Avera McKennan
Avera McKennan reported $1.86 billion in revenue and $1.77 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $91.88 went to program services, $8.10 to management and general costs and $0.02 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 89.2% of the total. The highest compensation it reported for one person was $1,847,809 (Orthopedics/Surgery). 1,446 people received more than $100,000 in reportable compensation. Revenue rose 58% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $1.77BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $1.86BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 91.9% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 8.1% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.02 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 1.2% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.7% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 89.2% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,847,809 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.10% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 1,446 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 7.8 | 6.6 |
| Independent voting board members Part VI 1a–1b | 13 of 20 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseAvera McKennan's mission is to provide healthcare services to Sioux Falls, South Dakota residents and residents of the surrounding area. Avera McKennan is a 501(c)(3) organization affiliated with Avera Health. Avera McKennan consists of a 641-bed hospital, a 53-bed heart hospital and a 126-bed nursing home in Sioux Falls, SD. Major service lines include oncology, surgery, obstetrics, pediatrics, neonatology, emergency and trauma, critical care including EICU, radiology and diagnostic imaging, psychiatry, behavioral health, pulmonary, orthopedics, neurology, cardiology, and gastroenterology.…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Orthopedics/Surgery Highest compensated employee, 40.00 hrs/week | $1,788,145 | $0 | $59,664 | $1,847,809 |
| Neurology Highest compensated employee, 40.00 hrs/week | $1,688,192 | $0 | $54,908 | $1,743,100 |
| Neurosurgery Highest compensated employee, 40.00 hrs/week | $1,668,772 | $0 | $55,457 | $1,724,229 |
| Neurology Highest compensated employee, 40.00 hrs/week | $1,534,309 | $0 | $52,408 | $1,586,717 |
| Oncology Highest compensated employee, 40.00 hrs/week | $1,510,044 | $0 | $60,434 | $1,570,478 |
| Former President & CEO Former, 0.00 hrs/week | $0 | $1,450,140 | $47,062 | $1,497,202 |
| Health;Secretary/Treasurer Officer, 0.10 hrs/week | $0 | $1,274,363 | $20,218 | $1,294,581 |
| President & CEO Director/trustee, officer, 42.00 hrs/week | $0 | $1,093,970 | $28,917 | $1,122,887 |
1,446 people received more than $100,000 in reportable compensation from Avera McKennan (Part VII, line 2). Compensation of current officers, directors and key employees totaled $3.8M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b20 · 13 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aNo
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 510,231
- Volunteers Part I, line 61,472
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Avera Health Shared Services | $147,597,708 |
| Journey Group Companies Construction Services | $25,758,162 |
| AMN Healthcare Inc Contract Labor | $13,242,425 |
| BWBR Architects Architect services | $8,122,480 |
| Surgical Institute of South Dakota PC Medical Dir & Prof Fees | $5,911,434 |
Individuals listed as contractors are left out. 92 contractors were paid more than $100,000 in all.
Private foundation grants it received
3 private foundations reported grants to Avera McKennan totaling $2.6M on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Avera McKennan's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Avera McKennan, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Avera McKennan spent in FY2025, $91.88 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Sacred Heart Health SystemSt Louis, MO · revenue $1.85B · programs 79.4% · FY2025
- The Queen's Medical CenterHonolulu, HI · revenue $1.86B · programs 96.0% · FY2025
- Fallon Community Health PlanWorcester, MA · revenue $1.84B · programs 97.5% · 2024
- Piedmont HospitalAtlanta, GA · revenue $1.87B · programs 91.0% · FY2025
- Lancaster General HospitalLancaster, PA · revenue $1.84B · programs 83.9% · FY2025
All health care charities · Largest charities in South Dakota
Questions people ask
How much of Avera McKennan's spending goes to programs?
In the fiscal year ending June 30, 2025, Avera McKennan reported that 91.9% of its $1.77 billion in expenses went to program services, 8.1% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Avera McKennan pay its top executive?
The largest total compensation Avera McKennan reported for one person in the fiscal year ending June 30, 2025 was $1,847,809, for the role of Orthopedics/Surgery (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Avera McKennan get its money?
Of $1.86 billion in revenue in the fiscal year ending June 30, 2025, 1.2% came from contributions and grants (including 0.7% from government grants) and 89.2% from program service revenue (Form 990, Part VIII).
Is Avera McKennan a registered charity?
The IRS lists EIN 46-0224743 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202621359349301797 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202531349349308693 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202431359349310158 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202341329349303674 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201369349310945 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202141379349305229 · read the filing
All filings for EIN 46-0224743: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.