Competitive Intelligence — BLACK HILLS SURGICAL HOSPITAL LLP
CCN 430091 | SD | 26 beds | Nat'l margin P89 | 10 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$91.1M
Net Revenue
15.3%
Margin (P89)
26
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=2,541) | SD Size-Matched (n=42) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $91.1M | P58 | P77 | P91 | P80 | ▲ higher |
| Operating Margin | 15.3% | P89 | P91 | P91 | P92 | ▲ higher |
| Bed Count | 26 | P30 | P70 | P62 | P71 | ▶ neutral |
| Revenue per Bed | $3.5M | P94 | P93 | P92 | P90 | ▲ higher |
| Occupancy Rate | 41.5% | P36 | P74 | P59 | P79 | ▲ higher |
| Net-to-Gross Ratio | 38.3% | P60 | P26 | P39 | P25 | ▲ higher |
| Expense per Bed | $3.0M | P90 | P92 | P88 | P90 | ▼ lower |
| Medicare Day % | 55.1% | P84 | P41 | P71 | P38 | ▶ neutral |
| Medicaid Day % | 2.5% | P30 | P32 | P40 | P25 | ▶ neutral |
| Commercial Payer % | 42.4% | P21 | P74 | P37 | P81 | ▲ higher |
| Payer Diversity Index | 0.516 | P73 | P61 | P70 | P60 | ▲ higher |
| Total Patient Days | 3,940 | P28 | P69 | 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 | $3.0M | $2.0M | -$2.4M | P88 | ~$6.3M |
| Expense per Bed | $3.0M | $1.7M | -$2.4M | P90 | ~$6.2M |
| Total Patient Days | 3,940 | 5,962 | +2,022 | P57 | — |
| Total Patient Days | 3,940 | 4,192 | +252 | P69 | — |
| Net-to-Gross Ratio | 38.3% | 60.7% | +22.4% | P25 | ~$20.4M |
| Commercial Payer % | 42.4% | 63.3% | +20.9% | P37 | ~$19.0M |
| Net-to-Gross Ratio | 38.3% | 59.0% | +20.7% | P39 | ~$18.9M |
| Occupancy Rate | 41.5% | 56.7% | +15.2% | P59 | ~$13.8M |
| Payer Diversity Index | 0.516 | 0.582 | +0.067 | P60 | — |
| Payer Diversity Index | 0.516 | 0.527 | +0.012 | P70 | — |
Top Size-Matched Peers
13–52 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| BLACK HILLS SURGICAL HOSPITAL (Target) | SD | 26 | $91.1M | 15.3% | 55% |
| 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% |