Avera acquires CNOS

Avera and The Center for Neurosciences, Orthopaedics & Spine recently announced Avera’s acquisition of the CNOS practice based in Dakota Dunes, SD. The partnership includes more than 100 CNOS physicians, advanced practice providers, physical therapists, occupational therapists and athletic trainers across nine specialties and subspecialties with more than 350 staff. The merger is January 1, 2027, with CNOS being named Avera CNOS going forward.

With Avera and CNOS’s long-standing presence in the tri-state area, both organizations see opportunities to further strengthen health care delivery across the region.

CNOS formed in the 1990s and offers comprehensive care to the Siouxland region in Northwest Iowa. The group has grown through strategic alignments and mergers with other specialty practices, expanding clinical capabilities and providers. Today CNOS provides outreach services to 29 satellite locations. Currently, there are two Avera and seven partner hospitals in Iowa, as well as 15 clinics and many outreach locations for specialty care.