# Hospitals in South Dakota · Financial Profiles

State rollup · SD · Hospitals  
Page: https://astrelis.co/hospitals/state/sd  
This twin: https://astrelis.co/hospitals/state/sd.md  
Release: 2321a4fc37a7 (2026-10-22)

South Dakota has 57 current hospitals on file (plus 1 historical record, listed and labeled below): 39 critical access hospitals, 14 urban PPS hospitals, 3 rural PPS hospitals, 1 psychiatric hospital. The critical access hospital median operating margin is +1.1% (n=39); The urban PPS hospital median operating margin is +8.8% (n=14). Each median is computed only within its own hospital type, never across types.

## Counts

- Current hospitals: 57
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 1
- Records listed: 58

## Medians

- **Critical Access Hospital median operating margin:** +1.1%. Basis: n = 38 values, each facility at its own latest settled fiscal year (FY2025); 39 current facilities in the cohort. Astrelis calculation.
- **Urban PPS hospital median operating margin:** +8.8%. Basis: n = 12 values, each facility at its own latest settled fiscal year (FY2025); 14 current facilities in the cohort. Astrelis calculation.
- **Rural PPS hospital median operating margin:** no median (3 current facilities in the cohort, 3 with an eligible margin value; a cohort median needs 8). Basis: count only (3 current facilities in the cohort; 3 with an eligible margin value). Astrelis calculation.
- **Psychiatric hospital median operating margin:** no median (1 current facility in the cohort, 1 with an eligible margin value; a cohort median needs 8). Basis: count only (1 current facility in the cohort; 1 with an eligible margin value). Astrelis calculation.

Medians are computed within one hospital type only; a cohort with fewer than 8 in-state filers shows a count, not a median. Each value is the facility's own latest settled fiscal year, eligibility-gated, from the clean-room panel; historical records are excluded.

