Competitive Intelligence — MONUMENT HEALTH SPEARFISH HOSPITAL
CCN 430048 | SD | 27 beds | Nat'l margin P67 | 11 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$116.6M
Net Revenue
1.9%
Margin (P67)
27
Beds
6,123
National Universe
4
Peer Groups
Percentile Rankings — All Metrics
Percentile rank across 4 peer groups. Bar shows position: left = bottom of peers, right = top. Green = favorable direction, red = unfavorable. Direction: ▲ higher is better, ▼ lower is better, ▶ neutral.
Data: CMS HCRIS FY2022 | 6,123 hospitals with complete financials
| Metric | Value | National (n=6,122) | SD State (n=62) | Size-Matched (n=2,559) | SD Size-Matched (n=42) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $116.6M | P63 | P82 | P95 | P85 | ▲ higher |
| Operating Margin | 1.9% | P67 | P68 | P69 | P62 | ▲ higher |
| Bed Count | 27 | P30 | P72 | P61 | P71 | ▶ neutral |
| Revenue per Bed | $4.3M | P97 | P98 | P96 | P98 | ▲ higher |
| Occupancy Rate | 41.1% | P36 | P72 | P58 | P74 | ▲ higher |
| Net-to-Gross Ratio | 35.7% | P55 | P23 | P35 | P22 | ▲ higher |
| Expense per Bed | $4.2M | P97 | P95 | P96 | P95 | ▼ lower |
| Medicare Day % | 35.1% | P59 | P15 | P36 | P5 | ▶ neutral |
| Medicaid Day % | 12.5% | P78 | P75 | P79 | P78 | ▶ neutral |
| Commercial Payer % | 52.4% | P35 | P90 | P56 | P98 | ▲ higher |
| Payer Diversity Index | 0.586 | P90 | P77 | P89 | P79 | ▲ higher |
| Total Patient Days | 4,047 | P29 | P70 | P57 | P69 | ▲ higher |
Value Creation Gaps — Path to P75
Metrics where the target trails size-matched P75 peers. Each gap represents quantifiable value creation opportunity. Estimated EBITDA impact assumes linear improvement proportional to revenue.
| Metric | Current | P75 Target | Gap | Percentile | Est. Impact |
|---|---|---|---|---|---|
| Expense per Bed | $4.2M | $2.0M | -$3.7M | P96 | ~$10.0M |
| Expense per Bed | $4.2M | $1.8M | -$3.7M | P95 | ~$9.9M |
| Total Patient Days | 4,047 | 6,111 | +2,064 | P57 | — |
| Total Patient Days | 4,047 | 4,356 | +310 | P69 | — |
| Net-to-Gross Ratio | 35.7% | 60.7% | +25.0% | P22 | ~$29.1M |
| Net-to-Gross Ratio | 35.7% | 58.5% | +22.8% | P35 | ~$26.6M |
| Occupancy Rate | 41.1% | 57.2% | +16.2% | P58 | ~$18.9M |
| Commercial Payer % | 52.4% | 63.5% | +11.1% | P56 | ~$12.9M |
| Operating Margin | 1.9% | 9.4% | +7.5% | P62 | ~$8.8M |
| Operating Margin | 1.9% | 4.5% | +2.6% | P69 | ~$3.0M |
Top Size-Matched Peers
14–54 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| MONUMENT HEALTH SPEARFISH HOSP (Target) | SD | 27 | $116.6M | 1.9% | 35% |
| DANA-FARBER CANCER INSTITUTE | MA | 30 | $1.88B | -35.1% | 35% |
| FRED HUTCHINSON CANCER CENTER | WA | 20 | $1.17B | -50.0% | 22% |
| MERCY WALWORTH HOSPITAL | WI | 25 | $616.4M | 4.4% | 34% |
| MOUNTAIN VIEW HOSPITAL | ID | 43 | $382.5M | 8.7% | 5% |
| WISE HEALTH SYSTEM - PARKWAY | TX | 36 | $361.0M | -15.5% | 26% |
| CORYELL MEMORIAL HOSPITAL | TX | 25 | $305.9M | -1.5% | 28% |
| VALLEY VIEW HOSPITAL | CO | 31 | $285.3M | -3.1% | 34% |
| STILLWATER MEDICAL CENTER | OK | 52 | $270.2M | -9.9% | 43% |
| TAHOE FOREST HOSPITAL | CA | 25 | $264.3M | 13.0% | 34% |
| MASSACHUSETTS EYE AND EAR INFI | MA | 41 | $263.9M | -36.1% | 33% |