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· Public charity

Avera Health

Avera Health is a health ministry rooted in the Gospel.

$25M
Granted FY2025still arriving
109
Grants FY2025still arriving
9
States reached
$850k
Largest
01What it funds
01100% classified

What it funded, over time

Every grant placed by its stated purpose and the recipient’s mission, by year, FY2017 to 2025.

Education$31MPhilanthropy$15MHealth$10MCommunity Improvement$3.0MHuman Services$2.8MArts & Culture$1.8MYouth Development$1.3MRecreation & Sports$1.2MOther$0
02FY2025 · 109 grants

Where the money goes

Grants by size, and the largest recipients.

How this is measured
The 109 grants below total $6,160,190, the rows itemized in this filing. The $24,860,573 headline is the total grant expense on the return; the other $18,700,383 is giving the schedule does not break out (grants under the $5,000 itemization floor, grants to individuals, grants on other schedules). Every figure below describes the itemized rows only.

By grant size · FY2025

  • Under $10k13 grants · $93k
  • $10k–50k70 grants · $1.4M
  • $50k–250k22 grants · $2.4M
  • $250k+4 grants · $2.3M
$17,737
Median grant
9
States reached
$2.6B
Total assets
Largest grants
RecipientAmount
Sioux Falls Catholic School Corporation$850,000
Southeast Technical College$525,018
Northern State University$500,000
South Dakota State University$395,005
Mount Marty University$229,000
University of Sioux Falls$200,000
South Dakota Community Foundation$189,541
Coalition to Strengthen America's Healthcare$189,100
Feeding South Dakota$163,250
University of South Dakota$163,214
Sioux Falls School District$124,000
Sioux Empire United Way$113,000
Southwest Minnesota State University$113,000
Mitchell School District 17-2$102,500
Lewis & Clark Behavioral Health Services Inc$100,876
02The need
03

Does the money reach high-need areas?

Each grant placed by the hardship in its grantee’s ZIP, against the area’s typical level.

show:

Its human-services grants (FY17–25, $1.8M) land where the poverty rate runs at 10%, against an area that typically sits at 10%. 31% of those dollars go to grantees based in above-average-need neighborhoods. Its grants skew toward lower-need ZIPs.

area typical 10%American Red Cross: $28k → 14%Harrisburg Community Foundation: $25k → 5%Mitchell Area Safehouse Inc: $70k → 14%Missouri Shores Domestic Violence: $61k → 10%Marshall Area YMCA: $33k → 11%Oahe Family YMCA: $60k → 10%Abbott House Foundation: $43k → 14%River City Domestic Violence Center: $60k → 11%Pathways Shelter for Homeless Inc: $40k → 11%Abbott House Foundation: $23k → 14%Pathways Shelter for the Homeless: $26k → 11%Active Generations: $63k → 9%Active Generations: $41k → 9%Dakotabilities: $25k → 9%Dakotabilities Inc: $20k → 9%Dakotabilities Inc: $20k → 9%Dakotabilities Inc: $20k → 9%Ronald McDonald House Charities of South Dakota Inc: $20k → 9%Project CAR: $16k → 9%DakotAbilities: $16k → 9%DakotAbilities: $15k → 9%DakotAbilities: $15k → 9%Project CAR: $15k → 9%Dow Rummel Village: $75k → 9%Ronald McDonald House Charities: $30k → 9%Ronald McDonald House Charities of SD: $30k → 9%Ronald McDonald House Charities of SD: $30k → 9%Ronald McDonald House Charities: $28k → 9%Ronald McDonald House Charities of SD: $27k → 9%Ronald McDonald House Charities: $27k → 9%Dow Rummel Village: $25k → 9%Ronald McDonald House Charities of South Dakota: $25k → 9%YMCA of Sioux Falls: $25k → 9%Dow Rummel Village: $25k → 9%Ronald McDonald House Charities of SD: $20k → 9%Boys & Girls Club of the Sioux Empire: $20k → 9%Boys & Girls Club of the Sioux Empire: $16k → 9%Boys & Girls Club of the Sioux Empire: $16k → 9%Boys & Girls Clubs of Sioux Empire: $15k → 9%Boys & Girls Clubs of Sioux Empire: $15k → 9%Boys & Girls Clubs of Sioux Empire: $15k → 9%Furniture Mission of South Dakota: $48k → 9%Furniture Mission of South Dakota: $37k → 9%Call To Freedom Inc: $28k → 9%Call To Freedom Inc: $27k → 9%Call To Freedom Inc: $27k → 9%Furniture Mission of South Dakota: $18k → 9%Furniture Mission of South Dakota: $18k → 9%0%20%40%50%more need →
grant to an above-average-need area below average· circle size = grant amount
How this is measured
Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty line in the grantee’s ZIP, averaged from the tracts in that ZIP.

