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Nonprofit · EIN 46-0224743

AVERA MCKENNAN

Also known as AVERA MCKENNAN HOSP & UNIV HEAL CEN

Tax-exempt · SIOUX FALLS, SD 57105

Financials

$1.5B$1.5B2022$1.7B$1.6B2023$1.9B$1.8B2024
Revenue Expenses · by fiscal year end
Financials of AVERA MCKENNAN by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$1,859,516,401$1,769,469,298$90,047,103$2,085,749,648$939,926,119$1,145,823,529
June 30, 2024990$1,712,450,547$1,579,131,228$133,319,319$1,820,643,330$814,768,536$1,005,874,794
June 30, 2023990$1,488,868,703$1,457,774,738$31,093,965$1,411,648,717$597,392,160$814,256,557
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$22,096,038
of which government grants
$13,356,045
Program service revenue
$1,659,194,241
Investment income
$26,099,927
Net rental income
-$2,711,007
Net gain from sales of assets
$24,611,397
Net income from sales of inventory
$144,328,748
Other revenue
$152,126,195

Expenses

Grants and similar amounts paid
$780,094
Compensation of officers, directors and key employees
$3,797,677
Other salaries and wages
$714,654,800
Salaries, compensation and benefits (total)
$866,828,584
Professional fundraising fees
$0
Legal fees
$342,254
Occupancy
$24,757,015
Travel
$5,053,401
Depreciation
$58,181,183
Program services (functional)
$1,625,838,053
Management and general (functional)
$143,282,743
Fundraising (functional)
$348,502

Balance sheet and other

Total assets, start of year
$1,820,643,330
Total assets, end of year
$2,085,749,648
Total liabilities, end of year
$939,926,119
Net assets, end of year
$1,145,823,529
Land, buildings and equipment
$654,135,236
Publicly traded securities
$70,471,295
Net assets without donor restrictions
$1,111,973,244
Net assets with donor restrictions
$33,850,285
Gross unrelated business income
$14,788,278
Gross receipts
$2,038,887,393
Employees
10,231
Volunteers
1,472
Year formed
1911
State of legal domicile
SD

