Avera Mckennan
93% goes to programs $1 to raise $100 Strong reserves Growing revenue
Avera Mckennan is a 501(c)(3) organization based in Sioux Falls, South Dakota, registered in 1942, with $1,712,450,547 in FY2023 revenue. CharityIndex grades it A+, and it directs about 93% of spending to programs.
1325 S Cliff Ave, Sioux Falls, SD, 57105 EIN 46-0224743 Since 1942
Revenue (FY2023)
$1.7B
▲ 15.0% vs prior year
Health median: $840K
Expenses (FY2023)
$1.6B
Net assets
$1.0B
Employees
9,770
CharityIndex rating
One independent A+ to F grade from four published criteria, each scored separately from IRS filings and combined by weight.
A+
A+Program efficiency40% of the rating93% to programs · $1 to raise $100
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 Mckennan: 93% to programs · $1 to raise $100 earns a A+ on this criterion. See the exact thresholds →
AFinancial health25% of the rating8 mo reserves · +8% margin
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 Mckennan: 8 mo reserves · +8% margin earns a A on this criterion. See the exact thresholds →
A+Governance25% of the rating6 of 6 checks met
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 Mckennan: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
A+Transparency10% of the rating5 of 5 disclosure signals
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 Mckennan: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
Show this grade on your website
A live seal — it updates automatically when the grade changes and links donors to this verified profile.
Mission
Promotion of health
What they do
Rural critical access hospitalsavera mckennan owns or leases rural critical access hospitals in flandreau, gregory, dell rapids, milbank and miller (hand county), s.d. as such, they operate as a department of avera mckennan. the hospitals in flandreau, gregory and hand county serve medically underserved counties. in addition to the following exempt purpose achievements, rural hospitals participate in many of the above as part of avera mckennan.among services offered by rural hospitals are radiology and imaging, colonoscopy and endoscopy, therapy and rehabilitation, 24-hour emergency care, chemotherapy, orthopedics, cardiovascular testing and care, obstetrics, surgery, and dialysis.charity and uncompensated care: as part of avera mckennan, these facilities provide necessary medical services (diagnostic and treatment) for whomever comes to us for care, regardless of their ability to pay. in fiscal year 2017, charity and uncompensated care provided by rural hospitals totaled $1,278,000.accessibility to health care: avera mckennan regional hospitals make medical care accessible to the entire community they serve regardless of a patient's ability to pay. in 2017, rural hospitals had 1,786 discharges, 7,528 patient days and 75,224 outpatient visits. each of the hospitals provides 24-hour emergency care with eemergency services through avera mckennan. eicu services are also available at these hospitals, providing access to critical care medicine near home and lessening the need for transport. there is no additional billing to patients. telemedicine consults are also offered at rural locations in a number of medical specialties.
Clinicsavera mckennan provides clinical care, secondary and primary, in 91 owned/joint venture clinics in south dakota, northwest iowa, southwest minnesota and northeastern nebraska. in addition to the following exempt purpose achievements, clinics participate in many of the above as part of avera mckennan. clinic visits in 2017 totaled 1,107,015.clinics provide primary care and urgent care, and among specialties are cardiology; dermatology; endocrinology; gastroenterology; hematology; hepatology; infectious disease; internal medicine; neonatology; nephrology; neurology and neurosurgery; ob/gyn; oncology; ophthalmology; orthopedics; pain management; pediatrics; psychiatry; pulmonology; sports medicine; surgery; and vascular services.charity and uncompensated care: as part of avera mckennan, clinics provide necessary medical services (diagnostic and treatment) for whoever comes to us for care, regardless of their ability to pay. in fiscal year 2017, charity and uncompensated care provided by clinics totaled $464,000.accessibility to health care: in addition to regular clinic hours, avera mcgreevy clinic provides urgent care, seeing patients on a walk-in basis at two locations during the evening hours on weekdays, and throughout the daytime hours on saturdays and sundays. this provides greater accessibility without having to rely on emergency room care. in addition, through our averanow clinics, avera offers convenient, affordable clinic care in partnership with local hyvee pharmacies.
