55,149,606	ManagementAndGeneralAmt
Fundraising	$2,596	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,211,059	TotalAmt
Program Services	$676,024	ProgramServicesAmt
Management And General	$1,517,525	ManagementAndGeneralAmt
Fundraising	$17,510	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,104,931	TotalAmt
Program Services	$4,799,978	ProgramServicesAmt
Management And General	$4,135,537	ManagementAndGeneralAmt
Fundraising	$169,416	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,222,511	TotalAmt
Program Services	$597,969	ProgramServicesAmt
Management And General	$6,624,542	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,706,284	TotalAmt
Program Services	$15,550,623	ProgramServicesAmt
Management And General	$6,155,538	ManagementAndGeneralAmt
Fundraising	$123	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,265,432	TotalAmt
Program Services	$2,823,676	ProgramServicesAmt
Management And General	$436,975	ManagementAndGeneralAmt
Fundraising	$4,781	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,846,239	TotalAmt
Program Services	$1,727,377	ProgramServicesAmt
Management And General	$118,626	ManagementAndGeneralAmt
Fundraising	$236	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,013,346	TotalAmt
Program Services	$7,772,173	ProgramServicesAmt
Management And General	$241,173	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,412,828	TotalAmt
Program Services	$31,006,917	ProgramServicesAmt
Management And General	$5,399,191	ManagementAndGeneralAmt
Fundraising	$6,720	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,517,460	TotalAmt
Program Services	$1,525,720	ProgramServicesAmt
Management And General	-$8,260	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$132,870,447	$132,293,360	$569,087	$8,000
BAD DEBT EXPENSE	$17,664,754	$17,664,754
EQUIPMENT LEASE AND REN	$3,503,657	$1,665,216	$1,836,709	$1,732
UBI TAX	$388,712	$388,712

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,456,194	TotalAmt
Program Services	$1,595,013	ProgramServicesAmt
Management And General	$3,856,557	ManagementAndGeneralAmt
Fundraising	$4,624	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$766,960,536	TotalAmt
Program Services	$643,821,256	ProgramServicesAmt
Management And General	$122,331,677	ManagementAndGeneralAmt
Fundraising	$807,603	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,389,142	BOYAmt
EOY	$24,099,954	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,382,202	BOYAmt
EOY	$2,286,327	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,735,966	BOYAmt
EOY	$106,439,778	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$54,167	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,220,401	BOYAmt
EOY	$3,048,041	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,929,302	BOYAmt
EOY	$15,633,019	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,595,030	BOYAmt
EOY	$16,682,059	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$734,763,682	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$379,015,317	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$358,612,850	BOYAmt
EOY	$355,748,365	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,554,927	BOYAmt
EOY	$9,884,715	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$229,497,375	BOYAmt
EOY	$267,843,176	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$11,817,238	BOYAmt
EOY	$12,480,826	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,416,755	BOYAmt
EOY	$42,906,869	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,832,489	BOYAmt
EOY	$44,080,799	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$827,983,677	BOYAmt
EOY	$901,188,095	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,147,875	BOYAmt
EOY	$67,459,728	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,464,257	BOYAmt
EOY	$495,769	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$221,217,723	BOYAmt
EOY	$246,486,080	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$823,621	BOYAmt
EOY	$835,399	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$17,706,579	BOYAmt
EOY	$5,652,057	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,746,136	BOYAmt
EOY	$29,257,633	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$342,106,191	BOYAmt
EOY	$350,186,666	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$471,655,159	BOYAmt
EOY	$534,600,056	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,590,650	BOYAmt
EOY	$13,708,584	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,631,677	BOYAmt
EOY	$2,692,789	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$485,877,486	BOYAmt
EOY	$551,001,429	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$827,983,677	BOYAmt
EOY	$901,188,095	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$42,299,702	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,388,653	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,435,588	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$35,663	OtherActivitiesAmt
Total Lobbying Expenditures	$35,663	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PART II-B LINE 1G AND 1I: AVERA MCKENNAN PARTICIPATES THROUGH VARIOUS HOSPITAL ORGANIZATIONS TO PROMOTE LEGISLATION THAT WOULD RESULT IN STRENGTHENING HEALTH CARE DELIVERY SYSTEMS ON A NATIONAL, REGIONAL, AND LOCAL LEVEL.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$20,017	BeginningBalanceAmt
Additions During Year	$138,477	AdditionsDuringYearAmt
Distributions During Year	$142,980	DistributionsDuringYearAmt
Ending Balance	$15,514	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,631,677	BeginningYearBalanceAmt
Investment Earnings Or Losses	$61,112	InvestmentEarningsOrLossesAmt
End Year Balance	$2,692,789	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,141,642	BeginningYearBalanceAmt
Investment Earnings Or Losses	$490,035	InvestmentEarningsOrLossesAmt
End Year Balance	$2,631,677	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,021,909	BeginningYearBalanceAmt
Investment Earnings Or Losses	$119,733	InvestmentEarningsOrLossesAmt
End Year Balance	$2,141,642	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,981,042	BeginningYearBalanceAmt
Investment Earnings Or Losses	$40,867	InvestmentEarningsOrLossesAmt
End Year Balance	$2,021,909	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,897,334	BeginningYearBalanceAmt
Investment Earnings Or Losses	$83,708	InvestmentEarningsOrLossesAmt
End Year Balance	$1,981,042	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$9,816,178	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$20,412,653	OtherCostOrOtherBasisAmt
Book Value	$30,228,831	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,279,713	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$402,616,619	OtherCostOrOtherBasisAmt
Depreciation	$169,317,546	DepreciationAmt
Book Value	$235,578,786	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,164	OtherCostOrOtherBasisAmt
Depreciation	$478	DepreciationAmt
Book Value	$6,686	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$272,183,584	OtherCostOrOtherBasisAmt
Depreciation	$203,837,027	DepreciationAmt
Book Value	$68,346,557	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,447,771	OtherCostOrOtherBasisAmt
Depreciation	$5,860,266	DepreciationAmt
Book Value	$21,587,505	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$355,748,365	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENTS	$226,471,302	F
AVERA HOME MEDICAL EQUIPMENT, LLC	$3,621,568	C
HEART HOSPITAL OF SOUTH DAKOTA, LLC	$15,673,050	C
INTEREST IN AVERA HEALTH FOUNDATION	$15,630,773	F
INVESTMENTS IN AFFILIATED COMPANIES	$6,446,483	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$267,843,176	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$2,683,696
DUE TO OTHER ORGANIZATIONS	$1,174,897
MARKET VALUE OF INTEREST SWAP	$8,578,366
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$7,715,008
MINORITY INTEREST	$4,530,666
INSURANCE LOSS LIABILITY	$4,575,000

Field	Value	IRS element (for citing)
Total Liability	$29,257,633	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$901,128,847	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$20,388,653	NetUnrealizedGainsInvstAmt
Other Revenue	$89,521,788	OtherRevenueAmt
Revenue Not Reported	$109,910,441	RevenueNotReportedAmt
Revenue Subtotal	$791,218,406	RevenueSubtotalAmt
Other Revenues Not Included	$18,041,832	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$18,041,832	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$809,260,238	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$839,720,650	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$92,320,996	OtherExpensesIncludedAmt
Expenses Not Reported	$92,320,996	ExpensesNotReportedAmt
Expenses Subtotal	$747,399,654	ExpensesSubtotalAmt
Other Expenses Not Included	$19,560,882	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$19,560,882	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$766,960,536	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 1B:	THE ORGANIZATION HOLDS FUNDS IN TRUST ON BEHALF OF ITS LONG-TERM CARE RESIDENTS. MANY SMALL DOLLAR TRANSACTIONS FLOW IN AND OUT OF THIS ACCOUNT. THE ACCOUNT IS MANAGED BY THE NURSING HOME STAFF. THE STATE HAS STRICT GUIDELINES ON HOW THESE ACCOUNTS ARE MANAGED.
PART IV, LINE 2B:	THE ORGANIZATION HOLDS AN AMOUNT IN TRUST RELATED TO A NON-COMPETE AS PART OF AN EMPLOYMENT AGREEMENT FOR AN EMPLOYED PHYSICIAN. THE AMOUNT WILL BE HELD AND THEN PAID OUT WHEN THE PHYSICIAN REACHES AGE 65 OR EARLIER ACCORDING TO THE WRITTEN TRUST AGREEMENT.
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT CONSISTS OF A PORTION OF THEIR INTEREST IN THE NET ASSETS OF AVERA HEALTH FOUNDATION. THE AVERA HEALTH FOUNDATION INCLUDES ENDOWMENT FUNDS WHICH HAVE BEEN ESTABLISHED FOR A VARIETY OF PURPOSES. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS (IF ANY), ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ORGANIZATION'S PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE DONOR RESTRICTED. THE ORGANIZATION CURRENTLY DOES NOT HAVE ANY BOARD DESIGNATED ENDOWMENT FUNDS.
PART X, LINE 2:	THE ORGANIZATION IS ORGANIZED AS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). CERTAIN CONSOLIDATED SUBSIDIARIES, INCLUDING AVERA HOME MEDICAL EQUIPMENT LLC, HEART HOSPITAL OF SOUTH DAKOTA LLC, AND ALUMEND LLC, ARE NOT TAX-EXEMPT ENTITIES AND ARE CONSIDERED PARTNERSHIPS OR DISREGARDED ENTITIES FOR TAX PURPOSES. AVERA MCKENNAN IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, AVERA MCKENNAN IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. AVERA MCKENNAN FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, CASH PAID FOR INCOME TAXES WAS $163,712 AND $852,192, RESPECTIVELY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE 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 WERE INCURRED. THE ORGANIZATION'S FEDERAL FORM 990T AND OTHER TAX RETURN FILINGS ARE GENERALLY NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	REVENUES OF CONSOLIDATED SUBSIDIARIES CONSOLIDATED FOR FINANCIAL STATEMENTS 109,397,780. OCCUPANCY EXPENSES INCLUDED IN NONOPERATING INCOME ON FINANCIAL STATEMENTS -1,830,498. RECLASS OF LOSSES ON INTEREST RATE SWAPS RECORDED IN N/A FOR TAX RETURN -380,740. BAD DEBT EXPENSE REPORTED IN REVENUE FOR FINANCIAL STATEMENTS -17,664,754.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT CHG IN AVERA HEALTH FDTN RECORDED IN FD BALANCE ON FINANCIAL STMT 272,347. GAIN FROM INVESTMENT IN SUBSIDIARIES RECORDED IN REVENUE FOR TAX RETURN 10,930,002. MANAGEMENT FEES INCLUDED IN EXPENSES ON FINANCIAL STATEMENTS 1,927,011. RENTAL EXPENSE INCLUDED IN REVENUES ON FINANCIAL STATEMENTS -1,234,325. CONTRIBUTION OF LONG-LIVED ASSET RECORDED IN NET ASSETS FOR FINANCIAL STMT 3,723,567. TEMP & PERM CHANGES IN INVESTMENT OF AVERA FOUNDATION 2,179,046. CHANGE IN NONCONTROLLING INTEREST IN HEART HOSPITAL OF SOUTH DAKOTA 147,304. CONTRIBUTION RECORDED IN EXPENSES FOR FINANCIAL STATEMENT PURPOSES 31,250. PROFESSIONAL FUNDRAISING EXPENSES PROVIDED BY RELATED ORGANIZATION ON F/S 65,630.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES OF CONSOLIDATED SUBSIDIARIES CONSOLIDATED FOR FINANCIAL STATEMENTS 93,044,932. MANAGEMENT FEES INCLUDED IN REVENUE FOR TAX RETURN -1,927,011. RENTAL EXPENSE INCLUDED IN EXPENSES FOR TAX RETURN 1,234,325. CONTRIBUTION RECORDED IN EXPENSES FOR FINANCIAL STATEMENT PURPOSES -31,250.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	OCCUPANCY EXPENSES INCLUDED IN THE NONOPERATING INCOME FOR FINANCIAL STMTS 1,830,498. BAD DEBT EXPENSE REPORTED IN REVENUE FOR FINANCIAL STATEMENTS 17,664,754. PROFESSIONAL FUNDRAISING EXPENSES PROVIDED BY RELATED ORGANIZATION ON F/S 65,630.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
THEODORE MUENSTER
509 LINDEN AVE	VERMILLION	SD	57069	MAJOR AND PLANNED GIFT SOLICITATIONS	0	$0	$0	$8,000
JON OIEN
600 E SUNNYBROOK DR	SIOUX FALLS	SD	57105	MAJOR AND PLANNED GIFT SOLICITATIONS	0	$0	$0	$57,630

Field	Value	IRS element (for citing)
Total Net To Organization	$65,630	TotalNetToOrganizationAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,632,663	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,632,663	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,020,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,980,469	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,040,166	NetCommunityBenefitExpnsAmt
Total Expense	0.01870	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,323,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,179,084	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$144,889	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,977,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,159,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,817,718	NetCommunityBenefitExpnsAmt
Total Expense	0.03580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,288,214	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$423,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,864,770	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,688,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,397,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,291,351	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,437,297	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,353,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,083,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,655,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$707,204	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,948,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,094,004	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,094,004	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,164,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,881,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,282,467	NetCommunityBenefitExpnsAmt
Total Expense	0.03100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,141,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,041,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,100,185	NetCommunityBenefitExpnsAmt
Total Expense	0.06680	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,307	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,307	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$275,390	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275,390	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,664,754	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$180,393,480	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$179,537,705	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$855,775	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	7	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (7 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
AVERA MCKENNAN
1	1325 S CLIFF AVE	SIOUX FALLS	SD	57117	WWW.AVERAMCKENNAN.ORG	10563	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	34 PROVIDER BASED CLINICS
HEART HOSPITAL OF SOUTH DAKOTA LLC
2	4500 W 69TH STREET	SIOUX FALLS	SD	57108	WWW.AVERA.ORG/HEART-HOSPITAL	41953	Yes (X)	Yes (X)				Yes (X)	2/3 OWNER IN JOINT VENTURE
AVERA GREGORY HEALTHCARE CENTER
3	400 PARK AVE	GREGORY	SD	57533	WWW.AVERA.ORG/GREGORY-HOSPITAL	54875	Yes (X)	Yes (X)				Yes (X)	FOUR PROVIDER BASED CLINICS	Yes (X)
AVERA MILBANK AREA HOSPITAL
4	901 VIRGIL AVE	MILBANK	SD	57252	WWW.AVERA.ORG/MILBANK	48451	Yes (X)	Yes (X)				Yes (X)	THREE RURAL PROVIDER BASED CLINICS	Yes (X)
AVERA DELLS AREA HEALTH CENTER
5	909 N IOWA AVENUE	DELL RAPIDS	SD	57022	WWW.AVERA.ORG/DELL-RAPIDS	50754	Yes (X)	Yes (X)				Yes (X)	THREE PROVIDER BASED CLINICS	Yes (X)
AVERA FLANDREAU MEDICAL CENTER
6	214 N PRAIRIE	FLANDREAU	SD	57028	WWW.AVERA.ORG/FLANDREAU-MEDICAL	10540	Yes (X)	Yes (X)				Yes (X)	ONE PROVIDER BASED CLINIC	Yes (X)
AVERA HAND COUNTY MEMORIAL HOSPITAL
7	300 W 5TH ST	MILLER	SD	57362	WWW.AVERA.ORG/MILLER	53862	Yes (X)	Yes (X)				Yes (X)	ONE PROVIDER BASED CLINIC	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	Other Needs AddressedOtherNeedsAddressedInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	State RegulationStateRegulationInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Average Negotiated RatesAverageNegotiatedRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
AVERA MCKENNAN
1	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.AVERA.ORG/MCKENNAN/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
HEART HOSPITAL OF SOUTH DAKOTA LLC
2	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.AVERA.ORG/HEART-HOSPITAL/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0		Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
AVERA GREGORY HEALTHCARE CENTER
3	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)			Yes (X)	12	Yes (1)	0	Yes (1)	Yes (X)	WWW.AVERA.ORG/GREGORY-HOSPITAL/	Yes (X)	Yes (X)	Yes (X)			Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
AVERA MILBANK AREA HOSPITAL
4	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)			Yes (X)	12	Yes (1)	0	Yes (1)	Yes (X)	WWW.AVERA.ORG/MILBANK/	Yes (X)	Yes (X)	Yes (X)			Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
AVERA DELLS AREA HEALTH CENTER
5	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	12	Yes (1)	0	Yes (1)	Yes (X)	WWW.AVERA.ORG/DELL-RAPIDS/	Yes (X)	Yes (X)	Yes (X)			Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
AVERA FLANDREAU MEDICAL CENTER
6	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	12	Yes (1)	0	Yes (1)	Yes (X)	WWW.AVERA.ORG/FLANDREAU-MEDICAL/	Yes (X)	Yes (X)	Yes (X)			Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
AVERA HAND COUNTY MEMORIAL HOSPITAL
7	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)			Yes (X)	12	Yes (1)	0	Yes (1)	Yes (X)	WWW.AVERA.ORG/MILLER/	Yes (X)	Yes (X)	Yes (X)			Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (1)	150.000000000000	Yes (1)	400.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)

Supplemental Information SupplementalInformationGrp (34 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AVERA MCKENNAN	PART V, SECTION B, LINE 3: AVERA MCKENNAN COLLECTED DATA FROM A COMMUNITY SURVEY SPONSORED BY THE CITY OF SIOUX FALLS AND COMPLETED IN AUGUST 2012. THE FACILITY SPONSORED A SURVEY DISTRIBUTED AT TWO PUBLIC EVENTS IN 2011. AS BACKGROUND INFORMATION, A COMMUNITY NEEDS ASSESSMENT SURVEY CONDUCTED IN 2010 SUPPLEMENTED THE 2011 AND 2012 ACTIVITIES. THIS ASSESSMENT INCLUDED SURVEYS, PHONE INTERVIEWS AND FOCUS GROUPS. PERSONAL INTERVIEWS WERE CONDUCTED WITH THE EXECUTIVE DIRECTOR OF SOUTH DAKOTA URBAN INDIAN HEALTH, INC.; THE ASSISTANT DIRECTOR OF THE SIOUX FALLS DEPARTMENT OF HEALTH; SIOUX FALLS COMMUNITY HEALTH DENTAL DIRECTOR; AND MANAGER OF THE AVERA MEDICAL GROUP HEALTH CARE CLINIC.