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
Geoffrey Haft MDOrthopedics/Surgery
Highest-paid employee
40$1,788,145$0$59,664
Todd Zimprich MDNeurology
Highest-paid employee
40$1,688,192$0$54,908
Jonathan Gilhooly MDNeurosurgery
Highest-paid employee
40$1,668,772$0$55,457
Alex Linn MDNeurology
Highest-paid employee
40$1,534,309$0$52,408
Richard J Conklin MDOncology
Highest-paid employee
40$1,510,044$0$60,434
David FlicekFormer President & CEO
Former
0$0$1,450,140$47,062
Julie Lautt CFO AveraHealth;Secretary/Treasurer
Officer
0.1$0$1,274,363$20,218
Ronald Place MDPresident & CEO
Trustee or director, Officer
42$0$1,093,970$28,917
Cristina Hill Jensen MDBoard Member/Gastroenterology
Trustee or director
42$971,709$0$58,294
Benjamin Solomon MDBoard Member/Oncology & Hematology
Trustee or director
42$787,357$0$62,864
Jawad Nazir MD Board MemberInfectious Disease & Internal Med
Trustee or director
42$638,805$0$63,864
Brenda Kallemeyn MD Board Member/Chief of Staff/ OB & Gyn
Trustee or director
42$466,151$0$33,436
Tamera Larsen EngelkesChief Nursing Officer
Key employee
40$328,460$0$18,804
Alisa Reindl MDBoard Member/Family Med, OB
Trustee or director
2$230,353$0$25,358
J Pat CostelloChair
Trustee or director, Officer
2$0$0$0
13 more people on this return
NameTitleHours / weekCompensation
Jennifer BunkersVice Chair
Trustee or director, Officer
2$0
Sister Candyce ChrystalBoard Member
Trustee or director
2$0
Sister Mary Carole CurranBoard Member
Trustee or director
2$0
Van FishbackBoard Member
Trustee or director
2$0
Jeff Gordon Board MemberPhilanthropy Council Chair
Trustee or director
2$0
Jennifer KirbyBoard Member
Trustee or director
2$0
Randy KnechtBoard Member
Trustee or director
2$0
Laurie KnutsonBoard Member
Trustee or director
2$0
Sanaa AbourezkBoard Member
Trustee or director
2$0
Ryan BoscheeBoard Member
Trustee or director
2$0
Sister Roxanne SeifertBoard Member
Trustee or director
2$0
Sister Lucille WelbigBoard Member
Trustee or director
2$0
Harriet YocumBoard Member
Trustee or director
2$0
990 for the year ended June 30, 2024: 30 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Todd Zimprich MDNeurology
Highest-paid employee
40$2,050,262$0$52,240
Geoffrey Haft MDOrthopedics/Surgery
Highest-paid employee
40$1,790,622$0$57,633
Jonathan Gilhooly MDNeurosurgery
Highest-paid employee
40$1,636,142$0$50,241
Travis Liddell MDOrthopedics/Surgery
Highest-paid employee
40$1,615,249$0$57,633
Alex Linn MDNeurology
Highest-paid employee
40$1,598,451$0$50,241
David FlicekFormer President & CEO
Former
0$0$1,371,591$45,097
Julie LauttCFO Avera Health;Secretary
Officer
0.1$0$1,203,675$19,401
Cristina Hill Jensen MDBoard Member/Gastroenterology
Trustee or director
42$999,555$0$58,002
Benjamin Solomon MDBoard Member/Oncology & Hematology
Trustee or director
42$733,736$0$60,683
Ronald Place MDPresident & CEO
Trustee or director, Officer
40$0$726,858$17,030
Jawad Nazir MD Board MemberInfectious Disease & Internal Med
Trustee or director
42$660,028$0$53,291
Brenda Kallemeyn MD Board Member/Chief of Staff/ OB & Gyn
Trustee or director
42$487,438$0$32,855
Michael ElliottSr VP - Chief Medical Officer
Key employee
24$338,905$0$17,123
Tamera Larsen EngelkesChief Nursing Officer
Key employee
40$301,739$0$17,400
Curtis HohmanSr VP - Network Hospitals
Key employee
24$235,720$0$28,157