Which US states its grants reach

ND
MN
WI
NY
SD
IA
OH
CA
NE
MO
VA
MD
AZ
DC
GA
TX
How this is measured
US grants placed by each grantee’s ZIP, which can differ from where services are delivered. Need from public data (U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA), shown as context about the area, never attributed to the funder’s giving.
03Its grantees
repeat funding

Who it funds again

Organizations funded in more than one year, against those funded once.

92%of every dollar goes to organizations it has funded before.
$54M · 150 repeat orgs$4.5M to everyone else

Grantees it renews have grown median revenue +30% since the first grant, against +30% for those funded once.

150 repeat relationships: 94 still active in FY2025, 56 since wound down; 8 grantees were first funded in FY2025 (too recent to call).

How the two cohorts compare

Re-uppedFunded once

Organizations

150
74

Total granted

$54M
$4.3M

Median revenue growth · since first grant

+30%
+30%

Still filing today

75%
69%

New vs renewed · share of each year

In FY2025, 96% of grant dollars renewed an existing relationship; $245k went to new ones.

50%100%’17’18’19’20’21’22’23’24’25
RenewedFirst-time

Where new relationships form · theme of each grantee’s first grant

’17’18’19’20’21’22’23’24’25
HealthEducationHuman ServicesRecreation & SportsArts & CulturePhilanthropyOther
How this is measured
First-time means a grantee’s first year in the filing window; renewed means funded in an earlier year too. The renewed share climbs naturally as a portfolio matures, so the signal is a year that bucks it (a wave of new grantees). The earliest year is left-censored: relationships that predate the data read as new. Theme is the grantee’s IRS cause.

Backed again, and grew

  • AM
    Avera McKennan
    2× · 2018–2021 · $4.3M · revenue +75%
  • UO
    UNIVERSITY OF SOUTH DAKOTA RESEARCH PARK INC
    2× · 2023–2024 · $1.9M · revenue +173% · 49% of their budget
  • MM
    MOUNT MARTY UNIVERSITY
    9× · 2017–2025 · $1.7M · revenue +63%

Funded once

  • EC
    EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATIONgraduated
    one grant, 2018 · $834k · revenue +73%
  • AQ
    Avera Queen of Peacegraduated
    one grant, 2018 · $529k · revenue +42%
  • FV
    FLOYD VALLEY HOSPITAL
    one grant, 2018 · $255k
How this is measured

Repeat means funded in two or more distinct years. Growth and survival are read from each grantee’s own subsequent IRS filings.

04Its field

Closest unfunded matches

The nonprofits that most resemble its grantees but are not funded by it, scored along the direction from the rest of the field toward the portfolio. A resemblance in what they say they do, not a recommendation.

1
Sd Association of Healthcare Organizations

Advancing healthy communities through a unified voice across the health care continuum.

—
2
South Dakota Retailers Association

Representing the interest of retail businesses who sell retail products and services throughout the state of south dakota.

—
3
Southeastern North Dakota Community Action Agency

Southeastern north dakota community action agency (sendcaa) was formed in 1965 to provide a range of services and activities in a six county area designed to alleviate poverty and give low-income people the opportunity to improve their…

Human Services
4
South Dakota Rural Electric Association

To serve the rural electric cooperatives in south dakota, to promote the effective development of rural electrification in south dakota on a cooperative, non-profit basis.

