Federal contractor · SIOUX FALLS, SD

AVERA HEALTH

AVERA HEALTH received -$219.7K in federal contract obligations in FY2026, on 4 awards. Since FY2017: $41.2M. Its largest customer was Indian Health Service (-$219.7K). It also received $11.4M in federal grants and other assistance in FY2026.

Obligations · FY2026
-$219.7K
New awards
4
Sole-source
—
Single offer
—
UEI
N3MLDJDPQAA3
Parent company
AVERA HEALTH PLANS INC
Other than small businessNonprofit
Open in the contracts explorerRelationship graph

Company family

Grouped from reported parent companies (UEI) and, where marked, AI judgments that two records name the same organization or group.

2 registered entities of the same company or corporate group, $11.1M in FY2026 together.

  1. AVERA HEALTHSIOUX FALLS, SD · Family page
    -$219.7K
  2. AVEL ECARE LLCSIOUX FALLS, SD
    $11.4M

Spending by fiscal year

Obligations per federal fiscal year (October–September).

  1. 2.2MFY2017
  2. 2.6MFY2018
  3. 2.4MFY2019
  4. 9.8MFY2020
  5. 14.3MFY2021
  6. 2.5MFY2022
  7. 5.6MFY2023
  8. 5.7MFY2024
  9. -3.8MFY2025
  10. -219.7KFY2026

Top buying agencies

Obligations in FY2026.

  1. Indian Health Service-$219.7K0.0%
    4 awards

What was bought · Where the work was performed

Obligations in FY2026.

What was bought

Where the work was performed

Integrity signals

Shares of the year's obligations, next to the country's.

Largest awards

  1. BAIHS AREA-WIDE TELEED SERVICES; TOTAL: $646,600.00; YEAR 1 OF 5; DOS: 06/01/2017 - 05/31/2018$2.5M
    Indian Health Service· Yellowstone County, MT· Health & medical· Mar 29, 2017 – May 14, 2026· HHSI244201700010A
  2. AVERA CRITICAL CARE CONSULT FEE FOR 11-15 PATIENTS$36K
    Indian Health Service· Rogers County, OK· Health & medical· Apr 5, 2021 – Nov 26, 2025· 75H71121F27003
  3. MCL AVERA AUG-OCT TO$30.6K
    Indian Health Service· Corson County, SD· Health & medical· Jul 31, 2020 – Jun 23, 2026· 75H70620F03037
  4. TASK ORDER FOR OKLAHOMA CITY AREA OFFICE - CLAREMORE SERVICE UNIT - INTENSIVIST CRITICAL CARE CONSULTATION SERVICES - COVID 19$21.3K
    Indian Health Service· Rogers County, OK· Health & medical· May 1, 2020 – Nov 26, 2025· 75H71120F27001

Federal grants & assistance received

Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.

AVERA HEALTH received $11.4M in federal assistance in FY2026, on 10 actions (1 new awards), +818% vs FY2025. Its largest program was 93.493 · Congressional Directives ($10.2M).

Assistance · FY2026
$11.4M
New awards
1
Actions
10
Since FY2021
$19.2M

Assistance by fiscal year

  1. 250KFY2021
  2. 2.1MFY2022
  3. 1.7MFY2023
  4. 2.4MFY2024
  5. 1.2MFY2025
  6. 11.4MFY2026

By type

  1. Grants$11.4M100%

Top programs

  1. 93.493 · Congressional Directives$10.2M89%
  2. 93.359 · Nurse Education, Practice Quality and Retention Grants$967.9K8.5%
  3. 93.912 · Rural Healthcare Services Programs$300K2.6%

Awarding agencies

  1. Health Resources and Services Administration$11.4M100%
    Department of Health and Human Services

Largest awards

  1. AVERA RURAL CANCER CARE EQUIPMENT MODERNIZATION - AVERA HEALTH PROPOSES THE AVERA RURAL CANCER CARE EQUIPMENT MODERNIZATION PROJECT, A…$10.2M
    93.493 · Congressional Directives· Health Resources and Services Administration· Project grant· Sep 18, 2026 – Sep 18, 2026· CE160039
  2. NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION - WORKFORCE EXPANSION PROGRAM - RETAIN-RNS: PARTNERING TO EXPAND AND RETAIN SOUTH DAKOTA’S…$1.9M
    93.359 · Nurse Education, Practice Quality and Retention Grants· Health Resources and Services Administration· Project grant· Sep 16, 2025 – Sep 17, 2026· TR855413
  3. RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - ORGANIZATION NAME: AVERA HEALTH, HEALTHCARE SYSTEM ADDRESS: 3900 W AVERA DRIVE…$1.5M
    93.912 · Rural Healthcare Services Programs· Health Resources and Services Administration· Project grant· Jul 25, 2022 – Aug 10, 2026· TR145904
  4. RURAL HEALTH CARE COORDINATION NETWORK PROGRAM$1.2M
    93.912 · Rural Healthcare Services Programs· Health Resources and Services Administration· Project grant· Aug 23, 2023 – Jul 8, 2026· D7850224
  5. RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM$1M
    93.912 · Rural Healthcare Services Programs· Health Resources and Services Administration· Project grant· Apr 15, 2021 – Mar 26, 2026· D0440228

Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 8, 2026, loaded Oct 8, 2026 · FY2021–FY2026.

Subawards

Matched by Unique Entity ID: the first-tier subawards this organization reported as a prime recipient, and those primes reported paying it.

