AVERA HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: AVERA HEALTH (EIN 46-0422673)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201221369349306322
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T15:18:34-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460422673	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	AVER	NameControl
Phone	6053227300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3900 WEST AVERA DRIVE NO 300	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	57108	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JIM BRECKENRIDGE	Name
Title	SECRETARY/TREASURER	Title
Phone	6053227300	Phone
Date Signed	2012-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KIM HUNWARDSEN CPA	Name
Phone	6122536500	Phone
Date Prepared	2012-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN PORTER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3900 WEST AVERA DRIVE NO 300	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	57108	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	74838894	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.AVERA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	PROMOTION OF HEALTH	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	409	TotalNbrEmployees
Total Nbr Volunteers	13	TotalNbrVolunteers
Total Gross UBI	1686753	TotalGrossUBI
Net Unrelated Business Txbl Income	435247	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5772674	ContributionsGrantsPriorYear
Contributions Grants Current Year	13930641	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	40864118	ProgramServiceRevenuePriorYear
Program Service Revenue CY	56880853	ProgramServiceRevenueCY
Investment Income Prior Year	1201853	InvestmentIncomePriorYear
Investment Income Current Year	3097724	InvestmentIncomeCurrentYear
Other Revenue Prior Year	11426	OtherRevenuePriorYear
Other Revenue Current Year	384343	OtherRevenueCurrentYear
Total Revenue Prior Year	47850071	TotalRevenuePriorYear
Total Revenue Current Year	74293561	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2238460	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5903271	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	21571696	SalariesEtcPriorYear
Salaries Etc Current Year	37127214	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	235211	TotalFundrsngExpCurrentYear
Other Expense Prior Year	19118840	OtherExpensePriorYear
Other Expenses Current Year	20261316	OtherExpensesCurrentYear
Total Expenses Prior Year	42928996	TotalExpensesPriorYear
Total Expenses Current Year	63291801	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4921075	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11001760	RevenuesLessExpensesCY
Total Assets BOY	570136185	TotalAssetsBOY
Total Assets EOY	700195823	TotalAssetsEOY
Total Liabilities BOY	441702144	TotalLiabilitiesBOY
Total Liabilities EOY	523220103	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	128434041	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	176975720	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	AVERA HEALTH IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES.	MissionDescription
Significant New Program Services	1	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	58178856	Expense
Grants	5903271	Grants
Revenue	55194100	Revenue
Description	AVERA HEALTH DELIVERS HEALTH CARE TO INDIVIDUALS AND COMMUNITIES THROUGH A SYSTEM OF NEARLY 300 AFFILIATED HEALTH CARE FACILITIES, WHICH ARE REFERRED TO COLLECTIVELY AS "AVERA." AVERA, THE HEALTH MINISTRY OF THE BENEDICTINE AND PRESENTATION SISTERS, SERVED THE PEOPLE OF EASTERN SOUTH DAKOTA AND SURROUNDING STATES WITH A WIDE SPECTRUM OF HEALTH SERVICES DELIVERED THROUGH HOSPITALS, LONG-TERM CARE FACILITIES, CLINICS AND OTHER HEALTH PROGRAMS.AVERA HEALTH VISIONWORKING WITH ITS PARTNERS, AVERA HEALTH SHALL PROVIDE A QUALITY, COST-EFFECTIVE HEALTH MINISTRY, WHICH REFLECTS GOSPEL VALUES. WE SHALL IMPROVE THE HEALTH CARE OF THE PEOPLE WE SERVE THROUGH A REGIONALLY INTEGRATED NETWORK OF PERSONS AND INSTITUTIONS.AVERA VALUESIN CARING FOR LIFE, THE AVERA COMMUNITY IS GUIDED BY THE GOSPEL VALUES OF COMPASSION, HOSPITALITY AND STEWARDSHIP.AVERA IS SPONSORED BY THE BENEDICTINE SISTERS OF YANKTON, S.D., AND THE PRESENTATION SISTERS OF ABERDEEN, S.D. IN ACCORD WITH ITS CATHOLIC MISSION, AVERA ADHERES TO "THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES".AVERA FACILITIES RETURN ANY REVENUES OVER EXPENSES THAT THEY RECEIVE TO THE PEOPLE IN THEIR COMMUNITIES IN THREE WAYS:WE PROVIDE CARE OF THOSE WHO CANNOT AFFORD TO PAY. AVERA AFFILIATES PROVIDE FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES TO PERSONS WHO CANNOT AFFORD TO PAY ALL OR PART OF A BILL, INCLUDING PERSONS WHO ARE UNINSURED AND LOW-INCOME PATIENTS, USING INCOME-RELATED DISCOUNTS. AS THE NUMBER OF UNINSURED PERSONS GROWS, SO DOES THE NEED FOR CHARITY CARE, OR FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO THOSE WHO CANNOT AFFORD TO PAY.CHARITY CARE/PATIENT ASSISTANCE $15,411,759CHARITY CARE/PATIENT ASSISTANCE IS FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY ALL OR PART OF A BILL, INCLUDING PERSONS WHO ARE UNINSURED AND LOW-INCOME PATIENTS, USING AN INCOME-RELATED SCHEDULE. THE DOLLAR AMOUNT PROVIDED FOR CHARITY CARE IS BASED ON THE ACTUAL COST OF PROVIDING THAT SERVICE, NOT THE AMOUNT THAT WOULD HAVE BEEN CHARGED FOR THAT SERVICE. CHARITY CARE DOES NOT INCLUDE BAD DEBT.UNPAID COSTS OF GOVERNMENT AND OTHER PROGRAMS $ 19,906,722MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP), LOCAL AND STATE GOVERNMENT PROGRAMS THAT REIMBURSE HEALTH CARE PROVIDERS FOR PERSONS NOT ELIGIBLE FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS PROVIDE HEALTH COVERAGE FOR THOUSANDS OF INDIVIDUALS IN OUR REGION. HOWEVER, THEY GENERALLY DO NOT REIMBURSE HOSPITALS AND DOCTORS FOR THE FULL COSTS OF SERVICES. IN MANY INSTANCES, PAYMENT IS BASED ON DATA FROM PREVIOUS YEARS THAT DOESN'T ACCURATELY REFLECT THE RAPIDLY CHANGING NATURE OF HEALTH SERVICES, SUCH AS NEW PROCESSES, NEW EQUIPMENT, NEW TECHNOLOGIES AND RISING COSTS FOR SUPPLIES.IN ACCORD WITH "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" (ST. LOUIS: CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES, 2008), UNPAID COSTS OF MEDICARE ARE NOT INCLUDED IN THIS AMOUNT. THE AMOUNT OF UNPAID COSTS OF MEDICARE FOR THE FISCAL YEAR ENDING JUNE 30, 2011, WAS $17,621,834.ADDITIONAL COMMUNITY BENEFITS $35,554,330COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND SERVICES ARE NOT PROVIDED FOR MARKETING PURPOSES. A COMMUNITY BENEFIT MUST MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: IMPROVE ACCESS TO HEALTH CARE SERVICES; ENHANCE HEALTH OF THE COMMUNITY; ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE; OR RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. INCLUDED IN THIS CATEGORY ARE COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, FINANCIAL AND IN-KIND CONTRIBUTIONS, COMMUNITY-BUILDING AND LEADERSHIP ACTIVITIES AND COMMUNITY-BENEFIT-OPERATIONS ACTIVITIES.TOTAL $70,872,811AVERA OPERATES UNDER THE PREMISE THAT SOCIAL AND INSTITUTIONAL WELLNESS ARE BEST PROMOTED THROUGH JOINT EFFORTS OF VARIOUS RELIGIOUS AND COMMUNITY-SPONSORED INSTITUTIONS. CHOOSING COLLABORATION AND EMPOWERMENT ENABLES US TO BE BETTER STEWARDS OF OUR HUMAN, FINANCIAL, TECHNICAL AND ENVIRONMENTAL RESOURCES.OUR CAREGIVERS ARE SUPPORTED BY THE RESOURCES AND EXPERTISE OF THE REGION'S LARGEST HEALTH SYSTEM. MANAGEMENT AND OTHER SUPPORT SERVICES ARE PROVIDED THROUGH THE AVERA CENTRAL OFFICE, AND AVERA'S FIVE REGIONAL CENTERS: AVERA ST. LUKE'S IN ABERDEEN, S.D.; AVERA MARSHALL REGIONAL MEDICAL CENTER IN MARSHALL, MINN.; AVERA QUEEN OF PEACE IN MITCHELL, S.D.; AVERA MCKENNAN IN SIOUX FALLS, S.D.; AND AVERA SACRED HEART IN YANKTON, S.D. AS A LEADING HEALTH SYSTEM IN THE REGION, AVERA IS COMMITTED TO MEETING THE NEEDS OF COMMUNITIES IT SERVES THROUGH THE PROVISION OF QUALITY HEALTH CARE SERVICES GUIDED BY CHRISTIAN VALUES AND BY MAKING A POSITIVE IMPACT ON THE COMMUNITY. AVERA HEALTH ACTS AS THE LEADER OF THE AVERA HEALTH MINISTRY, SERVING AS AN OVERALL PARENT TO SUPPORT ITS AFFILIATED TAX-EXEMPT HEALTH CARE ORGANIZATIONS. THROUGH AVERA HEALTH, AFFILIATES COLLABORATE TO IMPROVE THE LIVES AND HEALTH OF INDIVIDUALS AND OF THE COMMUNITIES WE SERVE. THIS COLLABORATION ALLOWS AFFILIATES TO ACCESS LEADING EDGE STRATEGIES AND EXPERTISE WHILE KEEPING ADMINISTRATIVE COSTS AS LOW AS POSSIBLE.AVERA HEALTH SERVES HEALTH CARE FACILITIES THAT ARE OWNED BY AVERA HEALTH AS WELL AS FACILITIES THAT ARE OWNED BY LOCAL COMMUNITIES. THROUGH AVERA HEALTH, AFFILIATES ARE ABLE TO SHARE COSTS OF MANAGEMENT, LEGAL AND OTHER SUPPORT SERVICES AMONG MANY FACILITIES RATHER THAN EACH FACILITY INCURRING THOSE COSTS SEPARATELY. AVERA HEALTH PROVIDES A VARIETY OF SERVICES FOR THE BENEFIT OF AFFILIATES INCLUDING COORDINATING THE DELIVERY OF HEALTH CARE SERVICE TO THE REGION, OVERALL STRATEGIC PLANNING, GROUP PURCHASING OF SUPPLIES AND SERVICES AT LOWEST POSSIBLE COST AND EDUCATION. AVERA HEALTH ALSO COORDINATES JOINT INVESTMENTS AND RISK-MANAGEMENT PROGRAMS FOR AFFILIATES.SOME OF THE SPECIFIC WAYS AVERA HEALTH HAS IMPROVED THE COMMUNITIES WE SERVE INCLUDE DURING THE YEAR ENDED JUNE 30, 2011 ARE:* PROVIDING SUPPORT SERVICES TO NEARLY 300 AFFILIATED HEALTH CARE FACILITIES* PROVIDING MORE THAN $5,140,711 (SHOWN ON FORM 990, PART IX, LINE 1) IN FINANCIAL SUPPORT FOR VARIOUS PROJECTS IN LOCAL COMMUNITIES* SPONSORING EDUCATION PROGRAMS INCLUDING A GERONTOLOGICAL CARE CONFERENCE, NURSING CONFERENCE, ETHICS CONFERENCE, PARISH NURSING CONFERENCE AND MORE	Description
