By state
South Dakota
- 500RecordsOne 340B identifier each, not one hospital.
- 376ParticipatingRecords the latest file shows as taking part today.
- 56.0%Disproportionate share hospitalsHospitals serving a large share of low-income patients, as a share of this state’s records.
- 38Records with locations beneath themA hospital registers its clinics and departments separately; this counts the records those are registered under.
280 of 500 records in South Dakota are registered as disproportionate share hospitals, and 38 parent records hold locations registered beneath them.
How South Dakota compares with itself
Distributions across the hospitals in South Dakota that file a Medicare cost report: the middle half, the midpoint, and the range the tenth to the ninetieth covers. No hospital is ranked. The same figures nationally →
Charity care
Middle half between 0.4% and 1.0%, midpoint 0.7%, across 45 hospitals with cost reports ending 2024–2025.
Uncompensated care
Middle half between 1.3% and 3.4%, midpoint 2.1%, across 45 hospitals with cost reports ending 2024–2025.
Left after the cost of care
Middle half between -9.6% and 2.4%, midpoint -3.6%, across 45 hospitals with cost reports ending 2024–2025.
Contract pharmacies
Middle half between 2 and 14, midpoint 6, across 45 hospitals with cost reports ending 2024–2025.
The register over time
Records entering 340B, by year
When the records now on the register in South Dakota first joined.
1992–2026. 2026: 27 so far — the file is dated inside this year, so this column is not a full one.
Records with a termination date, by year
Records whose registration ends, counted by the year it ends.
2016–2026. 2026: 8 so far — the file is dated inside this year, so this column is not a full one.
Contract-pharmacy arrangements beginning, by year
Each arrangement counted in the year the register says it began.
2001–2026. 2026: 163 so far — the file is dated inside this year, so this column is not a full one.
Hospitals in South Dakota that file a cost report
| Hospital ↑↓ | City ↑↓ | Type ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Charity care, share of patient revenue ↑↓ | Uncompensated care, same basis ↑↓ | Left after the cost of care ↑↓ | Year ended |
|---|---|---|---|---|---|---|---|---|
| AVERA DE SMET MEMORIAL HOSPITAL | DE SMET | CAH | 6 | $9,051,899 | 0.8% | 2.0% | 12.3% | 2025-06-30 |
| Avera Gettysburg dba Avera Missouri River Health Center | GETTYSBURG | CAH | 7 | $14,233,634 | 0.4% | 1.2% | 2.4% | 2025-06-30 |
| AVERA MCKENNAN | SIOUX FALLS | DSH | 563 | $1,708,179,427 | 1.0% | 1.3% | -7.6% | 2025-06-30 |
| Avera McKennan DBA Avera Dells Area Hospital | Dell Rapids | CAH | 23 | $14,502,855 | 0.4% | 0.6% | 5.8% | 2025-06-30 |
| Avera McKennan DBA Avera Flandreau Hospital | FLANDREAU | CAH | 18 | $10,000,918 | 2.3% | 3.3% | 0.5% | 2025-06-30 |
| Avera McKennan dba Avera Gregory Hospital | Gregory | CAH | 13 | $23,219,628 | 0.8% | 1.6% | -18.1% | 2025-06-30 |
| AVERA MCKENNAN DBA AVERA HAND COUNTY MEMORIAL HOSPITAL | MILLER | CAH | 25 | $12,206,771 | 0.6% | 0.9% | 5.1% | 2025-06-30 |
| Avera McKennan dba Milbank Area Hospital Avera | MILBANK | CAH | 25 | $22,785,788 | 0.7% | 1.1% | -9.4% | 2025-06-30 |
| AVERA QUEEN OF PEACE | Mitchell | CAH | 25 | $126,466,048 | 1.2% | 2.0% | -9.1% | 2025-06-30 |
| AVERA SACRED HEART HOSPITAL | YANKTON | SCH | 42 | $138,043,706 | 0.7% | 1.1% | -0.9% | 2025-06-30 |
| Avera St. Benedict Health Center | PARKSTON | CAH | 25 | $30,843,316 | 0.2% | 0.6% | 13.7% | 2025-06-30 |
| AVERA ST. MARY'S | PIERRE | DSH | 36 | $124,560,403 | 0.7% | 1.3% | -7.4% | 2025-06-30 |
| AVERA WESKOTA MEMORIAL MEDICAL CENTER | WESSINGTON SPRINGS | CAH | 16 | $5,656,815 | 0.8% | 1.1% | 16.4% | 2025-06-30 |
