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Private company

Avera Health

Regional U.S. healthcare system serving several Midwestern states

Avera Health is a regional health system based in Sioux Falls, South Dakota, United States, comprising more than 300 locations in 100 communities throughout South Dakota, Minnesota, Iowa, Nebraska and North Dakota. Avera serves a geographical footprint of more than 72,000 square miles and 86 counties, and a population of nearly 1 million.2 Wikipedia text CC BY-SA 4.0

Last updated Oct 21, 2026.

Overview

1897Founded1
  • Industryhealth care1
  • HeadquartersSioux Falls1
  • Websitewww.avera.org
  • Legal formBusiness Corporation3
  • LEI549300IXN8KI6SL0YF573
  • StatusActive3
  • LEI statusIssued and current3
  • Registered addressC/O CORPORATION SERVICE COMPANY, 57501 Pierre, United States3
  • Registered withBusiness Services Division (Office of the Secretary of State), NS0096423

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Avera Health is a regional health system based in Sioux Falls, South Dakota, United States, comprising more than 300 locations in 100 communities throughout South Dakota, Minnesota, Iowa, Nebraska and North Dakota. Avera serves a geographical footprint of more than 72,000 square miles and 86 counties, and a population of nearly 1 million.2

Corporate structure

Avera Health sits at the top of its group. 2 entities, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

  • Avera Health Sioux Falls, South Dakota, United States
    • Avera Heart Hospital Subsidiary · Sioux Falls, United States

Built from parent and subsidiary links from GLEIF, the Global Legal Entity Identifier Foundation (CC0); subsidiaries, stakes and holdings from Wikidata (CC0). Each entity in the chart links to its source.

The story

Avera came into existence when two orders of religious women—the Benedictine Sisters of Yankton, South Dakota, and the Presentation Sisters of Aberdeen, South Dakota—merged their Catholic health care systems into a single entity.

These two religious orders serve as Avera’s sponsors; that is, their association with Avera gives it the status of officially being a work of the Catholic Church.

Over the years, the sisters have served in many roles, from governance and administration, to nursing, lab and dietary.

Their focus is on meeting the health care needs of the communities they serve.

From Wikipedia’s article on Avera Health, shared under CC BY-SA 4.0.4

Products and brands

Services

Avera eCARE

Avera has provided virtual care that dates back to 1993. eCARE uses interactive video and technology to connect with outlying sites through a virtual hospital based in Sioux Falls. eCARE partners with hospitals to provide increased access to specialists through:

eICU CARE

eEmergency

eConsult

Read the full text

ePharmacy

eLongTermCare

eCorrectional Health

Avera eCARE was sold to Aquiline Capital Partners in the fourth quarter of 2021 and rebranded as Avel eCare.

Avera Careflight

Avera health has operated an air ambulance since May 1986.

Research, genomics and genetics

Avera’s genomics team involves multiple professionals locally and internationally. Working primarily with breast and gynecologic cancer patients, this team uses genetic analysis to recommend therapies targeted to fight an individual tumor. The Avera Institute for Human Genetics offers personalized medicine for pain management, behavioral health and more, plus DNA analysis as part of the world’s largest twin study, the Netherlands Twins Register (NTR). The Avera Research Institute is conducts clinical trials, cancer registries for breast and thyroid tumors, oncology research nurses, and investigator initiated studies.

Since 2011, Avera has been part of an international trial based in Salzburg, Austria, testing a protocol for women age 41 and over with early stage breast cancer that delivers electron-based intraoperative radiation therapy (IORT) at the time of lumpectomy followed by three weeks of external beam radiation therapy, shortening follow-up external beam radiation therapy by three weeks. A new protocol is testing one-time IORT treatment for patients age 60 and over, eliminating the need for additional radiation.

Solid organ and bone marrow transplant

Avera is home to the region’s longest standing kidney transplant program, established in 1993, in addition to pancreas and liver transplant. In 1996, Avera began the region’s only Bone Marrow Transplant program, providing both allogeneic and autologous stem cell transplantation.

Clinics and centers

Through its 300 locations, Avera contains various facilities:

Primary care clinics and rural clinics

Specialty clinics

Tertiary care center

Community hospitals

Critical access hospitals

Specialty heart hospital

Long-term care and retirement communities

Behavioral health outpatient and inpatient care for seniors, adults, adolescents and children

Free-standing outpatient surgery center

Patient-centered cancer centers

Sports training and fitness facilities

Home care and hospice

Home medical equipment

Locations

The Avera Central Office is based in Sioux Falls, S.D., with six regional centers:

Avera St. Luke’s Hospital, Aberdeen, South Dakota

Avera Marshall Regional Medical Center, Marshall, Minnesota

Avera Queen of Peace Hospital, Mitchell, South Dakota

Avera St. Mary’s Hospital, Pierre, South Dakota.