HEART HOSPITAL OF SOUTH DAKOTA, LLC	PART V, SECTION B, LINE 3: THE HEALTH NEEDS ASSESSMENT INCLUDED DATA FROM A COMMUNITY SURVEY SPONSORED BY THE CITY OF SIOUX FALLS AND COMPLETED IN AUGUST 2012. AVERA MCKENNAN SPONSORED A SURVEY DISTRIBUTED AT TWO PUBLIC EVENTS IN 2011. AS BACKGROUND INFORMATION, A COMMUNITY NEEDS ASSESSMENT SURVEY CONDUCTED IN 2010 SUPPLEMENTED THE 2011 AND 2012 ACTIVITIES. THIS ASSESSMENT INCLUDED SURVEYS, PHONE INTERVIEWS AND FOCUS GROUPS. PERSONAL INTERVIEWS WERE CONDUCTED WITH THE EXECUTIVE DIRECTOR OF SOUTH DAKOTA URBAN INDIAN HEALTH, INC.; THE ASSISTANT DIRECTOR OF THE SIOUX FALLS DEPARTMENT OF HEALTH; SIOUX FALLS COMMUNITY HEALTH DENTAL DIRECTOR; AND MANAGER OF THE AVERA MEDICAL GROUP HEALTH CARE CLINIC.
AVERA GREGORY HEALTHCARE CENTER	PART V, SECTION B, LINE 3: AVERA GREGORY HOSPITAL BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH PRIMARY DATA COLLECTION CONSISTING OF ONE-ON-ONE INTERVIEWS AND FOCUS GROUPS WITH REPRESENTATIVES FROM WITHIN THE SERVICE AREA. THESE INDIVIDUALS SHOWED REPRESENTATION FROM CIVIC AND BUSINESS ORGANIZATIONS SUCH AS THE GREGORY PUBLIC SCHOOL SYSTEMS, THE GREGORY CHAMBER OF COMMERCE, THE DEPARTMENT OF SOCIAL SERVICES, THE GREGORY MINISTERIAL ASSOCIATION, THE GREGORY ROTARY AND GREGORY/WINNER BUSINESS OWNERS. ONE FOCUS GROUP INCLUDED THE AVERA GREGORY HOSPITAL ADVISORY BOARD, MADE UP OF COMMUNITY LEADERS WHO HAD BEEN APPOINTED BASED ON THEIR KNOWLEDGE AND INVOLVEMENT IN THE COMMUNITY AND WITH THE FOLLOWING BACKGROUNDS: MORTUARY SERVICES, BANKING, LAW AND LOCAL BUSINESS OWNERS. THE SECOND FOCUS GROUP WAS CONDUCTED AS A TOWN HALL STYLE MEETING IN WHICH 42 COMMUNITY MEMBERS ATTENDED. THE THIRD FOCUS GROUP WAS CONDUCTED WITH THE LOCAL SCHOOL BOARD, THE PRINCIPAL OF THE HIGH SCHOOL AND ELEMENTARY SCHOOL AND THE SUPERINTENDENT OF SCHOOLS FOR GREGORY COUNTY.
AVERA MILBANK AREA HOSPITAL	PART V, SECTION B, LINE 3: MILBANK AREA HOSPITAL AVERA HELD FIVE FOCUS GROUPS TO SEEK THE INPUT OF COMMUNITY AND HEALTH LEADERS. THE FOCUS GROUPS WERE CONDUCTED INVOLVING THE GENERAL PUBLIC, ALL ASPECTS OF HEALTH CARE, A SERVICE ORGANIZATION, KEY COMMUNITY LEADERS, CITY AND COUNTY GOVERNMENT INCLUDING LAW ENFORCEMENT, SCHOOL NURSING AND ADMINISTRATION, AND CHURCH OFFICIALS IN ADDITION TO INDIVIDUALS WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH INCLUDING PROGRAMS FOR THE ELDERLY AND THE LOCAL RECREATIONAL FACILITY. PERSONAL INTERVIEWS WERE HELD WITH THE COUNTY'S PUBLIC HEALTH NURSES AND THE GRANT COUNTY SOCIAL WORKER.
AVERA DELLS AREA HEALTH CENTER	PART V, SECTION B, LINE 3: THE ASSESSMENT BEGAN BY GATHERING PRIMARY DATA ABOUT THE AVERA DELLS AREA HOSPITAL'S SERVICE AREA. KEY INFORMANT INTERVIEWS WERE COMPLETED, WHICH INCLUDED ASKING A NUMBER OF KEY QUESTIONS REGARDING THE HEALTH NEEDS OF THE COMMUNITY. THE INTERVIEWS LASTED APPROXIMATELY ONE HOUR EACH. PARTICIPANTS REPRESENTED IN THE INTERVIEW PROCESS INCLUDED: THE AVERA MEDICAL GROUP DELL RAPIDS PHYSICIANS, AVERA MEDICAL GROUP DELL RAPIDS CLINIC MANAGER, AVERA DELLS AREA HOSPITAL ADMINISTRATOR, AVERA DELLS AREA HOSPITAL DIRECTOR OF PATIENT CARE, DELL RAPIDS MAYOR, DELL RAPIDS CITY ADMINISTRATOR, MINNEHAHA COUNTY PUBLIC HEALTH ASSISTANT DIRECTOR, AREA SCHOOL NURSES, AND AVERA DELLS AREA HOSPITAL ADVISORY BOARD MEMBERS. MORE SPECIFICALLY, THE AVERA DELLS AREA HOSPITAL ADVISORY BOARD MEMBERS CONSISTED OF REPRESENTATION FROM THE FOLLOWING FIELDS/PROFESSIONS: 1) DENTAL HYGIENE, 2) SCHOOL ADMINISTRATION, 3) BANKING, 4) COLLEGE OF NURSING PROFESSOR, 5) LICENSED PRACTICAL NURSE, 6) SMALL BUSINESS, AND 7) MEDICINE.
AVERA FLANDREAU MEDICAL CENTER	PART V, SECTION B, LINE 3: AVERA FLANDREAU MEDICAL CENTER BEGAN ITS ASSESSMENT WITH PRIMARY DATA COLLECTION CONSISTING OF ONE-ON-ONE INTERVIEWS AND WRITTEN QUESTIONNAIRES WITH REPRESENTATIVES FROM WITHIN THE SERVICE AREA. THESE INDIVIDUALS REPRESENTED CIVIC AND BUSINESS ORGANIZATIONS SUCH AS FLANDREAU AND COLMAN-EGAN PUBLIC SCHOOL SYSTEMS, FLANDREAU INDIAN BOARDING SCHOOL (A FEDERAL SCHOOL FOR NATIVE AMERICAN CHILDREN GRADES 9 - 12), FOOD PANTRY (THE BREADBASKET), PUBLIC HEALTH OFFICE, DOMESTIC VIOLENCE SHELTER, AND MOODY COUNTY PASTORAL ASSOCIATION. FOCUS GROUPS WERE ALSO UTILIZED FOR PRIMARY DATA COLLECTION USING THE ABOVE QUESTIONS. ONE FOCUS GROUP INCLUDED AFH ADVISORY BOARD, MADE UP OF COMMUNITY LEADERS WHO HAD BEEN APPOINTED BASED ON THEIR INVOLVEMENT IN THE COMMUNITY AND WITH THE ORGANIZATION. THE ADVISORY BOARD CONSISTS OF INDIVIDUALS WITH THE FOLLOWING PROFESSIONAL BACKGROUNDS: AGRICULTURE, INSURANCE, REAL ESTATE, EDUCATION, MEDICINE, AND BUSINESS OWNERSHIP. A SECOND FOCUS GROUP WAS THE MEDICAL STAFF COMMITTEE, CONSISTING OF AFH SENIOR LEADERS AND PRIMARY CARE PROVIDERS. A THIRD FOCUS GROUP WAS AFH NURSING STAFF.
AVERA HAND COUNTY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3: AVERA HAND COUNTY MEMORIAL HOSPITAL USED A SURVEY TOOL TO BEGIN THE PROCESS OF QUALITATIVE DATA COLLECTION. THE SURVEY WAS AVAILABLE TO A PATIENTS AND VISITORS FROM MARCH TO APRIL 2012. THE SURVEYS WERE COMPILED AND PRINTED FOR PRESENTATION TO VARIOUS GROUPS. AT EACH GROUP SETTING, REPRESENTATIVES OF THE FACILITY REVIEWED THE SATISFACTION RATINGS OF THE SURVEY TO BEGIN THE DIALOGUE, ASKING VARIOUS QUESTIONS TO IDENTIFY THEMES OR TRENDS. THE SMALL GROUPS MEETINGS CONSISTED OF THE HOSPITAL'S ADVISORY BOARD, DEPARTMENT MANAGERS, AUXILIARY, FOUNDATION, THE MILLER SCHOOL GUIDANCE COUNSELOR, ON HAND DEVELOPMENT LEADERSHIP, AND THE HAND COUNTY PUBLIC HEALTH NURSE.
AVERA MCKENNAN	PART V, SECTION B, LINE 4: THE CHNA WAS CONDUCTED WITH HEART HOSPITAL OF SOUTH DAKOTA, LLC.
HEART HOSPITAL OF SOUTH DAKOTA, LLC	PART V, SECTION B, LINE 4: THE CHNA WAS CONDUCTED WITH AVERA MCKENNAN.
AVERA MCKENNAN	PART V, SECTION B, LINE 6I: AVERA MCKENNAN ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS FOUR OF THE MOST COMMONLY AND HIGHLY IDENTIFIED NEEDS. THOSE FOUR NEEDS ARE OBSEITY/POOR DIET/LACK OF EXERCISE, HEALTH CARE ACCESS FOR UNINSURED/UNDERINSURED PEOPLE INCLUDING SPECIALTY CARE AND MENTAL HEALTH SERVICES, MANAGEMENT OF CHRONIC CONDITIONS AND SMOKING/ALCOHOL USE. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/MCKENNAN/ABOUT/AVERA-MCKENNAN-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
HEART HOSPITAL OF SOUTH DAKOTA, LLC	PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/.HEART HOSPITAL IS OPERATED AS A JOINT VENTURE IN WHICH AVERA MCKENNAN HAS 66.67% OWNERSHIP. AVERA MCKENNAN PROVIDES MANAGEMENT SERVICES AND ENSURES THE HOSPITAL OPERATES WITH A CHARITABLE INTENT. BASED ON PROPOSED REGULATION 1.501(R)-1(C)(2), AVERA MCKENNAN IS TREATING THE HEART HOSPITAL AS A FACILITY SUBJECT TO THE RULES UNDER 501(R).
AVERA GREGORY HEALTHCARE CENTER	PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/.