—
5
Madison Community Hospital

Madison regional health system serves as a community health focal point through the provision of compassionate, quality, and innovative care.

Health
6
Credit Union Association of the Dakotas

The association works to promote member credit unions as being safe and sound institutions for insured deposits, responsible lending, and the best place for consumers to receive financial services.

—
7
Northeast South Dakota Area Health Education Center

To create and strengthen partnerships that cultivate a robust health workforce for rural and underserved communities in south dakota.

Education
8
South Dakota Voices for Peace

Sd voices for peace provides five programming areas to assist vulnerable communities access services throughout the state: legal services, multilingual outreach, training and education, advocacy and civic engagement and rapid response.

—
9
South Dakota Education Association

To promote and protect quality education and all education employees.

—
10
South Dakota Dental Association

It is the mission of the south dakota dental association to promote the art and science of dentistry and the oral health of the public; educate the public on the benefits of quality preventative and restorative dentistry as provided by the…

—
11
Midwest Dairy Association

Midwest dairy works with others to give consumers an excellent dairy experience increasing sales, fostering innovation, and inspiring consumer confidence of dairy products and practices.

—
12
Prairie Lakes Health Care System Inc

We make a positive difference in the health of the patients and communities we serve.

Health
How this is measured
The grantee most central to the portfolio’s shape is Lifelight Communications Inc; the most unlike its peers is Yankton Area Ice Association. Resemblance is measured on each organization’s own IRS 990 mission text; it reflects how work is described, not its quality or impact.
04the grantee network

182 grantees tracked through their own filings, 2017–2025.

Each grant beside the grantee’s revenue from every source, year by year.

How this is measured

Counted here: distinct organizations funded across 2017 to 2025, not grant rows in a single year, so this will not match the grant count on the cover. 182 of the 236 grantees resolved in that span have returns of their own we could reconcile.

Each grantee is resolved to its own IRS returns. Association, dated; never a causal claim.

8
Load-bearing (≥25% of a budget)
44
Early backer (in before they grew)
174/182
Grantees still filing
124/182
Grew since first funded

