Competitive Intelligence — DE SMET MEMORIAL HOSPITAL
CCN 431332 | SD | 6 beds | Nat'l margin P93 | 15 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$8.3M
Net Revenue
20.3%
Margin (P93)
6
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=114) | SD Size-Matched (n=7) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $8.3M | P6 | P9 | P20 | P14 | ▲ higher |
| Operating Margin | 20.3% | P93 | P95 | P94 | P100 | ▲ higher |
| Bed Count | 6 | P0 | P2 | P0 | P0 | ▶ neutral |
| Revenue per Bed | $1.4M | P58 | P63 | P50 | P86 | ▲ higher |
| Occupancy Rate | 15.9% | P10 | P28 | P28 | P14 | ▲ higher |
| Net-to-Gross Ratio | 52.2% | P77 | P51 | P49 | P14 | ▲ higher |
| Expense per Bed | $1.1M | P45 | P44 | P27 | P57 | ▼ lower |
| Medicare Day % | 74.5% | P96 | P70 | P82 | P57 | ▶ neutral |
| Medicaid Day % | 0.0% | P0 | P0 | P0 | P0 | ▶ neutral |
| Commercial Payer % | 25.5% | P7 | P39 | P21 | P43 | ▲ higher |
| Payer Diversity Index | 0.380 | P23 | P32 | P25 | P43 | ▲ higher |
| Total Patient Days | 349 | P2 | P7 | P10 | P0 | ▲ 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 | $8.3M | $26.6M | +$18.3M | P20 | ~$11.0M |
| Net Patient Revenue | $8.3M | $12.9M | +$4.6M | P14 | ~$2.8M |
| Revenue per Bed | $1.4M | $2.5M | +$1.2M | P50 | ~$696K |
| Expense per Bed | $1.1M | $1.2M | -$153K | P57 | ~$92K |
| Expense per Bed | $1.1M | $2.7M | -$20K | P27 | ~$12K |
| Total Patient Days | 349 | 1,571 | +1,222 | P10 | — |
| Total Patient Days | 349 | 1,258 | +908 | P0 | — |
| Commercial Payer % | 25.5% | 59.8% | +34.3% | P21 | ~$2.9M |
| Occupancy Rate | 15.9% | 38.0% | +22.0% | P28 | ~$1.8M |
| Net-to-Gross Ratio | 52.2% | 72.7% | +20.5% | P14 | ~$1.7M |
Top Size-Matched Peers
10–12 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| DE SMET MEMORIAL HOSPITAL (Target) | SD | 6 | $8.3M | 20.3% | 74% |
| WENATCHEE VALLEY HOSPITAL | WA | 11 | $277.5M | -4.9% | 47% |
| FRANCISCAN HEALTH HAMMOND | IN | 10 | $117.7M | -4.3% | 39% |
| OCONTO HOSPITAL & MEDICAL CENT | WI | 10 | $80.4M | 1.1% | 40% |
| SUMMIT PACIFIC MEDICAL CENTER | WA | 10 | $73.6M | 9.1% | 71% |
| PHYSICIANS MEDICAL CENTER | IN | 10 | $60.0M | 24.9% | 23% |
| SAMUEL SIMMONDS MEMORIAL HOSPI | AK | 10 | $57.8M | -50.0% | 40% |
| INSTITUTE FOR ORTHOPAEDIC SURG | OH | 12 | $55.6M | 39.5% | 51% |
| JOYCE EISENBERG KEEFER MEDICAL | CA | 10 | $52.9M | 18.8% | 6% |
| HERITAGE PARK SURGICAL HOSPITA | TX | 12 | $52.5M | 19.2% | 38% |
| PARK PLACE SURGERY CENTER | LA | 10 | $51.6M | 15.4% | 17% |