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Nonprofiteer

Lists Largest by total revenue

Largest nonprofits in South Dakota by total revenue

Organizations whose address on record is in South Dakota, ranked by the total revenue on each one's most recent Form 990, 990-EZ or 990-PF that reports it, as filed. Tax years differ from row to row: each is that organization's latest such return. An amended return is counted once, replaced by its amendment.

Not every nonprofit can appear. Churches and most religious congregations are not required to file a 990, and organizations with gross receipts normally under $50,000 file the 990-N postcard, which reports no revenue.

Computed 3 November 2026.

Ranking

Organizations in South Dakota, ranked by total revenue on their latest return
Rank Organization Tax year Total revenue
1 SANFORD SIOUX FALLS, SD 2024 $6,110,580,553
2 AVERA MCKENNAN SIOUX FALLS, SD 2023 $1,712,450,547
3 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY, SD 2024 $1,091,839,091
4 SIGNATRY CHARITABLE TRUST SIOUX FALLS, SD 2024 $1,038,691,653
5 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY SIOUX FALLS, SD 2024 $1,014,495,873
6 MARGOT AND TOM PRITZKER SCIENCE FOUNDATION SIOUX FALLS, SD 2024 $423,325,986
7 EAST RIVER ELECTRIC POWER COOPERATIVE INC MADISON, SD 2024 $371,444,036
8 AVERA HEALTH PLANS INC SIOUX FALLS, SD 2024 $307,117,436
9 AVERA HEALTH SIOUX FALLS, SD 2023 $278,424,080
10 MONUMENT HEALTH NETWORK INC RAPID CITY, SD 2023 $220,042,314
11 SANFORD HEALTH FOUNDATION SIOUX FALLS, SD 2024 $214,434,250
12 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN, SD 2024 $202,908,452
13 AVERA ST LUKES ABERDEEN, SD 2023 $197,141,413
14 AVERA QUEEN OF PEACE MITCHELL, SD 2024 $159,924,028
15 GREAT PLAINS TRIBAL LEADERS HEALTH BOARD RAPID CITY, SD 2024 $159,093,095
16 SACRED HEART HEALTH SERVICES YANKTON, SD 2023 $156,806,775
17 AUGUSTANA UNIVERSITY ASSOCIATION SIOUX FALLS, SD 2024 $140,881,567
18 AVERA ST MARYS PIERRE, SD 2023 $122,108,607
19 DELTA DENTAL OF SOUTH DAKOTA PIERRE, SD 2024 $110,726,177
20 NATIVE AMERICAN HERITAGE ASSOCIATION BLACK HAWK, SD 2024 $108,270,026
21 SIOUX VALLEY-SOUTHWESTERN ELECTRIC COOPERATIVE INC COLMAN, SD 2024 $108,080,408
22 SOUTHEASTERN ELECTRIC COOPERATIVE INC LENNOX, SD 2025 $96,007,173
23 AVERA AT HOME SIOUX FALLS, SD 2023 $83,239,373
24 CHILDRENS CARE HOSPITAL & SCHOOL SIOUX FALLS, SD 2024 $73,196,246
25 RURAL HEALTH CARE INC FORT PIERRE, SD 2024 $68,885,546
26 LEWIS AND CLARK RURAL WATER SYSTEM INC TEA, SD 2024 $67,857,178
27 SOUTH DAKOTA STATE UNIVERSITY FOUNDATION BROOKINGS, SD 2023 $63,664,809
28 SOUTH DAKOTA COMMUNITY FOUNDATION PIERRE, SD 2024 $60,086,934
29 HURON REGIONAL MEDICAL CENTER INC HURON, SD 2023 $55,169,394
30 WEST RIVER ELECTRIC ASSOCIATION INC WALL, SD 2025 $51,613,438
31 SIOUX FALLS AREA COMMUNITY FOUNDATION INC SIOUX FALLS, SD 2024 $50,631,506
32 BLACK HILLS WORKS INC RAPID CITY, SD 2024 $50,094,090
33 SOUTH DAKOTA ACHIEVE SIOUX FALLS, SD 2024 $46,632,124
34 OGLALA LAKOTA COLLEGE KYLE, SD 2024 $44,262,190
35 CENTRAL ELECTRIC COOPERATIVE INC MITCHELL, SD 2025 $42,428,352
36 UNIVERSITY OF SIOUX FALLS SIOUX FALLS, SD 2023 $41,125,512
37 OGLALA LAKOTA HOUSING AUTHORITY PINE RIDGE, SD 2023 $38,264,369
38 UNIVERSITY OF SOUTH DAKOTA FOUNDATION VERMILLION, SD 2024 $38,209,482
39 MADISON COMMUNITY HOSPITAL MADISON, SD 2024 $37,993,568
40 MOUNT MARTY UNIVERSITY YANKTON, SD 2024 $37,870,208
41 CHILDRENS HOME SOCIETY OF SOUTH DAKOTA SIOUX FALLS, SD 2024 $36,053,669
42 SANFORD SIOUX FALLS, SD 2024 $35,154,776
43 HORIZON HEALTH CARE INC HOWARD, SD 2024 $34,297,942
44 ASSOCIATION OF HUTTERIAN BRETHREN CHURCHES INC ABERDEEN, SD 2025 $34,272,103