| BENNETT COUNTY HOSPITAL | MARTIN | CAH | 14 | $9,880,249 | 0.8% | 12.5% | -9.6% | 2024-12-31 |
| BOWDLE HOSPITAL | BOWDLE | CAH | 12 | $10,059,158 | 0.1% | 1.4% | -15.2% | 2025-06-30 |
| Community Memorial Hospital | Redfield | CAH | 25 | $16,776,444 | 0.7% | 4.7% | -12.0% | 2024-12-31 |
| Community Memorial Hospital, Inc | Burke | CAH | 16 | $7,393,413 | 0.2% | 1.3% | -10.4% | 2024-12-31 |
| Coteau des Prairies | Sisseton | CAH | 25 | $21,278,913 | 0.0% | 2.1% | -5.8% | 2024-12-31 |
| DOUGLAS COUNTY MEMORIAL HOSPITAL | ARMOUR | CAH | 11 | $12,726,567 | 0.8% | 3.3% | 1.1% | 2025-05-31 |
| EUREKA COMMUNITY HEALTH SERVICES AVERA | EUREKA | CAH | 4 | $5,369,401 | 2.1% | 2.3% | -10.4% | 2025-06-30 |
| FALL RIVER HEALTH SERVICES | HOT SPRINGS | CAH | 25 | $31,021,458 | 0.4% | 3.1% | -3.4% | 2024-12-31 |
| Faulkton Area Medical Center | Faulkton | CAH | 12 | $11,369,292 | 0.9% | 1.9% | -7.2% | 2024-12-31 |
| FREEMAN REGIONAL HEALTH SERVICES | FREEMAN | CAH | 25 | $17,082,621 | 0.7% | 1.2% | -4.6% | 2024-12-31 |
| Hans P Peterson Memorial Hospital | Philip | CAH | 18 | $18,624,932 | 0.3% | 0.9% | -4.7% | 2024-12-31 |
| HURON REGIONAL MEDICAL CENTER | HURON | CAH | 25 | $50,223,842 | 0.2% | 3.0% | -15.9% | 2025-06-30 |
| Landmann-Jungman Memorial Hospital | Scotland | CAH | 20 | $5,894,433 | 0.1% | 7.8% | -30.8% | 2025-06-30 |
| MADISON COMMUNITY HOSPITAL | MADISON | CAH | 22 | $34,845,432 | 0.4% | 3.4% | -6.4% | 2025-06-30 |
| MARSHALL COUNTY MEMORIAL HOSPITAL | BRITTON | CAH | 20 | $11,746,730 | 0.1% | 2.0% | -10.8% | 2025-06-30 |
| Mobridge Regional Hospital | Mobridge | CAH | 25 | $28,650,532 | 0.3% | 3.4% | -6.9% | 2024-09-30 |
| MONUMENT HEALTH CUSTER HOSPITAL | CUSTER | CAH | 12 | $31,120,701 | 0.4% | 2.0% | -0.5% | 2025-06-30 |
| MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL | DEADWOOD | CAH | 18 | $19,246,464 | 0.9% | 4.2% | -3.6% | 2025-06-30 |
| Monument Health Rapid City Hospital | RAPID CITY | DSH | 416 | $830,101,200 | 0.4% | 2.5% | -15.6% | 2025-06-30 |
| MONUMENT HEALTH STURGIS HOSPITAL | STURGIS | CAH | 25 | $40,547,796 | 0.5% | 2.5% | 2.2% | 2025-06-30 |
| Pioneer Memorial Hospital & Health Services | Viborg | CAH | 12 | $12,924,656 | 0.2% | 2.1% | 1.7% | 2024-12-31 |
| Platte Community Memorial Hospital, Inc. | Platte | CAH | 17 | $19,943,939 | 0.1% | 0.5% | 10.0% | 2025-06-30 |
| SANFORD CANTON-INWOOD MEDICAL CENTER | CANTON | CAH | 11 | $15,592,182 | 6.7% | 9.1% | 10.2% | 2024-12-31 |
| SANFORD HEALTH NETWORK DBA SANFORD CHAMBERLAIN MEDICAL CENTER | CHAMBERLAIN | CAH | 25 | $27,885,857 | 5.7% | 8.3% | -0.7% | 2024-12-31 |
| SANFORD HEALTH NETWORK DBA SANFORD MEDICAL CENTER CLEAR LAKE | CLEAR LAKE | CAH | 10 | $7,997,475 | 6.1% | 8.3% | 7.2% | 2024-12-31 |
| SANFORD HOSPITAL WEBSTER | WEBSTER | CAH | 25 | $12,243,960 | 3.6% | 6.4% | 10.4% | 2024-12-31 |
| Sanford USD Medical Center | Sioux Falls | DSH | 452 | $1,463,758,284 | 1.5% | 2.2% | -0.5% | 2024-12-31 |
| SANFORD VERMILLION MEDICAL CENTER | VERMILLION | CAH | 25 | $36,348,441 | 5.0% | 7.0% | 11.4% | 2024-12-31 |
| SPEARFISH REGIONAL HOSPITAL | SPEARFISH | DSH | 20 | $120,698,311 | 0.4% | 1.5% | -0.0% | 2025-06-30 |
| St. Michael's Hospital, Inc. | Tyndall | CAH | 25 | $12,061,405 | 1.3% | 1.8% | -22.4% | 2025-06-30 |
| WAGNER COMMUNITY MEMORIAL HOSPITAL | WAGNER | CAH | 15 | $20,502,850 | 1.9% | 3.9% | 5.7% | 2025-06-30 |
| Winner Regional Healthcare Center | Winner | CAH | 25 | $24,767,285 | 0.4% | 4.8% | -29.1% | 2024-12-31 |
Records
A record is one 340B identifier, not one hospital: a hospital registers its outpatient clinics and departments separately, so a single system can hold dozens of records here.