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South Dakota · Nonprofit

Avera at Home

Avera at Home (South Dakota) receives grants from 1 organization whose IRS filings report $8,500 to it, the largest being VALLEY QUEEN CHARITABLE FOUNDATION ($8,500). 1 of them have funded it in more than one year.

Revenue FY2025
$88M
Funders on record
1
Grants received
$9k
Net assets
$37M
1/1 repeat funderspeak grant-dependency 0%
01What it does

What Avera at Home does

Mission

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

As stated on its FY2025 Form 990.

Program

  1. Avera at Home provides a variety of home care services that make it possible for individuals to remain in their home rather than long-term residential or nursing home facilities. Avera at Home is a full-service, accredited home medical equipment provider offering a variety of medical and health-related items for purchase or rent. Additionally, it provides quality home health care with a full range of skilled nursing, therapy, and home health aide services.Finally, Avera at Home provides hospice care for people facing a life-limiting illness or injury. Quality, compassionate care is provided in the patient's home or within a 16-bed residential and inpatient care hospice facility in Sioux Falls, South Dakota.

    $70,787,259 spentof which $48 as grants$85,692,915 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $70,787,259.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($40M) Expenses 100 ($40M) Net assets 100 ($11M)2018 Revenue 110 ($44M) Expenses 112 ($45M) Net assets 94 ($10M)2019 Revenue 131 ($52M) Expenses 125 ($51M) Net assets 106 ($12M)2020 Revenue 155 ($62M) Expenses 145 ($59M) Net assets 135 ($15M)2021 Revenue 167 ($67M) Expenses 154 ($62M) Net assets 181 ($20M)2022 Revenue 182 ($72M) Expenses 173 ($70M) Net assets 190 ($21M)2023 Revenue 191 ($76M) Expenses 176 ($71M) Net assets 240 ($26M)2024 Revenue 209 ($83M) Expenses 194 ($79M) Net assets 293 ($32M)2025 Revenue 222 ($88M) Expenses 210 ($85M) Net assets 336 ($37M)
'17'18'19'20'21'22'23'24'25
Revenue (222)Expenses (210)Net assets (336)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $42M to $73M (+75%).

$17M
$18M
$17M
$23M
$28M
$29M
$33M
$42M
$73M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 1% · 2021 2% · 2022 3% · 2023 0% · 2024 0% · 2025 1%. Grants only. Government contracts and fees sit inside program revenue.

1% of Avera at Home’s revenue is contributions — about as donation-reliant as the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 9 reported years ran a deficit.

−$651k
’17
−$1.4M
’18
$1.4M
’19
$3.2M
’20
$4.4M
’21
$2.6M
’22
$4.8M
’23
$4.7M
’24
$3.1M
’25
0.2
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

'17'18'19'20'21'22'23'24'25
Listed182121222322212219
Joined·+5+3+4+7+4+5+4+4
No longer listed·23365637
03Who funds it

Who funds it, year by year

2018 → 2023: the base held at 1 funder, grant income fell $2k → $250.

Funder
'18
'20
'21
'22
'23
'24*
'25*
total
funders
1
1
1
1
1
1
1

Left out of every figure on this page: $167k from one payer (the payer shares this organization's board, largest Avera Health). These are real filings, and they are not money Avera at Home raised.

From the IRS filings of Avera at Home’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of Avera at Home's grant income comes from South Dakota funders.

SD

In-state vs out-of-state, by year

’18
’20
’21
’22
’23
South Dakota out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Avera at Home runs a healthier operating margin than half of the 2,843 health nonprofits its size.

Operating margin4% · above the median
Months of reserve0.2mo · bottom quartile
Revenue growth (annualized)10% · above the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Organizations like Avera at Home

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In South Dakota

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

83% of spending goes to programs.

Program 83%Management 17%Fundraising 0%

Governance

11
board members
27%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

100%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Part of a family of 34 related entities

  • Avera Home Medical Equipment LLC · disregarded
  • Avera Health · exempt
  • Avera McKennan · exempt
  • Avera Health Plans Inc · exempt
  • Avera Marshall · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Avera at Home: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Avera at Home?
Avera at Home (South Dakota) receives grants from 1 organization whose IRS filings report $8,500 to it, the largest being VALLEY QUEEN CHARITABLE FOUNDATION ($8,500). 1 of them have funded it in more than one year.
How many funders does Avera at Home have?
IRS filings report 1 organization giving $8,500 in grants to Avera at Home, 1 of which have funded it in more than one year.
Who is the largest funder of Avera at Home?
VALLEY QUEEN CHARITABLE FOUNDATION is the largest funder on record, with $8,500 in grants. The full list of funders is on this page.
How can an organization like Avera at Home find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in South Dakota. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Avera at Home →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 1 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing