Competitive Intelligence — AVERA HEART HOSPITAL OF SOUTH DAKOTA
CCN 430095 | SD | 53 beds | Nat'l margin P66 | 14 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$139.0M
Net Revenue
1.5%
Margin (P66)
53
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=1,973) | SD Size-Matched (n=14) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $139.0M | P67 | P93 | P87 | P92 | ▲ higher |
| Operating Margin | 1.5% | P66 | P67 | P60 | P67 | ▲ higher |
| Bed Count | 53 | P46 | P92 | P48 | P86 | ▶ neutral |
| Revenue per Bed | $2.6M | P88 | P84 | P91 | P58 | ▲ higher |
| Occupancy Rate | 47.6% | P43 | P80 | P43 | P79 | ▲ higher |
| Net-to-Gross Ratio | 22.6% | P24 | P2 | P25 | P0 | ▲ higher |
| Expense per Bed | $2.6M | P85 | P82 | P90 | P57 | ▼ lower |
| Medicare Day % | 54.2% | P84 | P39 | P85 | P79 | ▶ neutral |
| Medicaid Day % | 1.2% | P18 | P16 | P18 | P0 | ▶ neutral |
| Commercial Payer % | 44.6% | P24 | P77 | P24 | P64 | ▲ higher |
| Payer Diversity Index | 0.507 | P70 | P58 | P68 | P29 | ▲ higher |
| Total Patient Days | 9,203 | P45 | P88 | P44 | P71 | ▲ 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 | $2.6M | $1.6M | -$2.2M | P90 | ~$11.6M |
| Expense per Bed | $2.6M | $2.9M | -$941K | P57 | ~$5.0M |
| Revenue per Bed | $2.6M | $3.3M | +$627K | P58 | ~$3.3M |
| Total Patient Days | 9,203 | 16,632 | +7,428 | P44 | — |
| Total Patient Days | 9,203 | 9,286 | +83 | P71 | — |
| Commercial Payer % | 44.6% | 71.2% | +26.6% | P24 | ~$37.0M |
| Occupancy Rate | 47.6% | 72.3% | +24.7% | P43 | ~$34.4M |
| Net-to-Gross Ratio | 22.6% | 45.6% | +23.0% | P0 | ~$31.9M |
| Net-to-Gross Ratio | 22.6% | 45.3% | +22.7% | P25 | ~$31.6M |
| Payer Diversity Index | 0.507 | 0.604 | +0.097 | P29 | — |
Top Size-Matched Peers
26–106 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| AVERA HEART HOSPITAL OF SOUTH (Target) | SD | 53 | $139.0M | 1.5% | 54% |
| DANA-FARBER CANCER INSTITUTE | MA | 30 | $1.88B | -35.1% | 35% |
| MIDWESTERN REGIONAL MEDICAL CE | IL | 73 | $1.38B | 80.5% | 30% |
| RANCHO LOS AMIGOS NATL.REHAB.C | CA | 83 | $512.6M | 41.9% | 5% |
| USC NORRIS CANCER HOSPITAL | CA | 60 | $468.7M | 19.1% | 24% |
| SARAH BUSH LINCOLN HEALTH CENT | IL | 100 | $448.6M | -18.1% | 42% |
| ST. JOSEPHS COMM. HOSPT. | WI | 70 | $436.8M | 66.1% | 32% |
| MCHS FRANCISCAN HEALTHCARE IN | WI | 103 | $413.8M | -7.2% | 39% |
| LAKEVIEW MEMORIAL | MN | 68 | $411.9M | 60.9% | 30% |
| MOUNTAIN VIEW HOSPITAL | ID | 43 | $382.5M | 8.7% | 5% |
| DECATUR COMMUNITY HOSPITAL | TX | 81 | $361.0M | -15.5% | 32% |