Where the money sits, by cause and then by grantee

SIOUX FALLS CATHOLIC SCHOOLS: $9,150,000 · OtherSIOUX FALLS CATHOLIC SCHOOLSSOUTH DAKOTA STATE UNIVERSITY: $4,036,079 · OtherSOUTH DAKOTA STATE UNIVERSITYNorthern State University Foundation: $2,803,000 · OtherNorthern State University FoundationForward Sioux Falls: $1,830,713 · OtherForward Sioux FallsSoutheast Technical College: $1,229,273 · Other+103 more: $13,767,849 · Other+103 moreSOUTH DAKOTA COMMUNITY FOUNDATION: $12,113,662 · PhilanthropySOUTH DAKOTA COMMUNI…+8 more: $491,014 · PhilanthropyUNIVERSITY OF SIOUX FALLS: $3,480,000 · EducationUNIVERSITY OF SIOU…UNIVERSITY OF SOUTH DAKOTA RESEARCH PARK INC: $1,917,612 · EducationUNIVERSITY OF SOUT…Presentation College: $1,752,300 · EducationPresentation Colle…MOUNT MARTY UNIVERSITY: $1,679,763 · EducationMOUNT MARTY UNIVER…UNIVERSITY OF SOUTH DAKOTA FOUNDATION: $741,100 · EducationUNIVERSITY OF SOUT…SOUTH DAKOTA STATE UNIVERSITY FOUNDATION: $520,010 · EducationMITCHELL TECHNICAL COLLEGE FOUNDATION: $465,976 · Education+11 more: $1,075,800 · Education+11 moreAvera McKennan: $4,280,007 · HealthAvera McKennanEUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION: $833,813 · HealthEUREKA COMMUNI…Avera Queen of Peace: $528,928 · HealthAvera Queen of…CAPITAL AREA COUNSELING SERVICEINC: $302,000 · Health+31 more: $3,049,834 · Health+31 moreRONALD MCDONALD HOUSE CHARITIES OF SOUTH DAKOTA INC: $236,500 · Human ServicesFURNITURE MISSION OF SOUTH DAKOTA: $172,250 · Human ServicesDAKOTABILITIES INC: $156,000 · Human ServicesBOYS & GIRLS CLUBS OF THE SIOUX EMPIRE: $128,500 · Human ServicesSENIOR CITIZEN SERVICES INC DBA ACTIVE GENERATIONS: $128,500 · Human ServicesDOW RUMMEL VILLAGE: $125,000 · Human ServicesMITCHELL AREA SAFEHOUSE INC: $113,000 · Human ServicesCHILDREN'S HOME SOCIETY OF SOUTH DAKOTA: $90,000 · Human ServicesPATHWAYS SHELTER FOR THE HOMELESS: $87,000 · Human ServicesCALL TO FREEDOM: $81,000 · Human ServicesAmerican National Red Cross & Its Constituent Chapters and Branches: $73,088 · Human ServicesYOUNG MEN'S CHRISTIAN ASSOCIATION: $69,500 · Human ServicesABBOTT HOUSE FOUNDATION INC: $65,000 · Human Services+7 more: $310,530 · Human ServicesWASHINGTON PAVILION MANAGEMENT INC: $606,043 · Arts & CultureSOUTH DAKOTA SYMPHONY ORCHESTRA: $437,750 · Arts & CultureSCULPTUREWALK INC: $213,500 · Arts & CultureSOUTH DAKOTA HALL OF FAME: $166,000 · Arts & Culture+2 more: $100,000 · Arts & CultureFEEDING SOUTH DAKOTA: $520,830 · Food & NutritionTHE BANQUET: $168,063 · Food & NutritionGround Works: $65,500 · Food & NutritionCharis Ministry Partners: $49,000 · Food & Nutrition
Other$32,816,914Philanthropy$12,604,676Education$11,632,561Health$8,994,582Human Services$1,835,868Arts & Culture$1,523,293Food & Nutrition$803,393

Showing the 200 largest grantees by grant value.