AVERA MILBANK AREA HOSPITAL	PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/.
AVERA DELLS AREA HEALTH CENTER	PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/.
AVERA FLANDREAU MEDICAL CENTER	PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/.
AVERA HAND COUNTY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/.
AVERA MCKENNAN	PART V, SECTION B, LINE 7: DENTAL CARE WAS A NEED IDENTIFIED BUT NOT DIRECTLY ADDRESSED AS IT WAS NOT ONE OF THE HIGHEST PRIORITIES. IN ADDITION, IT IS OUTSIDE THE FACILITY'S COMPETENCIES AND IS ALREADY ADDRESSED BY CITY OF SIOUX FALLS HEALTH DEPARTMENT, FALLS COMMUNITY HEALTH. AVERA MEDICAL GROUP HEALTH CARE CLINIC DOES FACILITATE DISTRIBUTION OF VOUCHERS FOR DENTAL CARE WHICH ARE PROVIDED THROUGH DONATIONS.
HEART HOSPITAL OF SOUTH DAKOTA, LLC	PART V, SECTION B, LINE 7: HEART HOSPITAL WILL ADDRESS COMMUNITY CONCERNS OF HEALTH CARE ACCESS FOR UNINSURED/UNDERINSURED, OBESITY/POOR DIET, MANAGEMENT OF CHRONIC CONDITIONS, AND SMOKING USE THROUGH CURRENT SERVICE OFFERINGS IN ADDITION TO PARTNERING WITH THE CITY AND OTHER COMMUNITY HEALTH CARE ENTITIES. OTHER NEEDS IDENTIFIED SUCH AS DENTAL CARE, BEHAVIORAL HEALTH SERVICES AND ACCESS TO EXERCISE FACILITIES WERE A LOWER PRIORITY AND ARE NOT WITHIN THE HOSPITAL'S CORE COMPETENCIES.
AVERA GREGORY HEALTHCARE CENTER	PART V, SECTION B, LINE 7: THREE NEEDS WERE IDENTIFIED AND NOT ADDRESSED. REDUCING TOBACCO USE WAS IDENTIFIED BUT NOT INCLUDED IN THE IMPLEMENTATION PLAN DUE TO LACK OF FINANCIAL RESOURCES, COMPETING PRIORITIES AND PROJECTS, AND A DOWNWARD USE TREND UNDER CURRENT INTERVENTIONS. PROVIDING DERMATOLOGY AND OPHTHALMOLOGY SERVICES WERE NOT ADDRESSED DUE TO DIFFICULTY IN RECRUITING SPECIALISTS DUE TO POPULATION DENSITY, LACK OF FINANCIAL RESOURCES, AND COMPLEXITY OF THE SERVICES.
AVERA MILBANK AREA HOSPITAL	PART V, SECTION B, LINE 7: ONE NEED WAS IDENTIFIED AND NOT ADDRESSED: LACK OF KIDNEY DIALYSIS AVAILABLE IN THE COMMUNITY. THERE IS A PROVIDER AT A FACILITY 12 MILES TO THE EAST OF MILBANK AREA HOSPITAL (MAH) AVERA. MAH AVERA DOES NOT CURRENTLY HAVE THE EQUIPMENT AND DEDICATED SPACE NEEDED TO PROVIDE THE SERVICE. THE FACILITY CONTINUES RESEARCHING THE SERVICE AND WILL DECIDE AT A LATER DATE IF IT WILL BE ABLE TO ADDRESS THE NEED.
AVERA MCKENNAN	PART V, SECTION B, LINE 14G: AVERA MCKENNAN'S SUMMARY OF THE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM OR WAITING ROOMS, ADMISSIONS OFFICES, AND IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
HEART HOSPITAL OF SOUTH DAKOTA, LLC	PART V, SECTION B, LINE 14G: HEART HOSPITAL OF SOUTH DAKOTA'S POLICY IS MADE AVAILABLE UPON REQUEST AND IS PROVIDED AND DISCUSSED WITH PATIENT AS THE NEED IS IDENTIFIED. IT IS ALSO AVAILABLE VIA THE WEBSITE.
AVERA GREGORY HEALTHCARE CENTER	PART V, SECTION B, LINE 14G: AVERA GREGORY HEALTHCARE CENTER'S SUMMARY OF THE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM OR WAITING ROOMS, ADMISSIONS OFFICES, AND IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
AVERA MILBANK AREA HOSPITAL	PART V, SECTION B, LINE 14G: AVERA MILBANK AREA HOSPITAL'S SUMMARY OF THE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM OR WAITING ROOMS, ADMISSIONS OFFICES, AND IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
AVERA DELLS AREA HEALTH CENTER	PART V, SECTION B, LINE 14G: AVERA DELLS AREA HEALTH CENTER'S SUMMARY OF THE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM OR WAITING ROOMS, ADMISSIONS OFFICES, AND IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
AVERA FLANDREAU MEDICAL CENTER	PART V, SECTION B, LINE 14G: AVERA FLANDREAU MEDICAL CENTER'S SUMMARY OF THE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM OR WAITING ROOMS, ADMISSIONS OFFICES, AND IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
AVERA HAND COUNTY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 14G: AVERA HAND COUNTY MEMORIAL HOSPITAL'S SUMMARY OF THE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOM OR WAITING ROOMS, ADMISSIONS OFFICES, AND IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
AVERA MCKENNAN	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.
HEART HOSPITAL OF SOUTH DAKOTA, LLC	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
AVERA GREGORY HEALTHCARE CENTER	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.
AVERA MILBANK AREA HOSPITAL	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.
AVERA DELLS AREA HEALTH CENTER	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.
AVERA FLANDREAU MEDICAL CENTER	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.
AVERA HAND COUNTY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE.

Field	Value	IRS element (for citing)
Facility	59	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
AVERA MCKENNAN BEHAVIORAL HEALTH CENTER
4400 W 69TH ST	SIOUX FALLS	SD	57108	INPATIENT & OUTPATIENT BEHAVIORAL HEALTH SERVICES
CORE ORTHOPEDICS AVERA MEDICAL GROUP
2908 EAST 26TH STREET	SIOUX FALLS	SD	57103	ORTHOPEDIC CLINIC
AVERA PLAZA 2 PHARMACY
1301 S CLIFF AVENUE	SIOUX FALLS	SD	57105	RETAIL PHARMACY
AVERA PRINCE OF PEACE
4500 S PRINCE OF PEACE PLACE	SIOUX FALLS	SD	57103	SKILLED NURSING FACILITY
AVERA MEDICAL GROUP SPENCER
116 EAST 11TH SUITE 101	SPENCER	IA	51301	PRIMARY CARE CLINIC
AVERA MCKENNAN HOME INFUSION
1020 S CLIFF AVENUE	SIOUX FALLS	SD	57105	COMPREHENSIVE HOME INFUSION THERAPIES & SUPPLIES
AVERA MEDICAL GROUP WORTHINGTON
508 TENTH STREET	WORTHINGTON	MN	56187	PRIMARY CARE CLINIC
PET CT
6001 SHARON AVENUE	SIOUX FALLS	SD	57108	RADIOLOGY SERVICES
MCKENNAN REGIONAL LABORATORY
1325 S CLIFF AVENUE	SIOUX FALLS	SD	57105	LABORATORY SERVICES
AVERA HOME MEDICAL EQUIPMENT
2400 S MINNESOTA AVE	SIOUX FALLS	SD	57105	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA MEDICAL GROUP MATERNAL FETAL MED
1417 SOUTH CLIFF AVENUE SUITE 100	SIOUX FALLS	SD	57105	HIGH-RISK PREGNANCY CARE CLINIC
AVERA MEDICAL GROUP PEDIATRIC SPECIALIST
1417 S CLIFF AVENUE SUITE 010	SIOUX FALLS	SD	57105	PEDIATRIC SPECIALTIES CLINIC
AVERA MCKENNAN FITNESS CENTER
3400 S SOUTHEASTERN DRIVE	SIOUX FALLS	SD	57105	FITNESS CENTER
AVERA MCKENNAN HOSP & UNIV CAMPUS PHARM
1325 S CLIFF AVENUE	SIOUX FALLS	SD	57105	RETAIL PHARMACY
AVERA ROSEBUD COUNTRY CARE CENTER
300 PARK AVENUE	GREGORY	SD	57533	SKILLED NURSING FACILITY
AVERA MEDICAL GROUP WINDOM
820 - 2ND AVENUE	WINDOM	MN	56101	PRIMARY CARE CLINIC
AVERA HOME MEDICAL EQUIPMENT
1104 EAST COLLEGE DR	MARSHALL	SD	56258	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA MEDICAL GROUP SIBLEY
600-9TH AVENUE NORTH	SIBLEY	IA	51249	PRIMARY CARE CLINIC
AVERA HOME MEDICAL EQUIPMENT
418 S 2ND STREET	ABERDEEN	SD	57401	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA 69TH STREET PHARMACY - BEHAVIORAL
4400 W 69TH ST SUITE 300	SIOUX FALLS	SD	57108	RETAIL PHARMACY
AVERA HOME MEDICAL EQUIPMENT
1001 W 9TH STREET	YANKTON	SD	57078	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
LAUREL OAKS APARTMENTS
4510 S PRINCE OF PEACE PLACE	SIOUX FALLS	SD	57103	INDEPENDENT LIVING APARTMENTS
AVERA MEDICAL GROUP COMPREHENSIVE BREAST
1000 EAST 23RD STREET SUITE 360	SIOUX FALLS	SD	57105	SPECIALTY CLINIC
AVERA HOME MEDICAL EQUIPMENT
1307 N MAIN	MITCHELL	SD	57301	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
1411 WELLS AVE	PIERRE	SD	57501	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
100 22ND AVENUE STE 101	BROOKINGS	SD	57006	PRIMARY CARE CLINIC
AVERA MEDICAL GROUP OCCUPATIONAL MED
4928 NORTH CLIFF AVENUE	SIOUX FALLS	SD	57104	BUSINESS AND CORPORATE HEALTH CARE CLINIC
AVERA HOME MEDICAL EQUIPMENT
1508 4TH STREET NE	WATERTOWN	SD	57201	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA DERMATOLOGY PHARMACY
6701 SOUTH MINNESOTA AVENUE	SIOUX FALLS	SD	57108	RETAIL PHARMACY
AVERA MEDICAL GROUP MCGREEVY SALEM
740 SOUTH HILL	SALEM	SD	57058	PRIMARY CARE CLINIC
AVERA RESEARCH INSTITUTE
2020 S NORTON AVE	SIOUX FALLS	SD	57105	CLINICAL RESEARCH STUDIES
AVERA HOME MEDICAL EQUIP FLOYD VALLEY
190 6TH AVE NE	LEMARS	IA	51031	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA MEDICAL GROUP WOMEN'S MIDLIFE CARE
911 EAST 20TH STREET - SUITE 200	SIOUX FALLS	SD	57105	WOMEN'S SERVICES CLINIC
AVERA INSTITUTE FOR HUMAN GENETICS
4400 W 69TH ST SUITE 200	SIOUX FALLS	SD	57108	GENETIC RESEARCH PROGRAM
AVERA HOME MEDICAL EQUIPMENT
38 19TH STREET SW	SIOUX CENTER	IA	51250	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
602 CENTRAL AVE	ESTHERVILLE	IA	51334	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
903 N WASHINGTON	MADISON	SD	57042	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
1325 SOUTH CLIFF AVENUE	SIOUX FALLS	SD	57117	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT OF SPENCER
716 GRAND AVE	SPENCER	IA	51301	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
102 WEST MAIN SUITE A	PARKSTON	SD	57366	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA HOME MEDICAL EQUIPMENT
1565 DAKOTA AVE S	HURON	SD	57350	RENTAL & SALE OF HOME MEDICAL EQUIPMENT
AVERA MEDICAL GROUP LARCHWOOD
916 HOLDER STREET PO BOX 8	LARCHWOOD	IA	51241	PRIMARY CARE CLINIC
AVERA LEE MABEE OBGYN
1910 WEST 69TH SUITE 100	SIOUX FALLS	SD	57108	OBSTETRIC AND GYNECOLOGY CLINIC
CURAQUICK AVERA CLINIC
3000 S MINNESOTA AVE	SIOUX FALLS	SD	57105	PRIMARY CARE CLINIC
AVERA MEDICAL GROUP BIG STONE CITY
451 MAIN STREET	BIG STONE CITY	SD	57216	PRIMARY CARE CLINIC
COMMUNITY BLOOD BANK
1301 SOUTH CLIFF AVENUE SUITE 3	SIOUX FALLS	SD	57105	COMMUNITY BLOOD SERVICES
HEGG MEDICAL CLINIC AVERA
2121 HEGG DRIVE	ROCK VALLEY	IA	51247	PRIMARY CARE CLINIC
AVERA MEDICAL GROUP ESTHERVILLE
926 NORTH 8TH STREET	ESTHERVILLE	IA	51334	PRIMARY CARE CLINIC
HEALTH CARE CLINIC
300 NORTH DAKOTA AVENUE SUITE 117	SIOUX FALLS	SD	57104	FREE HEALTHCARE CLINIC
PIPESTONE MEDICAL GROUP AVERA
920 - 4TH AVENUE SW	PIPESTONE	MN	56164	PRIMARY CARE CLINIC
AVERA MEDICAL GROUP CHAMBERLAIN
101 SOUTH FRONT PO BOX 27	CHAMBERLAIN	SD	57325	PRIMARY CARE CLINIC
RURAL MEDICAL CLINICS
301 SOUTH WALNUT STREET	FREEMAN	SD	57029	PRIMARY CARE CLINIC
AVERA MEDICAL GROUP OPTOMETRY
702 TENTH STREET	WORTHINGTON	MN	56187	OPHTHALMOLOGY AND OPTOMETRY CLINIC
YORKSHIRE EYE CLINIC
2311 YORKSHIRE DRIVE	BROOKINGS	SD	57006	OPHTHALMOLOGY AND OPTOMETRY CLINIC
AVERA MEDICAL GROUP BUTTE
730 WILSON STREET	BUTTE	NE	68722	SATELLITE PRIMARY CARE CLINIC
AVERA MEDICAL GROUP ELKTON
203 ELK STREET	ELKTON	SD	57026	SATELLITE PRIMARY CARE CLINIC
AVERA MEDICAL GROUP FULDA
201 N ST PAUL AVENUE	FULDA	MN	56131	SATELLITE PRIMARY CARE CLINIC
AVERA MEDICAL GROUP LAKEFIELD
221 - 3RD AVENUE	LAKEFIELD	MN	56150	SATELLITE PRIMARY CARE CLINIC
AVERA MEDICAL GROUP VOLGA
210 KASAN AVENUE	VOLGA	SD	57071	SATELLITE PRIMARY CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	A COMBINATION OF INCOME AND ASSETS TEST IS UTILIZED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. POINTS ARE ASSIGNED BASED ON INCOME AS A PERCENTAGE OF FPG AND NET ASSETS OWNED WITH POINTS DEDUCTED FOR ONGOING MEDICAL EXPENSES SUCH AS DRUGS. PATIENTS WITH THE FEWEST POINTS RECEIVE THE LARGEST DISCOUNT. 0-1 POINTS RECEIVE 100% DISCOUNT ON BILLS WHILE REMAINING DISCOUNTS RANGE FROM 10-90% DEPENDING ON POINT TOTALS AND DOLLAR AMOUNT OF CHARGES.