Alisa Reindl MDBoard Member/Family Medicine
Trustee or director
2$230,904$0$24,403
Tom BieglerChair
Trustee or director, Officer
2$0$0$0
J Pat CostelloVice Chair
Trustee or director, Officer
2$0$0$0
Jennifer BunkersBoard Member
Trustee or director
2$0$0$0
Sister Candyce ChrystalBoard Member
Trustee or director
2$0$0$0
Sister Mary Carole CurranBoard Member
Trustee or director
2$0$0$0
Van FishbackBoard Member
Trustee or director
2$0$0$0
Jeff Gordon Board MemberPhilanthropy Council Chair
Trustee or director
2$0$0$0
Jennifer KirbyBoard Member
Trustee or director
2$0$0$0
Randy KnechtBoard Member
Trustee or director
2$0$0$0
Laurie KnutsonBoard Member
Trustee or director
2$0$0$0
Alejandro RamirezBoard Member
Trustee or director
2$0$0$0
Sister Roxanne SeifertBoard Member
Trustee or director
2$0$0$0
Sister Lucille WelbigBoard Member
Trustee or director
2$0$0$0
Harriet YocumBoard Member
Trustee or director
2$0$0$0
990 for the year ended June 30, 2023: 33 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Alex Linn MDNeurology
Highest-paid employee
40$2,194,962$0$46,560
Todd Zimprich MDNeurology
Highest-paid employee
40$1,781,840$0$48,560
Jonathan Gilhooly MDNeurosurgery
Highest-paid employee
40$1,586,580$0$49,410
Travis Liddell MDOrthopedics/Surgery
Highest-paid employee
40$1,496,665$0$56,134
Geoffrey Haft MDOrthopedics/Surgery
Highest-paid employee
40$1,479,326$0$23,096
David FlicekPresident & CEO (End 05/2023)
Trustee or director, Officer
42$0$1,301,962$46,532
Julie LauttCFO Avera Health;Secretary/Treasurer
Officer
0.1$0$1,086,452$17,088
Cristina Hill Jensen MDBoard Member/Gastroenterology
Trustee or director
42$887,015$0$53,164
Benjamin Solomon MDBoard Member/Oncology & Hematology
Trustee or director
42$792,956$0$56,134
Jawad Nazir MD Board MemberInfectious Disease & Internal Med
Trustee or director
42$640,975$0$49,410
Jared Friedman MDBoard Member/Chief of Staff
Trustee or director
2$0$524,184$56,143
Michael ElliottSr VP - Chief Medical Officer
Key employee
40$524,137$0$44,410
Lori PopkesConsultant
Key employee
40$407,738$0$45,125
Rick Kooima MD FormerBoard Member/Chief of Staff
Former
0$364,689$0$48,560
Curtis HohmanSr VP - Network Hospitals
Key employee
40$295,527$0$29,937
Alisa Reindl MDBoard Member/Family Medicine/OB
Trustee or director
42$230,455$0$23,217
Sandra KingDirector - Operative Services
Key employee
40$206,401$0$21,141
Ronald Place MDPresident & CEO (Beg 05/2023)
Trustee or director, Officer
40$0$0$0
Tom BieglerChair
Trustee or director, Officer
2$0$0$0
J Pat CostelloVice Chair
Trustee or director, Officer
2$0$0$0
Jennifer Bunkers Board MemberPhilanthropy Council Chair
Trustee or director, Officer
2$0$0$0
Sister Mary Carole CurranBoard Member
Trustee or director
2$0$0$0
Mary DallyBoard Member
Trustee or director
2$0$0$0
Van FishbackBoard Member
Trustee or director
2$0$0$0
Jennifer KirbyBoard Member
Trustee or director
2$0$0$0
Randy KnechtBoard Member
Trustee or director
2$0$0$0
Laurie KnutsonBoard Member
Trustee or director
2$0$0$0
Sister Carmella LukeBoard Member
Trustee or director
2$0$0$0
Alejandro RamirezBoard Member
Trustee or director
2$0$0$0
Sister Roxanne SeifertBoard Member
Trustee or director
2$0$0$0
Hugh VenrickBoard Member
Trustee or director
2$0$0$0
Sister Lucille WelbigBoard Member
Trustee or director
2$0$0$0
Harriet YocumBoard Member
Trustee or director
2$0$0$0