Each grantee by its size and the funder’s share of it; top left is load-bearing

25%50%75%100%$100k$1.0M$10M$100Mgrantee revenue →↑ funder's share of their budgetSOUTH DAKOTA COMMUNITY FOUNDATION: $12,113,662 over 6y, 5.2% of budgetAvera McKennan: $4,280,007 over 2y, 0.4% of budgetUNIVERSITY OF SIOUX FALLS: $3,480,000 over 9y, 1.5% of budgetNorthern State University Foundation: $2,803,000 over 8y, 10% of budgetUNIVERSITY OF SOUTH DAKOTA RESEARCH PARK INC: $1,917,612 over 2y, 49% of budgetPresentation College: $1,752,300 over 7y, 4.5% of budgetMOUNT MARTY UNIVERSITY: $1,679,763 over 9y, 1.5% of budgetSIOUX EMPIRE UNITED WAY INC: $853,747 over 9y, 1.3% of budgetEUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION: $833,813 over 1y, 23% of budgetUNIVERSITY OF SOUTH DAKOTA FOUNDATION: $741,100 over 6y, 1.3% of budgetWASHINGTON PAVILION MANAGEMENT INC: $606,043 over 8y, 1.1% of budgetAvera Queen of Peace: $528,928 over 1y, 0.5% of budgetFEEDING SOUTH DAKOTA: $520,830 over 8y, 0.5% of budgetSOUTH DAKOTA STATE UNIVERSITY FOUNDATION: $520,010 over 7y, 0.3% of budgetYANKTON THRIVE INC: $480,000 over 7y, 7.4% of budgetMITCHELL TECHNICAL COLLEGE FOUNDATION: $465,976 over 7y, 9.4% of budgetSOUTH DAKOTA SYMPHONY ORCHESTRA: $437,750 over 9y, 3.1% of budgetEMBE: $436,593 over 9y, 1.0% of budgetCAPITAL AREA COUNSELING SERVICEINC: $302,000 over 6y, 1.5% of budgetMITCHELL AREA DEVELOPMENT CORPORATION: $298,155 over 4y, 20% of budgetAMERICAN CANCER SOCIETY INC: $268,575 over 8y, 0.0% of budgetNAMI SOUTH DAKOTA: $259,500 over 8y, 16% of budgetSOUTH DAKOTANS DECIDE HEALTHCARE: $250,000 over 1y, 23% of budgetDAKOTA WESLEYAN UNIVERSITY: $239,500 over 8y, 0.1% of budgetHELPLINE CENTER INC: $239,000 over 8y, 0.9% of budgetAvera Holy Family: $238,253 over 1y, 0.8% of budgetRONALD MCDONALD HOUSE CHARITIES OF SOUTH DAKOTA INC: $236,500 over 9y, 2.9% of budgetSIOUX EMPIRE BASEBALL ASSOCIATION: $220,300 over 9y, 3.1% of budgetCOALITION TO STRENGTHEN AMERICA'S HEALTH CARE: $219,100 over 2y, 0.7% of budgetBOYS & GIRLS CLUB OF THE NORTHERN PLAINS INC: $218,550 over 5y, 1.5% of budgetDAKOTA RESOURCES: $217,500 over 8y, 1.1% of budgetSCULPTUREWALK INC: $213,500 over 9y, 5.6% of budgetSOUTHWEST MINNESOTA STATE UNIVERSITY FOUNDATION: $212,500 over 5y, 1.6% of budgetBOYS & GIRLS CLUB OF ABERDEEN AREA INC: $208,000 over 9y, 4.9% of budgetAvera Health: $204,000 over 1y, 0.1% of budgetJUNIOR ACHIEVEMENT OF SOUTH DAKOTA: $193,330 over 8y, 2.3% of budgetGREATER SIOUX FALLS CHAMBER OF COMMERCE: $183,818 over 7y, 1.1% of budgetAvera St Mary's: $183,474 over 6y, 0.1% of budgetDELTA DENTAL OF SOUTH DAKOTA FOUNDATION: $173,000 over 8y, 0.9% of budgetFURNITURE MISSION OF SOUTH DAKOTA: $172,250 over 9y, 5.8% of budgetTHE BANQUET: $168,063 over 7y, 3.1% of budgetAvera at Home: $166,525 over 1y, 0.4% of budgetSOUTH DAKOTA HALL OF FAME: $166,000 over 5y, 6.0% of budgetCommunity Coordinated Transportation Sys DBA River Cities Public Transit: $162,500 over 7y, 0.6% of budgetDAKOTABILITIES INC: $156,000 over 9y, 0.1% of budgetSPECIAL OLYMPICS SOUTH DAKOTA INC: $147,000 over 9y, 2.5% of budgetFRIENDS OF LEVITT SHELL SIOUX FALLS: $145,000 over 6y, 20% of budgetSIOUX FALLS ZOO & AQUARIUM: $145,000 over 3y, 0.5% of budget
Grantee by grantee: a decade per organization, before and after funding

A decade per grantee: revenue shaded, grants as bars, all rows on one timeline.

  • Who funds SOUTH DAKOTA COMMUNITY FOUNDATION ↗
  • Who funds Avera McKennan ↗
  • Who funds UNIVERSITY OF SIOUX FALLS ↗
  • Who funds Northern State University Foundation ↗
  • Who funds UNIVERSITY OF SOUTH DAKOTA RESEARCH PARK INC ↗
  • Who funds Presentation College ↗
  • Who funds MOUNT MARTY UNIVERSITY ↗
  • Who funds SIOUX EMPIRE UNITED WAY INC ↗
  • Who funds EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION ↗
  • Who funds UNIVERSITY OF SOUTH DAKOTA FOUNDATION ↗
  • Who funds WASHINGTON PAVILION MANAGEMENT INC ↗
  • Who funds Avera Queen of Peace ↗
  • Who funds FEEDING SOUTH DAKOTA ↗
  • Who funds SOUTH DAKOTA STATE UNIVERSITY FOUNDATION ↗
  • Who funds YANKTON THRIVE INC ↗
  • Who funds MITCHELL TECHNICAL COLLEGE FOUNDATION ↗
  • Who funds SOUTH DAKOTA SYMPHONY ORCHESTRA ↗
  • Who funds EMBE ↗
  • Who funds CAPITAL AREA COUNSELING SERVICEINC ↗
  • Who funds MITCHELL AREA DEVELOPMENT CORPORATION ↗
  • Who funds AMERICAN CANCER SOCIETY INC ↗
  • Who funds NAMI SOUTH DAKOTA ↗
  • Who funds SOUTH DAKOTANS DECIDE HEALTHCARE ↗
  • Who funds DAKOTA WESLEYAN UNIVERSITY ↗
  • Who funds HELPLINE CENTER INC ↗
  • Who funds Avera Holy Family ↗
  • Who funds RONALD MCDONALD HOUSE CHARITIES OF SOUTH DAKOTA INC ↗