## Facilities (58 records: 57 current, 1 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | Type | City | Ownership | Latest FY | Operating revenue | Operating margin | Days cash |
|---|---|---|---|---:|---:|---:|---:|
| [AVERA DE SMET MEMORIAL HOSPITAL - CAH](https://astrelis.co/hospitals/431332) ([twin](https://astrelis.co/hospitals/431332.md)) | Critical Access Hospital | De Smet | Voluntary non-profit - Private | 2025 | $9.1M | +12.4% | 0d |
| [AVERA DELLS AREA HOSPITAL - CAH](https://astrelis.co/hospitals/431331) ([twin](https://astrelis.co/hospitals/431331.md)) | Critical Access Hospital | Dell Rapids | Voluntary non-profit - Private | 2025 | $16.5M | +17.2% | 665d |
| [AVERA FLANDREAU HOSPITAL - CAH](https://astrelis.co/hospitals/431310) ([twin](https://astrelis.co/hospitals/431310.md)) | Critical Access Hospital | Flandreau | Voluntary non-profit - Private | 2025 | $10.1M | +1.5% | 1385d |
| [AVERA GREGORY HOSPITAL](https://astrelis.co/hospitals/431338) ([twin](https://astrelis.co/hospitals/431338.md)) | Critical Access Hospital | Gregory | Voluntary non-profit - Private | 2025 | $25.5M | -7.5% | 30d |
| [AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC](https://astrelis.co/hospitals/431337) ([twin](https://astrelis.co/hospitals/431337.md)) | Critical Access Hospital | Miller | Voluntary non-profit - Private | 2025 | $12.3M | +6.2% | 799d |
| [AVERA HEART HOSPITAL OF SOUTH DAKOTA](https://astrelis.co/hospitals/430095) ([twin](https://astrelis.co/hospitals/430095.md)) | Urban PPS hospital | Sioux Falls | Proprietary | 2025 | $195.0M | +6.5% | 29d |
| [AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER](https://astrelis.co/hospitals/430016) ([twin](https://astrelis.co/hospitals/430016.md)) | Urban PPS hospital | Sioux Falls | Voluntary non-profit - Private | 2025 | $1.72B | -6.7% | 151d |
| [AVERA MISSOURI RIVER HEALTH CENTER](https://astrelis.co/hospitals/431302) ([twin](https://astrelis.co/hospitals/431302.md)) | Critical Access Hospital | Gettysburg | Voluntary non-profit - Private | 2025 | $14.4M | +3.5% | 945d |
| [AVERA QUEEN OF PEACE](https://astrelis.co/hospitals/431340) ([twin](https://astrelis.co/hospitals/431340.md)) | Critical Access Hospital | Mitchell | Voluntary non-profit - Private | 2025 | $138.2M | +0.1% | 337d |
| [AVERA SACRED HEART HOSPITAL](https://astrelis.co/hospitals/430012) ([twin](https://astrelis.co/hospitals/430012.md)) | Urban PPS hospital | Yankton | Voluntary non-profit - Private | 2025 | $138.4M | -0.6% | 1045d |
| [AVERA ST BENEDICT HEALTH CENTER - CAH](https://astrelis.co/hospitals/431330) ([twin](https://astrelis.co/hospitals/431330.md)) | Critical Access Hospital | Parkston | Voluntary non-profit - Private | 2025 | $31.4M | +15.2% | 1271d |
| [AVERA ST LUKES](https://astrelis.co/hospitals/430014) ([twin](https://astrelis.co/hospitals/430014.md)) | Rural PPS hospital | Aberdeen | Voluntary non-profit - Church | 2025 | $201.2M | -4.9% | 24d |
| [AVERA ST MARY'S HOSPITAL](https://astrelis.co/hospitals/430015) ([twin](https://astrelis.co/hospitals/430015.md)) | Urban PPS hospital | Pierre | Voluntary non-profit - Private | 2025 | $124.9M | -7.2% | 36d |
| [AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH](https://astrelis.co/hospitals/431324) ([twin](https://astrelis.co/hospitals/431324.md)) | Critical Access Hospital | Wessington Springs | Voluntary non-profit - Private | 2025 | $5.7M | +17.2% | 0d |
| [BENNETT COUNTY HOSPITAL AND NURSING HOME - CAH](https://astrelis.co/hospitals/431314) ([twin](https://astrelis.co/hospitals/431314.md)) | Critical Access Hospital | Martin | Voluntary non-profit - Private | 2025 | $12.1M | +14.2% | 222d |
| [BLACK HILLS SURGICAL HOSPITAL LLC](https://astrelis.co/hospitals/430091) ([twin](https://astrelis.co/hospitals/430091.md)) | Urban PPS hospital | Rapid City | Proprietary | 2025 | $112.1M | +16.1% | 22d |
| [BOWDLE HOSPITAL - CAH](https://astrelis.co/hospitals/431318) ([twin](https://astrelis.co/hospitals/431318.md)) | Critical Access Hospital | Bowdle | Government - Local | 2025 | $11.3M | -2.5% | 115d |
| [BROOKINGS HEALTH SYSTEM](https://astrelis.co/hospitals/430008) ([twin](https://astrelis.co/hospitals/430008.md)) | Rural PPS hospital | Brookings | Government - Local | 2025 | $91.8M | +14.5% | 371d |
| [COMMUNITY MEMORIAL HOSPITAL](https://astrelis.co/hospitals/431309) ([twin](https://astrelis.co/hospitals/431309.md)) | Critical Access Hospital | Burke | Voluntary non-profit - Private | 2025 | $8.4M | -3.1% | 498d |