45 MOBRIDGE REGIONAL HOSPITAL MOBRIDGE, SD 2024 $33,726,057
46 NORTHERN ELECTRIC COOPERATIVE INCORPORATED BATH, SD 2025 $33,611,616
47 FALL RIVER HEALTH SERVICES HOT SPRINGS, SD 2024 $33,103,247
48 ST BENEDICT HEALTH CENTER PARKSTON, SD 2023 $32,752,398
49 DAKOTA WESLEYAN UNIVERSITY MITCHELL, SD 2024 $32,497,119
50 FEEDING SOUTH DAKOTA SIOUX FALLS, SD 2024 $32,181,878
51 PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY INC RAPID CITY, SD 2024 $31,062,544
52 HEGG MEMORIAL HOSPITAL SIOUX FALLS, SD 2024 $30,387,894
53 SDSM&T CENTER FOR ALUMNI RELATIONS & ADVANCEMENT RAPID CITY, SD 2024 $29,330,699
54 DAKOTA ENERGY COOPERATIVE INC HURON, SD 2025 $28,164,675
55 WINNER REGIONAL HEALTHCARE CENTER WINNER, SD 2024 $27,901,855
56 LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA SIOUX FALLS, SD 2024 $27,234,402
57 BLACK HILLS ELECTRIC COOPERATIVE INC CUSTER, SD 2025 $26,713,860
58 DOW RUMMEL VILLAGE SIOUX FALLS, SD 2024 $26,178,940
59 BLACK HILLS AREA COMMUNITY FOUNDATION RAPID CITY, SD 2025 $25,934,630
60 KINGBROOK RURAL WATER SYSTEM INC ARLINGTON, SD 2024 $24,885,510
61 COTEAU DES PRAIRIES HOSPITAL SISSETON, SD 2024 $23,925,815
62 LITTLE WOUND SCHOOL BOARD INC KYLE, SD 2024 $23,366,572
63 DAKOTABILITIES SIOUX FALLS, SD 2024 $22,840,335
64 PLATTE COMMUNITY MEMORIAL HOSPITAL INC PLATTE, SD 2024 $22,678,204
65 LIFESCAPE FOUNDATION SIOUX FALLS, SD 2024 $22,558,944
66 SICANGU OYATE HO INC SAINT FRANCIS, SD 2024 $22,160,430
67 HURON AREA CENTER FOR INDEPENDENCE HURON, SD 2023 $20,614,401
68 FOUR BANDS COMMUNITY FUND INC EAGLE BUTTE, SD 2025 $20,507,938
69 LAKE REGION ELECTRIC ASSOCIATION INC WEBSTER, SD 2025 $20,491,287
70 WEB WATER DEVELOPMENT ASSOC INC ABERDEEN, SD 2024 $20,152,263
71 ROBERT AND RITA ELMEN FOUNDATION SIOUX FALLS, SD 2024 $20,026,745
72 BLACK HILLS STATE UNIVERSITY FOUNDATION SPEARFISH, SD 2024 $19,930,124
73 BETHANY LUTHERAN HOME SIOUX FALLS, SD 2024 $19,916,350
74 SOUTH DAKOTA BANKERS BENEFIT PLAN TRUST PIERRE, SD 2024 $19,795,883
75 FREEMAN REGIONAL HEALTH SERVICES FREEMAN, SD 2024 $19,420,111
76 LEWIS & CLARK BEHAVIORAL HEALTH SERVICES INC YANKTON, SD 2024 $19,222,527
77 MID-DAKOTA RURAL WATER SYSTEM INC MILLER, SD 2025 $18,760,830
78 FEM ELECTRIC ASSOCIATION INC IPSWICH, SD 2025 $18,745,756
79 SOUTHEASTERN BEHAVIORAL HEALTHCARE SIOUX FALLS, SD 2024 $18,736,964
80 WEST CENTRAL ELECTRIC COOPERATIVE INCORPORATED MURDO, SD 2024 $18,516,308
81 PHILIP HEALTH SERVICES INC PHILIP, SD 2025 $18,460,992
82 WAGNER COMMUNITY MEMORIAL HOSPITAL WAGNER, SD 2023 $18,122,683
83 CODINGTON-CLARK ELECTRIC COOPERATIVE INC WATERTOWN, SD 2025 $17,851,791
84 SIOUX FALLS CHRISTIAN SCHOOLS ASSOCIATION SIOUX FALLS, SD 2024 $17,788,968
85 F-M AMBULANCE SERVICE INC SIOUX FALLS, SD 2024 $17,747,465
86 LACREEK ELECTRIC ASSOCIATION INC MARTIN, SD 2025 $17,472,938
87 CHERRY-TODD ELECTRIC COOPERATIVE INC MISSION, SD 2025 $17,394,255
88 HUMAN SERVICE AGENCY WATERTOWN, SD 2024 $17,358,129
89 CHILDRENS HOME FOUNDATION SIOUX FALLS, SD 2024 $16,713,080
90 AVERA GETTYSBURG GETTYSBURG, SD 2024 $16,589,427
91 SANFORD UNDERGROUND RESEARCH FACILITY FOUNDATION LEAD, SD 2024 $16,587,928
92 OAHE ELECTRIC COOPERATIVE INC BLUNT, SD 2023 $16,522,300
93 BEHAVIOR MANAGEMENT SYSTEMS INC RAPID CITY, SD 2024 $16,391,124
94 INTER-LAKES COMMUNITY ACTION PARTNERSHIP INC MADISON, SD 2024 $16,294,680
95 SIOUX FALLS ZOO & AQUARIUM SIOUX FALLS, SD 2025 $16,102,971
96 CEDAR LAKE VILLAGE INC SIOUX FALLS, SD 2024 $15,925,860
97 RURAL OFFICE OF COMMUNITY SERVICES WAGNER, SD 2023 $15,904,961
98 SEEDS OF CHANGE FOUNDATION SIOUX FALLS, SD 2024 $15,861,736
99 LIFEQUEST MITCHELL, SD 2024 $15,706,089
100 WASHINGTON PAVILION MANAGEMENT INC SIOUX FALLS, SD 2024 $15,361,452