PART I, LINE 6A:	AVERA MCKENNAN'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY AVERA HEALTH, A RELATED ORGANIZATION. IT IS AVAILABLE THROUGH THE WEBSITE AND REQUESTED MAILING, AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION.
PART I, LINE 7:	A COMBINATION OF COSTING METHODOLOGY WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE MEDICAID AND MEANS-TESTED GOVERNMENT PROGRAM EXPENSES AND SHORTFALLS AND SUBSIDIZED HEALTH SERVICES FOR OUR TERTIARY MEDICAL CENTER. A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO CALCULATE CHARITY CARE AT COST FOR ALL ENTITIES AND MEDICAID AND MEANS-TESTED GOVERNMENT PROGRAM EXPENSES AND SHORTFALLS AND SUBSIDIZED HEALTH SERVICES FOR ANY OPERATIONS OUTSIDE OF THE TERTIARY MEDICAL CENTER. FOR ALL OTHER AMOUNTS, COSTS AND REVENUES AS REFLECTED BY THE GENERAL LEDGER SYSTEM WERE USED.
PART I, LINE 7G:	PHYSICIAN CLINIC COSTS FOR TRANSPLANT SERVICES ARE INCLUDED IN SUBSIDIZED HEALTH SERVICES. REVENUES OF $942,447 AND COSTS OF $3,085,755 WERE INCLUDED FOR A NET COMMUNITY BENEFIT OF $2,143,308. OUR FACILITY IS THE PRINCIPAL PROVIDER OF TRANSPLANT SERVICES THROUGH OUR SERVICE AREA WITH THE CLINICS A CRUCIAL COMPONENET OF SUCCESSFUL PRE AND POST TRANSPLANT CARE.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE OF $17,664,754 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT EXCLUDED FOR PURPOSES OF CALCULATING THIS PERCENTAGE.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENT, AND COALITION BUILDING ARE SUPPORTED MAINLY THROUGH MONETARY DONATIONS IN ADDITION TO SERVICE PREPAREDNESS COMMITTEES. THE ORGANIZATION'S WORKFORCE DEVELOPMENT PROGRAM WORKS WITH UNIVERSITIES, TECHNICAL SCHOOLS, AND LOCAL HIGH SCHOOLS TO ADDRESS HEALTHCARE WORKER SHORTFALLS IN THE COMMUNITY. THROUGH PARTNERING WITH THESE ORGANIZATIONS, AVERA MCKENNAN PROVIDES SPEAKERS, WORK EXPERIENCE FOR STUDENTS, SHADOWING, CAREER FAIRS AND INFORMATIONAL LITERATURE TO ENCOURAGE STUDENTS TO CONSIDER A CAREER IN HEALTHCARE AND STAY IN THE COMMUNITY.
PART III, LINE 2:	BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR.BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS.
PART III, LINE 4:	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE REVENUES RECEIVED (LINE 5), ALLOWABLE COSTS (LINE 6), AND THE RESULTING SURPLUS (LINE 7) DOES NOT INCLUDE A SIGNIFICANT PORTION OF THE ORGANIZATION'S EXPENSES. THESE LINES REQUIRE USE OF THE MEDICARE COST REPORT AS PREPARED BY THE REQUIRED GUIDELINES WHICH DISALLOWS NUMEROUS COSTS OF HOSPITALS, PARTICULARLY IF THEY ARE PART OF AN INTEGRATED SYSTEM SUCH AS AVERA MCKENNAN. IN THESE CASES THE ENTITY MUST FILE A HOME OFFICE COST REPORT WHICH "STEPS DOWN" OVERHEAD TO NON-COST REPORT ENTITIES DISPROPORTIONATELY TO ACTUAL ALLOWABLE SHARE AND ESSENTIALLY REMOVING THE COSTS FROM THE HOSPITAL'S COST REPORT ENTIRELY. EXAMPLES OF A PORTION OF THESE OVERHEAD COSTS WOULD BE FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES AND ADMINISTRATION. EXAMPLES OF NON-COST REPORT ENTITIES OPERATED BY AVERA MCKENNAN INCLUDE CLINICS, HOME MEDICAL EQUIPMENT STORES, MOBILE IMAGING SERVICES, LONG-TERM CARE FACILITIES, AND OTHER HEALTH CARE RELATED BUSINESSES. THERE ARE ALSO COSTS COMPLETELY DISALLOWED BY COST REPORT RULES SUCH AS BAD DEBT EXPENSE, HOSPITALISTS CARE, MARKETING, CRNA'S, AND INTEREST EXPENSE. AVERA MCKENNAN ALSO RECEIVES A MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) ADJUSTMENT AS PART OF THE COST REPORT DUE TO ITS SIGNIFICANT NUMBER OF LOW-INCOME PATIENTS SERVED. PART III, LINE 5 REQUIRES INCLUSION OF THIS REVENUE THOUGH EXPENSES INCLUDED ARE MUCH LOWER. SCHEDULE H INSTRUCTIONS ALSO REQUIRE THE EXCLUSION OF $8,505,059 OF MEDICARE LOSSES BECAUSE THEY ARE INCLUDED IN SCHEDULE H, PART 1, LINE 7F OR 7G. INCLUDING THE MEDICARE PERCENTAGE OF DISALLOWED COSTS, ENTITIES WHICH DON'T FILE A COST REPORT BUT NEVERTHELESS CARE FOR MEDICARE PATIENTS, AND THE IMPACT OF THE HOME OFFICE COST REPORT, THE MEDICARE SHORTFALL IS $27,148,093 AS OPPOSED TO A SURPLUS OF $855,775.AVERA MCKENNAN FOLLOWS THE CATHOLIC HEALTH ASSOCIATION GUIDELINES IN REPORTING COMMUNITY BENEFITS AND THEREFORE ANY MEDICARE SHORTFALL (AS CALCULATED INCLUDING OUR NON-COST REPORT ENTITIES) IS EXCLUDED FROM OUR COMMUNITY BENEFIT REPORT. HOWEVER, MEDICARE IS THE ORGANIZATION'S LARGEST PAYER AND PATIENTS WITH MEDICARE COVERAGE ARE ACCEPTED REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED FROM PROVIDING THE SERVICES. THIS BASIS THEREFORE MEANS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A KEY ADVANTAGE FOR OUR COMMUNITY.MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE & MEDICAID SERVICES.
PART III, LINE 9B:	IF THE PATIENT QUALIFIES FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME, UNINSURED PATIENTS AND IS COOPERATING WITH THE ORGANIZATION WITH REGARD TO EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE ORGANIZATION OR IT'S AGENT SHALL NOT SEND, NOR SUGGEST THAT IT WILL SEND, THE UNPAID BILL TO ANY OUTSIDE AGENCY. AT SUCH TIME AS THE ORGANIZATION SENDS THE UNCOLLECTED ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY SHALL REFLECT THE REDUCED-PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS. AVERA DOES NOT REPORT ANY DATA TO ANY OF THE CREDIT AGENCIES; HOWEVER, THE COLLECTION AGENCIES AVERA UTILIZES MAY REPORT TO THE CREDIT AGENCIES. ANY EXTENDED PAYMENT PLANS OFFERED BY A HOSPITAL IN SETTLING THE OUTSTANDING BILLS OF LOW INCOME, UNINSURED PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE INTEREST-FREE SO LONG AS THE REPAYMENT SCHEDULE IS MET.
PART VI, LINE 2:	COMMUNITY NEEDS ASSESSMENT OCCURS AT VARIOUS POINTS IN THE SYSTEM. THROUGH ANNUAL STRATEGIC PLANNING SESSIONS, COMMUNITY LEADERS ARE BROUGHT IN TO UPDATE AND EDUCATE AVERA MCKENNAN BOARD MEMBERS AND ADMINISTRATIVE COUNCIL ON THE SUCCESSES, CHALLENGES, AND SERVICE GAPS IN THE COMMUNITY. EXAMPLES INCLUDE SCHOOL DISTRICT OFFICIALS, STATE HEALTH DEPARTMENT, AND COMMUNITY HEALTH ORGANIZATIONS. LEADERS ALSO SERVE ON BOARDS OF VARIOUS COMMUNITY ORGANIZATIONS WHICH SEEK TO ADDRESS THE HEALTH AND WELL-BEING OF AREA CITIZENS. LOCAL GOVERNING BOARDS AT OUTLYING FACILITIES, WHO ARE MEMBERS OF THE COMMUNITY, DISCUSS AND HELP DIRECT RESOURCES TO AREAS OF TARGETED NEEDS AS WELL.
PART VI, LINE 3:	NOTICES ARE POSTED IN ENGLISH AND SPANISH IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMITTING OFFICES, AND OUTPATIENT SERVICE SETTINGS AS WELL AS THE ORGANIZATION WEBSITE. POSTED NOTICES STATE THAT THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND THAT THIS POLICY PROVIDES FOR CHARITY CARE AND REDUCED-PAYMENT FOR HEALTHCARE SERVICES. THERE IS ALSO IDENTIFICATION OF A CONTACT PHONE NUMBER THAT A PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ABOUT HOW TO APPLY FOR SUCH ASSISTANCE. ADDITIONALLY, ADMITTING STAFF MAKES AVAILABLE A BROCHURE DESIGNED TO HELP PATIENTS UNDERSTAND HOW WE BILL PATIENTS AND PROVIDES SUMMARY INFORMATION ON FINANCIAL ASSISTANCE IF YOU ARE UNABLE TO PAY. PATIENT ADVOCATES WORK WITH UNINSURED PATIENTS IN OUR MAIN TERTIARY FACILITY TO ENROLL THEM IN APPLICABLE SOCIAL PROGRAMS AND IDENTIFY CHARITY ELIGIBILITY, ELIGIBILITY AND ENROLLMENT FOR COUNTY, STATE OR FEDERAL RISK POOLS, AND ELIGIBILITY FOR MODIFIED MEDICARE OR MEDICAID PROGRAMS.
PART VI, LINE 4:	AVERA MCKENNAN'S SERVICE AREA IS A LARGELY RURAL POPULATION. SERVICES ARE PROVIDED THROUGH A HEALTH CARE NETWORK OF 115 LOCATIONS COVERING 54 COMMUNITIES IN FOUR STATES. THE MAIN TERTIARY FACILITY IS LOCATED IN A POPULATION CENTER OF OVER 155,000 SERVED BY ANOTHER NON-PROFIT HOSPITAL OF SIMILAR SIZE, VETERANS ADMINISTRATION HOSPITAL, A HOSPITAL DEDICATED TO DIAGNOSIS AND TREATMENT OF HEART DISEASE, AND A HOSPITAL FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. OUTSIDE OF THIS POPULATION CENTER, MOST OF THE COMMUNITIES SERVED HAVE LESS THAN 4,000 RESIDENTS. THE PRIMARY SERVICE AREA INCLUDES FOUR COUNTIES COVERING APPROXIMATELY 2,600 SQUARE MILES AND CONTAINS SEVEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS. THE U.S. CENSUS BUREAU DATA ESTIMATES JUST UNDER 10% OF RESIDENTS IN THE PRIMARY SERVICE AREA ARE AT OR BELOW THE POVERTY LEVEL. OUR SECONDARY SERVICE AREA COVERS AN ADDITIONAL 19 COUNTIES IN SOUTH DAKOTA, IOWA AND MINNESOTA WITH AN ESTIMATED TOTAL POPULATION OF 235,000 BASED ON U.S. CENSUS BUREAU PROJECTIONS FOR 2011.