As a prime: who it pays · FY2026

  • Sub-grants: $372.8K (2 subawards)

2 sub-recipients

  1. SOUTH DAKOTA STATE UNIVERSITY$348.8K94%
    BROOKINGS, SD · 1 subaward
  2. COUNSELING AND CRISIS CENTER OF SOUTH DAKOTA$24K6.4%
    SIOUX FALLS, SD · 1 subaward

As a sub-recipient: who pays it · FY2026

  • Sub-grants: $1.7M (5 subawards)

5 primes

  1. SOUTH DAKOTA DEPARTMENT OF HEALTH$1.6M91%
    PIERRE, SD · 1 subaward
  2. NEBRASKA DEPARTMENT OF TRANSPORTATION$115.1K6.7%
    LINCOLN, NE · 1 subaward
  3. THE UNIVERSITY OF SOUTH DAKOTA$30K1.7%
    VERMILLION, SD · 1 subaward
  4. UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.$6,0580.4%
    KANSAS CITY, KS · 1 subaward

By fiscal year

  • FY2021: $0 paid out · $2.6M received
  • FY2022: $0 paid out · $236.5K received
  • FY2023: $154.1K paid out · $0 received
  • FY2024: $142.2K paid out · $220K received
  • FY2025: $89.6K paid out · $0 received
  • FY2026: $372.8K paid out · $1.7M received

Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.

Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 9, 2026, loaded Oct 9, 2026 · Subawards loaded from FY2021.

Teaming partners

Companies this company reported paying, primes that reported paying it, from FFATA subaward reports.

Companies it pays

3 companies · $758.7K reported

  1. SOUTH DAKOTA STATE UNIVERSITY$709.4K
    BROOKINGS, SD · 4 subawards
  2. DAKOTA STATE UNIVERSITY$25.3K
    MADISON, SD · 1 subaward
  3. COUNSELING AND CRISIS CENTER OF SOUTH DAKOTA$24K
    SIOUX FALLS, SD · 1 subaward

Primes that pay it

8 companies · $5.7M reported

  1. SOUTH DAKOTA DEPARTMENT OF HEALTH$4.3M
    PIERRE, SD · 4 subawards
  2. LEIDOS, INC.$550.7K
    RESTON, VA · 1 subaward · Computer systems design and related services
  3. UNIVERSITY OF NEW MEXICO$324.4K
    ALBUQUERQUE, NM · 1 subaward · Scientific research and development services

Showing the top 3 of each list. Open the profile for potential partners and the full lists.

Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.

Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 9, 2026, loaded Oct 9, 2026 · Subawards loaded from 2021.

Competitors

Companies that win from the same buyers in the same markets: obligations by agency and industry compared over the last three fiscal years.

Compared on 4 markets (agency × industry), FY2024–FY2026.

  1. SEATTLE INDIAN HEALTH BOARD$17M+2.6% in FY2026
    SEATTLE, WA · 40% of this company's obligations are in markets they both serveIndian Health Service · Other ambulatory health care services
  2. LOS ANGELES AMERICAN INDIAN HEALTH CENTERS INC$7.6M+11% in FY2026
    POMONA, CA · 30% of this company's obligations are in markets they both serveIndian Health Service · Other ambulatory health care services
  3. THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED$10.6M+34% in FY2026
    PORTLAND, OR · 30% of this company's obligations are in markets they both serveIndian Health Service · Other ambulatory health care services

Showing the top 3 of 25 competitors. Open the profile for the full list.

Who sells to the same buyers in the same markets, not who wins against whom on a given contract. Prime contract obligations by the agency and NAICS code of each award; subawards are never added. A company is a family of legal entities, joined by parent UEI or, in part, by an AI reading of names.

Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 9, 2026, loaded Oct 9, 2026 · FY2024–FY2026.

Lobbying and PAC activity

Organizations in House lobbying disclosures and FEC records whose names an AI judgment matched to this company. Those records carry no identifier shared with contracts, so every match is by name.

Across the company family of AVERA HEALTH (2 recipients).

Matched organizations

  • Avera HealthAI match · 100%
Lobbying · 2025
$120K
4 reports
Lobbying · 2024–2026
$300K

Lobbying by year

  1. 2024$120K
    4 reports
  2. 2025$120K
    4 reports
  3. 2026$60K
    2 reports

Top issues

  1. Health issues10 reports
  2. Medicare and Medicaid10 reports

Who was contacted

  1. U.S. HOUSE OF REPRESENTATIVES10 reports
  2. U.S. SENATE10 reports
  3. Agriculture - Dept of (USDA)1 reports
  4. Health & Human Services - Dept of (HHS)1 reports

Houses of Congress and federal agencies the reports list as contacted (a report names every one for all its issues).

Lobbying firms hired

  1. ALSTON & BIRD LLP$300K
    10 reports

Registrants who are individuals are counted, not named.

Lobbying amounts are the filers' own good-faith estimates on quarterly LD-2 reports (the law asks for amounts rounded to $10,000; under $5,000 need not be itemized), latest amendment only. When an organization files its own report, it replaces what outside firms report for it that quarter. Matches are by name. Lobbying and political giving are legal and public: they show engagement with government, not influence over any award. Correlation is not influence: these organizations' lobbying and their contracts are shown side by side, and nothing here implies either affected the other.

Source: Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives), data current to Oct 9, 2026, loaded Oct 9, 2026 · 2023–2026.

Source: Committees, candidates and committee contributions to candidates (Federal Election Commission), data current to Oct 9, 2026, loaded Oct 9, 2026 · 2026, 2024, 2022.

Matches: Analisa AI name judgments (entity-match@1), updated Oct 5, 2026.

Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 9, 2026, loaded Oct 9, 2026.