Total Program Service Expense	58178856	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	93	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	409	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	VI	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form1098 C Filed	1	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6053224700	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3900 W AVERA DR STE 300	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	57108	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DR HERBERT A SALOUM
CHAIR	5.20	X	X	1625	0	0
SISTER KATHLEEN CROWLEY
VICE CHAIR	5.00	X	X	0	0	0
SISTER LUCILLE WELBIG
DIRECTOR	5.00	X		0	0	0
DANIEL P MURPHY
DIRECTOR	5.00	X		0	0	0
BOB SUTTON
DIRECTOR	5.00	X		0	0	0
SISTER BARBARA MCTAGUE
DIRECTOR	5.00	X		0	0	0
SISTER MARY M THOMAS
DIRECTOR	5.00	X		0	0	0
SISTER MARY JAEGER
DIRECTOR	5.00	X		0	0	0
RODNEY W FOUBERG
DIRECTOR	5.00	X		0	0	0
MARK SHLANTA
DIRECTOR	5.00	X		0	0	0
SISTER DEBRA KOLECKA
DIRECTOR	5.00	X		0	0	0
DR KIM W JUNDT
DIRECTOR	5.00	X		0	445142	28355
MARK BUCHE
DIRECTOR	5.00	X		0	0	0
DR J MICHAEL BACHARACH
DIRECTOR	5.00	X		0	0	0
KEVIN CONLIN
DIRECTOR	5.00	X		0	0	0
JOHN PORTER
PRESIDENT & CEO	40.00	X	X	1273176	0	28024
JAMES BRECKENRIDGE
SEC/TREAS & SRVP FINANCE	40.00		X	614049	0	19566
FREDRICK SLUNECKA
CHIEF OPERATING OFFICER	40.00			941800	0	26824	X
DAVID ERICKSON
SR VP MEDICAL AFFAIR	40.00			519643	0	27676		X
RON JACOBSON
PRES/CEO-ST.LUKES	1.00			533093	0	26824		X
PAM REZAC
PRES/CEO-SACRED HEART	1.00			469679	0	29676		X
JEAN REED
SR VP STRATEGY/GOVERNANCE	40.00			465866	0	29324		X
THOMAS RASMUSSEN
PRES/CEO-QUEEN OF PEACE	40.00			463190	0	30824		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5282121	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	445142	TotalReportableCompFrmRltdOrgs
Total Other Compensation	247093	TotalOtherCompensation
Number Individuals GT100 K	47	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLE	CHICAGO	IL	60674	CONSULTANT	2472425
BVK
250 WEST CONVENTRY COURT	MILWAUKEE	WI	53217	MARKETING CONSULTANT	1304621
US BANK NATIONAL ASSOCIATION
600 NICOLLET MALL	MINNEAPOLIS	MN	55402	FINANCIAL MANAGEMENT	1134570
PRESENTATION CONVENT
1500 N 2ND STREET	ABERDEEN	SD	57401	SERVICES	884745
SACRED HEART MONASTERY
1005 WEST 8TH STREET	YANKTON	SD	57078	SERVICES	658473

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	34	NumberOfContractorsGT100K
Fundraising Events	319141	FundraisingEvents
Government Grants	1708747	GovernmentGrants
All Other Contributions	11902753	AllOtherContributions
Noncash Contributions	603923	NoncashContributions
Total Contributions	13930641	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SUPPORT SERVICES	561000	54338093	52643909	1694184
INCOME FROM AFFILIATES	561000	2513255	2520686	-7431
EDUCATION & CONFERENCE	900099	29505	29505

Field	Value	IRS element (for citing)
Total Program Service Revenue	56880853	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	936748	TotalRevenueColumn
Exclusion	$936,748	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2163681	Securities
Other	32150	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	34855	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2163681	Securities
Other	-2705	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2160976	TotalRevenueColumn
Exclusion	$2,160,976	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	886005	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	319141	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	510478	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	375527	TotalRevenueColumn
Exclusion	$375,527	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER INVESTMENT INCOM	Description
Business Code	900099	BusinessCode
Total Revenue Column	8816	TotalRevenueColumn
Exclusion	$8,816	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8816	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	74293561	TotalRevenueColumn
Related Or Exempt Function Income	55194100	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1686753	UnrelatedBusinessRevenue
Exclusion	$3,482,067	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5140771	Total
Program Services	5140771	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	762500	Total
Program Services	762500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1943181	Total
Management And General	1943181	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	26627118	Total
Program Services	26627118	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8556915	Total
Program Services	8556915	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	690592	Total
Management And General	690592	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4153722	Total
Program Services	3811141	ProgramServices
Management And General	342581	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1047836	Total
Program Services	1047836	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3739059	Total
Program Services	3241701	ProgramServices
Management And General	481693	ManagementAndGeneral
Fundraising	15665	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10432	Total
Program Services	10432	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	772990	Total
Program Services	586533	ProgramServices
Management And General	186457	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1031198	Total
Program Services	904101	ProgramServices
Management And General	127097	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	440090	Total
Program Services	363947	ProgramServices
Management And General	76143	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	477067	Total
Program Services	477067	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3347793	Total
Program Services	2605844	ProgramServices
Management And General	741949	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	169757	Total
Program Services	62269	ProgramServices
Management And General	107488	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising	Management And GeneralManagementAndGeneral
GRANT PROGRAM EXPENDITU	2473525	2473525
MARKETING	1294912	1294912
FUNDRAISING EXPENSES	212416		212416
UBI TAX	128309			128309

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	271618	Total
Program Services	212244	ProgramServices
Management And General	52244	ManagementAndGeneral
Fundraising	7130	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	63291801	Total
Program Services	58178856	ProgramServices
Management And General	4877734	ManagementAndGeneral
Fundraising	235211	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	16430963	BOY
EOY	15343895	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	204445	BOY
EOY	648629	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	4255808	BOY
EOY	11000954	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	6816237	BOY
EOY	10765618	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	839480	BOY
EOY	762874	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	37389331	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	13830231	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	24312861	BOY
EOY	23559100	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	427248935	BOY