| [COMMUNITY MEMORIAL HOSPITAL](https://astrelis.co/hospitals/431316) ([twin](https://astrelis.co/hospitals/431316.md)) | Critical Access Hospital | Redfield | Government - Local | 2025 | $20.5M | +3.4% | 169d |
| [COTEAU DES PRAIRIES HEALTH CARE SYSTEM](https://astrelis.co/hospitals/431339) ([twin](https://astrelis.co/hospitals/431339.md)) | Critical Access Hospital | Sisseton | Voluntary non-profit - Private | 2025 | $20.2M | -11.2% | 152d |
| [DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH](https://astrelis.co/hospitals/431305) ([twin](https://astrelis.co/hospitals/431305.md)) | Critical Access Hospital | Armour | Voluntary non-profit - Private | 2025 | $12.7M | +1.1% | 339d |
| [DUNES SURGICAL HOSPITAL](https://astrelis.co/hospitals/430089) ([twin](https://astrelis.co/hospitals/430089.md)) | Urban PPS hospital | Dakota Dunes | Proprietary | 2025 | $111.8M | +36.6% | 41d |
| [EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL](https://astrelis.co/hospitals/431383) ([twin](https://astrelis.co/hospitals/431383.md)) | Critical Access Hospital | Eagle Butte | Government - Federal | 2025 | Not reported in source | Astrelis calculation unavailable | Astrelis calculation unavailable |
| [EUREKA COMMUNITY HEALTH SERVICES - CAH](https://astrelis.co/hospitals/431308) ([twin](https://astrelis.co/hospitals/431308.md)) | Critical Access Hospital | Eureka | Voluntary non-profit - Other | 2025 | $5.5M | -7.4% | 205d |
| [FALL RIVER HOSPITAL - CAH](https://astrelis.co/hospitals/431322) ([twin](https://astrelis.co/hospitals/431322.md)) | Critical Access Hospital | Hot Springs | Government - Local | 2025 | $32.2M | -1.5% | 235d |
| [FAULKTON AREA MEDICAL CENTER](https://astrelis.co/hospitals/431301) ([twin](https://astrelis.co/hospitals/431301.md)) | Critical Access Hospital | Faulkton | Voluntary non-profit - Private | 2025 | $12.5M | +0.9% | 123d |
| [FREEMAN MEDICAL CENTER - CAH](https://astrelis.co/hospitals/431313) ([twin](https://astrelis.co/hospitals/431313.md)) | Critical Access Hospital | Freeman | Voluntary non-profit - Private | 2025 | $18.0M | -0.7% | 396d |
| [HANS P PETERSON MEMORIAL HOSPITAL - CAH](https://astrelis.co/hospitals/431319) ([twin](https://astrelis.co/hospitals/431319.md)) | Critical Access Hospital | Philip | Voluntary non-profit - Private | 2025 | $17.9M | -10.0% | 161d |
| [HURON REGIONAL MEDICAL CENTER](https://astrelis.co/hospitals/431335) ([twin](https://astrelis.co/hospitals/431335.md)) | Critical Access Hospital | Huron | Voluntary non-profit - Private | 2025 | $50.4M | -15.4% | 435d |
| [LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH](https://astrelis.co/hospitals/431317) ([twin](https://astrelis.co/hospitals/431317.md)) · historical, now 430779 | Critical Access Hospital | Bon Homme | Voluntary non-profit - Private | 2025 | $7.5M | -2.8% | 48d |
| [MADISON REGIONAL HEALTH SYSTEM](https://astrelis.co/hospitals/431300) ([twin](https://astrelis.co/hospitals/431300.md)) | Critical Access Hospital | Madison | Voluntary non-profit - Private | 2025 | $34.9M | -6.1% | 273d |
| [MARSHALL COUNTY HEALTHCARE CENTER - CAH](https://astrelis.co/hospitals/431312) ([twin](https://astrelis.co/hospitals/431312.md)) | Critical Access Hospital | Britton | Voluntary non-profit - Private | 2025 | $13.0M | -0.5% | 182d |
| [MILBANK AREA HOSPITAL/AVERA HEALTH](https://astrelis.co/hospitals/431326) ([twin](https://astrelis.co/hospitals/431326.md)) | Critical Access Hospital | Milbank | Voluntary non-profit - Private | 2025 | $26.9M | +7.4% | 323d |
| [MOBRIDGE REGIONAL HOSPITAL - CAH](https://astrelis.co/hospitals/431325) ([twin](https://astrelis.co/hospitals/431325.md)) | Critical Access Hospital | Mobridge | Voluntary non-profit - Private | 2025 | $32.9M | -9.6% | 87d |
| [MONUMENT HEALTH CUSTER HOSPITAL](https://astrelis.co/hospitals/431323) ([twin](https://astrelis.co/hospitals/431323.md)) | Critical Access Hospital | Custer | Voluntary non-profit - Private | 2025 | $31.3M | 0.0% | 0d |
| [MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL](https://astrelis.co/hospitals/431320) ([twin](https://astrelis.co/hospitals/431320.md)) | Critical Access Hospital | Deadwood | Voluntary non-profit - Private | 2025 | $19.4M | -3.0% | 7d |
| [MONUMENT HEALTH RAPID CITY HOSPITAL](https://astrelis.co/hospitals/430077) ([twin](https://astrelis.co/hospitals/430077.md)) | Urban PPS hospital | Rapid City | Voluntary non-profit - Private | 2025 | $846.8M | -13.3% | 265d |
| [MONUMENT HEALTH SPEARFISH HOSPITAL](https://astrelis.co/hospitals/430048) ([twin](https://astrelis.co/hospitals/430048.md)) | Urban PPS hospital | Spearfish | Voluntary non-profit - Private | 2025 | $121.5M | +0.7% | 1d |