PART VI, LINE 5:	SURPLUS FUNDS ARE REINVESTED IN FACILITIES TO IMPROVE PATIENT CARE.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE AVERA MCKENNAN BOARD OF TRUSTEES IS PRINCIPALLY COMPRISED OF COMMUNITY MEMBERS FROM THE PRIMARY SERVICE AREA. MEMBERS COME FROM A VARIETY OF BACKGROUNDS RANGING FROM PRIVATE INDUSTRY AND BANKING TO HEALTHCARE.AVERA MCKENNAN IS A VERIFIED LEVEL II TRAUMA CENTER AND WAS THE FIRST SUCH CENTER IN THE STATE OF SOUTH DAKOTA. AVERA MCKENNAN'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY WITH BOARD-CERTIFIED EMERGENCY SPECIALISTS AND PROVIDES EMERGENCY CARE REGARDLESS OF ABILITY TO PAY. AVERA MCKENNAN HAD 27,363 EMERGENCY DEPARTMENT VISITS IN FY 2014. OPERATING BOTH FIXED WING AND HELICOPTER MEDICAL AIR TRANSPORTS, AVERA MCKENNAN'S FLIGHT TEAMS COVER A LARGE GEOGRAPHIC AREA PROVIDING STATE-OF-THE-ART AIR TRANSPORT SERVICES AND ACCESS TO CRITICAL CARE, WITH 1,489 FLIGHTS IN THE PAST YEAR.AVERA MCKENNAN OWNS OR LEASES RURAL CRITICAL ACCESS HOSPITALS IN FLANDREAU, GREGORY, DELL RAPIDS, MILBANK AND MILLER (HAND COUNTY), SOUTH DAKOTA. AS SUCH, THEY OPERATE AS A DEPARTMENT OF AVERA MCKENNAN. THE HOSPITALS IN FLANDREAU, GREGORY AND HAND COUNTY SERVE MEDICALLY UNDERSERVED COUNTIES. IN ADDITION TO THE FOLLOWING EXEMPT PURPOSE ACHIEVEMENTS, RURAL HOSPITALS PARTICIPATE IN MANY OF THE ABOVE AS PART OF AVERA MCKENNAN. AMONG SERVICES OFFERED BY RURAL HOSPITALS ARE RADIOLOGY AND IMAGING, COLONOSCOPY AND ENDOSCOPY, THERAPY AND REHABILITATION, 24-HOUR EMERGENCY CARE, CHEMOTHERAPY, ORTHOPEDICS, CARDIOVASCULAR TESTING AND CARE, OBSTETRICS, SURGERY, AND DIALYSIS.HEALTH CARE CLINIC: IN 1992, AVERA MCKENNAN ESTABLISHED A HEALTH CARE CLINIC TO PROVIDE FREE CARE FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED IN THE COMMUNITY. THE CLINIC IS MANAGED BY A REGISTERED NURSE AND STAFFED BY REGISTERED NURSES, TWO MIDLEVEL PROVIDERS, MEDICAL RESIDENTS AND VOLUNTEER HEALTH CARE PROVIDERS. THE GOAL OF THE CLINIC IS TO PREVENT OR TREAT PATIENTS' MEDICAL CONDITIONS BEFORE THEY BECOME CATASTROPHIC. THE CLINIC AVERAGES 550 VISITS PER MONTH, PROVIDING PREVENTATIVE CARE, DIAGNOSIS AND TREATMENT OF ILLNESSES AND INJURIES, MEDICATION ASSISTANCE AND ASSISTANCE IN OBTAINING SPECIALIST CARE FOR PATIENTS WITH COMPLEX CASES. THE CLINIC ALSO SERVES TO TRAIN PHYSICIANS, NURSES AND OTHER HEALTH CARE STUDENTS. IT PROVIDES A FREE EVENING CLINIC ONE EVENING PER MONTH, STAFFED BY MEDICAL STUDENTS UNDER SUPERVISION OF PHYSICIANS. AVERA MCKENNAN IS THE ONLY HEALTH CARE ORGANIZATION TO PROVIDE FREE SERVICES SUCH AS THIS IN THE STATE OF SOUTH DAKOTA. THE CLINIC HAD 6,549 VISITS IN 2014, AND WAS OPERATED AT AN ANNUAL COST OF $964,435. AVERA MCKENNAN PARTNERS WITH THE NOT-FOR-PROFIT DESTINY CLINIC BY PROVIDING FUNDING OF $15,000 PER YEAR TO PROVIDE FREE EVENING CLINIC SERVICES.PARTNERSHIP IN LIVE WELL SIOUX FALLS: THE CITY OF SIOUX FALLS RECEIVED A COMMUNITY HEALTH TRANSFORMATION GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH, SPARKING A PROJECT TO IMPROVE THE HEALTH AND WELL-BEING OF THE CITIZENS OF SIOUX FALLS. GUIDED BY THE CITY OF SIOUX FALLS HEALTH DEPARTMENT, THIS ONGOING PROJECT IS KNOWN AS LIVE WELL SIOUX FALLS. IT INVOLVES MORE THAN 24 COMMUNITY PARTNER ORGANIZATIONS. AMONG THESE PARTNERS ARE AVERA MCKENNAN AND THE OTHER MAJOR HEALTH CARE SYSTEM IN SIOUX FALLS, SANFORD HEALTH. AVERA PLANS TO WORK IN PARTNERSHIP WITH THE CITY OF SIOUX FALLS AND SANFORD HEALTH TO ADDRESS THE PRIORITIES OF LIVE WELL SIOUX FALLS, AND ARRIVE AT SOLUTIONS WHICH ARE COLLABORATIVE IN NATURE.AVERA MCKENNAN COLLABORATES WITH LIVE WELL SIOUX FALLS TO PROMOTE THE BIG SQUEEZE, A HYPERTENSION INITIATIVE IN APRIL TO PROMOTE BLOOD PRESSURE SCREENING AND EDUCATION, WITH THE GOAL OF DIAGNOSING HIGH BLOOD PRESSURE. ONE IN THREE AMERICAN ADULTS HAVE HIGH BLOOD PRESSURE, BUT ONLY HALF OF THEM HAVE IT UNDER CONTROL, ADDING TO THE RISK OF STROKE, HEART ATTACK AND VASCULAR DISEASE.RESIDENCY/HEALTH PROFESSIONS TRAINING AND INTERNSHIPS: IN 2014, AVERA MCKENNAN HAD 88 MEDICAL SCHOOL RESIDENTS IN TRAINING AT AVERA MCKENNAN IN INTERNAL MEDICINE, FAMILY PRACTICE, PSYCHIATRY, GERIATRICS AND TRANSITIONAL RESIDENCY PROGRAMS OFFERED IN PARTNERSHIP WITH THE UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE. OVER 800 STUDENTS IN NURSING, PHARMACY, PHYSICIAN ASSISTANT PROGRAMS, RADIOLOGY AND RESPIRATORY THERAPY ALSO COMPLETED ROTATIONS AT AVERA MCKENNAN. AVERA MCKENNAN HAS MANY JOINT AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION FOR BOTH CLINICAL AND EDUCATIONAL PROGRAMMING. IN NON-CLINICAL AREAS, AVERA MCKENNAN OFFERED 98 PAID AND UNPAID INTERNSHIPS IN 2014 IN THE AREAS OF MARKETING, HUMAN RESOURCES, FINANCE, FOUNDATION, AND NETWORK OPERATIONS. AVERA MCKENNAN IS CURRENTLY AFFILIATED WITH APPROXIMATELY 90 INSTITUTIONS OF HIGHER EDUCATION. PATIENT AND COMMUNITY EDUCATION: AVERA MCKENNAN IS A REGIONAL LEADER IN OFFERING EDUCATIONAL PROGRAMS FOR A VARIETY OF LEARNERS, LEADERS AND EMPLOYEES. UTILIZING ADVANCED TECHNOLOGY, MANY OF THESE PROGRAMS ARE PROVIDED ELECTRONICALLY THROUGHOUT THE TRI-STATE AREA. EDUCATIONAL SESSIONS ARE OFFERED TO MEDICAL STAFF, EMPLOYEES, HEALTH CARE PROFESSIONALS, STUDENTS AT ALL LEVELS AND THE GENERAL PUBLIC. UTILIZING AVERA MCKENNAN'S EDUCATION CENTER, A BROAD CROSS-SECTION OF CLASSES INVOLVING DIVERSE AUDIENCES ARE PROVIDED AS A COMMUNITY SERVICE EACH YEAR.* ONLINE RESOURCES: AVERA MCKENNAN OFFERS VAST FREE PATIENT EDUCATIONAL ONLINE RESOURCES ON ITS PUBLIC WEBSITE ON NUMEROUS HEALTH TOPICS, WITH SUGGESTIONS FOR LIFESTYLE CHANGE, BEHAVIOR MODIFICATION AND MANAGEMENT FOR IMPROVED HEALTH.* TO BE WELL FREE EDUCATION EVENTS WERE HELD ON TOPICS INCLUDING ORTHOPEDICS, CANCER, DIABETES, WEIGHT LOSS/HEALTHY EATING, MULTIPLE SCLEROSIS, ANXIETY AND ACUPUNCTURE. * FORUMS: THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE FRIDAY FORUMS, IN WHICH SCHOOL COUNSELORS AND THERAPISTS ARE INVITED TO PRESENTATIONS ON CHILDREN'S MENTAL HEALTH TOPICS SUCH AS CONFLICT CYCLES, REACTIVE ATTACHMENT DISORDER, DEPRESSION AND BIPOLAR DISORDER IN CHILDREN, AND TEEN SUBSTANCE USE, ABUSE AND ADDICTION. THESE SESSIONS, HELD NINE TIMES EACH YEAR, ARE ATTENDED IN PERSON BY APPROXIMATELY 80. THROUGHOUT 2014, VIDEOS OF THESE PRESENTATIONS WERE VIEWED 401 TIMES ONLINE.* THE AVERA BEHAVIORAL HEALTH CENTER OFFERS FREE MONTHLY EDUCATIONAL SESSIONS ON VARIOUS TOPICS FOLLOWED BY DISCUSSION FOR ADULTS WHO HAVE BEEN IMPACTED BY A LOVED ONE'S MENTAL ILLNESS. TOPICS HAVE INCLUDED GRIEF AND LOSS, ANXIETY, AND PARENTING STRATEGIES FOR MANAGING CHALLENGING BEHAVIORS.* WOMEN'S & CHILDREN'S SERVICES: AVERA MCKENNAN'S WOMEN'S & CHILDREN'S SERVICES OFFERS A NUMBER OF PARENTING AND COMMUNITY EDUCATION OPPORTUNITIES, FOR FREE OR AT A MINIMAL COST. IN FISCAL YEAR 2014, 151 CHILDBIRTH EDUCATION CLASSES WERE HELD WITH 593 ATTENDEES. A TOTAL OF 17 PARENT AND FAMILY EDUCATION CLASSES WERE HELD WITH 180 ATTENDEES. A TOTAL OF 64 CAR SEATS WERE ISSUED THROUGH THE SOUTH DAKOTA CHILD SAFETY SEAT DISTRIBUTION PROGRAM. FREE BURN EDUCATION WAS PROVIDED TO 2,931 STUDENTS DURING PRESENTATIONS IN SCHOOLS.* DAYCARE TRAINING: FREE OF CHARGE, AVERA MCKENNAN OFFERS FOUR IN-SERVICE TRAINING SESSIONS PER MONTH TO DAYCARE PROVIDERS THROUGH THE EMBE, WITH A TOTAL OF 36 SCHEDULED ANNUALLY, AND ADDITIONAL SESSIONS FOR REQUESTED TOPICS. SUPPORT GROUPS: AVERA MCKENNAN OFFERS APPROXIMATELY 10 FREE SUPPORT GROUPS. THEY RANGE IN TOPIC FROM CANCER TO LIVER DISEASE, DIABETES, BONE MARROW TRANSPLANT, STROKE AND GRIEF AND LOSS. THE ORGANIZATION PROVIDES FREE MEETING SPACE AS WELL AS SPEAKERS AND LEADERS. INFORMATION AND ASSISTANCE: AVERA MCKENNAN OPERATES A 24-HOUR MEDICAL CALL CENTER, THROUGH WHICH PATIENTS HAVE ACCESS TO THE ASK-A-NURSE PROGRAM. PATIENTS CAN CALL A TOLL-FREE NUMBER AND TALK PERSONALLY WITH A REGISTERED NURSE TO ASK HEALTH QUESTIONS OR RECEIVE GENERAL HEALTH INFORMATION. IN 2014, THE MEDICAL CALL CENTER HANDLED 131,053 CALLS. AVERA MCKENNAN'S WEB SITE ALSO PROVIDES AN EXTENSIVE HEALTH LIBRARY THAT CONSUMERS CAN ACCESS FREE OF CHARGE.INTERPRETER SERVICE: AVERA MCKENNAN EMPLOYS TWO FULL-TIME SPANISH INTERPRETERS IN-HOUSE, AND THEIR SERVICES ARE OFFERED TO PATIENTS FREE OF CHARGE. IN ADDITION, IN COOPERATION WITH EXTERNAL AGENCIES, AVERA MCKENNAN IS ABLE TO HANDLE 210 DIFFERENT LANGUAGES AND DIALECTS THROUGH PHONE, VIDEO REMOTE INTERPRETING AND OTHER MEANS. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS WHEN THEY ARE AT AVERA MCKENNAN IN PERSON, OR WHEN THEY CALL BY PHONE. ALL THE ABOVE SERVICES ARE PROVIDED AT NO COST TO THE PATIENT.
PART VI, LINE 6:	THE COMMUNITIES IN WHICH THE AVERA SYSTEM OPERATES ALL HAVE UNIQUE HEALTH AND COMMUNITY BENEFIT NEEDS AND IN KEEPING WITH THE CATHOLIC HEALTHCARE ASSOCIATION GUIDELINES EACH HOSPITAL STRIVES TO MEET ITS COMMUNITY'S IDENTIFIED NEEDS. THE AVERA CENTRAL OFFICE ADVOCATES FOR ALL ON COMMUNITY BENEFIT-RELATED MATTERS OF STATE, REGIONAL, AND NATIONAL IMPORTANCE.