EOY	534791104	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	89198849	BOY
EOY	100442658	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	828607	BOY
EOY	2880991	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	570136185	BOY
EOY	700195823	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5264656	BOY
EOY	6703263	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2779659	BOY
EOY	3125829	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	411446644	BOY
EOY	488139251	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	22211185	BOY
EOY	25251760	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	441702144	BOY
EOY	523220103	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	128434041	BOY
EOY	154394102	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	16685296	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	5896322	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	128434041	BOY
EOY	176975720	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	570136185	BOY
EOY	700195823	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11001760	ReconcilationRevenueExpenses
Reconcilation Other Changes	37539919	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	343647	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	895894	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1400471	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5772674	CurrentTaxYearMinus1Year
Current Tax Year	13930641	CurrentTaxYear
Total	22343327	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	24624300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	26077880	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34777947	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	40864118	CurrentTaxYearMinus1Year
Current Tax Year	56880853	CurrentTaxYear
Total	183225098	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	24967947	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	26973774	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36178418	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	46636792	CurrentTaxYearMinus1Year
Current Tax Year	70811494	CurrentTaxYear
Total	205568425	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18356276	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17820549	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	18814556	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	17719931	CurrentTaxYearMinus1Year
Current Tax Year	18116948	CurrentTaxYear
Total	90828260	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18356276	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17820549	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	18814556	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	17719931	CurrentTaxYearMinus1Year
Current Tax Year	18116948	CurrentTaxYear
Total	90828260	Total

Field	Value	IRS element (for citing)
Public Support Total509	114740165	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1897477	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2357097	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2775837	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3905961	CurrentTaxYearMinus1Year
Current Tax Year	1831569	CurrentTaxYear
Total	12767941	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1897477	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2357097	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2775837	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3905961	CurrentTaxYearMinus1Year
Current Tax Year	1831569	CurrentTaxYear
Total	12767941	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	318461	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	448152	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	392132	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	537241	CurrentTaxYearMinus1Year
Current Tax Year	435237	CurrentTaxYear
Total	2131223	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	27183885	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	29779023	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	39346387	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	51079994	CurrentTaxYearMinus1Year
Current Tax Year	73078300	CurrentTaxYear
Total	220467589	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.52040	PublicSupportPercentage509
Prior Year Support Percentage	0.42330	PriorYearSupportPercentage
Investment Income Percentage	0.05790	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.08350	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$58,899	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$10,487	OtherActivitiesAmount
Total Lobbying Expenditures IIB	69386	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

Field	Value	IRS element (for citing)
Contributions	8535863	Contributions
Investment Earnings Or Losses	2080865	InvestmentEarningsOrLosses
Other Expenditures	388598	OtherExpenditures
End Of Year Balance	10228130	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.28890	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.57650	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.13460	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	948600	OtherCostOrOtherBasis
Book Value	948600	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7687146	OtherCostOrOtherBasis
Depreciation	2009272	Depreciation
Book Value	5677874	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28711085	OtherCostOrOtherBasis
Depreciation	11820959	Depreciation
Book Value	16890126	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	42500	OtherCostOrOtherBasis
Book Value	42500	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	23559100	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (8 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
ACCOUNTS MANAGEMENT, INC.	290700	C
AVERA COMMUNICATION, LLC	210255	C
AVERA HEALTH PLANS, INC.	8752297	C
AVERA PROPERTY INSURANCE, LLC	565819	C
PREMIER PURCHASING PARTNERS, L.P.	1372082	C
NPPC, LLC	100000	C
NON-PUBLICLY TRADED HEDGE FUNDS	59617619	F
NON-PUBLICLY TRADED REAL ESTATE	29533886	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	100442658	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ESTIMATED INSURANCE CLAIMS PAYABLE	$25,191,760
ANNUITIES PAYABLE	$60,000

Field	Value	IRS element (for citing)
Total Of Amounts	25251760	TotalOfAmounts
Total Revenue	74293561	TotalRevenue
Total Expenses	63291801	TotalExpenses
Excess Or Deficit For Year	11001760	ExcessOrDeficitForYear
Net Unrealized GL On Investments	9907872	NetUnrealizedGLOnInvestments
Other	$27,632,047	OtherAmount
Total Adjustments	37539919	TotalAdjustments
Excess Or Deficit Per FS	48541679	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	77267513	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	9907872	NetUnrealizedGainsInvestments
Other Revenues	1141512	OtherRevenues
Revenue Not Rptd F990	11049384	RevenueNotRptdF990
Revenue Subtotal	66218129	RevenueSubtotal
Other Revenues Not Included	8075432	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	8075432	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	74293561	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	62376559	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	510478	OtherExpensesIncluded
Expenses Not Rptd F990	510478	ExpensesNotRptdF990
Expenses Subtotal	61866081	ExpensesSubtotal
Other Expenses Not Included	1425720	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1425720	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	63291801	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 2B:	AVERA HEALTH ADMINISTERS THE AVERA HEALTH POOLED INVESTMENT FUND, A FUND THAT IS MAINTAINED FOR THE BENEFIT OF FACILITIES THAT ARE SPONSORED, OPERATED, OR MANAGED BY AVERA HEALTH. INVESTMENTS ARE MADE IN CONFORMITY WITH THE OBJECTIVES AND GUIDELINES OF THE AVERA HEALTH POOLED INVESTMENT COMMITTEE. WITHIN THE FUND, PARTICIPATING FACILITIES SHARE IN A POOL OF INVESTMENTS THAT ARE MANAGED BY VARIOUS FUND MANAGERS. INVESTMENTS THAT ARE HELD FOR PARTICIPATING FACILITIES ARE RECORDED AS AVERA HEALTH POOLED INVESTMENTS WITH A CORRESPONDING LIABILITY ACCOUNT OF CUSTODIAL FUNDS - AVERA HEALTH POOLED INVESTMENTS ON THE BALANCE SHEET. AVERA HEALTH ALSO HOLDS ITS OWN INVESTMENTS WITHIN THE POOLED FUND AND RECORDS THEIR ALLOCATED SHARE OF INCOME AND LOSSES FROM THESE INVESTMENTS AS INVESTMENT INCOME IN THE FINANCIAL STATEMENTS.
