Market Analysis — BROOKINGS HEALTH SYSTEM
SD market | 63 hospitals | HHI: nan (Competitive)
🛡️ Public data only — no PHI permitted on this instance.
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63
Hospitals in Market
2,885
Total Beds
$5.6B
Market Revenue
Competitive
HHI: nan
None
Moat Rating (3/10)
#15
Market Share Rank
Competitive Moat (Mauboussin Framework)
Based on "Measuring the Moat" adapted for healthcare. Score 0-10: wide (8+), narrow (5-7), none (<5).
Scale Advantagemoderate
Switching Costslow
Market Share1.4%
Top 3 Concentration58.6%
Network Density2.18
Margin vs Market+7.7%
Bed Util vs Market-35.4%
What This Means
This hospital has a none moat — no moat — commoditized market position, pricing power limited. The SD market is competitive — many players, value creation must come from operations not market power (HHI: nan).
Implications: Operational improvements are the primary value driver — see the EBITDA bridge. Compare against peers via comparables or see the full SD market.
Top Competitors
| Hospital | Beds | Revenue | Rev Share | Bed Share |
|---|---|---|---|---|
| AVERA MCKENNAN | 547 | $1,341M | 24.1% | 19.0% |
| SANFORD USD MEDICAL CENTER | 452 | $1,214M | 21.8% | 15.7% |
| MONUMENT HEALTH RAPID CITY HOSPITAL | 385 | $707M | 12.7% | 13.3% |
| AVERA ST. LUKES | 50 | $211M | 3.8% | 1.7% |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA | 53 | $139M | 2.5% | 1.8% |
| SIOUX FALLS SPECIALTY HOSPITAL | 33 | $139M | 2.5% | 1.1% |
| AVERA QUEEN OF PEACE | 50 | $129M | 2.3% | 1.7% |
| PRAIRIE LAKES HEALTH CARE CENTER | 69 | $124M | 2.2% | 2.4% |
| AVERA SACRED HEART HOSPITAL | 42 | $123M | 2.2% | 1.5% |
| AVERA QUEEN OF PEACE | 25 | $123M | 2.2% | 0.9% |
Regional Payer Mix
■ Medicare 59%■ Medicaid 10%■ Commercial 31%