How many hospitals are in South Dakota?

There are 108 Medicare-certified hospitals in South Dakota that file HCRIS cost reports, with 4,030 total beds and 112,987 annual discharges.

What is the largest hospital in South Dakota?

By total revenue, the largest hospital in South Dakota is Avera Mckennan in Sioux Falls, reporting $1.71B in total revenue (FY2025).

▸ HCRIS · SD

Hospitals in South Dakota

All 108 Medicare-certified hospitals in South Dakota, ranked by revenue (largest first) — with charity care, discharge volume, and operating margin. Sourced from HCRIS cost reports; refreshed quarterly. See which U.S. hospitals are operating at a loss →

108

HOSPITALS

4,030

TOTAL BEDS

112,987

DISCHARGES / YR

$6.6B

REVENUE COVERED

$0M

CHARITY CARE

ASCs

5,834

PROVIDERS

DISTRESS FLAGS

01 — BY REVENUE

Largest by total revenue

1.	Avera Mckennan Sioux Falls	$1.71B
2.	Sanford Usd Medical Center Sioux Falls	$1.46B
3.	Monument Health Rapid City Hospital Rapid City	$830.1M
4.	Avera St. Lukes Aberdeen	$198.1M
5.	Avera Heart Hospital Of South Dakota Sioux Falls	$194.5M
6.	Prairie Lakes Health Care Center Watertown	$162.4M
7.	Sioux Falls Specialty Hospital Sioux Falls	$153.8M
8.	Avera Sacred Heart Hospital Yankton	$138.0M
9.	Avera Queen Of Peace Mitchell	$129.2M
10.	Hcris Filer 431340 Mitchell	$127.5M

02 — BY VOLUME

Highest discharge volume

1.	Avera Mckennan Sioux Falls	27,168
2.	Sanford Usd Medical Center Sioux Falls	25,930
3.	Monument Health Rapid City Hospital Rapid City	19,140
4.	Avera Heart Hospital Of South Dakota Sioux Falls	3,059
5.	Avera Sacred Heart Hospital Yankton	2,925
6.	Avera St. Lukes Aberdeen	2,778
7.	Prairie Lakes Health Care Center Watertown	2,390
8.	Avera Queen Of Peace Mitchell	1,769
9.	Hcris Filer 431340 Mitchell	1,750
10.	Sanford Aberdeen Medical Center Aberdeen	1,598

03 — BY CHARITY CARE

Most charity care provided

1.	SANFORD USD MEDICAL CENTER SIOUX FALLS	$66.2M
2.	AVERA MCKENNAN SIOUX FALLS	$64.0M
3.	HCRIS Filer 431340 MITCHELL	$25.5M
4.	MONUMENT HEALTH RAPID CITY HOSPITAL RAPID CITY	$8.8M
5.	AVERA ST. LUKES ABERDEEN	$4.8M
6.	SANFORD ABERDEEN MEDICAL CENTER ABERDEEN	$4.3M
7.	AVERA HEART HOSPITAL OF SOUTH DAKOTA SIOUX FALLS	$4.3M
8.	AVERA SACRED HEART HOSPITAL YANKTON	$3.0M
9.	AVERA ST MARYS PIERRE	$3.0M
10.	SANFORD MEDICAL CENTER VERMILLION VERMILLION	$2.1M

04 — STRONGEST MARGINS

Most profitable (>$50M rev)

1.	Siouxland Surgery Center Dakota Dunes	35.2%
2.	Avera Sacred Heart Hospital Yankton	27.6%
3.	Sioux Falls Specialty Hospital Sioux Falls	25.3%
4.	Brookings Health System Brookings	20.9%
5.	Black Hills Surgical Hospital Llp Rapid City	20.3%

05 — DISTRESSED

Operating losses (>$50M rev)

1.	Sanford Aberdeen Medical Center Aberdeen	-11.1%
2.	Avera Queen Of Peace Mitchell	-3.5%
3.	Avera St. Lukes Aberdeen	-2.5%
4.	Huron Regional Medical Center Huron	-1.5%
5.	Monument Health Spearfish Hospital Spearfish	0.8%

▸ ALL HOSPITALS IN SD

Every Medicare-certified hospital in South Dakota

Sorted by bed count, largest first. 108 hospitals total.