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 65 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES RELATED TO HEALTH AND WELLNESS PROGRAMS IN AVERA AFFILIATED ORGANIZATIONS.	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X:	THE CORPORATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE CORPORATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE CORPORATION'S FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	BOOK/TAX DIFFERENCE ON PARTNERSHIPS 115,820. TRANSFERS FROM AFFILIATES, NET 1,301,727. INSURANCE PROGRAM ADMIN INCOME NOT RECOGNIZED FOR TAX REPORTING 2,451,412. INITIAL CONTRIBUTION OF FOUNDATION NET ASSETS IN MERGER 26,769,341. EQUITY TRANSFERS FOR FOUNDATION PROJECTS AND OPERATING EXPENSES -3,777,696. FOUNDATION CHANGES IN UNRESTRICTED NET ASSETS 771,443.	PART XI, LINE 8 - OTHER ADJUSTMENTS:
	INSURANCE PROGRAM ADMIN INCOME NOT RECOGNIZED FOR TAX REPORTING 2,451,412. FOUNDATION EXPENSES REPORTED IN REVENUE ON FINANCIAL STATEMENTS -1,424,406. BOOK/TAX DIFFERENCE IN PARTNERSHIPS 114,506.	PART XII, LINE 2D - OTHER ADJUSTMENTS:
	INVESTMENT INCOME REPORTED IN FUND BALANCE ON FINANCIAL STATEMENTS 2,836,566. CONTRIBUTIONS REPORTED IN FUND BALANCE ON FINANCIAL STATEMENTS 5,749,344. SPECIAL EVENTS EXPENSES REPORTED IN REVENUE ON FORM 990 -510,478.	PART XII, LINE 4B - OTHER ADJUSTMENTS:
	SPECIAL EVENT EXPENSES REPORTED IN REVENUE ON FORM 990 510,478.	PART XIII, LINE 2D - OTHER ADJUSTMENTS:
	BOOK/TAX DIFFERENCE ON PARTNERSHIP EXPENSES 1,314. FOUNDATION EXPENSES REPORTED IN REVENUE ON FINANCIAL STATEMENTS 1,424,406.	PART XIII, LINE 4B - OTHER ADJUSTMENTS:

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	0	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	0	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	RACE AGAINST BREAST CANCER	NameOfEvent1
Gross Receipts Event1	365373	GrossReceiptsEvent1
Charitable Contributions Event1	66500	CharitableContributionsEvent1
Gross Revenue Event1	298873	GrossRevenueEvent1
Non Cash Prizes Event1	16	NonCashPrizesEvent1
Rent Facility Costs Event1	8777	RentFacilityCostsEvent1
Food And Beverage Event1	5652	FoodAndBeverageEvent1
Entertainment Event1	753	EntertainmentEvent1
Other Direct Expenses Event1	82813	OtherDirectExpensesEvent1
Name Of Event2	ROSES JUST BECAUSE	NameOfEvent2
Gross Receipts Event2	136938	GrossReceiptsEvent2
Gross Revenue Event2	136938	GrossRevenueEvent2
Other Direct Expenses Event2	67971	OtherDirectExpensesEvent2
Total Number Of Other Events	57	TotalNumberOfOtherEvents
Gross Receipts Other Events	702835	GrossReceiptsOtherEvents
Charitable Contrib Other Events	252641	CharitableContribOtherEvents
Gross Revenue Other Events	450194	GrossRevenueOtherEvents
Other Direct Expenses Other Events	344496	OtherDirectExpensesOtherEvents
Gross Receipts Total	1205146	GrossReceiptsTotal
Charitable Contributions Total	319141	CharitableContributionsTotal
Gross Revenue Total Events	886005	GrossRevenueTotalEvents
Non Cash Prizes Total Events	16	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	8777	RentFacilityCostsTotalEvents
Food And Beverage Total Events	5652	FoodAndBeverageTotalEvents
Entertainment Total Events	753	EntertainmentTotalEvents
Other Direct Expenses Total Events	495280	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	510478	DirectExpenseSummaryEvents
Net Income Summary	375527	NetIncomeSummary

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (36 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SOUTH DAKOTA STATE UNIVERSITY
815 MEDARY AVE	BROOKINGS	SD	57007	460273801	501(C)(3)	1540000	CHARITABLE ASSISTANCE
SDREI
PO BOX 2282	SIOUX FALLS	SD	571051505	460442430	501(C)(3)		NOTE FORGIVENESS	25000	BOOK	NOTE FORGIVENESS
CATHOLIC FOUNDATION OF EASTERN SD
523 NORTH DULUTH	SIOUX FALLS	SD	57104	466068924	501(C)(3)	96152	CHARITABLE ASSISTANCE
LIFELIGHT COMMUNICATIONS
2601 S WESTERN AVE	SIOUX FALLS	SD	57105	460460742	501(C)(3)	35000	CHARITABLE ASSISTANCE
ON CALL ACCOUNT - SDSU
BOX 2218A	BROOKINGS	SD	57007	466000364	SDSU	52500	CHARITABLE ASSISTANCE
(no name)
							CHARITABLE ASSISTANCE
SD AGRICULTURAL AND RURAL LEADERSHIP
PO BOX 2170	BROOKINGS	SD	57007	364293293	501(C)(3)	10000	CHARITABLE ASSISTANCE
SD HIGH SCHOOL COACHES