Other program servicesavera mckennan also provides long-term care, retail services, home infusion, research, fitness center, regional lab and mobile services.medical research: as a research institution, avera mckennan draws physicians who are committed to seeking new treatments and preventive measures. in 2017, the avera research institute participated in over 90 clinical trials and registries, involving cancer, alzheimer's disease, behavioral health, diabetes and more. the avera research institute also continues ongoing applied research in the area of developing a novel photochemical tissue-bonding technology that has vascular, ophthalmologic and dermatological applications. through its genetics lab, avera mckennan is studying clinical applications of personalized medicine through pharmacogenomics in areas of pain management, b
Contact & location
- Address
- 1325 S Cliff Ave, Sioux Falls, SD, 57105
- City
- Sioux Falls
- State
- South Dakota
- Category
- Health Care
- Subcategory
- Hospitals
- Phone
- …
- Website
- …
Financial trends
Revenue grew from $809.3M (FY2013) to $1.7B (FY2023) across 11 reported years.
Financial snapshot
Financial health & position (FY2023)
Liabilities $814.8MNet assets $1.0B
Operating margin
7.8%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$1.8B
Total liabilities
$814.8M
Net assets
$1.0B
Salaries & benefits
$796.2M
50% of expenses
Board members
20
14 independent
Financials by year
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $1,712,450,547▲15.0% | $1,579,131,228▲8.3% | $1,005,874,794▲23.5% | $1,820,643,330▲29.0% | 990 |
| 2022 | $1,488,868,703▲5.4% | $1,457,774,738▲3.7% | $814,256,557▲6.7% | $1,411,648,717▲2.0% | 990 |
| 2021 | $1,412,729,099▲3.0% | $1,405,209,002▲9.9% | $763,298,415▼3.9% | $1,383,813,699▼3.9% | 990 |
| 2020 | $1,371,059,282▲16.7% | $1,278,846,398▲8.2% | $793,949,855▲20.9% | $1,439,516,677▲2.2% | 990 |
| 2019 | $1,174,762,076▲4.1% | $1,181,829,141▲7.1% | $656,690,068▼1.2% | $1,409,144,457▲15.5% | 990 |
| 2018 | $1,128,932,346▲6.2% | $1,103,161,342▲8.7% | $664,541,566▲2.6% | $1,220,148,914▲5.3% | 990 |
| 2017 | $1,062,978,607▲4.0% | $1,014,434,772▲3.3% | $647,392,577▲10.4% | $1,159,178,030▲25.4% | 990 |
| 2016 | $1,021,816,339▲10.7% | $981,740,352▲9.0% | $586,566,171▲6.3% | $924,237,536▲4.4% | 990 |
| 2015 | $922,701,249▲6.5% | $900,880,921▲9.8% | $551,709,390▼4.4% | $885,040,456▼4.1% | 990 |
| 2014 | $866,774,254▲7.1% | $820,755,714▲7.0% | $577,171,272▲4.7% | $923,254,007▲2.4% | 990 |
| 2013 | $809,260,238 | $766,960,536▲4.8% | $551,001,429▲13.4% | $901,188,095▲8.8% | 990 |
| 2012 | — | $732,171,306▲7.3% | $485,877,486▲7.4% | $827,983,677▲3.4% | 990 |
| 2011 | — | $682,305,139▲8.5% | $452,261,964▲6.2% | $800,980,977▲5.1% | 990 |
| 2010 | — | $628,705,077▲9.9% | $426,044,422▲17.5% | $762,444,106▲9.5% | 990 |
| 2009 | — | $571,872,950 | $362,643,477 | $696,072,011 | 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.
