By state
South Dakota
Records on the registerunder 250250–9991,000–1,9992,000–3,9994,000 and over
South Dakota is marked. Open any other state for its own records and figures.
- 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
Charity care as a share of net patient revenue (CMS-2552-10 worksheet S100001 line 2300 column 300 ÷ worksheet G300000 line 300 column 100)
Middle half between 0.4% and 1.0%, median 0.7%, across 45 hospitals with cost reports ending 2024–2025.
Uncompensated care
Uncompensated care as a share of net patient revenue (CMS-2552-10 worksheet S100001 line 3000 column 100 ÷ worksheet G300000 line 300 column 100)
Middle half between 1.3% and 3.4%, median 2.1%, across 45 hospitals with cost reports ending 2024–2025.
Left after the cost of care
Income from serving patients as a share of net patient revenue (CMS-2552-10 worksheet G300000 line 500 column 100 ÷ line 300 column 100)
Middle half between -9.6% and 2.4%, median -3.6%, across 45 hospitals with cost reports ending 2024–2025.
Contract pharmacies
Contract pharmacies registered to dispense on the hospital’s behalf (counted on the HRSA 340B register; no denominator)
Middle half between 2 and 14, median 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 |
By what kind of record
Every kind of record the register carries in South Dakota, and how many of each. The label is HRSA’s own expansion of the type code the register files the record under.
- Critical access hospital 111
- HRSA-funded health center 50
- Disproportionate share hospital 280
- Family planning (Title X) 17
- Sole community hospital 24
- Sexually transmitted disease clinic 12
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.
Cite this page
Velarion Records, “340B records in South Dakota”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261020_093124.xlsx, stamped by its publisher October 20, 2026. https://velarionrecords.com/browse/state/SD. Accessed October 21, 2026.
Alerts, reports and the data license
Change alerts
from $99/month
One email a day naming what moved on the records you follow — the field, the value before, the value after, and the report that first showed it. Follow one record, one system, one state, or the whole register.
Hospital report
$295
The citable document for one hospital: its 340B record and contract pharmacies year by year, every figure of its filed cost report with the worksheet and line each came from, its filing history, and five hospitals of its own size in its own state beside it.
Data license
$25,000/year
The register as a file, refreshed daily, with every value that has changed since the daily reading began and the report that first showed it. The country, or a license to redistribute.
Get an email when a record in South Dakota changes
One email a day naming what moved on every covered entity in South Dakota, whatever its type: the field, the value before, the value after, and the date of the file that first showed it.
On October 1, 2026, Participating changed from FALSE to TRUE. That is one line of the daily email.
Sanford USD Medical Center · SIOUX FALLS, SD
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261020_093124.xlsx, stamped by its publisher October 20, 2026, and the hospital figures from the Medicare cost reports those hospitals filed. How these figures are defined →