PART VI, LINE 5:	PRENATAL AND DELIVERY CARE: BECAUSE EARLY AND REGULAR PRENATAL CARE IS IMPORTANT TO PREVENT PREMATURE BIRTH, AVERA MCKENNAN COLLABORATES IN A COMMUNITY EFFORT TO PROVIDE OBSTETRICS CARE FOR WOMEN WHO DO NOT QUALIFY FOR MEDICAID, BUT CANNOT AFFORD HEALTH INSURANCE. THE PROGRAM OFFERS PRENATAL CARE, AND HOSPITAL LABOR AND DELIVERY SERVES FOR A LOW FEE OF $1,000. WOMEN RECEIVE CARE WHETHER THEY CAN COVER ANY OR ALL OF THE FEE. CARE IS PROVIDED PRIMARILY BY FIRST-YEAR FAMILY PRACTICE RESIDENTS, SUPERVISED BY EXPERIENCED PHYSICIANS. THROUGH THIS PROGRAM IN 2014, AVERA MCKENNAN ASSISTED WITH 77 BIRTHS AND PROVIDED 756 PRENATAL AND POST-PARTUM VISITS.TRANSPORT TO TRANSPLANT: AVERA MCKENNAN DEVELOPED THE TRANSPORT TO TRANSPLANT PROJECT, WHICH REMOVES TRANSPORTATION BARRIERS FOR PATIENTS FROM RURAL AREAS WHICH MAY PREVENT THEM FROM COMPLETING THE EVALUATION AND TESTING NEEDED FOR KIDNEY AND/OR PANCREAS TRANSPLANT. A VAN FUNDED THROUGH A GRANT FROM THE AVERA MCKENNAN FOUNDATION IS USED TO TRANSPORT PATIENTS WHO DEMONSTRATE A FINANCIAL NEED. PATIENTS ARE BROUGHT TO THE AVERA TRANSPLANT INSTITUTE FOR A CONDENSED MULTI-DAY EVALUATION WITH ALL TESTING AND VISITS COMPLETED IN LESS THAN ONE WEEK. ULTIMATELY, THE PROJECT RESULTS IN IMPROVED MORBIDITY AND MORTALITY, AS KIDNEY TRANSPLANT DOUBLES PATIENT SURVIVAL AS COMPARED TO REMAINING ON DIALYSIS.AVERA FAMILY WELLNESS: THIS PROGRAM COMBINES POSITIVE ACTIVITIES LIKE VIOLIN LESSONS WITH FAMILY COACHING AT NO CHARGE FOR CHILDREN IN EARLY CHILDHOOD PROGRAMS IN THE SIOUX FALLS SCHOOL DISTRICT. THE GOAL IS TO PREVENT OR LESSEN THE EFFECTS OF BEHAVIORAL HEALTH CONDITIONS ON CHILDREN AND FAMILIES BY FOSTERING A POSITIVE ENVIRONMENT. OVER 450 STUDENTS AND THEIR FAMILIES ARE ENROLLED.THE WALSH FAMILY VILLAGE: THIS HOSPITALITY HOUSE COMPLEX ADJACENT TO THE AVERA MCKENNAN CAMPUS PROVIDES A HOME AWAY FROM HOME FOR PATIENTS AND THEIR FAMILIES WHO COME FOR CARE AT AVERA MCKENNAN FROM OUTSIDE OF SIOUX FALLS. THE PROJECT WAS FUNDED BY DONATIONS AND IS OPERATED BY AVERA MCKENNAN. ELEVEN GUEST ROOMS ARE AVAILABLE. AVERA MCKENNAN ALSO DONATES USE OF A BUILDING IN THE COMPLEX FOR A RONALD MCDONALD HOUSE FOR FAMILIES OF PEDIATRIC PATIENTS. IF THEY CAN AFFORD IT, GUESTS ARE CHARGED A LOW FEE OF $55 PER NIGHT. GUESTS ARE NOT TURNED AWAY DUE TO INABILITY TO PAY THE FEE. EMPLOYEES REGULARLY DONATE NON-PERISHABLE FOOD ITEMS TO STOCK A FOOD PANTRY FOR GUESTS. IN FY2014, THE WALSH FAMILY VILLAGE SERVED 6,988 GUESTS, STAYING IN 4,015 NIGHTLY ROOMS A 90 PERCENT OCCUPANCY. AVERA MCKENNAN PROVIDES A SUBSIDY OF APPROXIMATELY $192,000 PER YEAR TO OPERATE THE HOSPITALITY COMPLEX. ALSO ON THE AVERA HEART HOSPITAL CAMPUS IS THE PRAIRIE HEART GUEST HOUSE, A SEPARATE NOT-FOR-PROFIT ENTITY THAT PROVIDES LOW COST LODGING TO HEART HOSPITAL PATIENT FAMILY MEMBERS. THE HEART HOSPITAL PROVIDES IN KIND SERVICES TO THE GUEST HOUSE THAT HELPS MINIMIZE EXPENSES TO ALLOW FOR THESE REDUCED RATES. PREVENTION AND SUPPORT OF SUBSTANCE USE DISORDER: AVERA MCKENNAN IS A PARTNER WITH FACE IT TOGETHER SIOUX FALLS, A NONPROFIT ORGANIZATION WHICH SERVES AS THE LOCAL FACE AND VOICE FOR RECOVERY FROM ADDICTION THROUGH ITS RECOVERY SUPPORT SERVICES, ADVOCACY AND AWARENESS PROGRAMS. AVERA HAS BEEN A PARTNER WITH FACE IT TOGETHER SINCE ITS INCEPTION, AND IN A RECENT AWARENESS CAMPAIGN. COMMUNITY CONNECTIONS: AVERA MCKENNAN REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT EASTERN SOUTH DAKOTA, SOUTHWESTERN MINNESOTA AND NORTHWEST IOWA THROUGH HOME TOWN CONNECTIONS. PROVIDING A CRITICAL FEEDBACK LINK TO LOCAL REFERRING DOCTORS, THIS PROGRAM COMPLETES THE COMMUNICATIONS LINKS NECESSARY TO KEEP LOCAL HEALTH CARE PROVIDERS CURRENT ON THE TREATMENT OF THEIR PATIENTS AT AVERA MCKENNAN.SUPPORT OF THE ARTS AND CULTURAL LIFE: AVERA MCKENNAN HOSTS SIOUX FALLS' ONLY INDOOR SCULPTUREWALK, AN EXTENSION OF THE COMMUNITY'S DOWNTOWN SCULPTUREWALK. ARTISTS DONATE SCULPTURES FOR ONE YEAR, WHICH ARE PLACED AT LOCATIONS THROUGHOUT AVERA MCKENNAN'S CAMPUS, IN BUILDINGS CONNECTED BY SKYWALKS. BROCHURES CONTAIN A MAP, AND VISITORS WHO FOLLOW THE ROUTE SUGGESTED WALK APPROXIMATELY 1 MILE, MAKING THIS A HEALTHY AS WELL AS A CULTURAL JOURNEY.DIABETES PROGRAMMING: AVERA PARTICIPATES IN A COLLABORATIVE PROJECT WITH SIOUX FALLS PUBLIC SCHOOLS AND THE SOUTH DAKOTA BOARD OF NURSING TO IMPLEMENT ECONSULT SERVICES WITH DIABETIC EDUCATION SPECIALISTS MONITORING MEDICATIONS AND THE HEALTH OF CHILDREN WITH DIABETES IN THE SCHOOL SETTING. AVERA MCKENNAN DIABETES EDUCATORS PROVIDED CLASSES AND ONE-ON-ONE CONSULTATIONS AT A LOSS OF $142,000 IN THE PAST FISCAL YEAR.COMMUNITY BENEFITS: AVERA MCKENNAN PROVIDES ADDITIONAL COMMUNITY BENEFITS INCLUDING: SUPPORT OF YOUTH PROGRAMS; HOMELESS PROGRAMS; COMMUNITY ARTS PROGRAMMING; HEALTH PREVENTION; AWARENESS AND EDUCATION ABOUT CANCER, HEART DISEASE AND OTHER CONDITIONS; AND SUPPORT OF THE SIOUX EMPIRE UNITED WAY AND OTHER SERVICES IN THE REGION. DONATIONS TOWARD THESE EFFORTS TOTALED $1,942,130 IN 2014.PRESCHOOL VISION AND HEARING SCREENING: AVERA MCKENNAN PROVIDED FREE SCREENING FOR 383 PRESCHOOL CHILDREN IN FISCAL YEAR 2014.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (44 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
BRANDON VALLEY BOOSTER CLUB INC
PO BOX 572	BRANDON	SD	57005	460393971	501(C)(3)	$6,500	DONATION
CANTON SCHOOL DISTRICT
800 N MAIN	CANTON	SD	57013	466002143	STATE OF SD	$10,000	DONATION
CATHOLIC DIOCESE
523 N DULUTH AVE	SIOUX FALLS	SD	57104	466000424	501(C)(3)	$63,957	DONATION
DAKOTABILITIES INC
3600 S DULUTH AVE	SIOUX FALLS	SD	57105	460306216	501(C)(3)	$13,333	DONATION
DESTINY HEALTHCARE INTERNATIONAL
2701 S MINNESOTA AVE 3	SIOUX FALLS	SD	57105	510529480	501(C)(3)	$15,000	DONATION
EMBE
300 W 11TH STREET	SIOUX FALLS	SD	57104	460234998	501(C)(3)	$50,000	DONATION
FACE IT SIOUX FALLS
PO BOX 5127	SIOUX FALLS	SD	57117	943472044	501(C)(3)	$40,000	DONATION
FORWARD SIOUX FALLS
PO BOX 907	SIOUX FALLS	SD	57101	460396647	501(C)(6)	$14,161	DONATION
FURNITURE MISSION OF SOUTH DAKOTA INC
209 N NESMITH	SIOUX FALLS	SD	57103	810584500	501(C)(3)	$6,000	DONATION
HABITAT FOR HUMANITY OF GREATER SIOUX FALLS INC
721 E AMIDON ST	SIOUX FALLS	SD	57105	460407140	501(C)(3)	$25,000	DONATION
HARRISBURG DAYS FOUNDATION
PO BOX 343	HARRISBURG	SD	57032	841709233	501(C)(3)	$16,666	DONATION
HELPLINE CENTER
1000 N WEST AVE STE 310	SIOUX FALLS	SD	57104	237424387	501(C)(3)	$16,500	DONATION
JUNIOR ACHIEVEMENT OF SOUTH DAKOTA
100 N WEST AVENUE NO 110	SIOUX FALLS	SD	57104	460306352	501(C)(3)	$8,250	DONATION
MAP FOR NONPROFITS INC
2314 UNIVERISTY AVENUE WEST STE 28	ST PAUL	MN	55114	411479097	501(C)(3)	$15,000	DONATION
MCCROSSAN BOYS RANCH
47135 260TH STREET	SIOUX FALLS	SD	57107	460311913	501(C)(3)	$7,000	DONATION
NAMI OF SOUTH DAKOTA
PO BOX 88808	SIOUX FALLS	SD	57109	363593027	501(C)(3)	$15,000	DONATION
NATIONAL KIDNEY FOUNDATION
1100 E 21ST STREET AVERA DOCTORS	SIOUX FALLS	SD	57105	460448030	501(C)(3)	$22,000	DONATION	PLAZA 2 STE 210
NATIONAL MULTIPLE SCLEROSIS SOCIETY UPPER MIDWEST CHAPTER
200 12TH AVE S	MINNEAPOLIS	MN	55415	410790658	501(C)(3)	$13,500	DONATION
NORTHEASTERN SOUTH DAKOTA HEALTH PLAN
PO BOX 425	MILBANK	SD	57252	460430984	501(C)(3)	$150,000	DONATION
PRESENTATION SISTERS
1500 N 2ND ST	ABERDEEN	SD	57401	460253283	501(C)(3)	$7,500	DONATION
RONALD MCDONALD HOUSE
2001 S NORTON	SIOUX FALLS	SD	57105	460371152	501(C)(3)	$27,000	DONATION		$165,332	FMV	RENTED SPACE
SALES & MARKETING EXECUTIVES
PO BOX 90310	SIOUX FALLS	SD	57109	466012934	501(C)(6)	$5,025	DONATION
SERTOMA BUTTERFLY HOUSE INC
4320 SOUTH OXBOW AVE	SIOUX FALLS	SD	57106	522370420	501(C)(3)	$7,000	DONATION
SIOUX CENTER COMMUNITY HOSPITAL AND HEALTH CENTER
605 SOUTH MAIN STREET	SIOUX CENTER	IA	51250	420796764	501(C)(3)	$10,500	DONATION
SIOUX EMPIRE BASEBALL ASSOCIATION
1601 W 44TH PL SUITE 3	SIOUX FALLS	SD	57105	411903475	501(C)(3)	$23,611	DONATION
SIOUX EMPIRE FASTPITCH SOFTBALL
PO BOX 88206	SIOUX FALLS	SD	57109	237223489	501(C)(3)	$17,500	DONATION
SIOUX EMPIRE UNITED WAY
1000 N WEST AVE 120	SIOUX FALLS	SD	57104	460233701	501(C)(3)	$84,500	DONATION
SIOUX FALLS CATHOLIC SCHOOLS
3100 W 41ST STREET	SIOUX FALLS	SD	57105	510145184	501(C)(3)	$800,150	DONATION
SIOUX FALLS JAZZ & BLUES SOCIETY
123 S MAIN AVE SUITE 204	SIOUX FALLS	SD	571046430	460418356	501(C)(3)	$10,000	DONATION
SIOUX FALLS SCHOOL DISTRICT
201 E 38TH ST	SIOUX FALLS	SD	57105	466002586	STATE OF SD	$56,382	DONATION
SOUTH DAKOTA PARKS AND WILDLIFE FOUNDATION
523 E CAPITOL AVE	PIERRE	SD	57501	460387968	501(C)(3)	$10,000	DONATION
SOUTH DAKOTA STATE UNIVERSITY
PO BOX 2218	BROOKINGS	SD	57007	460273801	STATE OF SD	$1,017,500	DONATION
SOUTH DAKOTA SYMPHONY ORCHESTRA
301 S MAIN AVE 4TH FL	SIOUX FALLS	SD	57104	466017026	501(C)(3)	$35,500	DONATION
TALLGRASS RECOVERY & SOBER LIVING HOMES
2601 S MINNESOTA AVE	SIOUX FALLS	SD	571054742	200293050	501(C)(3)	$7,500	DONATION
UNIVERISITY OF SIOUX FALLS
1101 WEST 22ND ST	SIOUX FALLS	SD	57105	460224600	501(C)(3)	$220,000	DONATION
UNIVERISITY OF SOUTH DAKOTA
1400 W 22ND ST	SIOUX FALLS	SD	57105	466000364	STATE OF SD	$28,000	DONATION
VOLUNTEERS OF AMERICA DAKOTAS
1401 W 51ST	SIOUX FALLS	SD	57105	237353508	501(C)(3)	$5,886	DONATION
WASHINGTON PAVILION
PO BOX 984	SIOUX FALLS	SD	57101	460435791	501(C)(3)	$45,000	DONATION
AMERICAN CANCER SOCIETY
4904 S TECHNOPOLIS DRIVE	SIOUX FALLS	SD	57106	131788491	501(C)(3)	$33,450	DONATION
AMERICAN PSYCHIATRIC ASSOCIATION
1000 WILSON BLVD NO 1825	ARLINGTON	VA	22209	522168499	501(C)(6)	$7,000	DONATION
AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION MINNESOTA CHAPTER
333 WASHINGTON AVE N STE 105	MINNEAPOLIS	MN	55401	411756085	501(C)(3)	$20,000	DONATION
ANGEL FLIGHT CENTRAL INC
10 RICHARDS ROAD	KANSAS CITY	MO	64116	431699607	501(C)(3)	$15,800	DONATION
ARTHRITIS FOUNDATION INC
1876 N MINNEHAHA AVE W	ST PAUL	MN	55104	390860526	501(C)(3)	$10,000	DONATION
BOYS AND GIRLS CLUB OF THE SIOUX EMPIRE