Avera McKennan Hospital & University Health Center, Sioux Falls, South Dakota

Avera Sacred Heart Hospital, Yankton, South Dakota

Other Locations

Avera Behavioral Health Center - Sioux Falls, South Dakota

Avera Flandreau Medical Center - Flandreau, South Dakota

Avera Gettysburg Hospital - Gettysburg, South Dakota

Avera Gregory Healthcare Center - Gregory, South Dakota

Avera Heart Hospital of South Dakota - Sioux Falls, South Dakota

Avera Holy Family Health - Estherville, Iowa

Avera Milbank Area Hospital - Milbank, South Dakota

Avera Neonatology - Sioux Falls, South Dakota

Avera Regional Perinatal Center - Sioux Falls, South Dakota

Avera St. Anthony's Hospital - O'Neill, Nebraska

Avera St. Benedict Health Center - Parkston, South Dakota

Brookings and Avera Medical Group - Brookings, South Dakota

Avera Weskota Memorial Medical Center - Wessington Springs, South Dakota

Dells Area Health Center/Avera Health - Dell Rapids, South Dakota

Divine Providence Health Center/Avera Health - Ivanhoe, Minnesota

Eureka Community Health Services/Avera - Eureka, South Dakota

Floyd Valley Hospital/Avera Health - Le Mars, Iowa

Hand County Memorial Hospital/Avera - Miller, South Dakota

Hegg Memorial Health Center/Avera - Rock Valley, Iowa

Lakes Regional Healthcare - Spirit Lake, Iowa

Landmann-Jungman Memorial Hospital/Avera - Scotland, South Dakota

Marshall County Healthcare Center/Avera - Britton, South Dakota

Osceola Community Hospital - Sibley, Iowa

Pediatric Critical Care and Hospitalist Service - Sioux Falls, South Dakota

Pipestone County Medical Center/Avera - Pipestone, Minnesota

Platte Health Center/Avera - Platte, South Dakota

Sioux Center Community Hospital & Health Center/Avera - Sioux Center, Iowa

St. Michael's Hospital and Nursing Home/Avera Health - Tyndall, South Dakota

Tyler Healthcare Center/Avera - Tyler, Minnesota

From Wikipedia’s article on Avera Health, shared under CC BY-SA 4.0.4

Subsidiaries and ownership

Subsidiaries

  • Avera Heart Hospital

From Wikidata.1

Timeline

  1. 1897Founded Founded1

Funding

Where the company's money came from, by calendar year: private offerings filed with the SEC, federal grants, loans, contracts and other assistance from USAspending.gov, and PPP loans from the SBA. Each bar links to the records below.

Money received by year$211.4M 2008–2026
Money received by yearMoney received by year, 2008–2026: $211.4M in all. Federal grants $127.3M; Other federal assistance $678.2K; Federal contracts $83.4M.$0$10M$20M$30M2008 · Federal grants: $2.1M2008 · Federal contracts: $1.0M20082009 · Federal grants: $1.6M2009 · Federal contracts: $1.6M2010 · Federal grants: $1.4M2010 · Federal contracts: $933.9K20102011 · Federal grants: $326.4K2011 · Federal contracts: $967.1K2012 · Federal grants: $869.8K2012 · Federal contracts: $2.0M20122013 · Federal grants: $137.3K2013 · Federal contracts: $1.8M2014 · Federal grants: $6.0M2014 · Federal contracts: $3.1M20142015 · Federal grants: $3.3M2015 · Federal contracts: $1.8M2016 · Federal grants: $3.6M2016 · Federal contracts: $3.8M20162017 · Federal grants: $1.7M2017 · Federal contracts: $4.3M2018 · Federal grants: $8.9M2018 · Federal contracts: $4.2M20182019 · Federal grants: $10.6M2019 · Federal contracts: $4.1M2020 · Federal grants: $6.9M2020 · Other federal assistance: $672.9K2020 · Federal contracts: $11.7M20202021 · Federal grants: $5.8M2021 · Federal contracts: $16.6M2022 · Federal grants: $9.3M2022 · Other federal assistance: $2.7K2022 · Federal contracts: $9.9M20222023 · Federal grants: $14.8M2023 · Other federal assistance: $2.7K2023 · Federal contracts: $1.3M2024 · Federal grants: $14.4M2024 · Federal contracts: $12.1M20242025 · Federal grants: $12.0M2026 · Federal grants: $23.6M2026 · Federal contracts: $2.3M2026
Figures by year
YearFederal grantsOther federal assistanceFederal contractsTotal
2026$23.6M–$2.3M$25.9M
2025$12.0M––$12.0M
2024$14.4M–$12.1M$26.5M
2023$14.8M$2.7K$1.3M$16.1M
2022$9.3M$2.7K$9.9M$19.2M
2021$5.8M–$16.6M$22.4M
2020$6.9M$672.9K$11.7M$19.2M
2019$10.6M–$4.1M$14.8M
2018$8.9M–$4.2M$13.1M
2017$1.7M–$4.3M$6.1M
2016$3.6M–$3.8M$7.4M
2015$3.3M–$1.8M$5.1M
2014$6.0M–$3.1M$9.0M
2013$137.3K–$1.8M$1.9M
2012$869.8K–$2.0M$2.8M
2011$326.4K–$967.1K$1.3M
2010$1.4M–$933.9K$2.3M
2009$1.6M–$1.6M$3.1M
2008$2.1M–$1.0M$3.1M

