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Avera Health EIN 46-0422673

Avera Health

EIN  46-0422673 Hospital Sioux Falls, SD Founded 1998
Form 990 (PDF) Compare with another nonprofit →
Verified accurate 7/4/26 · see original filing: IRS
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Size
$100M+
What they do
Provides management, fundraising, and administrative support to affiliated healthcare organizations serving South Dakota and surrounding states.
Leadership
James Dover · President/CEO · $2.5M
Money in and out
$359.1M revenue, $362.4M expenses
Bottom line
-1% operating surplus

Provides management, fundraising, and administrative support to affiliated healthcare organizations serving South Dakota and surrounding states. For fiscal year 2024 it reported $359.1M in revenue, $362.4M in expenses, and $390.9M in net assets.Pt I

Financial scale & money flow · FY2024
Total revenue
$359.1M
Pt VIII · Ln 12
Total expenses
$362.4M
Pt IX · Ln 25
Net assets
$390.9M
Pt X · Ln 32
Revenue less expenses (Pt I · Ln 19): −$3.3M
Where spending went · Part IX cols B–D
Program services $0.90 Management & general $0.09 Fundraising $0.01
Operating surplus
-1%
revenue over expenses, this legal entity▼ -29% vs prior filing year
Payroll share
52%
of this entity's spending is salaries & benefits▼ -8% vs prior filing year
Program spending
90%
of expenses reach program services▲ +6% vs prior filing year

Summary of the Filing

Part I · fiscal year 2024 · Form 990
Revenue
$359.1M
FY2024▲ +29%
Expenses
$362.4M
FY2024▲ +29%
Total assets
$2.6B
FY2024▲ +12%
Total liabilities
$2.2B
FY2024▲ +11%
Total revenue
$359.1M
Pt VIII · Ln 12
Total expenses
$362.4M
Pt IX · Ln 25
Net assets
$390.9M
Pt X · Ln 32
Revenue less expensesPt I · Ln 19−$3.3M
Total assetsPt X · Ln 16$2.6B
Program-expense ratioPt IX · col B90%
Voting members of governing bodyPt I · Ln 315
Independent voting membersPt I · Ln 411
Mission & Programs · Part III

Where the work happens

1 program service account for $326.1M of program spending, described in the organization's own filed words · FY2024.
01

Avera 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.

$326.1Mprogram expense

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Identity & Classification

Form 990 Header · IRS Business Master File
Legal nameHdr · item CAvera Health
EINHdr · item D46-0422673
Principal addressHdr · item CSioux Falls, SD
WebsiteHdr · item Jwww.avera.org
Year of formationHdr · item L1998
State of legal domicileHdr · item MSD
Exempt statusHdr · item I501(c)(3) · active
NTEE classificationIRS BMFHealth Care (E110)
Ruling yearIRS BMFJul 1993

Governance & Policies

Part VI
Voting members of the governing bodyPt VI · Ln 1a15
Independent voting membersPt VI · Ln 1b11
Conflict-of-interest policyPt VI · Ln 12aYes
Whistleblower policyPt VI · Ln 13Yes
Document retention policyPt VI · Ln 14Yes
CEO/top-official compensation independently reviewedPt VI · Ln 15aYes
Family or business relationships among officers/directorsPt VI · Ln 2Yes

Officers, Directors & Key Employees

Part VII, Section A · reportable compensation
James Dover
President/CEO
$2,453,843Pt VII · Sec A
David Flicek
Chief Operating Officer, Vice Pres
$1,450,140Pt VII · Sec A
Julie Lautt
CFO, Treasurer
$1,274,363Pt VII · Sec A
Dr Ronald Place
President/CEO, McKennan
$1,093,970Pt VII · Sec A
$1,086,199Pt VII · Sec A
Kevin Post DO
Chief Medical Officer
$1,002,860Pt VII · Sec A
Richard Korman
Chief Legal Officer, Secretary
$910,447Pt VII · Sec A
$867,408Pt VII · Sec A

James Dover’s $2.5M as President/CEO is at the 88th percentile of top reported officer pay among 1754 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2024FY2023FY2022FY2021FY2020
James Dover$2,453,843$396,393————
David Erickson Left 122022——$2,256,352———
Bob Sutton$247,745$2,080,463$2,078,032$2,049,889$1,749,379$1,759,265
Richard Molseed————$1,771,632—
Thomas Clark Former—$1,666,396————
David Flicek$1,450,140$1,371,591$1,301,962$1,291,126$1,275,864$1,224,706
Julie Lautt$1,274,363$1,203,675$1,086,452$1,051,228$903,545—
Dr Ronald Place$1,093,970$726,858————

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Statement of Revenue

Part VIII
Program service revenue$313.7M · 87%
Contributions & grants$22.0M · 6%
Investment income$23.2M · 6%
Program service revenue87%$313.7M
Contributions & grants6%$22.0M
Investment income6%$23.2M
Other revenue$244K
— government grantsLn 1e$2.7M
Total revenueLn 12$359.1M

