Nonprofits in South Dakota
What the IRS records say about tax-exempt organizations in South Dakota.
- Tax-exempt organizations
- 7,403
- Revenue in a year
- $19.1 billion
- on 2,555 e-filed returns
- Assets
- $34.1 billion
- Employees
- 87,810
- People paid $1 million or more
- 58
- Typical top pay
- $77,044
- median, best-paid person per organization
South Dakota rankings
- Tax-exempt organizations
- 7,403
- Of which 501(c)(3)
- 5,462
- File the 990-N (receipts ≤ $50,000)
- 3,786
- File Form 990 or 990-EZ
- 2,065
- Filed a 990-N (latest e-Postcard on record)
- 5,284
- Exemption automatically revoked (all years)
- 3,347
Largest nonprofits in South Dakota by revenue
- SANFORD EIN 45-3791176 · SIOUX FALLS, SD · last filed 990 for 2024 · revenue $6,110,580,553
- AVERA MCKENNAN EIN 46-0224743 · SIOUX FALLS, SD · last filed 990 for 2025 · revenue $1,859,516,401
- MONUMENT HEALTH RAPID CITY HOSPITAL INC EIN 46-0319070 · RAPID CITY, SD · last filed 990 for 2025 · revenue $1,091,839,091
- SIGNATRY CHARITABLE TRUST EIN 82-5070897 · SIOUX FALLS, SD · last filed 990 for 2024 · revenue $1,038,691,653
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY EIN 45-0228055 · SIOUX FALLS, SD · last filed 990 for 2024 · revenue $1,014,495,873
- MARGOT AND TOM PRITZKER SCIENCE FOUNDATION EIN 88-3935630 · SIOUX FALLS, SD · last filed 990 for 2024 · revenue $423,325,986
- EAST RIVER ELECTRIC POWER COOPERATIVE INC EIN 46-0225402 · MADISON, SD · last filed 990 for 2024 · revenue $371,444,036
- AVERA HEALTH EIN 46-0422673 · SIOUX FALLS, SD · last filed 990 for 2025 · revenue $359,131,383
- AVERA HEALTH PLANS INC EIN 46-0451539 · SIOUX FALLS, SD · last filed 990 for 2024 · revenue $307,117,436
- MONUMENT HEALTH NETWORK INC EIN 46-0360899 · RAPID CITY, SD · last filed 990 for 2025 · revenue $221,066,489
- SANFORD HEALTH FOUNDATION EIN 36-3297853 · SIOUX FALLS, SD · last filed 990 for 2024 · revenue $214,434,250
- PRAIRIE LAKES HEALTH CARE SYSTEM INC EIN 46-0391067 · WATERTOWN, SD · last filed 990 for 2025 · revenue $202,908,452
- AVERA ST LUKES EIN 46-0224598 · ABERDEEN, SD · last filed 990 for 2025 · revenue $194,354,799
- SACRED HEART HEALTH SERVICES EIN 46-0225483 · YANKTON, SD · last filed 990 for 2025 · revenue $182,208,327
- AVERA QUEEN OF PEACE EIN 46-0224604 · MITCHELL, SD · last filed 990 for 2025 · revenue $159,924,028
- GREAT PLAINS TRIBAL LEADERS HEALTH BOARD EIN 46-0420063 · RAPID CITY, SD · last filed 990 for 2025 · revenue $159,093,095
- AUGUSTANA UNIVERSITY ASSOCIATION EIN 46-0224588 · SIOUX FALLS, SD · last filed 990 for 2025 · revenue $140,881,567
- AVERA ST MARYS EIN 46-0230199 · PIERRE, SD · last filed 990 for 2025 · revenue $133,864,086
- DELTA DENTAL OF SOUTH DAKOTA EIN 46-0309258 · PIERRE, SD · last filed 990 for 2025 · revenue $118,006,846
- NATIVE AMERICAN HERITAGE ASSOCIATION EIN 46-0414390 · BLACK HAWK, SD · last filed 990 for 2025 · revenue $108,270,026
Top 5s in South Dakota
From each organization's latest e-filed Form 990, 990-EZ or 990-PF.