CCN	Hospital	City	Type	Beds
430016	Avera Mckennan	Sioux Falls	Acute Care Hospitals	563
430027	Sanford Usd Medical Center	Sioux Falls	Acute Care Hospitals	452
430077	Monument Health Rapid City Hospital	Rapid City	Acute Care Hospitals	416
430005	Prairie Lakes Health Care Center	Watertown	Acute Care Hospitals	81
434003	South Dakota Human Services Center	Yankton	Psychiatric	68
430011	Huron Regional Medical Center	Huron	—	61
434004	Charter Bhs Of Sioux Falls	Sioux Falls	—	60
430095	Avera Heart Hospital Of South Dakota	Sioux Falls	Acute Care Hospitals	53
430013	Avera Queen Of Peace	Mitchell	—	50
430014	Avera St. Lukes	Aberdeen	Acute Care Hospitals	50
430007	Madison Community Hospital	Madison	—	49
430008	Brookings Health System	Brookings	Acute Care Hospitals	49
430040	Mobridge Regional Hospital	Mobridge	—	48
430097	Sanford Aberdeen Medical Center	Aberdeen	Acute Care Hospitals	48
430081	Pine Ridge Hospital	Pine Ridge	2	45
430098	Pine Ridge Hospital	Pine Ridge	Acute Care Hospitals	45
430012	Avera Sacred Heart Hospital	Yankton	Acute Care Hospitals	42
430043	Winner Regional Healthcare Center	Winner	—	40
433027	Encompass Health Rehabilitation Hosp	Sioux Falls	—	40
430022	Marshall County Healthcare Center	Britton	—	38
430089	Siouxland Surgery Center	Dakota Dunes	Acute Care Hospitals	38
430015	Avera St Marys	Pierre	Acute Care Hospitals	36
430018	Mid-Dakota Hospital	Chamberlain	—	36
430010	St. Bernard S Hospital	Milbank	—	35
430034	Redfield Community Memorial Hospital	Redfield	—	35
430084	Usphs Hospital - Rosebud	Rosebud	Acute Care Hospitals	35
430090	Sioux Falls Specialty Hospital	Sioux Falls	Acute Care Hospitals	33
430038	Lake Area Hospital	Webster	—	32
430064	Coteau Des Prairies	Sisseton	—	31
430087	Community Memorial Hospital	Burke	—	31
430028	Sturgis Communtiy Health Care Center	Sturgis	—	30
430029	Sioux Valley Vermillion	Vermillion	—	30
430031	Hand County Memorial Hospital	Miller	—	30
433026	Intensiva Hospital Of Sioux Falls	Sioux Falls	—	30
430036	Freeman Community Hosp & Nh	Freeman	—	26
430047	Avera Gregory Healthcare Center	Gregory	—	26
430054	Canton Inwood Memorial Hospital	Canton	—	26
430033	Avera St. Benedict Health Center	Parkston	—	25
430037	St. Michael S Hospital Inc.	Tyndall	—	25
430049	Wagner Community Memorial Hospital	Wagner	—	25
430073	Landmann-Jungman Mem Hospital	Scotland	—	25
430091	Black Hills Surgical Hospital Llp	Rapid City	Acute Care Hospitals	25
431311	Sanford Hospital Webster	Webster	Critical Access Hospitals	25
431313	Freeman Regional Health Services	Freeman	Critical Access Hospitals	25
431316	Community Memorial Hospital	Redfield	Critical Access Hospitals	25
431321	Monument Health Sturgis Regional	Sturgis	Critical Access Hospitals	25
431322	Fall River Hospital	Hot Springs	Critical Access Hospitals	25
431325	Mobridge Regional Hospital	Mobridge	Critical Access Hospitals	25
431326	Milbank Area Hospital/Avera Health	Milbank	Critical Access Hospitals	25
431327	St. Michaels Hospital Inc.	Tyndall	Critical Access Hospitals	25
431329	Sanford Chamberlain Medical Center	Chamberlain	Critical Access Hospitals	25
431330	Avera St. Benedict Health Center	Parkston	Critical Access Hospitals	25
431334	Winner Regional Healthcare Center	Winner	Critical Access Hospitals	25
431335	Huron Regional Medical Center	Huron	Critical Access Hospitals	25