Statement of Functional Expenses

Part IX · allocated across program, management, and fundraising
Allocation · columns B–D
Program services $0.90 Management & general $0.09 Fundraising $0.01
Program services90%$326.1M
Management & general9%$33.6M
Fundraising1%$2.7M
Total functional expensesLn 25$362.4M

Balance Sheet

Part X · end of year
CashLn 1$61.1M
Total assetsLn 16$2.6B
Total liabilitiesLn 26$2.2B
Total net assetsLn 32$390.9M
Months of cash on handcomputed2.0

Financial Metrics

Form 990 · FY2024 · each ratio shown with the dollars behind it
Liquidity & Payout
Operating runway
Highly liquid reserves $2.1B · Operating expenses (Pt IX) $362.4M · Less non-cash grants $240K · Cash operating expenses/yr $362.2M
70.9 months
Where the money goes
Program services
Program services $326.1M · Total expenses $362.4M
90%
Management & General
Management & general $33.6M · Total expenses $362.4M
9%
Fundraising
Fundraising $2.7M · Total expenses $362.4M
1%
Cost to raise $1
Fundraising expense (3-yr avg) $2.4M · Solicited contributions (3-yr avg) $16.9M
$0.14 to raise $1 (3-yr avg)
Where the money comes from
Contribution dependence
Contributions & grants $22.0M · Total revenue $359.1M
6%
Government reliance
Government grants $2.7M · Total revenue $359.1M
1%
Earned-income share
Program service revenue $313.7M · Total revenue $359.1M
87%
Investment reliance
Investment income $23.2M · Total revenue $359.1M
+6%
Program self-sufficiency
Program service revenue $313.7M · Total expenses $362.4M
87%
Growth & trend
Revenue growth (YoY)
This year $359.1M · Prior year $278.4M
+29%
Revenue CAGR
FY2019 $295.6M · FY2024 $359.1M
+4%
Net-asset trend (YoY)
End of year $390.9M · Beginning of year —
Beginning net assets not meaningfully positive — showing dollar change
Balance sheet
Surplus Margin
Revenue $359.1M · Expenses $362.4M
-1%
Liabilities-to-Assets
Total liabilities — · Total assets $2.6B
—
Net-asset ratio
Net assets $390.9M · Total assets $2.6B
15%
Marketable Investment Share
Publicly traded securities (Pt X, ln 11) $2.0B · Other securities (Pt X, ln 12) $81.4M · Total assets (Pt X, ln 16) $2.6B
81%
People & payroll
Highest Reported Total Compensation
Individual James Dover · Reported title President/CEO · Highest reported compensation $2.5M · Total expenses $362.4M
1%
Personnel share
Salaries, benefits & payroll (Pt IX 5-10) $188.6M · Total expenses $362.4M
52%
Peer comparison

Same NTEE category, revenue band, and state where available. Descriptive — not a grade.

MetricThis orgPeer medianPercentile
Program ratio 90%——
Overhead ratio 9%——
Fundraising cost ratio 12%——
Revenue growth 29%——

Straight from the Form 990 — descriptive, not an evaluation. A ratio is hidden when its base is zero or too small to be meaningful; the dollars are always shown.

Grants

Schedule I · received and paid
Grants received · FY2025
Scottish Rite Foundation of South Dakota INCFY2025$37K
Valley Queen Charitable FoundationFY2025$200
Total grants receivedfrom 2 funders$37K
Grants paid · 687 grants · $49.7M · 2019–2024
Sioux Falls Catholic SchoolsSD · FY2024$850,000
Southeast Technical CollegeFY2024$525,018
Northern State University FoundationSD · FY2024$500,000
South Dakota State UniversityFY2024$395,005
Mount Marty UniversitySD · FY2024$229,000
University of Sioux FallsSD · FY2024$200,000
South Dakota Community FoundationSD · FY2024$189,541
Coalition to Strengthen Americas HealthcareDC · FY2024$189,100
Feeding South DakotaSD · FY2024$163,250
University of South DakotaFY2024$163,214
Sioux Falls School DistrictFY2024$124,000
Southwest Minnesota State UniversityFY2024$113,000
Sioux Empire United Way INCSD · FY2024$113,000
Mitchell School District 17-2FY2024$102,500
Lewis & Clark Behavioral Health Services INCSD · FY2024$100,876
Washington High SchoolFY2024$100,100
Washington Pavilion Management INCSD · FY2024$90,467
Women Religious Archives CollaborativeOH · FY2024$75,000
See all 687 grants →

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Filings & Schedule Manifest

Part IV
III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
FY2024$278.4M revenue · ⤓ 990 PDF
FY2023$285.3M revenue · ⤓ 990 PDF
FY2022$441.7M revenue · ⤓ 990 PDF
FY2021$323.6M revenue · ⤓ 990 PDF
FY2020$295.6M revenue · ⤓ 990 PDF

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Sources

Every figure above is drawn from these filings
Form 990 e-file (XML) · FY2024IRS
Classification, formation year, addressIRS Business Master File
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