801 W EAGLE RIDGE ST	SIOUX FALLS	SD	57108	237297479	501(C)(3)	6500	CHARITABLE ASSISTANCE
SD JUNIOR GOLF FOUNDATION
4809 WEST 41ST ST	SIOUX FALLS	SD	57106	460449824	501(C)(3)	12500	CHARITABLE ASSISTANCE
EDUCATION AND RESOURCE CENTER
1900 S BILL DRIVE	SIOUX FALLS	SD	57110	201470473	501(C)(3)	131250	CHARITABLE ASSISTANCE
FORWARD SIOUX FALLS
PO BOX 97	SIOUX FALLS	SD	57101	460396647		15000	CHARITABLE ASSISTANCE
SPECIAL OLYMPICS OF SD
305 W 39TH ST	SIOUX FALLS	SD	57105	460359976	501(C)(3)	50000	CHARITABLE ASSISTANCE
THE FIRST TEE
4809 WEST 41ST ST	SIOUX FALLS	SD	57106	460449824	501(C)(3)	25000	CHARITABLE ASSISTANCE
AMERICAN HEART ASSOCIATION
208 LA SALLE ST SUITE 1500	CHICAGO	IL	60604	135613797	501(C)(3)	25000	CHARITABLE ASSISTANCE
MOUNTY MARTY COLLEGE
1105 W 8TH STREET	YANKTON	SD	57078	460283336	501(C)(3)	50000	CHARITABLE ASSISTANCE
CATHOLIC FOUNDATION
524 N DULUTH	SIOUX FALLS	SD	57105	466068925	501(C)(3)	6000	CHARITABLE ASSISTANCE
CATHOLIC FOUNDATION
526 N DULUTH	SIOUX FALLS	SD	57107	466068927	501(C)(3)	95000	CHARITABLE ASSISTANCE
MARCH OF DIMES
1000 N WEST 41 ST STE 104	SIOUX FALLS	SD	57104	131846366	501(C)(3)	26000	CHARITABLE ASSISTANCE
YMCA WORTHINGTON
1501 COLLEGEWAY	WORTHINGTON	MN	56187	416007569	501(C)(3)	6110	BUILDING PROJECT
AVERA DELL RAPIDS AREA HEALTH CENTER
909 N IOWA AVE	DELLRAPIDS	SD	57022	460270655	501(C)(3)	24304	EQUIPMENT AND PROGRAMS
AVERA GREGORY HEALTHCARE CENTER
400 PARK AVE	GREGORY	SD	57533	300189987	501(C)(3)	5563	EQUIPMENT AND PROGRAMS
LANDMANN-JUNGMAN MEMORIAL HOSPITAL
600 BILLARS ST	SCOTLAND	SD	57059	466015787	501(C)(3)	100380	EQUIPMENT AND PROGRAMS
MARSHALL COUNTY HEALTHCARE CENTER
413 9TH ST	BRITTON	SD	57430	460380552	501(C)(3)	10874	EQUIPMENT AND PROGRAMS
SIOUX CENTER COMMUNITY HOSPITAL AND HEALTH CENTER
605 S MAIN AVE	SIOUX CENTER	IA	51250	420796764	501(C)(3)	59941	EQUIPMENT AND PROGRAMS
TYLER HEALTHCARE CENTER
240 WILLOW ST	TYLER	MN	56178	410853163	501(C)(3)	73384	EQUIPMENT AND PROGRAMS
UNITED RETIREMENT CENTER
405 1ST AVE	BROOKINGS	SD	57006	460271768	501(C)(3)	273746	EQUIPMENT AND PROGRAMS
PIPESTONE COUNTY MEDICAL CENTER
916 4TH AVE SW	PIPESTONE	MN	56164	411392082	501(C)(3)	15463	EQUIPMENT AND PROGRAMS
HAITIAN HEALTH FOUNDATION
97 SHERMAN ST	NORWICH	CT	06360	061135999	501(C)(3)	10453	EARTHQUAKE RELIEF/GENERAL ASSISTANCE
WAGNER COMMUNITY MEMORIAL HOSPITAL
513 THIRD STREET SW	WAGNER	SD	57380	460226283	501(C)(3)	203700	EQUIPMENT AND PROGRAMS
FLOYD VALLEY HOSPITAL
714 LINCOLN STREET NE	LEMARS	IA	51031	204095776	501(C)(3)	107938	EQUIPMENT AND PROGRAMS
AVERA HAND COUNTY MEMORIAL HOSPITAL
300 W 5TH ST	MILLER	SD	57362	460356287	501(C)(3)	55000	CHARITABLE ASSISTANCE
AVERA QUEEN OF PEACE HOSPITAL
525 N FOSTER	MITCHELL	SD	57301	460224604	501(C)(3)	100654	EQUIPMENT AND PROGRAMS
AVERA ST LUKE'S HOSPITAL
305 S STATE ST	ABERDEEN	SD	57401	460224598	501(C)(3)	401607	EQUIPMENT AND PROGRAMS
AVERA HOLY FAMILY
826 N EIGHTH ST	ESTHERVILLE	IA	51334	420680370	501(C)(3)	19084	EQUIPMENT AND PROGRAMS
AVERA MCKENNAN
800 E 21ST ST	SIOUX FALLS	SD	57105	460224743	501(C)(3)	1361003	EQUIPMENT AND PROGRAMS
AVERA MARSHALL
300 S BRUCE STREET	MARSHALL	MN	56258	410919153	501(C)(3)	26145	EQUIPMENT AND PROGRAMS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	36	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (10 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
HAITI SCHOLARSHIPS	18	20700
OUT OF POCKET MEDICAL ASSISTANCE	61	72964
HEALTH INSURANCE PREMIUM ASSISTANCE	475	252792
FOOD, RENT, CLOTHING, UTILITIES, LIVING EXPENSES	194	48559
MEDICAL BILLS	428	214299
SCHOLARSHIPS AND TRAINING	170	89715
TRANSPORTATION COSTS	75	4414
CANCER PATIENT ASSISTANCE/FITNESS/WIGS/ETC	90	21214
CHILD CARE	10	1704
GENERAL ASSISTANCE	28	5784

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAKES GRANTS TO OTHER ORGANIZATIONS EXEMPT UNDER 501(C)(3) TO ENSURE THE FUNDS WILL BE USED FOR CHARITABLE PURPOSES. DURING THE YEAR ENDING JUNE 30, 2011, THE ORGANIZATION MADE CONTRIBUTIONS TO OTHER NON-PUBLIC CHARITIES AND GOVERNMENTAL TYPE ENTITIES IN FURTHERANCE OF COMMUNITY DEVELOPMENT. THE CONTRIBUTIONS ARE APPROVED BY THE BOARD FOR THIS PURPOSE. SCHOLARSHIP FUNDS HAVE DIFFERENT SETS OF CRITERIA FOR DETERMINING ELIGIBILITY AND WINNERS. ASSISTANCE TO INDIVIDUALS IS DETERMINED WITH ASSISTANCE FROM EACH HOSPITAL'S SOCIAL SERVICES DEPARTMENT OR WITHIN A COMMITTEE AT THE HOSPITAL.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR KIM W JUNDT