Highest-paid people
Compensation from the organization and related organizations, including other pay
- 1Sanford Group ReturnSee Schedule O - Hce · Sanford · SIOUX FALLS, SD$15.4M
- 2Sanford Group ReturnSee Schedule O - Key Employee · Sanford · SIOUX FALLS, SD$12.7M
- 3Sanford Group ReturnSee Schedule O - Officer · Sanford · SIOUX FALLS, SD$9.6M
- 4Bill GassenTrustee, President & CEO · Sanford Health Foundation · SIOUX FALLS, SD$5M
- 5William Brunner MDPhysician · Sanford · SIOUX FALLS, SD$3.3M
Most raised in gifts and grants
Contributions, gifts and grants received in the year
- 1Signatry Charitable TrustSIOUX FALLS, SD · 990, year ended Dec 2024$1B
- 2Margot and Tom Pritzker Science FoundationSIOUX FALLS, SD · 990, year ended Dec 2024$165.6M
- 3Sanford Health FoundationSIOUX FALLS, SD · 990, year ended Dec 2024$162.7M
- 4Native American Heritage AssociationBLACK HAWK, SD · 990, year ended Aug 2025$107.7M
- 5SanfordSIOUX FALLS, SD · 990, year ended Dec 2024$106.8M
Largest reserves
Net assets (fund balance) at year end
- 1SanfordSIOUX FALLS, SD · 990, year ended Dec 2024$3.1B
- 2Sanford Health FoundationSIOUX FALLS, SD · 990, year ended Dec 2024$1.2B
- 3Avera McKennanSIOUX FALLS, SD · 990, year ended Jun 2025$1.1B
- 4Monument Health Rapid City Hospital IncRAPID CITY, SD · 990, year ended Jun 2025$952.1M
- 5South Dakota Community FoundationPIERRE, SD · 990, year ended Dec 2024$867.9M
Biggest employers
Employees reported for the calendar year
- 1The Evangelical Lutheran Good Samaritan SocietySIOUX FALLS, SD · 990, year ended Dec 202416,518
- 2Avera McKennanSIOUX FALLS, SD · 990, year ended Jun 202510,231
- 3Monument Health Rapid City Hospital IncRAPID CITY, SD · 990, year ended Jun 20255,235
- 4SanfordSIOUX FALLS, SD · 990, year ended Dec 20243,271
- 5Avera HealthSIOUX FALLS, SD · 990, year ended Jun 20252,167
By city
- SIOUX FALLS 1,133
- RAPID CITY 614
- PIERRE 210
- ABERDEEN 201
- BROOKINGS 192
- WATERTOWN 163
- MITCHELL 160
- YANKTON 153
- SPEARFISH 133
- HURON 102
- VERMILLION 78
- HOT SPRINGS 69
- STURGIS 66
- MADISON 57
- BELLE FOURCHE 56
- CUSTER 55
- BRANDON 53
- WINNER 46
- BRITTON 42
- MILBANK 42
- SISSETON 41
- BOX ELDER 40
- DEADWOOD 39
- DELL RAPIDS 37
- CHAMBERLAIN 36
- LEAD 35
- REDFIELD 35
- MOBRIDGE 34
- WEBSTER 32
- LEMMON 30
- TEA 30
- CANTON 29
- FORT PIERRE 29
- MILLER 29
- HARTFORD 28
- BERESFORD 27
- BURKE 27
- HILL CITY 27
- ELK POINT 26
- GETTYSBURG 26
- HARRISBURG 26
- PLATTE 26
- HERMOSA 23
- FLANDREAU 22
- GARRETSON 22
- LENNOX 22
- PINE RIDGE 22
- EUREKA 21
- FREEMAN 21
- ARMOUR 20
- DAKOTA DUNES 19
- EAGLE BUTTE 19
- GREGORY 19
- HIGHMORE 19
- MARTIN 19
- N SIOUX CITY 19
- PARKSTON 19
- PHILIP 19
- PIEDMONT 19
- WESSINGTN SPG 18
- ARLINGTON 17
- CLARK 17
- CLEAR LAKE 17
- DE SMET 17
- WAGNER 17
- ALCESTER 16
- BLACK HAWK 16
- MURDO 16
- PLANKINTON 16
- SALEM 15
- BALTIC 14
- EDGEMONT 14
- GROTON 14
- PARKER 14
- TYNDALL 14
- VIBORG 14
- VOLGA 14
- NEWELL 13
- ROSHOLT 13
- WALL 13