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South Dakota · Nonprofit

Avera Queen of Peace

Avera Queen of Peace (South Dakota) receives grants from 4 organizations whose IRS filings report $367,298 to it, the largest being D & M MABEE TRUST ($327,552). 1 of them have funded it in more than one year.

Revenue FY2025
$160M
Funders on record
4
Grants received
$367k
Net assets
$159M
1/4 repeat funderspeak grant-dependency 0%
01What it does

What Avera Queen of Peace 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 Queen of Peace's mission is to provide healthcare services to Mitchell, South Dakota residents and residents of the surrounding area. Avera Queen of Peace is a 501(c)(3) organization affiliated with Avera Health. Avera Queen of Peace consists of a 25-bed critical access hospital and an 84-bed nursing home in Mitchell, SD, a 16-bed critical access hospital in Wessington Springs, SD, a 6-bed critical access hospital in De Smet, SD and 11 physician clinics. The program services offered include orthopedics, general surgery, internal medicine, radiation, laboratory, radiology, sleep lab, wound care, emergency, EKG, EEG, IP surgery, OP surgery, oncology, dermatology, pain management, physical therapy, occupational therapy, speech therapy, pharmacy, ophthalmology, and optometry. They provide acute care & long-term healthcare services. Following is a breakdown of these statistics by facility:Avera Queen of Peace Hospital 1,762 Acute patient discharges 456 Newborn patient discharges 8 Swing Bed patient discharges98,017 Outpatient visits 104 Swing-bed patient days 933 Newborn patient days47,161 Clinic visitsAvera Brady Health and Rehabilitation 111 Long Term Care patient…

    $137,187,443 spentof which $13,070 as grants$153,057,675 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $137,187,443.

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 ($115M) Expenses 100 ($110M) Net assets 100 ($94M)2018 Revenue 98 ($113M) Expenses 99 ($109M) Net assets 104 ($98M)2019 Revenue 102 ($118M) Expenses 107 ($118M) Net assets 102 ($96M)2020 Revenue 103 ($118M) Expenses 105 ($116M) Net assets 103 ($97M)2021 Revenue 116 ($134M) Expenses 110 ($121M) Net assets 131 ($123M)2022 Revenue 117 ($134M) Expenses 116 ($127M) Net assets 126 ($119M)2023 Revenue 116 ($134M) Expenses 117 ($129M) Net assets 137 ($129M)2024 Revenue 124 ($143M) Expenses 124 ($137M) Net assets 150 ($142M)2025 Revenue 139 ($160M) Expenses 135 ($149M) Net assets 169 ($159M)
'17'18'19'20'21'22'23'24'25
Revenue (139)Expenses (135)Net assets (169)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 $181M to $223M (+23%).

$140M
$141M
$139M
$166M
$174M
$164M
$170M
$181M
$223M
'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: 2017 0% · 2018 0% · 2019 0% · 2020 8% · 2021 6% · 2022 3% · 2023 0% · 2024 1% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of Avera Queen of Peace’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$5.0M
’17
$3.5M
’18
−$533k
’19
$2.2M
’20
$13M
’21
$6.8M
’22
$4.5M
’23
$5.6M
’24
$11M
’25
0.0
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.

Chief executive

Hilary Rockwell MD

Regional President & CEO

Board chair

Ryan Thompson

Chair

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2020 and FY2021, and between the FY2023 and FY2024 filings.

'17'18'19'20'21'22'23'24'25
Listed252525272626242424
Joined·+4+7+8+4+6+4+7+6
No longer listed·47656676
03Who funds it

Who funds it, year by year

2017 → 2023: the base held at 1 funder, grant income fell $39k → $17k.

1 of 4 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 3% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $529k from one payer (the payer shares this organization's board, largest Avera Health). These are real filings, and they are not money Avera Queen of Peace raised.

From the IRS filings of Avera Queen of Peace’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.

How concentrated its funding is

Avera Queen of Peace leans on a few funders — its largest provides 89% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

89%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2017 100% · 2018 100% · 2019 100% · 2020 48% · 2021 100% · 2022 99% · 2023 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. 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 Queen of Peace's grant income comes from South Dakota funders.

SD

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

’17
’18
’19
’20
’21
’22
’23
South Dakota out of state home

Funder states come from each funder’s own filing. $10k arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. 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 Queen of Peace runs a healthier operating margin than half of the 1,241 health nonprofits its size.

Operating margin7% · above the median
Months of reserve0.0mo · bottom quartile
Revenue growth (annualized)4% · bottom quartile

this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025

Government funding Avera Queen of Peace receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $602k on record.

Federal$602k
grants $359kcontracts $243k
17
18
19
20
21
22
23
Top agencies
  • Department of Health and Human Services$359k
  • Department of the Interior$243k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like Avera Queen of Peace

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

92% of spending goes to programs.

Program 92%Management 8%Fundraising 0%

Governance

16
board members
63%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 34 related entities

  • Avera Health · exempt
  • Avera McKennan · exempt
  • Avera at Home · exempt
  • Avera Health Plans Inc · exempt
  • Avera Marshall · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Avera Queen of Peace: 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 Queen of Peace?
Avera Queen of Peace (South Dakota) receives grants from 4 organizations whose IRS filings report $367,298 to it, the largest being D & M MABEE TRUST ($327,552). 1 of them have funded it in more than one year.
How many funders does Avera Queen of Peace have?
IRS filings report 4 organizations giving $367,298 in grants to Avera Queen of Peace, 1 of which have funded it in more than one year.
Who is the largest funder of Avera Queen of Peace?
D & M MABEE TRUST is the largest funder on record, with $327,552 in grants. The full list of funders is on this page.
How can an organization like Avera Queen of Peace 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.

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 4 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