Co-funders

Grantmakers whose grantees overlap with this funder’s far more than size alone predicts. Closer means stronger alignment; arcs show where they also fund each other. Here they form a tightly interlocked group: most of these funders back each other's grantees too.

South Dakota Community FoundationSD137× affinity83 shared granteesties to 11 of 11Hover any node to trace its alignments.Compare side by side →

Open a dossier: South Dakota Community Foundation · Sanford Group Return · Sioux Falls Area Community Foundation Inc · Midcontinent Foundation · The Mike Cindy and Kylie Huether Family Foundation · Sheldon F Reese Foundation · Sioux Empire United Way Inc · Larson Foundation · First Interstate BancSystem Foundation Inc · Levo Cares Foundation · The Robert and Rita Elmen Foundation · Oahe Foundation

How this is measured
Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. Overlap is association, not proof of shared intent.

How much its grantees rely on government

Each dot is one organization Avera Health funds: left to right is the share of its income from government, bottom to top the share from Avera Health. Bigger dots raise more.

2024
’20’21’22’23’24’25
no gov · 00%6%25%56%100%funder's share of their income ↑0%25%50%75%100%share of the org’s income from government →
    no gov moneyreceives it· size = income
    0get no government money at all
    57report government grants on their 990 we could not trace to a source (not plotted)
    0rely on government for over half their income
    typical government reliance, FY20–25
    How this is measured
    Government income is each org’s traced federal awards (USASpending grants and contracts) plus state payments (open checkbooks) as a share of its total revenue (IRS Form 990); the self-reported government-grant line (990 line 1e) is carried for cross-check: a grantee that reports government grants we could not trace to a source is left off the chart rather than shown as receiving none. An association, not a claim that a grant caused the public funding. Coverage is precision-first, a floor rather than a census; state records exist for 9 states, so a grantee outside them shows no state figure (dimmed) rather than a false zero. Federal award amounts are obligations, which can span years, so a single-year share is indicative. 990 filings lag 12 to 24 months.

    On method. Every financial figure here is read from IRS e-file XML, the funder’s own 990/990-PF, and from the multi-year returns of the 236 grantees we resolved, each linked to its source. Grantee outcomes are each organization’s own program-service reporting (Form 990, Part III), read as association with funding, never as caused by it. Low-confidence name matches are suppressed rather than guessed. How we build these →

    How this is measured
    Each figure carries one of six labels. Filed is what the funder reported on its return. Official is another government record about an organization, such as a federal award or a charity register, joined by name where no shared identifier exists. Resolved is an identity we worked out where the filing named a recipient without an EIN, kept only above a measured confidence threshold. Computed is arithmetic over those, like themes, portfolio clusters and co-funder strength. Context is a statistic about a place rather than about an organization, which is what the need overlay is: it describes the area a grantee’s address sits in, not where its work lands. Inferred is drawn by a model from text, like the partnerships read out of public news and organization websites. Each is labeled where it appears.

    Generated from the IRS Form 990 e-file return for fiscal year 2025, released 2025. Filings run roughly 12 to 24 months behind; figures are dated accordingly.

    Source object · view filing

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