The South Dakota Association of Healthcare Organizations is the statewide professional trade association representing and serving health care organizations across the state. The association is a not-for-profit organization representing a diverse range of membership, spanning various types of institutional ownership, geographic location, size and complexities of service. Members include hospitals, health care systems, nursing facilities, home health agencies, assisted living centers and hospice organizations.


Advancing healthy communities through a unified voice across the health care continuum.


We envision communities throughout South Dakota where everyone reaches their highest potential for health.


The central office is located in Sioux Falls, SD and is under the direction of the President & CEO, Tim Rave who serves at the pleasure of, and is responsible to, the Board of Trustees. The staff is divided into five areas of responsibility:

The association is financed principally through membership dues; however, grants, contracts and business development relationships have become integral to the operation.

The South Dakota Association of Healthcare Organizations has continued to grow and enlarge its role as a support service to hospitals while capitalizing on the mission of advancing healthy communities by focusing on the continuum of care.

SDAHO sends out a weekly Unified Voice Newsletter along with a variety of Advocacy updates, which states our Member’s unified position on the health care continuum in South Dakota.

SDAHO History

SDAHO history collageIn the fall of 1926, hospital administrators and physicians from around the state met in Huron to create the South Dakota Hospital Association, which in 1995 became the South Dakota Association of Healthcare Organizations (SDAHO). The health care situation in South Dakota at the time of the organizing of the association was described as being on an even keel. Early annual conferences consisted mainly of discussions of ways and means to improve hospital services, conservation in purchasing and improving public relations. The financial crash of 1928 and the drought of the 1930s began a rapid change in these conditions.

The first legislative committee was appointed in 1932 at the annual conference. Just one year later, the committee was successful in convincing a special session of the South Dakota Legislature to allocate about 50 percent of a newly created beverage tax on beer to be reverted back to counties to be used in part for the “hospitalization of the indigent.”

Until 1958, the headquarters of the association moved around the state, being located wherever the elected chairperson resided. In that year, space was leased in the St. Charles Hotel in Pierre for the central office. The association had four executive directors. The first was Jack Rogers, who served for less than one year before resigning. William Murphy was the second director, serving from November of 1962 to 1975. Immediately following was Frank Drew who served as president until May 1997.

In 1952, the Association became affiliated with the American Hospital Association and in 1956 the association was incorporated in South Dakota offering various types of memberships that parallel those of the American Hospital Association. In 1995, the association affiliated with the American Association of Homes and Services for the Aging. Educational programs and discussions among administrators have been a tradition since the formation of the Association. As issues became more complex, the related groups meeting with the Association at its annual convention have grown from auxilians in 1956 to include 27 affiliated personal membership groups covering a wide range of the directors, managers and coordinators who work in hospitals, long term care facilities, home health agencies and assisted living centers.