Address and contacts

Address (IRS master file)
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1005
Principal officer (990 for 2024)
Dr Ronald Place, 1325 South Cliff Ave, Sioux Falls, SD 571175045
Signed the 990
Julie Lautt, CFO - Avera Health
Phone
(605) 322-8000
Return prepared by
Eide Bailly LLP

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 and guided by Christian values.

990 for the year ended June 30, 2025

Program accomplishments

  • Avera McKennan's mission is to provide healthcare services to Sioux Falls, South Dakota residents and residents of the surrounding area. Avera McKennan is a 501(c)(3) organization affiliated with Avera Health. Avera McKennan consists of a 641-bed hospital, a 53-bed heart hospital and a 126-bed nursing home in Sioux Falls, SD. Major service lines include oncology, surgery, obstetrics, pediatrics, neonatology, emergency and trauma, critical care including EICU, radiology and diagnostic imaging, psychiatry, behavioral health, pulmonary, orthopedics, neurology, cardiology, and gastroenterology. Transplant services include solid organ (kidney and pancreas) and bone marrow transplant.Avera McKennan owns or leases rural critical hospitals and a nursing home in South Dakota including a 13-bed critical access hospital and a 30-bed nursing home in Gregory, SD, a 25-bed critical access hospital in Milbank, SD, a 23-bed critical access hospital in Dell Rapids, SD, an 18-bed critical access hospital in Flandreau, SD, an 11-bed critical access hospital in Miller, SD (Hand County), and an 11-bed critical access hospital in Rock Rapids, IA. Services offered by the rural critical access hospitals include radiology and imaging, colonoscopy and endoscopy, therapy and rehabilitation, 24-hour emergency care, chemotherapy, orthopedics, cardiovascular testing, surgery, dialysis, and obstetrics.In addition, Avera McKennan provides clinical care, secondary and primary, through physician clinics in South Dakota, Northwest Iowa, Southwest Minnesota, and Northeastern Nebraska. The physician clinics provide primary care and urgent care, and specialties such as cardiology, dermatology, endocrinology, gastroenterology, hematology, hepatology, infectious disease, internal medicine, neonatology, nephrology, neurology, ob/gyn, oncology, ophthalmology, pediatrics, orthopedics, rheumatology, pain management, psychiatry, pulmonology, general surgery, and vascular services. Following is a breakdown of these statistics by facility:Avera McKennan Hospital 26,881 Acute patient discharges 1,976 Newborn patient discharges 496,817 Outpatient visits 3,757 Newborn patient days 981,919 Clinic visitsAvera Heart Hospital 3,059 Acute patient discharges 34,830 Outpatient visits 87,097 Clinic visitsAvera Prince of Peace 43,307 Long-term care resident days 361 Long-term care patient dischargesAvera Gregory Hospital (CAH) 207 Acute patient discharges 88 Swing-bed patient discharges 11,859 Outpatient visits 648 Swing-bed patient days 14,995 Clinic visitsAvera Rosebud Country Care Center 10,346 Long-term care resident days 23 Long-term care patient dischargesAvera Milbank Hospital (CAH) 258 Acute patient discharges 36 Newborn patient discharges 57 Swing-bed patient discharges 18,183 Outpatient visits 54 Newborn patient days 409 Swing-bed patient days 20,656 Clinic visitsAvera Dell Rapids Hospital (CAH) 143 Acute patient discharges 67 Swing-bed patient discharges 10,984 Outpatient visits 702 Swing-bed patient days 14,388 Clinic visitsAvera Flandreau Hospital (CAH) 109 Acute patient discharges 6 Swing-bed patient discharges 8,663 Outpatient visits 54 Swing-bed patient days 7,809 Clinic visitsAvera Hand County Hospital (CAH) 131 Acute patient discharges 39 Swing-bed patient discharges 10,599 Outpatient visits 376 Swing-bed patient days 8,266 Clinic visitsAvera Merrill Pioneer Hospital (CAH) 70 Acute patient discharges 37 Swing-bed patient discharges 9,130 Outpatient visits 409 Swing-bed patient days 5,693 Clinic visitsAvera McKennan maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and equivalent service statistics. The amount of charges foregone, based on established rates, were $66,380,580.Avera McKennan also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H. As a member of the Avera Health Network, Avera McKennan upholds the vision of the Presentation and Benedictine Sisters to work through collaboration to provide quality, effective health ministry, and to improve the healthcare of individuals and our communities through a regionally integrated network of persons and institutions. Avera McKennan engages in activities designed to improve the health of individuals and communities in response to a calling to heal the sick, the elderly, and the oppressed.
    Expenses $1,625,838,053 · grants $780,094 · revenue $1,799,243,165

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
46-0224743
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Exempt since
1942
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E20)
Assets (IRS master file)
$2,085,749,648
Income (IRS master file)
$2,038,887,393

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$1,859,516,401$1,769,469,298$2,085,749,648IRS
990-TJune 2025–––IRS
990June 2024$1,712,450,547$1,579,131,228$1,820,643,330IRS
990-TJune 2024–––IRS
990June 2023$1,488,868,703$1,457,774,738$1,411,648,717XML
990-TJune 2023–––IRS
990June 2022$1,412,729,099$1,405,209,002$1,383,813,699IRS
990-TJune 2022–––IRS
990June 2021–––IRS
990-TJune 2021–––IRS
990June 2020–––IRS
990June 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 46-0224743).

Questions about AVERA MCKENNAN

What is the EIN of AVERA MCKENNAN?
The employer identification number (EIN) of AVERA MCKENNAN is 46-0224743.
Is AVERA MCKENNAN tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1942.
Which annual return does AVERA MCKENNAN file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of AVERA MCKENNAN due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did AVERA MCKENNAN last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of AVERA MCKENNAN?
The 990 for the year ended June 30, 2025 names Dr Ronald Place.
Who are the officers and directors of AVERA MCKENNAN?
The 990 for the year ended June 30, 2025 lists 28 people; 11 received compensation from the organization, the highest $1,788,145 (Geoffrey Haft MD, Orthopedics/Surgery).
How much revenue does AVERA MCKENNAN have?
On its 990 for the year ended June 30, 2025 it reported revenue of $1,859,516,401, expenses of $1,769,469,298 and total assets of $2,085,749,648 at year end.

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