0	304332	0	50571	0	90239	0	12250	0	16105	0	473497	0	0
JOHN PORTER
1254485	0	0	0	18691	0	12250	0	18133	0	1303559	0	0	0
JAMES BRECKENRIDGE
604387	0	0	0	9662	0	12250	0	8597	0	634896	0	0	0
FREDRICK SLUNECKA
927393	0	0	0	14407	0	12250	0	16488	0	970538	0	0	0
DAVID ERICKSON
508447	0	0	0	11196	0	12250	0	17084	0	548977	0	0	0
RON JACOBSON
522240	0	0	0	10853	0	12250	0	16141	0	561484	0	0	0
PAM REZAC
457910	0	0	0	11769	0	12250	0	18885	0	500814	0	0	0
JEAN REED
452949	0	0	0	12917	0	12250	0	18523	0	496639	0	0	0
THOMAS RASMUSSEN
449516	0	0	0	13674	0	12250	0	19998	0	495438	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 1A	ReturnReference
Explanation	ALL SENIOR EXECUTIVES ARE ELIGIBLE FOR $2,500 PER YEAR TO PAY FOR SOCIAL CLUB DUES. IF AN EMPLOYEE CHOOSES TO TAKE ADVANTAGE OF THIS BENEFIT, THE AMOUNT IS INCLUDED IN THEIR TAXABLE INCOME. THOSE PAID: JAMES BRECKENRIDGE, JOHN PORTER, JEAN REED, AND FRED SLUNECKA.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
460315509	83755VNB6	2008-06-18	189222932	AVERA HEALTH SERIES 2008A REFUNDED SERIES 1994, 2000, BRIDGE LOAN	0	0	0
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
460315509	83755VNH3	2008-07-01	61495000	AVERA HEALTH SERIES 2008C REFUNDED 2006 SERIES	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
189222932	110	1272562	282213	91009361	96658796	2010	1	0	0	1
61495000		388831	31169		61075000	2008	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	1	0	0	0.01200	0.00100	0.01300	0
0	0	1	0	0	0.00200	0.00000	0.00200	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
BANK OF
0	1	1	AMERICA/MERRILL	24.100000000000	0	0	0	0	0
BANK OF
0	1	1	AMERICA/MERRILL	25.000000000000	0	1	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
LINDA BRECKENRIDGE
SPOUSE OF OFFICER	111119	EMPLOYEE COMPENSATION	0
SDN COMMUNICATIONS
DIRECTOR OF THE BOARD IS CEO OF SDN COMMUNICATIONS	868000	VOICE DATA AND VIDEO SERVICES	0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	14	NumberOfContributions
Noncash Contribs Rptd F990	603295	NoncashContribsRptdF990
Method Of Determining Revenues	AVG OF HIGH/LOW	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	1	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	NON REPORTING OF REVENUE:	Identifier
Return Reference	PART I, LINE 33:	ReturnReference
Explanation	THE ONLY AMOUNTS INCLUDED IN REVENUE FOR THE FINANCIAL STATEMENT REPORTING ARE NON-CASH CONTRIBUTIONS OF STOCK SECURITIES. NON-CASH CONTRIBUTIONS NOT INCLUDED FOR FINANCIAL STATEMENTS INCLUDE ITEMS FOR THE BENEFIT OF THE AVERA FACILITIES WHICH INCLUDE SUCH THINGS AS DRUGS, MEDICAL SUPPLIES, AND SPECIAL EVENT DONATIONS. THE ORGANIZATION DID NOT RECORD A VEHICLE DONATED DURING THE FISCAL YEAR AS THE ITEM WAS NOT SOLD. HOWEVER, ALL APPROPRIATE TAX FILINGS WERE COMPLETED FOR THE DONOR OF THE DONATED VEHICLE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NEW PROGRAM SERVICES	FORM 990, PART III, LINE 2	AS OF JULY 1, 2010, THE ACTIVITIES OF AVERA HEALTH FOUNDATION BECAME A PART OF AVERA HEALTH.
FORM 990, PART VI, SECTION A, LINE 6		THE ORGANIZATION HAS TWO CLASSES OF MEMBERS: SPONSORSHIP MEMBERS AND SYSTEM MEMBERS. SPONSORSHIP MEMBERS SHALL CONSIST COLLECTIVELY OF (I) THOSE PERSONS SERVING FROM TIME TO TIME AS THE PRESIDENT AND COUNCIL OF THE PRESENTATION SISTERS OF THE BLESSED VIRGIN MARY OF ABERDEEN, SOUTH DAKOTA AND (II) THOSE PERSONS SERVING FROM TIME TO TIME AS THE PRIORESS AND COUNCIL OF THE BENEDCITINE CONVENT OF THE SACRED HEART (YANKTON, S.D.) SYSTEM MEMBERS SHALL CONSIST OF SIX SISTERS- THREE PRESENTATION SISTERS APPOINTED BY THE PRESENTATION SPONSORSHIP MEMBERS AND THREE BENEDICTINE SISTERS APPOINTED BY THE BENEDICTINE SPONSORSHIP MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A		THE SYSTEM MEMBERS HAVE THE POWER TO APPOINT THE BOARD OF DIRECTORS OF AVERA HEALTH AND TO SUSPEND OR REMOVE A DIRECTOR AT ANY TIME, WITH OR WITHOUT CAUSE. THEY ALSO HAVE THE POWER TO APPOINT BENEDICTINE OR PRESENTATION SISTERS TO THE BOARDS OF DIRECTORS OF ANY SPONSORED WORK OR MINISTRY OF AVERA HEALTH.