| [MONUMENT HEALTH STURGIS HOSPITAL](https://astrelis.co/hospitals/431321) ([twin](https://astrelis.co/hospitals/431321.md)) | Critical Access Hospital | Sturgis | Voluntary non-profit - Other | 2025 | $40.7M | +2.5% | 2d |
| [PHS INDIAN HOSPITAL AT ROSEBUD](https://astrelis.co/hospitals/430084) ([twin](https://astrelis.co/hospitals/430084.md)) | Urban PPS hospital | Rosebud | Government - Federal | 2025 | Not reported in source | Astrelis calculation unavailable | Astrelis calculation unavailable |
| [PINE RIDGE IHS HOSPITAL](https://astrelis.co/hospitals/430098) ([twin](https://astrelis.co/hospitals/430098.md)) | Urban PPS hospital | Pine Ridge | Government - Federal | 2025 | Not reported in source | Astrelis calculation unavailable | Astrelis calculation unavailable |
| [PIONEER MEMORIAL HOSPITAL - CAH](https://astrelis.co/hospitals/431328) ([twin](https://astrelis.co/hospitals/431328.md)) | Critical Access Hospital | Viborg | Voluntary non-profit - Private | 2025 | $14.5M | +3.8% | 100d |
| [PLATTE HEALTH CENTER](https://astrelis.co/hospitals/431306) ([twin](https://astrelis.co/hospitals/431306.md)) | Critical Access Hospital | Platte | Voluntary non-profit - Private | 2025 | $20.6M | +12.9% | 415d |
| [PRAIRIE LAKES HEALTHCARE SYSTEM, INC](https://astrelis.co/hospitals/430005) ([twin](https://astrelis.co/hospitals/430005.md)) | Urban PPS hospital | Watertown | Voluntary non-profit - Private | 2025 | $201.7M | +16.5% | 242d |
| [SAME DAY SURGERY CENTER LLC](https://astrelis.co/hospitals/430093) ([twin](https://astrelis.co/hospitals/430093.md)) | Urban PPS hospital | Rapid City | Proprietary | 2025 | $18.7M | +26.9% | 45d |
| [SANFORD CANTON-INWOOD MEDICAL CENTER - CAH](https://astrelis.co/hospitals/431333) ([twin](https://astrelis.co/hospitals/431333.md)) | Critical Access Hospital | Canton | Voluntary non-profit - Private | 2025 | $17.6M | +16.7% | 0d |
| [SANFORD CHAMBERLAIN MEDICAL CENTER](https://astrelis.co/hospitals/431329) ([twin](https://astrelis.co/hospitals/431329.md)) | Critical Access Hospital | Chamberlain | Voluntary non-profit - Private | 2025 | $29.5M | +1.1% | 12d |
| [SANFORD CLEAR LAKE MEDICAL CENTER](https://astrelis.co/hospitals/431307) ([twin](https://astrelis.co/hospitals/431307.md)) | Critical Access Hospital | Clear Lake | Voluntary non-profit - Private | 2025 | $9.3M | +17.1% | 0d |
| [SANFORD HOSPITAL WEBSTER - CAH](https://astrelis.co/hospitals/431311) ([twin](https://astrelis.co/hospitals/431311.md)) | Critical Access Hospital | Webster | Voluntary non-profit - Private | 2025 | $13.7M | +14.4% | 0d |
| [SANFORD MEDICAL CENTER ABERDEEN](https://astrelis.co/hospitals/430097) ([twin](https://astrelis.co/hospitals/430097.md)) | Rural PPS hospital | Aberdeen | Voluntary non-profit - Private | 2025 | $81.1M | -12.0% | 0d |
| [SANFORD USD MEDICAL CENTER](https://astrelis.co/hospitals/430027) ([twin](https://astrelis.co/hospitals/430027.md)) | Urban PPS hospital | Sioux Falls | Voluntary non-profit - Private | 2025 | $1.81B | +11.0% | 1d |
| [SANFORD VERMILLION MEDICAL CENTER](https://astrelis.co/hospitals/431336) ([twin](https://astrelis.co/hospitals/431336.md)) | Critical Access Hospital | Vermillion | Voluntary non-profit - Private | 2025 | $39.5M | +14.7% | 0d |
| [SIOUX FALLS SPECIALTY HOSPITAL](https://astrelis.co/hospitals/430090) ([twin](https://astrelis.co/hospitals/430090.md)) | Urban PPS hospital | Sioux Falls | Proprietary | 2025 | $149.1M | +21.8% | 19d |
| [SOUTH DAKOTA HUMAN SERVICES CENTER](https://astrelis.co/hospitals/434003) ([twin](https://astrelis.co/hospitals/434003.md)) | Psychiatric hospital | Yankton | Government - State | 2025 | $70.7M | +6.1% | 15d |
| [ST MICHAEL'S HOSPITAL - CAH](https://astrelis.co/hospitals/431327) ([twin](https://astrelis.co/hospitals/431327.md)) | Critical Access Hospital | Tyndall | Government - Local | 2025 | $12.3M | -20.2% | 539d |
| [WAGNER COMMUNITY MEMORIAL HOSPITAL - CAH](https://astrelis.co/hospitals/431315) ([twin](https://astrelis.co/hospitals/431315.md)) | Critical Access Hospital | Wagner | Voluntary non-profit - Private | 2025 | $21.3M | +9.4% | 220d |
| [WINNER REGIONAL HEALTHCARE CENTER - CAH](https://astrelis.co/hospitals/431334) ([twin](https://astrelis.co/hospitals/431334.md)) | Critical Access Hospital | Winner | Voluntary non-profit - Private | 2025 | $25.8M | -7.6% | 25d |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Hospitals in South Dakota · Financial Profiles", https://astrelis.co/hospitals/state/sd, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.