South Dakota Hospital Margin Gap(2024)
This state view compares hospital operating margins reported through CMS HCRIS cost reports. The table separates the highest and lowest finite operating margins in the latest reconciled issuance period, while the summary reports the state median because extreme self-reported values can distort an average. A distress flag means an operating margin below negative five percent under the published hospital-margin methodology; it is not a rating of care quality, solvency, or future performance. Missing values stay missing, and the page withholds live figures when its paginated row read does not reconcile with the period count. Use the CCN to return to the federal source record, review the methodology before comparing states, and treat every figure as a dated public-record observation rather than a current financial statement.
Highest Operating Margin
| CCN | Hospital | Op Margin | vs National |
|---|---|---|---|
| 430089 | SIOUXLAND SURGERY CENTER | +34.8% | +48.6% |
| 430090 | SIOUX FALLS SPECIALTY HOSPITAL | +27.0% | +40.8% |
| 430093 | SAME DAY SURGERY CENTER | +26.7% | +40.5% |
| 430091 | BLACK HILLS SURGICAL HOSPITAL LLP | +18.3% | +32.2% |
| 431324 | AVERA WESKOTA MEMORIAL MEDICAL CENTE | +16.4% | +30.3% |
| 431330 | AVERA ST. BENEDICT HEALTH CENTER | +13.7% | +27.6% |
| 430008 | BROOKINGS HEALTH SYSTEM | +13.4% | +27.2% |
| 431332 | DE SMET MEMORIAL HOSPITAL | +12.3% | +26.1% |
| 431336 | SANFORD MEDICAL CENTER VERMILLION | +11.4% | +25.2% |
| 431311 | SANFORD HOSPITAL WEBSTER | +10.4% | +24.3% |
Lowest Operating Margin
| CCN | Hospital | Op Margin | Distress |
|---|---|---|---|
| 430099 | REHAB & CRITICAL CARE HOSPITAL OF BL | -60.6% | Distress |
| 431317 | LANDMANN-JUNGMAN MEMORIAL HOSPITAL | -30.8% | Distress |
| 431334 | WINNER REGIONAL HEALTHCARE CENTER | -29.1% | Distress |
| 431327 | ST. MICHAELS HOSPITAL INC. | -22.4% | Distress |
| 431338 | AVERA GREGORY HOSPITAL | -18.1% | Distress |
| 431335 | HURON REGIONAL MEDICAL CENTER | -15.9% | Distress |
| 430077 | MONUMENT HEALTH RAPID CITY HOSPITAL | -15.6% | Distress |
| 431318 | BOWDLE HOSPITAL | -15.2% | Distress |
| 430097 | SANFORD ABERDEEN MEDICAL CENTER | -12.2% | Distress |
| 431316 | COMMUNITY MEMORIAL HOSPITAL | -12.0% | Distress |
Fonteum does not independently rate or rank hospitals. This index reflects CMS-published self-reported financial data from HCRIS form 2552-10. Data is public domain per 17 U.S.C. § 105.