FORM 990, PART VI, SECTION A, LINE 7B		THE FOLLOWING POWERS SHALL BE RESERVED TO AND EXERCISED EXCLUSIVELY BY THE SPONSORSHIP MEMBERS AND NONE OF THE FOLLOWING ACTIONS SHALL BE TAKEN BY AVERA HEALTH WITHOUT ACTION OF THE SPONSORSHIP MEMBERS: (A) TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE STATEMENTS OF PHILOSOPHY, MISSION, GUIDING PRINCIPLES AND VALUES OF AVERA HEALTH; (B) TO INITIATE THE ADOPTION, AMENDMENT OR REPEAL OF ANY PROVISION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF AVERA HEALTH, AND TO GIVE FINAL APPROVAL OF ANY SUCH ACTION WITH RESPECT THERETO; (C) TO ESTABLISH POLICIES REGARDING THE ALIENATION OF REAL PROPERTY AND PRECIOUS ARTIFACTS ASSOCIATED WITH THE HEALTHCARE MINISTRY WHICH ARE UNDER THE CANONICAL STEWARDSHIP OF THE PRESENTATION SISTERS OR THE BENEDICTINE SISTERS; (D) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF AVERA HEALTH, OR THE DIVESTITURE OF ANY SPONSORED WORK OR MINISTRY ASSOCIATED WITH AVERA HEALTH; (E) TO CHANGE THE COMPOSITION OF THE SPONSORSHIP MEMBERS, INCLUDING THE ADDITION OF OTHER INDIVIDUALS, PARTIES OR ENTITIES TO BE SPONSORSHIP MEMBERS; AND (F) TO APPROVE THE CREATION OF NEW SPONSORED WORKS OR MINISTRIES TO BE CONDUCTED BY OR UNDER THE AUTHORITY OF AVERA HEALTH. THE FOLLOWING POWERS SHALL BE RESERVED TO AND EXERCISED EXCLUSIVELY BY THE SYSTEM MEMBERS AND NONE OF THE FOLLOWING ACTIONS SHALL BE TAKEN BY AVERA HEALTH WITHOUT ACTION OF THE SYSTEM MEMBERS: (A) TO APPOINT THE BOARD OF DIRECTORS OF AVERA HEALTH AND TO SUSPEND OR REMOVE A DIRECTOR AT ANY TIME, WITH OR WITHOUT CAUSE; (B) TO APPOINT BENEDICTINE OR PRESENTATION SISTERS TO THE BOARDS OF DIRECTORS OF ANY SPONSORED WORK OR MINISTRY OF AVERA HEALTH; (C) TO APPOINT THE CHAIR AND VICE CHAIR OF THE BOARD OF DIRECTORS; (D) TO APPOINT, EVALUATE, SUSPEND OR REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER; (E) TO REVIEW AND APPROVE THE OPERATING AND CAPITAL BUDGETS, INCLUDING EXPENDITURES OUTSIDE OF BUDGET, AND THE STRATEGIC PLAN, OF AVERA HEALTH; (F) TO ADOPT PROCEDURES FOR ASSURING THAT CORPORATE ACTIONS ARE CONSISTENT WITH THE PHILOSOPHY, MISSION, GUIDING PRINCIPLES AND VALUES OF AVERA HEALTH; (G) TO PROVIDE RECOMMENDATIONS TO THE SPONSORSHIP MEMBERS ON MATTERS REQUIRING SPONSORSHIP MEMBERS' APPROVAL OR ACTION; (H) TO ADOPT POLICIES DESIGNED TO EFFECTUATE THE POWERS RESERVED TO THE SYSTEM MEMBERS; AND (I) TO EXERCISE OVERSIGHT OF THE GUIDING PRINCIPLES AND SUCH AUTHORITIES WHICH MAY BE ASSIGNED OR DELEGATED BY THE SPONSORSHIP MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11		THE FORM 990 IS REVIEWED BY THE CEO AND CFO. AFTER INITIAL REVIEWS, THE RETURN IS PROVIDED TO THE BOARD PRIOR TO FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. AT EACH BOARD MEETING, A REQUEST IS MADE FOR ALL BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST PERTAINING TO ANY ITEM LISTED ON THE AGENDA OR PERTAINING TO ANY POTENTIAL ITEM THAT COULD BE DISCUSSED DURING THE COURSE OF THE MEETING. THE DECLARATION OF CONFLICT OF INTEREST IS RECORDED IN THE MEETING MINUTES. THE BOARD MAKES A DETERMINATION OF WHETHER THERE IS A CONFLICT OF INTEREST AND IF SO, IMPLEMENTS THE PROCEDURE FOR EVALUATING THE ISSUE OR TRANSACTION INVOLVED. THE BOARD MEMBER OR OFFICER WITH THE CONFLICT MUST REFRAIN FROM VOTING. A STATEMENT OF CONFLICT OF INTEREST DISCLOSURE IS MADE ON AN ANNUAL BASIS BY OFFICERS AND DIRECTORS. THE INFORMATION IS MAINTAINED IN A DATABASE AND A REPORT IS PROVIDED TO THE BOARD.
	FORM 990, PART VI, SECTION B, LINE 15	ANNUALLY THE COMPENSATION COMMITTEE OF AVERA HEALTH, WHICH IS COMPRISED OF SIX (6) SYSTEM MEMBERS APPOINTED BY THE RELIGIOUS ORDERS, MEETS WITH AN INDEPENDENT CONSULTANT REGARDING FAIR MARKET VALUE FOR COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE APPROVES ALL SALARIES BASED ON COMPARABLE DATA AND DOCUMENTS THE BASIS FOR THEIR DECISION IN MEETING MINUTES.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
	FORM 990, PART VII, SECTION A:	THE FOLLOWING INDIVIDUALS DEDICATED A MINIMUM OF 40 HOURS PER WEEK TO RELATED ORGANIZATIONS. DR. KIM JUNDT - AVERA ST. LUKE'S RON JACOBSON - AVERA ST. LUKE'S PAM REZAC - SACRED HEART HEALTH SERVICES TOM RASMUSSEN - AVERA QUEEN OF PEACE HOSPITAL THE FOLLOWING INDIVIDUALS PROVIDE THE INDICATED HOURS PER WEEK TO VARIOUS RELATED ORGANIZATIONS: SISTER BARBARA MCTAGUE - AVERA WORKERS' COMPENSATION TRUST (1) SISTER KATHLEEN CROWLEY - AVERA HOLY FAMILY (1), AVERA QUEEN OF PEACE HOSPITAL (2.5), AVERA WORKERS' COMPENSATION TRUST (1) SISTER LUCILLE WELBIG - AVERA WORKERS' COMPENSATION TRUST (1), SACRED HEART HEALTH SERVICES (2) SISTER MARY JAEGER - AVERA ST. ANTHONY'S HOSPITAL (1), ST. BENEDICT HEALTH CENTER (2), AVERA WORKERS' COMPENSATION TRUST (1) SISTER DEBRA KOLECKA - AVERA WORKERS' COMPENSATION TRUST (1) SISTER MARY THOMAS - AVERA WORKERS' COMPENSATION TRUST (1)
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 9,907,872. BOOK/TAX DIFFERENCE ON PARTNERSHIPS 115,820. TRANSFERS FROM AFFILIATES, NET 1,301,727. INSURANCE PROGRAM ADMIN INCOME NOT RECOGNIZED FOR TAX REPORTING 2,451,412. INITIAL CONTRIBUTION OF FOUNDATION NET ASSETS IN MERGER 26,769,341. EQUITY TRANSFERS FOR FOUNDATION PROJECTS AND OPERATING EXPENSES -3,777,696. FOUNDATION CHANGES IN UNRESTRICTED NET ASSETS 771,443. TOTAL TO FORM 990, PART XI, LINE 5: 37,539,919.
	SCHEDULE K, PART VI	PART I, LINE A, COLUMN (F): THE 2008 A/B BONDS REFUNDED SERIES 1994 (ISSUED 01-12-95) AND SERIES 2000 (ISSUED 03-01-2000). IT ALSO FUNDED A PROJECT. PART I, LINE B, COLUMN (F): THE 2008 C BONDS REFUNDED SERIES 2004 (ISSUED 05-18-2004). PART IV, LINE 3C, COLUMN A: THE SWAP WAS INITIATED IN THE 2004 BOND ISSUE AND STARTED MAY 18, 2004 AND IS SCHEDULED TO TERMINATE JULY 1, 2028. PART IV, LINE 3C, COLUMN B: THE HEDGE WAS NO LONGER INTEGRATED WITH THE BOND ISSUE AFTER 12-9-10 AND THEREFORE ONLY IN PLACE A PORTION OF THE YEAR. AVERA HEALTH IS NOT DISCLOSING TAX EXEMPT BONDS ON PART X, LINE 20. THE BONDS WERE ISSUED TO AVERA HEALTH ON BEHALF OF THE AVERA OBLIGATED GROUP. THE AVERA OBLIGATED GROUP CONSISTS OF AVERA MCKENNAN, AVERA ST. LUKE'S, AVERA QUEEN OF PEACE, AND AVERA SACRED HEART. IN ACCORDANCE WITH IRS INSTRUCTIONS, INFORMATION RELATED TO THE TAX EXEMPT BOND REPORTING IS BEING REPORTED ON AVERA HEALTH'S TAX RETURN.
