Health system based in Sioux Falls, SD · 36 hospitals in IA, MN, NE, SD
Hospitals
36
36 general acute care
Beds
1,372
4 states
Net patient revenue
$3.37B
FY 2025, hospitals only
Net income
$292.3M
Patient care margin -5.3%
Clinicians
2,525
Medicare clinicians at its hospitals
Average stars
3.50 of 5
Rated hospitals
Sum over member hospitals with a cost report that year
Locations are shown at the center of the ZIP code.
How each hospital is linked to the system: by the home office it reports or by the official ownership records (current ownership wins over older records).
| Hospital | Type | Beds | Stars | Net patient revenue | Patient care margin | Linked by |
|---|---|---|---|---|---|---|
| Avera McKennan Hospital & University Health Center Sioux Falls, SD | Short-term acute care | 563 | 4 of 5 | $1.71B | -7.6% | Ownership records |
| Avera Heart Hospital of South Dakota Sioux Falls, SD | Short-term acute care | 53 | 5 of 5 | $194.5M | 6.3% | Home office on the cost report |
| Avera St Lukes Aberdeen, SD | Short-term acute care | 50 | 4 of 5 | $198.1M | -6.6% | Home office and ownership records |
| Lakes Regional Healthcare Spirit Lake, IA | Short-term acute care | 44 | 2 of 5 | $68.8M | 0.2% | Health system list (2023) |
| Avera Sacred Heart Hospital Yankton, SD | Short-term acute care | 42 | 3 of 5 | $138.0M | -0.9% | Ownership records |
| Avera St Mary's Hospital Pierre, SD | Short-term acute care | 36 | 2 of 5 | $124.6M | -7.4% | Home office and ownership records |
| Avera Hand County Memorial Hospital and Clinic Miller, SD | Critical access | 25 | Not rated | $12.2M | 5.1% | Home office and ownership records |
| Avera St Benedict Health Center - CAH Parkston, SD | Critical access | 25 | 5 of 5 | $30.8M | 13.7% | Home office and ownership records |
| Avera Granite Falls Granite Falls, MN | Critical access | 25 | Not rated | $28.7M | -3.2% | Home office and ownership records |
| Avera Marshall Regional Medical Ctr Marshall, MN | Critical access | 25 | Not rated | $155.0M | -2.3% | Home office and ownership records |
| St Michael's Hospital - CAH Tyndall, SD | Critical access | 25 | Not rated | $12.1M | -22.4% | Health system list (2023) |
| Avera St Anthony's Hospital O' Neill, NE | Critical access | 25 | 4 of 5 | $46.7M | 3.1% | Ownership records |
| Hegg Memorial Health Center Rock Valley, IA | Critical access | 25 | Not rated | $25.9M | -16.4% | Home office on the cost report |
| Avera Queen of Peace Mitchell, SD | Critical access | 25 | 4 of 5 | $126.5M | -9.1% | Home office and ownership records |
| Osceola Community Hospital Sibley, IA | Critical access | 25 | Not rated | $16.4M | -1.4% | Home office on the cost report |
| Floyd Valley Healthcare Le Mars, IA | Critical access | 25 | 3 of 5 | $56.0M | -5.6% | Home office on the cost report |
| Freeman Medical Center - CAH Freeman, SD | Critical access | 25 | Not rated | $17.2M | -5.2% | Health system list (2023) |
| Milbank Area Hospital/Avera Health Milbank, SD | Critical access | 25 | Not rated | $22.8M | -9.4% | Home office and ownership records |
| Avera Dells Area Hospital - CAH Dell Rapids, SD | Critical access | 23 | Not rated | $14.5M | 5.8% | Home office and ownership records |
| Avera Holy Family Hospital Estherville, IA | Critical access | 22 | 2 of 5 | $32.4M | 3.7% | Home office and ownership records |
| Marshall County Healthcare Center - CAH Britton, SD | Critical access | 20 | Not rated | $11.7M | -10.8% | Health system list (2023) |
| Tri Valley Health System Cambridge, NE | Critical access | 20 | Not rated | $27.3M | -1.1% | Health system list (2023) |
| Avera Tyler Hospital Tyler, MN | Critical access | 20 | Not rated | $14.4M | -0.6% | Ownership records |
| Sioux Center Health Sioux Center, IA | Critical access | 19 | Not rated | $69.5M | -6.0% | Home office on the cost report |
