History of Ronald McDonald House in South Dakota

More than 40 Years of Impact

Since opening our doors in 1983, Ronald McDonald House South Dakota has grown from a simple idea into a powerful, community-supported mission. Starting with one House in Sioux Falls, we’ve expanded to serve thousands of families across South Dakota and beyond.

Here are some key milestones that highlight our growth, made possible by the compassion and generosity of people who believe families stay stronger together.

October 15, 1974

First Ronald McDonald House Opens in Philadelphia, PA

Philadelphia Eagles check presentation at the First Ronald McDonald House

Check presentation October 15, 1974. (L-R) Dr. Audrey Evans, Broadcaster Tom Brookshire (behind), Restaurant Visionary Ray Kroc (behind), Dr. Milton "Mickey" Donaldson (holding check), Philadelphia Mayor Frank Rizzo (behind), Philadelphia Eagles Owner Leonard Tose, Eagles Linebacker Bill Bergey (behind), and Eagles Wide Receiver Harold Carmichael

When Philadelphia Eagles player Fred Hill's daughter Kim is diagnosed with leukemia, the team rallies behind pediatric oncologist Dr. Audrey Evans, who had long envisioned a place where families could stay close while their children received medical care. With support from Eagles General Manager Jimmy Murray, that vision becomes reality and the first Ronald McDonald House is established.

October 15, 1974

1981

Junior Service League Sparks Local Vision

Seven years after the first House opens in Pennsylvania, the Junior Service League of Sioux Falls sees the need for a Ronald McDonald House in our community and adopts the concept as a service project, laying the groundwork for what’s to come.

1981

June 1983

Local Organization Established to Support the House

The Junior League of Sioux Falls forms Welcome House, Inc. to operate and support the future Ronald McDonald House.

June 1983

December 15, 1983

First Sioux Falls Ronald McDonald House Opens

First Ronald McDonald House in South Dakota located at 2001 South Norton Avenue

First Ronald McDonald House in South Dakota located at 2001 South Norton Avenue

On December 15, 1983, the Sioux Falls House becomes the 55th Ronald McDonald House to open worldwide. Located at 2001 South Norton Avenue, the House features 9 bedrooms. Shelley Nelson Hanisch serves as the organization's first Executive Director.

December 15, 1983

June 16, 1984

Grand Opening Celebration Heats Things Up

Due to South Dakota’s winter weather, the Ronald McDonald House holds its official Grand Opening in June 1984. The celebration features live music, balloons, sweet treats, and tours of the House, welcoming the community inside for the first time.

June 16, 1984

Mid-2000s

Outgrowing the Norton Avenue House

In the mid-2000's, the Board of Directors determined that the constant at-capacity and long wait list at the House meant it needed to grow. The decision was made to build 2 new Ronald McDonald Houses, one near Sanford Children's Hospital, one near Avera McKennan Hospital. 

Mid-2000s

September 1, 2004

Ronald McDonald Care Mobile Launches in South Dakota

Ronald McDonald Care Mobile on the road

Original Ronald McDonald Care Mobile on the road serving communities statewide.

In partnership with Delta Dental of South Dakota, the SD Department of Health, and our local McDonald's owner/operators, the Ronald McDonald Care Mobile launches — a mobile dental clinic bringing free oral health care and education directly to underserved children across the state.

The Mobile Program has transitioned all operations to Delta Dental of South Dakota with two vehicles serving more than 3,000 children across the state each year.

September 1, 2004

July 24, 2008

Ronald McDonald House Near Avera Opens

Ronald McDonald House near Avera McKennan Hospital

Ronald McDonald House near Avera McKennan Hospital

The new Ronald McDonald House at 808 East 24th Street near Avera McKennan Hospital opens. The 8 guest rooms double the capacity of Ronald McDonald House South Dakota to serve families.

July 24, 2008

January 13, 2010

Ronald McDonald House Near Sanford Opens

Ronald McDonald House near Sanford Children's Hospital

Ronald McDonald House near Sanford Children's Hospital

The new Ronald McDonald House with capacity for 18 guest families opens at 825 South Lake Avenue, near Sanford Children's Hospital.

January 13, 2010

Fall 2014

Additional Guest Rooms Added

In Fall of 2014, the Board of Directors votes to build out 3 additional guest bedrooms in the lower level of the Lake Avenue House near Sanford. 

Fall 2014

December 15, 2023

Celebrating 40 Years of Helping Families Stay

Tables at 40th Anniversary Red Gala in Sioux Falls

Ready for 40th Anniversary Red Gala in Sioux Falls

Ronald McDonald House South Dakota commemorates its milestone 40th anniversary with a Red Gala, an evening celebrating four decades of serving families in need.

December 15, 2023

October 2024

Approved to Build a new Ronald McDonald House in Rapid City

Our chapter begins the process of building the first Ronald McDonald House in Western South Dakota, with the new location near Monument Health scheduled for opening in 2026.

October 2024

Spring 2025

Garden and Kitchen Reno Revitalize Lake Avenue House

Northwestern Mutual Serenity Garden at Lake Avenue Ronald McDonald House South Dakota

Northwestern Mutual Serenity Garden at Lake Avenue Ronald McDonald House in Sioux Falls

Creating the Northwestern Mutual Serenity Garden gives families a dedicated outdoor respite area. Designed to support physical, mental, and emotional wellbeing, the garden provides fresh ingredients for family meals while offering a space to rest and recharge.

View of Lake Avenue Kitchen After 2025 Renovation

Interior View of Lake Avenue Kitchen After 2025 Renovation

The Lake Avenue House kitchen undergoes a full renovation after more than 14 years of continuous use, updating appliances and meal prep areas to better serve families and volunteer cooks.

Spring 2025

July 30, 2025

Announcement of A House in the Hills Rapid City Location

A House in the Hills Rapid City architect rendering

Architect rendering of the Rapid City Ronald McDonald House in the Hills

In partnership with Monument Health, construction of a 12-bedroom Ronald McDonald House at 3140 Elm Avenue in Rapid City will expand access to services for more than 600 families each year.

July 30, 2025

Video History of Ronald McDonald House South Dakota

Play Video

The Beginnings of Ronald McDonald House

It all began in Philadelphia in 1974 when Kim Hill, the daughter of Philadelphia Eagles football player Fred Hill, was being treated for leukemia. Hill approached his teammates to join in an effort to fight this horrendous disease. After months of fundraising, a new oncology wing was built for The Children’s Hospital of Philadelphia.

Drs. Audrey Evans and Milton "Mickey" Donaldson observed that parents spent weeks camped out on hospital chairs and ate from hospital vending machines as their children were being treated. Plus, many families traveled great distances and were facing financial difficulty as a result of their child’s illness and could not afford to stay at a hotel. And so the dream to provide housing near the hospital began.

With the help of Don Tuckerman from the local McDonald’s advertising agency, a promotion for the St. Patrick’s Day Green Milkshake (now called the Shamrock Shake) was created, with the funds devoted to purchasing an old house near the hospital. McDonald’s had one request – that the house is named after their favorite clown, Ronald McDonald.

At last, on October 15, 1974, the first Ronald McDonald House was officially opened.

Fred-and-Kim-Hill-300x300-1
Opening-of-first-house-1-263x300-1