Federal awards

Obligated amounts from USAspending.gov5, by calendar year, 2008–2026, for 14 registered units, including subsidiaries under the same parent. Obligations are what agencies committed, not always what was paid out. Contracts pay for goods and services; grants, loans and direct payments are assistance. Loans are charted at the face value of the loans listed here. An award’s amount below is its lifetime total, and some began before the years charted.

Largest grants

  1. Sep 21, 2016$32.7M from National Institutes of Health: Trans-Nih Research Support6 To AVERA MCKENNAN Award UH3OD023279
  2. Sep 21, 2016$16.5M from National Institutes of Health: Trans-Nih Research Support7 To AVERA MCKENNAN Award UG3OD023279
  3. Sep 30, 2026$10.2M from Health Resources and Services Administration: Congressional Directives8 To AVERA HEALTH Award CE160039
  4. Sep 1, 2014$8.8M from Centers for Medicare and Medicaid Services: Health Care Innovation Awards (Hcia)9 To AVERA HEALTH Award 1C1CMS331325
  5. Aug 17, 2023$6.6M from National Institutes of Health: Child Health And Human Development Extramural Research10 To AVERA MCKENNAN Award U54HD113179
  6. Oct 1, 2019$4.0M from Office of Justice Programs: Crime Victim Assistance/Discretionary Grants11 To AVERA HEALTH Award 2019MUGXK014
  7. Sep 1, 2022$4.0M from Health Resources and Services Administration: Rural Health Research Centers; Rural Health Care Services Outreach, Rural Health Network Development And Small Health Care Provider Quality Improvement; Rural Healthcare Services Programs12 To AVERA MCKENNAN Award UK946981
  8. May 1, 2024$2.8M from Health Resources and Services Administration: Healthy Start Initiative13 To AVERA MCKENNAN Award H4953007

Largest direct payments

  1. $660.9K from Federal Communications Commission: Covid-19 Telehealth Program14 To AVERA HEALTH Award CAO048311
  2. $5.3K from Department of Education: Federal Pell Grant Program15 To AVERA MCKENNAN Award P063P222579
  3. $5 from Department of Education: Federal Pell Grant Program16 To AVERA MCKENNAN Award P063Q222579

Largest contracts

  1. Sep 27, 2019$25.2M from Indian Health Service: Area tele-health services; dos: 10/01/2019 - 09/30/2020; year 1 of 5 total: $8,604,992.0017 To AVERA HEALTH Award 75H70919C00004
  2. Nov 1, 2014$8.1M from Department of Veterans Affairs: Igf::ct::igf sioux falls radiology services18 To AVERA MCKENNAN Award VA26314C0151
  3. Mar 29, 2017$2.5M from Indian Health Service: Igf::ot::igf baihs area-wide teleed services; total: $646,600.00; year 1 of 5; dos: 06/01/2017 - 05/31/201819 To AVERA HEALTH Award HHSI244201700010A
  4. Sep 30, 2026$1.8M from Department of Veterans Affairs: Radiology physician services ordering period one20 To AVERA MCKENNAN Award 36C26326N0612
  5. Apr 6, 2018$1.7M from Indian Health Service: Gpa tele-health [option period 1]21 To AVERA HEALTH Award 75H70418F24001

Sources

The numbers on this page point here. Each one links to the record it came from.

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