431336	Sanford Medical Center Vermillion	Vermillion	Critical Access Hospitals	25
431337	Avera Hand County Memorial Hospital	Miller	Critical Access Hospitals	25
431339	Coteau Des Prairies	Sisseton	Critical Access Hospitals	25
431340	Hcris Filer 431340	Mitchell	—	25
430066	Avera Weskota Memorial Medical Cente	Wessington Springs	—	24
432002	Ssh - Sioux Falls Inc	Sioux Falls	—	24
431331	Avera Dells Area Hospital	Dell Rapids	Critical Access Hospitals	23
430060	Holy Infant Hospital	Hoven	—	22
431300	Madison Regional Health System	Madison	Critical Access Hospitals	22
430004	Northern Hills General Hospital	Deadwood	—	21
430048	Monument Health Spearfish Hospital	Spearfish	Acute Care Hospitals	20
430056	Hans P. Peterson Hospital & Nursing	Philip	—	20
430076	Bennett County Healthcare Center	Martin	—	20
430079	Bowdle Hospital And Nursing Home	Bowdle	—	20
431312	Marshall County Healthcare Center	Britton	Critical Access Hospitals	20
431317	Landmann-Jungman Memorial Hospital	Scotland	—	20
430023	Dells Area Health Ctr/Avera Healt	Dell Rapids	—	18
430041	Flandreau Hospital	Flandreau	—	18
430099	Hcris Filer 430099	Rapid City	—	18
431310	Avera Flandreau Hospital	Flandreau	Critical Access Hospitals	18
431319	Philip Health Services Inc	Philip	Critical Access Hospitals	18
431320	Monument Health Lead-Deadwood Hospit	Deadwood	Critical Access Hospitals	18
430024	Desmet Memorial Hospital	Desmet	—	17
431306	Platte Health Center Inc.	Platte	Critical Access Hospitals	17
430065	Deuel County Memorial Hospital	Clear Lake	—	16
431309	Community Memorial Hospital	Burke	Critical Access Hospitals	16
431324	Avera Weskota Memorial Medical Cente	Wessington Springs	Critical Access Hospitals	16
430092	Dakota Plains Surgical Center Llp	Aberdeen	2	15
431315	Wagner Community Memorial Hospital	Wagner	Critical Access Hospitals	15
431314	Bennett County Hospital	Martin	Critical Access Hospitals	14
431338	Avera Gregory Hospital	Gregory	Critical Access Hospitals	13
430044	Southern Hills General Hosp	Hot Springs	—	12
430057	Pioneer Memorial Hospital And Health	Viborg	—	12
431301	Faulkton Area Medical Center	Faulkton	Critical Access Hospitals	12
431318	Bowdle Hospital	Bowdle	Critical Access Hospitals	12
431323	Monument Health Custer Hospital	Custer	Critical Access Hospitals	12
431328	Pioneer Memorial Hospital And Health	Viborg	Critical Access Hospitals	12
430051	Custer Community Hospital	Custer	—	11
431305	Douglas County Memorial Hospital	Armour	Critical Access Hospitals	11
431333	Sanford Medical Center Canton	Canton	Critical Access Hospitals	11
430096	Lewis And Specialty Hospital	Yankton	2	10
431307	Sanford Medical Center Clear Lake	Clear Lake	Critical Access Hospitals	10
430083	Phs Hospital - Eagle Butte	Eagle Butte	—	8
431302	Avera Gettysburg Hospital	Gettysburg	Critical Access Hospitals	7
430093	Same Day Surgery Center	Rapid City	Acute Care Hospitals	6
431332	De Smet Memorial Hospital	De Smet	Critical Access Hospitals	6
430094	Spearfish Regional Surgery Center	Spearfish	1	4
431303	Five Counties Hospital	Lemmon	—	4
431308	Eureka Community Health Services	Eureka	Critical Access Hospitals	4
430032	Watertown Memrial Care Unit	Watertown	—	—
430082	Sioux San Hospital	Rapid City	—	—
430085	Phs Ind Hosp Sess	Sisseton	—	—
431383	Phs Hospital - Eagle Butte	Eagle Butte	—	—
433300	Lifescape	Sioux Falls	Childrens	—

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