Avera Health
Avera Health reported $359.1 million in revenue and $362.4 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $89.99 went to program services, $9.26 to management and general costs and $0.75 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 87.3% of the total. The highest compensation it reported for one person was $2,504,735 (President/CEO). 316 people received more than $100,000 in reportable compensation. Revenue rose 21% 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 $362MFor 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 $359MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 90.0% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 9.3% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.8% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.12 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 6.1% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.8% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 87.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,504,735 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.69% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 316 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 12.9 | 6.6 |
| Independent voting board members Part VI 1a–1b | 11 of 15 | 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 Health is a nonprofit corporation sponsored by Caring for Life Catholic Health Ministries under the guidance of the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota and the Benedictine Sisters of the Convent of the Sacred Heart. Avera Health acts as the leader of the Avera Health ministry, serving as an overall parent to support its affiliated tax-exempt health care organizations. These organizations provide services principally in eastern South Dakota and surrounding states. Avera Health provides management consulting, fund raising and other…
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 |
|---|---|---|---|---|
| President/CEO Director/trustee, officer, 45.00 hrs/week | $2,453,843 | $0 | $50,892 | $2,504,735 |
| Chief Operating Officer, Vice Pres Officer, 40.00 hrs/week | $1,450,140 | $0 | $47,062 | $1,497,202 |
| CFO, Treasurer Officer, 45.00 hrs/week | $1,274,363 | $0 | $20,218 | $1,294,581 |
| Radiology Highest compensated employee, 40.00 hrs/week | $1,086,199 | $0 | $48,193 | $1,134,392 |
| President/CEO, McKennan Key employee, 0.00 hrs/week | $1,093,970 | $0 | $28,917 | $1,122,887 |
| Chief Medical Officer Highest compensated employee, 40.00 hrs/week | $1,002,860 | $0 | $62,634 | $1,065,494 |
| Chief Legal Officer, Secretary Officer, 45.00 hrs/week | $910,447 | $0 | $55,428 | $965,875 |
| Radiology Highest compensated employee, 40.00 hrs/week | $867,408 | $0 | $59,160 | $926,568 |
316 people received more than $100,000 in reportable compensation from Avera Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $10M (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–1b15 · 11 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 15aYes
- 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 14bYes
- Employees Part I, line 52,167
- Volunteers Part I, line 611
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| CDW LLC Software, hardware, services | $35,227,349 |
| KPMG LLP Services | $8,768,435 |
| Epic Systems Corporation Software, services | $7,423,351 |
| Microsoft Corporation Software, services | $6,607,724 |
| Medical Information Technology Inc Software, services | $6,508,768 |
Individuals listed as contractors are left out. 115 contractors were paid more than $100,000 in all.
Private foundation grants it received
5 private foundations reported grants to Avera Health totaling $4,226 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 Health'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 Health, you can publish a response that is linked from this page.
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Of every $100 Avera Health spent in FY2025, $89.99 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in South Dakota
Questions people ask
How much of Avera Health's spending goes to programs?
In the fiscal year ending June 30, 2025, Avera Health reported that 90.0% of its $362.4 million in expenses went to program services, 9.3% to management and general and 0.8% to fundraising (Form 990, Part IX).
How much does Avera Health pay its top executive?
The largest total compensation Avera Health reported for one person in the fiscal year ending June 30, 2025 was $2,504,735, for the role of President/CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Avera Health get its money?
Of $359.1 million in revenue in the fiscal year ending June 30, 2025, 6.1% came from contributions and grants (including 0.8% from government grants) and 87.3% from program service revenue (Form 990, Part VIII).
Is Avera Health a registered charity?
The IRS lists EIN 46-0422673 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 202621359349303687 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541349349308514 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421359349310157 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321329349303617 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202231369349312508 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101379349305230 · read the filing
All filings for EIN 46-0422673: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.