Is it real?
Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Jul 1993.
IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File
Where the money goes
88 cents of each dollar spent went to programs.
Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.
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Who runs it and what they're paid
27 people listed on the 990; $12.0M paid to officers and key staff.
James Dover’s $2.5M as President/CEO is at the 89th percentile of top reported officer pay among 1747 $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
| Name | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 |
|---|---|---|---|---|---|---|
| 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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Questions the 990 asks
The form asks each of these directly. These are the filed answers.
- Family or business ties among officersPt VI · Ln 2No
- Top official's pay set by an independent reviewPt VI · Ln 15aYes
Programs and updates
Provides management, fundraising, and administrative support to affiliated healthcare organizations serving South Dakota and surrounding states.
Questions for Avera Health
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Avera Health is a nonprofit corporation jointly sponsored by the Sisters of the Presentation of the Blessed Virgin Mary of Aberdeen, South Dakota and the Benedictine Convent of the Sacred Heart of Yankton, South Dakota, together referenced as the "Sisters." Avera Health acts as the leader of the Avera health ministry, serving as an…
Funders
Who pays for it.
From grant filings on record. Receipts are incomplete: individual donors are never listed.
Grants
By the numbers
The FY2021 990, line by line.
Download 990
| Line | Start FY21 | End FY21 |
|---|---|---|
| Cash and savingsLn 1–2 | $25.1M | $28.9M |
| InvestmentsLn 11–13 | $1.24B | $1.44B |
| Land, buildings, equipmentLn 10c | $99.0M | $101.7M |
| Total assetsLn 16 | $1.51B | $1.76B |
| LiabilitiesLn 26 | $1.17B | $1.37B |
| Net assetsLn 32 | $347.0M | $387.5M |
| Line | Total | Programs | Management | Fundraising |
|---|---|---|---|---|
| Grants to domestic organizationsLn 1 | $30.6M | $30.6M | ||
| Grants to domestic individualsLn 2 | $59K | $59K | ||
| Pay of current officers, directors and key staffLn 5 | $7.0M | $7.0M | ||
| Pay of disqualified personsLn 6 | $130K | $130K | ||
| Other salaries and wagesLn 7 | $128.5M | $108.2M | $18.9M | $1.4M |
| Pension plan contributionsLn 8 | $32.3M | $31.2M | $1.0M | $96K |
| Other employee benefitsLn 9 | $17.2M | $14.0M | $2.9M | $234K |
| Payroll taxesLn 10 | $8.8M | $8.3M | $446K | $98K |
| Legal feesLn 11b | $771K | $715K | $57K | |
| Accounting feesLn 11c | $1.5M | $1.5M | ||
| Lobbying feesLn 11d | $249K | $249K | ||
| Other fees for servicesLn 11g | $34.3M | $30.5M | $3.7M | $86K |
| Advertising and promotionLn 12 | $8.1M | $8.0M | $4K | $50K |
| Office expensesLn 13 | $7.5M | $6.7M | $724K | $104K |
| Information technologyLn 14 | $22.0M | $21.8M | $67K | $147K |
| OccupancyLn 16 | $6.1M | $4.0M | $2.1M | $36K |
| TravelLn 17 | $699K | $618K | $72K | $9K |
| Conferences, conventions and meetingsLn 19 | $554K | $540K | $14K | −$139 |
| InterestLn 20 | $850K | $712K | $138K | |
| Depreciation, depletion and amortizationLn 22 | $19.7M | $18.9M | $783K | $5K |
| InsuranceLn 23 | −$482K | −$542K | $60K | |
| Other expenses (24a–d)Ln 24 | $5.4M | $5.3M | $167K | $489 |
| All other expensesLn 24e | $1.1M | $1.1M | $35K | $3K |
| Total functional expensesLn 25 | $333.1M | $292.6M | $38.3M | $2.3M |
Filing history
| Year | Money in | Money out | In minus out | Net assets | Download |
|---|---|---|---|---|---|
| FY2025 Latest | $359.1M | $362.4M | −$3.3M | $390.9M | 990 PDF |
| FY2024 | $278.4M | $280.4M | −$2.0M | $337.6M | 990 PDF |
| FY2023 | $285.3M | $291.9M | −$6.5M | $302.4M | 990 PDF |
| FY2022 | $441.7M | $292.4M | $149.4M | $458.5M | 990 PDF |
| FY2021 Viewing | $323.6M | $333.1M | −$9.6M | $387.5M | 990 PDF |
| FY2020 | $295.6M | $266.7M | $28.9M | $347.0M | 990 PDF |
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Schedules filed Part IV
See the full FY2021 990 (6 parts)
Part I · Summary $323,568,990 revenue, 12 lines filed
Part VI · Governance 10 of 15 board members independent, no flags
Part VIII · Statement of revenue $323,568,990 across 14 lines filed
Part IX · Statement of functional expenses $333,143,247 across 23 lines filed
Part X · Balance sheet $1,761,941,902 assets, 21 lines filed
Part XI · Reconciliation of net assets $387,539,706 net assets at year end
Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File
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