824 E 14TH STREET	SIOUX FALLS	SD	57104	460399482	501(C)(3)	$9,000	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	41	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	43	RecipientCnt
Cash Grant	$100,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE GOVERNING BOARD AND MANAGEMENT DEVELOP PROGRAMS WHICH ENHANCE THE CHARITABLE MISSION OF THE ORGANIZATION. DISBURSEMENT FOR GRANTS OR ASSISTANCE FOR THESE PROGRAMS ARE MADE IN ACCORDANCE WITH PRESCRIBED PROCEDURES AND ARE SUBJECT TO CONDITIONS ESTABLISHED BY THE ORGANIZATION'S GOVERNING BOARD AND MANAGEMENT, WHICH ARE DESIGNED TO ENSURE THAT INDIVIDUALS AND ORGANIZATIONS RECEIVING GRANTS OR ASSISTANCE ARE ADEQUATELY INVESTIGATED TO ENSURE THAT THEY ARE QUALIFIED RECIPIENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID KAPASKA DO
PRESIDENT & CEO	$0	$618,552	$0	$0	$0	$177,764	$0	$13,475	$0	$19,960	$0	$829,751	$0	$0
AMY KRIE MD
BOARD TRUSTEE	$745,469	$0	$0	$0	$1,291	$0	$20,700	$0	$1,206	$0	$768,666	$0	$0	$0
KIM PEDERSON MD
BOARD TRUSTEE	$294,243	$0	$0	$0	$4,720	$0	$20,700	$0	$16,982	$0	$336,645	$0	$0	$0
JULIE N NORTON
SEC/TREAS & SRVP FINANCE	$390,408	$0	$0	$0	$1,271	$0	$20,700	$0	$25,412	$0	$437,791	$0	$0	$0
JUDY BLAUWET
SR VICE PRESIDENT	$339,565	$0	$0	$0	$7,441	$0	$15,600	$0	$13,285	$0	$375,891	$0	$0	$0
DAVID FLICEK
CHIEF ADMINISTRATIVE OFFICER	$0	$385,091	$0	$0	$0	$146,543	$0	$13,475	$0	$23,011	$0	$568,120	$0	$0
STEVE PETERSEN
AVP-PHARMACY	$193,237	$0	$0	$0	$1,775	$0	$11,831	$0	$22,162	$0	$229,005	$0	$0	$0
MARY LEEDOM
AVP-SURGERY	$178,833	$0	$0	$0	$1,553	$0	$10,829	$0	$2,406	$0	$193,621	$0	$0	$0
CURT HOHMAN
SR VICE PRESIDENT	$285,073	$0	$0	$0	$1,338	$0	$20,700	$0	$7,434	$0	$314,545	$0	$0	$0
KELLY MCCAUL MD ABIM FRCPC
HEMATOLOGY, TRANSPLANTATION	$1,198,881	$0	$0	$0	$4,845	$0	$20,700	$0	$8,234	$0	$1,232,660	$0	$0	$0
HENDRICK KLOPPER MD
NEUROSURGERY	$1,242,587	$0	$0	$0	$2,515	$0	$20,700	$0	$19,223	$0	$1,285,025	$0	$0	$0
BRIAN KNUTSON MD
DERMATOLOGY	$1,177,664	$0	$0	$0	$3,257	$0	$20,700	$0	$21,662	$0	$1,223,283	$0	$0	$0
MICHAEL PUUMALA MD
NEUROSURGERY	$1,214,900	$0	$0	$0	$7,000	$0	$20,700	$0	$19,662	$0	$1,262,262	$0	$0	$0
DANIEL TYNAN MD
NEUROSURGERY	$1,212,161	$0	$0	$0	$8,718	$0	$20,700	$0	$22,162	$0	$1,263,741	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	THE PRESIDENT & CEO'S COMPENSATION IS PAID BY A RELATED ORGANIZATION, AVERA HEALTH. AVERA MCKENNAN RELIED ON THE RELATED ORGANIZATION FOR DETERMINING THE COMPENSATION FOR THE PRESIDENT & CEO USING THE METHODS DESCRIBED IN PART I, LINE 3.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	HENDRICK KLOPPER MD	PersonNm
Relationship With Org	HIGHLY COMPENSATED EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	COMMUNITY NEEDS LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$200,000	OriginalPrincipalAmt
Balance Due	$54,167	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$54,167	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MICHAEL BENDER
BOARD MEMBER	$216,761	PROPERTY LEASE	0
PHYSICIANS LABORATORY LTD
BOARD MEMBER IS GREATER THAN 5% OWNER	$1,815,356	LAB SERVICES - HISTOLOGY	0
VICTORIA PETERSEN
FAMILY OF KEY EMPLOYEE	$34,453	EMPLOYEE COMPENSATION	0
ANESTHESIOLOGY ASSOCIATES INC
BOARD MEMBER IS GREATER THAN 5% OWNER	$750,334	PAIN MANGEMENT SERVICES	0
SIOUX FALLS CONSTRUCTION CO
BOARD MEMBER IS AN OFFICER OF THE ENTITY	$20,858,419	CONSTRUCTION	0
NEUROLOGY ASSOCIATES
BOARD MEMBER IS A GREATER THAN 5% PARTNER IN THE ENTITY	$494,498	ER CALL COVERAGE, RENTED SPACE, AND RENTED EQUIPMENT FROM MCKENNAN	0
WOODS FULLER SCHULTZ & SMITH PC
BOARD MEMBER IS AN OFFICER OF THE ENTITY	$293,138	LEGAL SERVICES	0
MARLENE SCHROEDER
FAMILY OF BOARD MEMBER	$32,794	EMPLOYEE COMPENSATION	0
JESS CARLSON
FAMILY OF BOARD MEMBER	$131,466	EMPLOYEE COMPENSATION	0
CHRISTIANE MAROUN
FAMILY OF BOARD MEMBER	$138,441	EMPLOYEE COMPENSATION	0
VINCENTA ROSSING
FAMILY OF BOARD MEMBER	$11,585	EMPLOYEE COMPENSATION	0
MATTHEW LEEDOM
FAMILY OF KEY EMPLOYEE	$24,586	EMPLOYEE COMPENSATION	0
SARAH KAPPEL
FAMILY OF KEY EMPLOYEE	$27,926	EMPLOYEE COMPENSATION	0
KATHERINE SMIDT
FAMILY OF BOARD MEMBER	$136,748	EMPLOYEE COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	INFORMATION AND ASSISTANCE: AVERA MCKENNAN OPERATES A 24-HOUR MEDICAL CALL CENTER, THROUGH WHICH PATIENTS HAVE ACCESS TO THE ASK-A-NURSE PROGRAM. PATIENTS CAN CALL A TOLL-FREE NUMBER AND TALK PERSONALLY WITH A REGISTERED NURSE TO ASK HEALTH QUESTIONS OR RECEIVE GENERAL HEALTH INFORMATION. IN 2014, THE MEDICAL CALL CENTER HANDLED 131,053 CALLS. AVERA MCKENNAN'S WEB SITE ALSO PROVIDES AN EXTENSIVE HEALTH LIBRARY THAT CONSUMERS CAN ACCESS FREE OF CHARGE. INTERPRETER SERVICE: AVERA MCKENNAN EMPLOYS TWO FULL-TIME SPANISH INTERPRETERS IN-HOUSE, AND THEIR SERVICES ARE OFFERED TO PATIENTS FREE OF CHARGE. IN ADDITION, IN COOPERATION WITH EXTERNAL AGENCIES, AVERA MCKENNAN IS ABLE TO HANDLE 210 DIFFERENT LANGUAGES AND DIALECTS THROUGH PHONE, VIDEO REMOTE INTERPRETING AND OTHER MEANS. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS WHEN THEY ARE AT AVERA MCKENNAN IN PERSON, OR WHEN THEY CALL BY PHONE. ALL THE ABOVE SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. PRENATAL AND DELIVERY CARE: BECAUSE EARLY AND REGULAR PRENATAL CARE IS IMPORTANT TO PREVENT PREMATURE BIRTH, AVERA MCKENNAN COLLABORATES IN A COMMUNITY EFFORT TO PROVIDE OBSTETRICS CARE FOR WOMEN WHO DO NOT QUALIFY FOR MEDICAID, BUT CANNOT AFFORD HEALTH INSURANCE. THE PROGRAM OFFERS PRENATAL CARE, AND HOSPITAL LABOR AND DELIVERY SERVES FOR A LOW FEE OF $1,000. WOMEN RECEIVE CARE WHETHER THEY CAN COVER ANY OR ALL OF THE FEE. CARE IS PROVIDED PRIMARILY BY FIRST-YEAR FAMILY PRACTICE RESIDENTS, SUPERVISED BY EXPERIENCED PHYSICIANS. THROUGH THIS PROGRAM IN 2014, AVERA MCKENNAN ASSISTED WITH 77 BIRTHS AND PROVIDED 756 PRENATAL AND POST-PARTUM VISITS. TRANSPORT TO TRANSPLANT: AVERA MCKENNAN DEVELOPED THE TRANSPORT TO TRANSPLANT PROJECT, WHICH REMOVES TRANSPORTATION BARRIERS FOR PATIENTS FROM RURAL AREAS WHICH MAY PREVENT THEM FROM COMPLETING THE EVALUATION AND TESTING NEEDED FOR KIDNEY AND/OR PANCREAS TRANSPLANT. A VAN FUNDED THROUGH A GRANT FROM THE AVERA MCKENNAN FOUNDATION IS USED TO TRANSPORT PATIENTS WHO DEMONSTRATE A FINANCIAL NEED. PATIENTS ARE BROUGHT TO THE AVERA TRANSPLANT INSTITUTE FOR A CONDENSED MULTI-DAY EVALUATION WITH ALL TESTING AND VISITS COMPLETED IN LESS THAN ONE WEEK. ULTIMATELY, THE PROJECT RESULTS IN IMPROVED MORBIDITY AND MORTALITY, AS KIDNEY TRANSPLANT DOUBLES PATIENT SURVIVAL AS COMPARED TO REMAINING ON DIALYSIS. AVERA FAMILY WELLNESS: THIS PROGRAM COMBINES POSITIVE ACTIVITIES LIKE VIOLIN LESSONS WITH FAMILY COACHING AT NO CHARGE FOR CHILDREN IN EARLY CHILDHOOD PROGRAMS IN THE SIOUX FALLS SCHOOL DISTRICT. THE GOAL IS TO PREVENT OR LESSEN THE EFFECTS OF BEHAVIORAL HEALTH CONDITIONS ON CHILDREN AND FAMILIES BY FOSTERING A POSITIVE ENVIRONMENT. OVER 450 STUDENTS AND THEIR FAMILIES ARE ENROLLED. THE WALSH FAMILY VILLAGE: THIS HOSPITALITY HOUSE COMPLEX ADJACENT TO THE AVERA MCKENNAN CAMPUS PROVIDES A HOME AWAY FROM HOME FOR PATIENTS AND THEIR FAMILIES WHO COME FOR CARE AT AVERA MCKENNAN FROM OUTSIDE OF SIOUX FALLS. THE PROJECT WAS FUNDED BY DONATIONS AND IS OPERATED BY AVERA MCKENNAN. ELEVEN GUEST ROOMS ARE AVAILABLE. AVERA MCKENNAN ALSO DONATES USE OF A BUILDING IN THE COMPLEX FOR A RONALD MCDONALD HOUSE FOR FAMILIES OF PEDIATRIC PATIENTS. IF THEY CAN AFFORD IT, GUESTS ARE CHARGED A LOW FEE OF $55 PER NIGHT. GUESTS ARE NOT TURNED AWAY DUE TO INABILITY TO PAY THE FEE. EMPLOYEES REGULARLY DONATE NON-PERISHABLE FOOD ITEMS TO STOCK A FOOD PANTRY FOR GUESTS. IN FY2014, THE WALSH FAMILY VILLAGE SERVED 6,988 GUESTS, STAYING IN 4,015 NIGHTLY ROOMS A 90 PERCENT OCCUPANCY. AVERA MCKENNAN PROVIDES A SUBSIDY OF APPROXIMATELY $192,000 PER YEAR TO OPERATE THE HOSPITALITY COMPLEX. PREVENTION AND SUPPORT OF SUBSTANCE USE DISORDER: AVERA MCKENNAN IS A PARTNER WITH FACE IT TOGETHER SIOUX FALLS, A NONPROFIT ORGANIZATION WHICH SERVES AS THE LOCAL FACE AND VOICE FOR RECOVERY FROM ADDICTION THROUGH ITS RECOVERY SUPPORT SERVICES, ADVOCACY AND AWARENESS PROGRAMS. AVERA HAS BEEN A PARTNER WITH FACE IT TOGETHER SINCE ITS INCEPTION, AND IN A RECENT AWARENESS CAMPAIGN. COMMUNITY CONNECTIONS: AVERA MCKENNAN REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT EASTERN SOUTH DAKOTA, SOUTHWESTERN MINNESOTA AND NORTHWEST IOWA THROUGH HOME TOWN CONNECTIONS. PROVIDING A CRITICAL FEEDBACK LINK TO LOCAL REFERRING DOCTORS, THIS PROGRAM COMPLETES THE COMMUNICATIONS LINKS NECESSARY TO KEEP LOCAL HEALTH CARE PROVIDERS CURRENT ON THE TREATMENT OF THEIR PATIENTS AT AVERA MCKENNAN. SUPPORT OF THE ARTS AND CULTURAL LIFE: AVERA MCKENNAN HOSTS SIOUX FALLS' ONLY INDOOR SCULPTUREWALK, AN EXTENSION OF THE COMMUNITY'S DOWNTOWN SCULPTUREWALK. ARTISTS DONATE SCULPTURES FOR ONE YEAR, WHICH ARE PLACED AT LOCATIONS THROUGHOUT AVERA MCKENNAN'S CAMPUS, IN BUILDINGS CONNECTED BY SKYWALKS. BROCHURES CONTAIN A MAP, AND VISITORS WHO FOLLOW THE ROUTE SUGGESTED WALK APPROXIMATELY 1 MILE, MAKING THIS A HEALTHY AS WELL AS A CULTURAL JOURNEY. DIABETES PROGRAMMING: AVERA PARTICIPATES IN A COLLABORATIVE PROJECT WITH SIOUX FALLS PUBLIC SCHOOLS AND THE SOUTH DAKOTA BOARD OF NURSING TO IMPLEMENT ECONSULT SERVICES WITH DIABETIC EDUCATION SPECIALISTS MONITORING MEDICATIONS AND THE HEALTH OF CHILDREN WITH DIABETES IN THE SCHOOL SETTING. AVERA MCKENNAN DIABETES EDUCATORS PROVIDED CLASSES AND ONE-ON-ONE CONSULTATIONS AT A LOSS OF $142,000 IN THE PAST FISCAL YEAR. COMMUNITY BENEFITS: AVERA MCKENNAN PROVIDES ADDITIONAL COMMUNITY BENEFITS INCLUDING: SUPPORT OF YOUTH PROGRAMS; HOMELESS PROGRAMS; COMMUNITY ARTS PROGRAMMING; HEALTH PREVENTION; AWARENESS AND EDUCATION ABOUT CANCER, HEART DISEASE AND OTHER CONDITIONS; AND SUPPORT OF THE SIOUX EMPIRE UNITED WAY AND OTHER SERVICES IN THE REGION. PRESCHOOL VISION AND HEARING SCREENING: AVERA MCKENNAN PROVIDED FREE SCREENING FOR 383 PRESCHOOL CHILDREN IN FISCAL YEAR 2014.