Leadership & compensation (FY2023)
Highest-paid: Todd Zimprich Md — $2,050,262 (0.13% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Todd Zimprich Md | Neurology | 40 | $2,050,262 |
| Geoffrey Haft Md | Orthopedics/surgery | 40 | $1,790,622 |
| Jonathan Gilhooly Md | Neurosurgery | 40 | $1,636,142 |
| Travis Liddell Md | Orthopedics/surgery | 40 | $1,615,249 |
| Alex Linn Md | Neurology | 40 | $1,598,451 |
| Cristina Hill Jensen Md | Board Member/gastroenterology | 42 | $999,555 |
| Benjamin Solomon Md | Board Member/oncology & Hematology | 42 | $733,736 |
| Jawad Nazir Md Board Member | Infectious Disease & Internal Med | 42 | $660,028 |
| Brenda Kallemeyn Md Board Member | /chief of Staff/ Ob & Gyn | 42 | $487,438 |
| Michael Elliott | Sr Vp - Chief Medical Officer | 24 | $338,905 |
| Tamera Larsen Engelkes | Chief Nursing Officer | 40 | $301,739 |
| Curtis Hohman | Sr Vp - Network Hospitals | 24 | $235,720 |
| Alisa Reindl Md | Board Member/family Medicine | 2 | $230,904 |
| Alejandro Ramirez | Board Member | 2 | — |
| David Flicek | Former President & Ceo | 0 | — |
| Harriet Yocum | Board Member | 2 | — |
| Jeff Gordon Board Member | Philanthropy Council Chair | 2 | — |
| Jennifer Bunkers | Board Member | 2 | — |
| Jennifer Kirby | Board Member | 2 | — |
| J Pat Costello | Vice Chair | 2 | — |
Top vendors & contractors (FY2023)
| Contractor | Services | Paid |
|---|---|---|
| Avera Health | Shared Services | $128,385,349 |
| Journey Group Companies | Construction Services | $16,069,023 |
| Amn Healthcare Inc | Contract Labor | $14,574,252 |
| Surgical Institute of South Dakota PC | Medical Dir & Prof Fees | $5,819,380 |
| Sanford School of Medicine | Medical Dir & Purch Svcs | $4,726,554 |
Grants received · $10.0M total
63 grants to Avera Mckennan totaling $10.0M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Sioux Falls Area Community Foundation Inc | General support, campaign support, capital projects, hospice house, hospital support, programs support | 2024 | $426,558 |
| American Cancer Society Inc | Patient support | 2024 | $60,000 |
| American Heart Association Inc | Stroke programs | 2024 | $40,000 |
| Mayo Clinic | Support charitable programs | 2024 | $21,397 |
| Amyotrophic Lateral Sclerosis Assn | Annual grant payment fy25 recognized treatment center | 2024 | $20,000 |
| American Cancer Society Inc | Patient support | 2024 | $20,000 |
| American Heart Association Inc | Stroke programs | 2024 | $10,000 |
| Sioux Falls Area Community Foundation Inc | Hospice house, capital campaigns, general support | 2023 | $380,673 |
| Trustees of Columbia University | Research | 2023 | $181,979 |
| American Cancer Society Inc | Patient support | 2023 | $40,000 |
| Mayo Clinic | Support charitable programs | 2023 | $30,500 |
| Sioux Falls Area Community Foundation Inc | General support, campaign support, programs support | 2022 | $768,804 |
| Trustees of Columbia University | Research | 2022 | $377,250 |
| American Cancer Society Inc | Patient support | 2022 | $115,000 |
| South Dakota Community Foundation | Healthcare | 2022 | $100,000 |
Grants made · $800K in FY2023
1 grant totaling $800K in FY2023. All grants made by Avera Mckennan →
| Recipient | Purpose | Amount |
|---|---|---|
| Sioux Empire Triage Center | Program support | $800,000 |
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Frequently asked questions
- Is Avera Mckennan a legitimate nonprofit?
- Yes. Avera Mckennan is a 501(c)(3) organization registered with the U.S. Internal Revenue Service under EIN 46-0224743, based in Sioux Falls, South Dakota. Donations are tax-deductible.
- What is Avera Mckennan's EIN?
- Avera Mckennan's Employer Identification Number (EIN) is 46-0224743.
- How much revenue does Avera Mckennan report?
- Avera Mckennan reported $1,712,450,547 in total revenue on its fiscal year 2023 IRS Form 990 filing.
- How much of Avera Mckennan's spending goes to programs?
- Avera Mckennan spends about 93% of its total expenses on programs, based on its latest IRS Form 990.
- What financial grade does Avera Mckennan have?
- CharityIndex grades Avera Mckennan A+, based on program efficiency and fundraising cost.
- How much does Avera Mckennan's highest-paid employee make?
- The highest reported compensation on Avera Mckennan's latest Form 990 is $2,050,262, paid to Todd Zimprich Md (Neurology).
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Data for Avera Mckennan (EIN 46-0224743) 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.