Avel eCare

Avel eCare is an operating clinical service line that delivers telemedicine services — it does not manage a portfolio of financial assets, allocate to external managers, or oversee family wealth. It functions as a revenue-generating division of Avera Health, an integrated Catholic health system based in Sioux Falls, South Dakota. The entity would be miscategorized as a family office, asset manager, or institutional allocator.

Avel eCare originated as a telehealth pilot within Sioux Valley Hospital (later part of the Avera Health system) in 1993. It operates as a wholly owned service line of Avera Health, which sponsors a separate philanthropic foundation focused on community health. No separate investment committee or family-office governance structure exists at the Avel eCare level.

Core clinical lines include emergency telemedicine for rural hospitals, eICU remote monitoring, telepharmacy services, school-based telehealth, and behavioral health consults. The organization supports over 650 contracted sites — hospitals, clinics, long-term care facilities, and schools — across more than 30 states, making it one of the largest virtual care networks in the United States.

Public record does not indicate that Avel eCare allocates capital to venture funds or makes direct equity investments in health-tech companies. Its activities are confined to delivering telemedicine services under service contracts. Any upstream investment activity would fall under Avera Health's treasury or foundation, not Avel eCare itself.

Avel eCare serves clients in over 30 US states, with particularly dense coverage in the Upper Midwest, Great Plains, and rural regions. Its hub operations center remains in Sioux Falls, South Dakota. The network began with emergency room coverage for rural South Dakota hospitals before expanding nationally.