FORM 990, PART VI, SECTION A, LINE 2	GENE JONES JR., CINDY WALSH, AND FRED THURMAN HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS AVERA HEALTH, A NONPROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF SOUTH DAKOTA AND EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED.
FORM 990, PART VI, SECTION A, LINE 7A	AVERA HEALTH, AS THE SOLE MEMBER, HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ALL MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	AVERA HEALTH HAS THE FOLLOWING RIGHTS AS THE MEMBER: 1) TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE STATEMENTS OF PHILOSOPHY, MISSION AND VALUES OF CORPORATION; 2) TO INITIATE THE ADOPTION, AMENDMENT OR REPEAL OF ANY PROVISION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, AND TO GIVE FINAL APPROVAL OF ANY SUCH ACTION WITH RESPECT THERETO; 3) TO APPROVE AND ACT UPON THE ALIENATION OF REAL PROPERTY AND PRECIOUS ARTIFACTS UNDER THE CANONICAL STEWARDSHIP OF THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY OF ABERDEEN, SOUTH DAKOTA ("PRESENTATION SISTERS") OR THE BENEDICTINE SISTERS OF SACRED HEART MONASTERY ("BENEDICTINE SISTERS"), PURSUANT TO THE POLICIES ESTABLISHED BY THE MEMBER; 4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION, OR THE DIVESTITURE OF A SPONSORED WORK OR MINISTRY ASSOCIATED WITH THE CORPORATION; 5) TO APPROVE THE CREATION OF NEW SPONSORED WORKS OR MINISTRIES TO BE CONDUCTED BY OR UNDER THE AUTHORITY OF THE CORPORATION; 6) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE BOARD OF DIRECTORS OF THE CORPORATION. 7) TO APPOINT AND/OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. 8) TO APPROVE OPERATING/CAPITAL BUDGETS AND STRATEGIC PLANS OF THE CORPORATION. 9) TO APPROVE EXPENDITURES OUTSIDE OF OPERATING AND CAPITAL BUDGETS EXCEEDING DEFINED THRESHOLDS ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 10) TO APPROVE ACQUISITIONS, SALES AND LEASES, ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 11) TO ESTABLISH AND MAINTAIN EMPLOYEE BENEFIT PROGRAMS. 12) TO ESTABLISH AND MAINTAIN INSURANCE PROGRAMS. 13) TO APPROVE MAJOR COMMUNITY FUND DRIVES. 14) TO APPROVE THE APPOINTMENT OF AUDITORS. 15) TO ADOPT POLICIES DESIGNED TO EFFECTUATE THE RESERVED POWERS OF THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 8B	AVERA MCKENNAN DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND ASSISTANT VP OF FINANCIAL REPORTING. AFTER THE INITIAL REVIEW, A DRAFT IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW. THE APPROVED RETURN IS PROVIDED TO THE FULL 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 15B	THE CEO IS COMPENSATED BY AVERA HEALTH SYSTEM. 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. THE CFO AND KEY EMPLOYEES ARE COMPENSATED BY AVERA MCKENNAN. ANNUALLY, THE COMPENSATION COMMITTEE OF AVERA MCKENNAN, WHICH IS COMPRISED OF BOARD MEMBERS, MEETS TO REVIEW THE COMPENSATION OF EXECUTIVES AND PHYSICIANS. AVERA MCKENNAN COMPARES ITS COMPENSATION PLAN TO OTHER HEALTHCARE ORGANIZATIONS SIMILAR IN SIZE AND COMPLEXITY TO AVERA MCKENNAN ON A NATIONAL BASIS TO ENSURE COMPENSATION IS COMPARABLE. AVERA MCKENNAN UTILIZES MULTIPLE SALARY SURVEYS AND AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE A MARKET ANALYSIS FOR EACH EXECUTIVE'S SUGGESTED PAY OR PAY RANGE. INDIVIDUAL SALARIES REFLECT RELATED EDUCATION AND EXPERIENCE, AS WELL AS THE SCOPE OF THE DUTIES TO ASSURE AMOUNTS PAID ARE REASONABLE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 PER IRS INSTRUCTIONS AND THEREFORE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VI, SECTION B, LINE 16B:	THERE IS NO WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. 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 MUST BE APPROVED BY THE BOARD AND THE MEMBER.
FORM 990, PART IX, LINE 11G	MEDICAL FEES: PROGRAM SERVICE EXPENSES 9,707,645. MANAGEMENT AND GENERAL EXPENSES 166,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,874,323. FFS OTHER: PROGRAM SERVICE EXPENSES 47,772,595. MANAGEMENT AND GENERAL EXPENSES 54,982,928. FUNDRAISING EXPENSES 2,596. TOTAL EXPENSES 102,758,119.
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 ST. MARY'S AND AVERA MARSHALL. 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:	EQUITY TRANSFERS, NET 2,334,050. OTHER CHANGES IN UNRESTRICTED NET ASSETS 101,538.
FORM 990, PART XII, LINE 2C:	THE AUDIT COMMITTEE OF AVERA HEALTH, THE PARENT ORGANIZATION OF AVERA MCKENNAN, SELECTS THE AUDITOR AND REVIEWS THE AUDITED FINANCIAL STATEMENTS FOR AVERA MCKENNAN. ALSO, THE FINANCE COMMITTEE AT AVERA MCKENNAN TAKES RESPONSIBILITY FOR REVIEWING THE AUDITED FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SIOUX FALLS HOSPITAL MANAGEMENT LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	571175045	562141521	MANAGEMENT COMPANY OF HEART HOSPITAL	NC	$4,559,685	$18,638,127	WEST 69TH STREET LLC
WEST 69TH STREET LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	571175045	460224743	HOLDING COMPANY	SD	$4,559,685	$18,638,127	AVERA MCKENNAN
ALUMEND LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	571175045	460224743	RESEARCH AND DEVELOPMENT	SD	-$1,857,275	$1,727,627	AVERA MCKENNAN
MRIS LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	571175045	470874983	HEALTHCARE SERVICES	SD	$0	$0	AVERA MCKENNAN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
AVERA ST ANTHONY'S HOSPITAL
300 N 2ND STREET	ONEILL	NE	68763	470463911	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	AVERA HEALTH	0
AVERA HOLY FAMILY
826 NORTH 8TH STREET	ESTHERVILLE	IA	51334	420680370	HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3	AVERA HEALTH	0
AVERA HOLY FAMILY FOUNDATION
826 NORTH 8TH STREET	ESTHERVILLE	IA	51334	421317452	FUNDRAISING	IA	501(C)(3)	LINE 9	AVERA HOLY FAMILY	0
ST BENEDICT HEALTH CENTER
401 WEST GLYNN DRIVE	PARKSTON	SD	57366	460226738	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	0
ST BENEDICT HEALTH CENTER FOUNDATION
WEST GLYNN DRIVE PO BOX B	PARKSTON	SD	57366	460458725	SUPPORT HEALTH RELATED SERVICES	SD	501(C)(3)	LINE 11A, I	ST BENEDICT HEALTH CENTER	0
AVERA HEALTH
3900 WEST AVERA DRIVE STE 300	SIOUX FALLS	SD	57108	460422673	PROMOTION OF HEALTH	SD	501(C)(3)	LINE 9		0	N/A
AVERA QUEEN OF PEACE
525 NORTH FOSTER	MITCHELL	SD	57301	460224604	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	0
SACRED HEART HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460225483	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	0
AVERA GETTYSBURG
606 EAST GARFIELD	GETTYSBURG	SD	57442	460234354	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA ST MARY'S	0
AVERA AT HOME
5116 S SOLBERG AVE	SIOUX FALLS	SD	57108	460399291	HOME SERVICES	SD	501(C)(3)	LINE 9	AVERA HEALTH	0
LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY
1000 W 4TH STREET SUITE 9	YANKTON	SD	57078	460337013	HEALTHCARE EDUCATION	SD	501(C)(3)	LINE 9	SACRED HEART HEALTH SERVICES	0
AVERA ST LUKE'S
305 SOUTH STATE STREET	ABERDEEN	SD	57401	460224598	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	0
AVERA ST MARY'S
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	0
AVERA MARSHALL
300 S BRUCE STREET	MARSHALL	MN	56258	410919153	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3	AVERA HEALTH	0
AVERA MARSHALL FOUNDATION
300 SOUTH BRUCE STREET	MARSHALL	MN	56258	411784801	FUNDRAISING	MN	501(C)(3)	LINE 7	AVERA MARSHALL	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
AVERA HOME MEDICAL EQUIPMENT LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	460488198	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA MCKENNAN	RELATED	$204,398	$4,802,540	Yes (1)	$21,532	Yes (1)	0.78720
HOME MEDICAL EQUIPMENT OF PIERRE LLC
329 E DAKOTA	PIERRE	SD	57501	460444002	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA MCKENNAN	RELATED	$62,940	$235,822	0	$16,841	Yes (1)	0.50000
AVERA HOME MEDICAL EQUIPMENT OF FLOYD VALLEY HOSPITAL LLC
714 LINCOLN ST NE	LEMARS	IA	51031	820582350	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA HOME MEDICAL EQUIPMENT LLC	RELATED	$18,172	$85,478	Yes (1)	$4,127	Yes (1)	0.39320
AVERA HOME MEDICAL EQUIPMENT OF ESTHERVILLE LLC
PO BOX 5045	SIOUX FALLS	SD	57117	201686097	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA HOME MEDICAL EQUIPMENT LLC	RELATED	-$4,189	$129,303	Yes (1)	-$1,113	Yes (1)	0.39320
AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER LLC
38 19TH ST SW	SIOUX CENTER	IA	51250	753203100	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA HOME MEDICAL EQUIPMENT LLC	RELATED	$21,538	$106,787	Yes (1)	$6,342	Yes (1)	0.39320
AVERA HOME MEDICAL EQUIPMENT OF MARSHALL LLC
1104 EAST COLLEGE DRIVE	MARSHALL	MN	56258	205271924	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA HOME MEDICAL EQUIPMENT LLC	RELATED	$67,785	$299,291	Yes (1)	$21,677	Yes (1)	0.39320
Q&M PROPERTIES LLC
525 NORTH FOSTER	MITCHELL	SD	57301	731652049	MEDICAL CLINIC BUILDING	SD	AVERA QUEEN OF PEACE	RELATED	-$498	$381,176	0		0	0.50000
SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC
310 S PENNSYLVANIA ST	ABERDEEN	SD	57401	460461429	SURGICAL ASSOCIATES	SD									N/A
AVERA HME OF SPENCER HOSPITAL LLC
2400 S MINNESOTA AVENUE 102	SIOUX FALLS	SD	57117	800619999	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA HOME MEDICAL EQUIPMENT LLC	RELATED	-$14,774	$99,425	Yes (1)	-$6,890	Yes (1)	0.39330
HEART HOSPITAL OF SOUTH DAKOTA LLC
4500 W 69TH STREET	SIOUX FALLS	SD	57108	562143771	HEALTHCARE SERVICES	SD	AVERA MCKENNAN	RELATED	$9,119,369	$37,276,253	0		0	0.66670
BROOKINGS HEALTH SYSTEM - AVERA HME LLC
101 22ND AVE SUITE 101	BROOKINGS	SD	57006	453204123	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	AVERA HOME MEDICAL EQUIPMENT LLC	RELATED	$46,054	$188,377	Yes (1)	$10,959	0	0.39320

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ACCOUNTS MANAGEMENT INC
5132 S CLIFF AVE SUITE 101	SIOUX FALLS	SD	57108	460373021	COLLECTION AGENCY	SD	N/A	C	0
AVERA HEALTH PLANS INC
3900 WEST AVERA DRIVE SUITE 101	SIOUX FALLS	SD	57108	460451539	HEALTH FINANCING AND HEALTH PLAN ADMINISTRATION	SD	N/A	C	0
AVERA PROPERTY INSURANCE INC
610 W 23RD ST STE 1 PO BOX 38	YANKTON	SD	57078	460463155	INSURANCE	SD	N/A	C	0
VALLEY HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460357149	RENTAL REAL ESTATE	SD	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AVERA HOME MEDICAL EQUIPMENT LLC
A	$266,580	INTERCOMPANY DETAIL FROM GL
AVERA HOME MEDICAL EQUIPMENT LLC
L	$138,987	INTERCOMPANY DETAIL FROM GL
AVERA HOME MEDICAL EQUIPMENT LLC
Q	$5,769,199	INTERCOMPANY DETAIL FROM GL
AVERA HOME MEDICAL EQUIPMENT LLC
R	$5,992,962	INTERCOMPANY DETAIL FROM GL
AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC
R	$1,905,813	INTERCOMPANY DETAIL FROM GL
AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC
S	$9,386,588	INTERCOMPANY DETAIL FROM GL
AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC
L	$1,898,771	INTERCOMPANY DETAIL FROM GL
AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC
Q	$651,581	INTERCOMPANY DETAIL FROM GL
AVERA ST LUKE'S
M	$161,281	INTERCOMPANY DETAIL FROM GL
AVERA SACRED HEART
M	$55,380	INTERCOMPANY DETAIL FROM GL
AVERA QUEEN OF PEACE
M	$64,211	INTERCOMPANY DETAIL FROM GL
AVERA MARSHALL
M	$66,045	INTERCOMPANY DETAIL FROM GL
AVERA QUEEN OF PEACE
L	$851,368	INTERCOMPANY DETAIL FROM GL
AVERA QUEEN OF PEACE
A	$270,166	INTERCOMPANY DETAIL FROM GL
AVERA MARSHALL
L	$2,549,598	INTERCOMPANY DETAIL FROM GL
AVERA MARSHALL
R	$186,963	INTERCOMPANY DETAIL FROM GL
AVERA SACRED HEART
L	$957,426	INTERCOMPANY DETAIL FROM GL
AVERA ST LUKE'S
L	$752,812	INTERCOMPANY DETAIL FROM GL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE R, PART V, LINE 2, COLUMN C	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED IN COLUMN C ARE REPORTED BASED ON A REVIEW OF GENERAL LEDGER ACTIVITY IN INTERCOMPANY ACCOUNTS, AND REVIEW OF EQUITY ACCOUNTS FOR CONTRIBUTIONS AND DISTRIBUTIONS.	ExplanationTxt