	FORM 8621, PART IV	AVERA HEALTH IS FILING FORM 8621 AS A SHAREHOLDER IN VARIOUS FOREIGN FUNDS AS THEY ARE CONSIDERED TO BE PASSIVE FOREIGN INVESTMENT COMPANIES. THE DISTRIBUTIONS FROM THESE FUNDS TO AVERA HEALTH ARE NOT TAXABLE AND THEREFORE NOT INCLUDED ON PART IV OF FORM 8621. THE FUNDS ARE IDENTIFIED BELOW: SHEPHERD INVESTMENTS INTERNATIONAL, LTD. THE CANYON VALUE REALIZATION FUND SCP OCEAN FUND, LTD.
	FORM 990, PART VI QUESTION 16B:	THERE IS NO WRITTEN POLICY OR PROCEDURE. IN THE EVENT OF ANY SUCH PROPOSED TRANSACTION, THE BOARD OR A COMMITTEE WITH DELEGATED AUTHORITY REVIEWS ALL MATERIALS, VALUATIONS AND OPERATIONAL ASPECTS FOR ANY PROPOSED TRANSACTION. SUCH TRANSACTION WOULD BE EVALUATED IN ACCORDANCE WITH THE EXEMPT STATUS OF THE ORGANIZATION AND ITS APPLICABLE PURPOSES. ANY TRANSACTION ALSO WOULD BE APPROVED BY THE BOARD AND THE MEMBER.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3900 WEST AVERA DRIVE SUITE 300	AddressLine1
City	SIOUX FALLS	City
State	SD	State
ZIP Code	571085434	ZIPCode

Field	Value	IRS element (for citing)
EIN	460453770	EIN
Primary Activities	TELECOMMUNICATIONS	PrimaryActivities
Legal Domicile State	SD	LegalDomicileState
Total Income	1210997	TotalIncome
EOY Assets	298215	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
AVERA ST ANTHONY'S HOSPITAL
300 N 2ND STREET	ONEILL	NE	68763	470463911	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	AVERA HEALTH	1
AVERA HOLY FAMILY
826 NORTH 8TH STREET	ESTHERVILLE	IA	51334	420680370	HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3	AVERA HEALTH	1
AVERA HOLY FAMILY FOUNDATION
826 NORTH 8TH STREET	ESTHERVILLE	IA	51334	421317452	SUPPORT OF HOLY FAMILY HOSPITAL AND HOME HEALTH AGENCY	IA	501(C)(3)	LINE 9	AVERA HOLY FAMILY	0
ST BENEDICT HEALTH CENTER
401 WEST GLYNN DRIVE	PARKSTON	SD	57366	460226738	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	1
ST BENEDICT HEALTH CENTER FOUNDATION
WEST GLYNN DRIVE PO BOX B	PARKSTON	SD	57366	460458725	SUPPORT HEALTH RELATED SERVICES	SD	501(C)(3)	LINE 11A, I	ST BENEDICT HEALTH CENTER	0
AVERA MCKENNAN
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	460224743	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	1
AVERA QUEEN OF PEACE HOSPITAL
525 NORTH FOSTER	MITCHELL	SD	57301	460224604	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	1
SACRED HEART HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460225483	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	1
SACRED HEART RURAL HEALTH CLINICS
501 SUMMIT STREET	YANKTON	SD	57078	460423930	CLINIC SERVICES	SD	501(C)(3)	LINE 3	SACRED HEART HEALTH SERVICES	0
HEALTH MANAGEMENT SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460399291	ADULT DAYCARE AND HOMEMAKING SERVICES	SD	501(C)(3)	LINE 9	SACRED HEART HEALTH SERVICES	0
LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY
1000 W 4TH STREET SUITE 9	YANKTON	SD	57078	460337013	HEALTHCARE EDUCATION	SD	501(C)(3)	LINE 9	SACRED HEART HEALTH SERVICES	0
AVERA ST LUKE'S
305 SOUTH STATE STREET	ABERDEEN	SD	57401	460224598	HEALTHCARE SERVICES	SD	501(C)(3)	LINE 3	AVERA HEALTH	1
AVERA WORKERS' COMPENSATION TRUST
3900 WEST AVERA DRIVE	SIOUX FALLS	SD	57108	460407148	ECONOMICAL COVERAGE OF WORKERS' COMPENSATION CLAIMS	SD	501(C)(3)	LINE 11B, II	AVERA HEALTH	1
AVERA MARSHALL
300 S BRUCE STREET	MARSHALL	MN	56258	410919153	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3	AVERA HEALTH	1
AVERA MARSHALL FOUNDATION
300 S BRUCE STREET	MARSHALL	MN	56258	411784801	FUNDRAISING	MN	501(C)(3)	LINE 7	AVERA MARSHALL	0

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
AVERA HOME MEDICAL EQUIPMENT LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	460488198	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
MIDWEST REGIONAL IMAGING SERVICES LLC
1325 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	470874983	HEALTH CARE - MEDICAL IMAGING	SD	N/A
MERSCO MEDICAL OF PIERRE LLC
329 E DAKOTA	PIERRE	SD	57501	460444002	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
AVERA HOME MEDICAL EQUIPMENT OF FLOYD VALLEY HOSPITAL LLC
714 LINCOLN ST NE	LEMARS	IA	51031	820582350	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
AVERA HOME MEDICAL EQUIPMENT OF ESTHERVILLE LLC
PO BOX 5045	SIOUX FALLS	IA	57117	201686097	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER LLC
38 19TH ST SW	SIOUX CENTER	IA	51250	753203100	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
AVERA HOME MEDICAL EQUIPMENT OF MARSHALL LLC
1104 EAST COLLEGE DRIVE	MARSHALL	MN	56258	205271924	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
Q&M PROPERTIES LLC
525 NORTH FOSTER	MITCHELL	SD	57301	731652049	MEDICAL CLINIC BUILDING	SD	N/A
SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC
310 S PENN	ABERDEEN	SD	57401	460461429	SURGICAL ASSOCIATES	SD	N/A
AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC
2400 S MINNESOTA AVE	SIOUX FALLS	SD	57117	800619999	MEDICAL SERVICES - HOME MEDICAL EQUIPMENT	SD	N/A
HEART HOSPITAL OF SOUTH DAKOTA LLC
10720 SIKES PLACE SUITE 300	CHARLOTTE	NC	28277	562143771	HEALTHCARE SERVICES	NC	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
ACCOUNTS MANAGEMENT INC
5132 S CLIFF AVE SUITE 101	SIOUX FALLS	SD	57108	460373021	COLLECTION AGENCY	SD	N/A	C	1482944	1448019	0.75000
AVERA HEALTH PLANS INC
3900 WEST AVERA DRIVE SUITE 101	SIOUX FALLS	SD	57108	460451539	HEALTH FINANCING AND HEALTH PLAN ADMIN	SD	N/A	C	74350791	22247023	1.00000
AVERA PROPERTY INSURANCE INC
610 W 23RD ST PO BOX 38	YANKTON	SD	57078	460463155	INSURANCE	SD	N/A	C	594811	1207974	1.00000
VALLEY HEALTH SERVICES
501 SUMMIT STREET	YANKTON	SD	57078	460357149	MEDICAL EQUIPMENT	SD	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

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