Competitive Intelligence — AVERA FLANDREAU HOSPITAL
CCN 431310 | SD | 18 beds | Nat'l margin P87 | 13 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$10.7M
Net Revenue
13.8%
Margin (P87)
18
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=2,020) | SD Size-Matched (n=40) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $10.7M | P9 | P21 | P19 | P26 | ▲ higher |
| Operating Margin | 13.8% | P87 | P84 | P91 | P85 | ▲ higher |
| Bed Count | 18 | P9 | P30 | P21 | P30 | ▶ neutral |
| Revenue per Bed | $597K | P27 | P19 | P26 | P26 | ▲ higher |
| Occupancy Rate | 12.0% | P6 | P13 | P13 | P18 | ▲ higher |
| Net-to-Gross Ratio | 50.2% | P75 | P44 | P54 | P31 | ▲ higher |
| Expense per Bed | $515K | P22 | P15 | P18 | P20 | ▼ lower |
| Medicare Day % | 61.3% | P89 | P49 | P76 | P32 | ▶ neutral |
| Medicaid Day % | 3.3% | P38 | P39 | P50 | P49 | ▶ neutral |
| Commercial Payer % | 35.4% | P14 | P60 | P28 | P78 | ▲ higher |
| Payer Diversity Index | 0.498 | P63 | P55 | P58 | P65 | ▲ higher |
| Total Patient Days | 790 | P5 | P18 | P11 | P15 | ▲ 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 |
|---|---|---|---|---|---|
| Net Patient Revenue | $10.7M | $45.7M | +$34.9M | P19 | ~$62.8M |
| Net Patient Revenue | $10.7M | $27.5M | +$16.8M | P26 | ~$30.2M |
| Revenue per Bed | $597K | $2.0M | +$1.4M | P26 | ~$2.5M |
| Revenue per Bed | $597K | $1.2M | +$650K | P26 | ~$1.2M |
| Total Patient Days | 790 | 4,379 | +3,589 | P11 | — |
| Total Patient Days | 790 | 2,736 | +1,946 | P15 | — |
| Occupancy Rate | 12.0% | 51.5% | +39.5% | P13 | ~$4.2M |
| Commercial Payer % | 35.4% | 61.9% | +26.4% | P28 | ~$2.8M |
| Occupancy Rate | 12.0% | 38.4% | +26.4% | P18 | ~$2.8M |
| Net-to-Gross Ratio | 50.2% | 66.9% | +16.6% | P31 | ~$1.8M |
Top Size-Matched Peers
10–36 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| AVERA FLANDREAU HOSPITAL (Target) | SD | 18 | $10.7M | 13.8% | 61% |
| 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% |
| 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% |
| WENATCHEE VALLEY HOSPITAL | WA | 11 | $277.5M | -4.9% | 47% |
| TAHOE FOREST HOSPITAL | CA | 25 | $264.3M | 13.0% | 34% |
| PORTERVILLE DEVELOPMENTAL CENT | CA | 17 | $193.6M | -6.0% | 14% |
| CUYUNA REGIONAL MEDICAL CENTER | MN | 25 | $180.8M | -4.0% | 30% |