Avera Health is a 501(c)(3) organization based in Sioux Falls, South Dakota, registered in 1993, with $278,424,080 in FY2023 revenue. CharityIndex grades it A, and it directs about 85% of spending to programs.
Revenue (FY2023)
$278.4M
▼ 2.4% vs prior year
Health median: $840K
Expenses (FY2023)
$280.4M
Net assets
$337.6M
Employees
2,069
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Avera Health: 85% to programs · $17 to raise $100 earns a A on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Avera Health: 14 mo reserves · -1% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Avera Health: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Avera Health: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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Promotion of health
Revenue grew from $134.8M (FY2013) to $278.4M (FY2023) across 11 reported years.
Financial snapshot
Operating margin
-0.7%
Spent more than it raised in the latest fiscal year.
Total assets
$2.3B
Total liabilities
$2.0B
Net assets
$337.6M
Salaries & benefits
$159.1M
57% of expenses
Board members
15
11 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $278,424,080▼2.4% | $280,386,542▼3.9% | $337,604,860▲11.7% | $2,306,128,147▲32.7% | 990 |
| 2022 | $285,338,511▼35.4% | $291,882,361▼0.2% | $302,373,601▼34.1% | $1,738,162,649▼1.0% | 990 |
| 2021 | $441,737,044▲36.5% | $292,380,913▼12.2% | $458,496,552▲18.3% | $1,756,534,821▼0.3% | 990 |
| 2020 | $323,568,990▲9.5% | $333,143,247▲24.9% | $387,539,706▲11.7% | $1,761,941,902▲16.4% | 990 |
| 2019 | $295,600,192▲7.9% | $266,728,621▼1.5% | $346,954,804▲12.0% | $1,513,047,085▲14.3% | 990 |
| 2018 | $273,884,389▲21.5% | $270,833,675▲15.3% | $309,753,942▲2.1% | $1,324,107,753▲3.3% | 990 |
| 2017 | $225,457,103▲3.0% | $234,897,798▲20.0% | $303,354,067▼2.8% | $1,282,022,027▲20.1% | 990 |
| 2016 | $218,893,740▲14.3% | $195,715,801▲14.2% | $312,158,082▲14.1% | $1,067,436,720▼19.0% | 990 |
| 2015 | $191,441,200▲13.0% | $171,392,287▲14.2% | $273,584,861▲4.7% | $1,317,683,771▼4.0% | 990 |
| 2014 | $169,384,234▲25.6% | $150,100,505▲25.7% | $261,226,291▲4.1% | $1,372,841,956 | 990 |
| 2013 | $134,809,969 | $119,455,600▲36.3% | $250,994,363▲18.8% | $1,372,317,642▲18.7% | 990 |
| 2012 | — | $87,622,986▲18.2% | $211,293,589▲27.4% | $1,156,273,576▲9.0% | 990 |
| 2011 | — | $74,131,365▲17.1% | $165,824,620▼6.3% | $1,060,451,267▲51.5% | 990 |
| 2010 | — | $63,291,801▲47.4% | $176,975,720▲37.8% | $700,195,823▲22.8% | 990 |
| 2009 | — | $42,928,996 | $128,434,041 | $570,136,185 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Bob Sutton — $2,080,463 (0.74% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Bob Sutton | President/ceo (end 08/2023) | 45 | $2,080,463 |
| Thomas Clark Former | Chief Strategy & Growth Officer | 40 | $1,666,396 |
| David Flicek | Chief Operating Officer | 40 | $1,371,591 |
| Julie Lautt | Cfo, Treasurer | 45 | $1,203,675 |
| Richard Korman | Chief Legal Officer, Secretary | 40 | $808,575 |
| Kevin Post | Chief Medical Officer | 40 | $800,524 |
| Casey Swenson | Radiology | 0 | $733,755 |
| Dr Ronald Place | President/ceo, Mckennan | 0 | $726,858 |
| Bruk Kammerman | Sr. Vp - Chief Information | 40 | $696,536 |
| Shandon Hatch | Radiology | 0 | $656,579 |
| Doug Ekeren | President/ceo, Sacred Heart | 0 | $652,618 |
| Kimberly Jensen | Chief Human Resources Officer | 40 | $650,782 |
| David Erickson | Former Chief Medical Officer | 0 | $630,520 |
| Daniel Bjerknes | President/ceo, St. Luke's | 0 | $503,084 |
| Debbie Streier | President/ceo, Marshall | 0 | $489,400 |
| James Dover | President/ceo (eff 10/2023) | 45 | $396,393 |
| Dr Hillary Rockwell | President/ceo, Queen of Peace | 0 | $245,314 |
| Shantel Krebs | President/ceo, St. Mary's | 0 | $83,231 |
| Clark Sinclair | Board Member | 5 | — |
| Doneen Hollingsworth | Board Member | 5 | — |
| Contractor | Services | Paid |
|---|---|---|
| Cdw LLC | Software; Hardware; Services | $17,263,547 |
| Medical Information Technology Inc | Software; Services | $6,235,476 |
| Medspeed | Courier Services | $5,017,560 |
| Microsoft Corporation | Software; Services | $4,939,072 |
| Mediability Inc | Marketing Services | $4,357,381 |
51 grants to Avera Health totaling $1.9M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| South Dakota Community Foundation | Healthcare | 2024 | $176,052 |
| The Us Charitable Gift Trust | For recipient's exempt purpose | 2024 | $110,000 |
| Raymond James Charitable Endowment Fund | General support | 2024 | $48,059 |
| American Endowment Foundation | Health, general | 2024 | $22,000 |
| Community Fdn of Greater Des Moines | The grant is to be used for the avera women's and children's tower patient room | 2024 | $10,000 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2023 | $117,175 |
| Donor Advised Charitable Giving | Health | 2023 | $28,250 |
| American Endowment Foundation | Health, general | 2023 | $6,000 |
| National Philanthropic Tr | Health | 2022 | $105,000 |
| South Dakota Community Foundation | Healthcare | 2022 | $100,257 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2022 | $61,159 |
| American Endowment Foundation | Health, general | 2022 | $11,000 |
| The Blackbaud Giving Fund | General support | 2022 | $9,225 |
| Donor Advised Charitable Giving | Health | 2022 | $8,100 |
| Donor Advised Charitable Giving | Health | 2021 | $34,000 |
116 grants totaling $7.4M in FY2023 — showing the 15 largest. All grants made by Avera Health →
| Recipient | Purpose | Amount |
|---|---|---|
| Northern State University Foundation | Donation | $1,400,000 |
| Sioux Falls Catholic Schools | Donation | $850,000 |
| Forward Sioux Falls | Community development | $730,713 |
| University of South Dakota | Scholarship | $473,000 |
| University of Sioux Falls | Donation | $330,000 |
| South Dakota Community Foundation | Donation | $200,493 |
| Mitchell Area Development Corporation | Donation | $192,155 |
| City of Yankton | Donation | $170,586 |
| South Dakota State University | Donation | $165,000 |
| Southeast Technical College | Donation | $155,029 |
| Sioux Empire United Way Inc | Donation | $113,581 |
| Sioux Falls School District | Donation | $110,100 |
| Catholic Chancery Office | Donation | $110,000 |
| Teammates Mentoring Program | Donation | $93,352 |
| Mount Marty University | Scholarship | $92,000 |
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Data for Avera Health (EIN 46-0422673) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.