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Avera at Home

Sioux Falls, SD · EIN 46-0399291 · 501(c)(3) · Publicly supported organization (509(a)(2))
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Avera at Home reported $88.2 million in revenue and $85.1 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $83.17 went to program services, $16.83 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 97.6% of the total. The highest compensation it reported for one person was $1,294,581 (CFO Avera Health;Secretary/Treasurer). 25 people received more than $100,000 in reportable compensation. Revenue rose 43% 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 $85M

For 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 $88M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
83.2%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
16.8%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
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
1.2%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.5%0.1%
Program service revenue share
Part VIII 2g ÷ 12
97.6%93.7%
Highest reported compensation
Part VII-A, columns D–F
$1,294,581$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
1.52%1.34%
People paid over $100,000
Part VII, line 2
2527
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
5.26.6
Independent voting board members
Part VI 1a–1b
3 of 1188.9%

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 expense
$71M expenses · 100.0% of program spending · grants $48 · revenue $86M

Avera at Home provides a variety of home care services that make it possible for individuals to remain in their home rather than long-term residential or nursing home facilities. Avera at Home is a full-service, accredited home medical equipment provider offering a variety of medical and health-related items for purchase or rent. Additionally, it provides quality home health care with a full range of skilled nursing, therapy, and home health aide services.Finally, Avera at Home provides hospice care for people facing a life-limiting illness or injury. Quality, compassionate care is provided…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CFO Avera Health;Secretary/Treasurer
Officer, 0.10 hrs/week
$0$1,274,363$20,218$1,294,581
Board Member/Hospitalist
Director/trustee, 1.00 hrs/week
$0$681,546$36,507$718,053
Member/Family Med/OB(Until June)
Director/trustee, 1.00 hrs/week
$0$638,406$52,408$690,814
Member/Pres Sacred Heart (Until May)
Director/trustee, 1.00 hrs/week
$0$639,691$50,728$690,419
Member/Regional President/CEO Marshall
Director/trustee, 1.00 hrs/week
$0$578,021$18,180$596,201
Board Member/Pain Management
Director/trustee, 1.00 hrs/week
$0$537,747$52,462$590,209
President/CEO
Director/trustee, officer, 41.00 hrs/week
$0$421,522$53,946$475,468
Board Member/Family Medicine
Director/trustee, 1.00 hrs/week
$0$278,346$53,848$332,194

25 people received more than $100,000 in reportable compensation from Avera at Home (Part VII, line 2).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$25M$50M$75M$100MFY2020FY2021FY2022FY2023FY2024FY2025$88M$85M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$88M$85M83.2%$37M$1,294,581
FY2024 ⓘ$83M$79M84.4%$32M$1,691,646
FY2023 ⓘ$76M$71M83.9%$26M$1,103,540
FY2022 ⓘ$72M$70M84.0%$21M$1,067,422
FY2021 ⓘ$67M$62M89.5%$20M$939,923
FY2020 ⓘ$62M$59M89.9%$15M$1,055,022

Governance 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–1b11 · 3 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 5669
  • Volunteers Part I, line 6154

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
Avera Health
Shared Services
$5,611,575
Good Samaritan Society
Purchased Services
$1,794,686
Avera Queen of Peace
Purchased Services
$1,141,678
BrighTree LLC
Billing Services & Software
$837,021

Individuals listed as contractors are left out. 25 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to Avera at Home totaling $250 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 at Home'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 at Home, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in South Dakota

Questions people ask

How much of Avera at Home's spending goes to programs?

In the fiscal year ending June 30, 2025, Avera at Home reported that 83.2% of its $85.1 million in expenses went to program services, 16.8% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Avera at Home pay its top executive?

The largest total compensation Avera at Home reported for one person in the fiscal year ending June 30, 2025 was $1,294,581, for the role of CFO Avera Health;Secretary/Treasurer (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Avera at Home get its money?

Of $88.2 million in revenue in the fiscal year ending June 30, 2025, 1.2% came from contributions and grants (including 0.5% from government grants) and 97.6% from program service revenue (Form 990, Part VIII).

Is Avera at Home a registered charity?

The IRS lists EIN 46-0399291 as a 501(c)(3) organization (publicly supported organization (509(a)(2))), 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 202621359349303922 · read the filing
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202501349349308850 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411359349309861 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311329349303681 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202241369349310939 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202141379349305199 · read the filing

All filings for EIN 46-0399291: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.