| Avera Flandreau Hospital - CAH Flandreau, SD | Critical access | 18 | Not rated | $10.0M | 0.5% | Home office and ownership records |
| Pipestone County Medical Center Pipestone, MN | Critical access | 18 | Not rated | $37.4M | -8.4% | Health system list (2023) |
| Regional Health Services of Howard County Cresco, IA | Critical access | 18 | 4 of 5 | $44.5M | -17.1% | Health system list (2023) |
| Platte Health Center Platte, SD | Critical access | 17 | Not rated | $19.9M | 10.0% | Health system list (2023) |
| Avera Creighton Hospital Creighton, NE | Critical access | 17 | Not rated | $20.3M | -6.6% | Ownership records |
| Avera Weskota Memorial Medical Center - CAH Wessington Springs, SD | Critical access | 16 | Not rated | $5.7M | 16.4% | Home office and ownership records |
| Wagner Community Memorial Hospital - CAH Wagner, SD | Critical access | 15 | Not rated | $20.5M | 5.7% | Health system list (2023) |
| Avera Gregory Hospital Gregory, SD | Critical access | 13 | Not rated | $23.2M | -18.1% | Home office and ownership records |
| Avera Merrill Pioneer Hospital Rock Rapids, IA | Critical access | 11 | Not rated | $11.8M | -4.2% | Home office and ownership records |
| Avera Missouri River Health Center Gettysburg, SD | Critical access | 7 | Not rated | $14.2M | 2.4% | Home office and ownership records |
| Avera de Smet Memorial Hospital - CAH De Smet, SD | Critical access | 6 | Not rated | $9.1M | 12.3% | Home office and ownership records |
| Eureka Community Health Services - CAH Eureka, SD | Critical access | 4 | Not rated | $5.4M | -10.4% | Health system list (2023) |
From a 2023 list of US health systems; counts include clinics and other sites that are not hospitals.
Medicare group practices whose ID or NPI belongs to a system hospital or its parent organization
Member hospitals, 2024
| Group | Hospitals | Cases | Medicare paid |
|---|---|---|---|
| APC 8011 Comprehensive Observation Services | 6 | 1,070 | $2.2M |
| APC 5115 Level 5 Musculoskeletal Procedures | 5 | 1,069 | $11.5M |
| APC 5072 Level 2 Excision/ Biopsy/ Incision and Drainage | 6 | 1,027 | $1.2M |
| APC 5372 Level 2 Urology and Related Services | 5 | 1,012 | $519K |
| APC 5191 Level 1 Endovascular Procedures | 3 | 869 | $1.9M |
| APC 5491 Level 1 Intraocular Procedures | 4 | 854 | $1.5M |
| DRG 871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 5 | 835 | $11.7M |
| APC 5373 Level 3 Urology and Related Services | 5 | 831 | $1.3M |
| APC 5431 Level 1 Nerve Procedures | 5 | 766 | $1.1M |
| APC 5302 Level 2 Upper GI Procedures | 5 | 699 | $981K |
| APC 5073 Level 3 Excision/ Biopsy/ Incision and Drainage | 6 | 647 | $1.4M |
| APC 5183 Level 3 Vascular Procedures | 6 | 603 | $1.4M |
Official US government data (hospital ownership records, cost reports and quality ratings), linked by CCN, NPI and ownership keys. Financial totals add up the system's hospitals only.
Avera Health is a nonprofit health system with 36 hospitals and 1,372 beds, based in Sioux Falls, SD.
Avera Health has 36 hospitals (36 general acute care) in 4 states, most of them in South Dakota (21), Iowa (8), Minnesota (4), with 1,372 beds in total. Its largest hospital is Avera McKennan Hospital & University Health Center in Sioux Falls, SD.
Its hospitals reported $3.37B in net patient revenue and $292.3M in net income in fiscal year 2025 (36 hospitals with a cost report that year). The margin on patient care was -5.3%. These are hospital figures; the whole organization's results also include clinics, insurance plans and other businesses.
Avera Health is a nonprofit health system based in Sioux Falls, SD; it is not owned by a listed company.
2,525 Medicare clinicians list one of its hospitals as a place they work. In 2023 the system had about 971 physicians, 402 of them in primary care, plus 526 nurse practitioners and 225 physician assistants.
The rated hospitals of Avera Health average 3.50 out of 5 stars in the official hospital quality ratings.