Ranked list
The 10 largest hospitals in Iowa by net patient revenue
The same ranking for Iowa hospitals.
Ranked listRefreshed monthly
The 10 largest hospitals in South Dakota by net patient revenue
Avera McKennan Hospital & University Health Center has the most net patient revenue of any hospital in South Dakota, $1.71 billion, followed by Sanford USD Medical Center in Sioux Falls ($1.44B) and Monument Health Rapid City Hospital in Rapid City ($830.1M). Together the 10 leaders account for $5.08 billion in net patient revenue in seven cities.
- Avera McKennan Hospital & University Health Center$1.71B563beds
- Sanford USD Medical Center$1.44B450beds
- Monument Health Rapid City Hospital$830.1M416beds
- Avera St. Luke's Hospital$198.1M50beds
- Avera Heart Hospital$194.5M53beds
- Sanford Health Watertown$162.4M81beds
- Sioux Falls Specialty Hospital$154.7M33beds
- Avera Sacred Heart Hospital$138M42beds
- Avera Queen of Peace Hospital$126.5M25beds
- Avera St. Mary's Hospital$124.6M36beds
The 10 highest of 58 South Dakota hospitals that report net patient revenue. Ranks compare size, not quality of care.
Every hospital in South DakotaThe 10 top South Dakota hospitals hold 79% of all net patient revenue
58 South Dakota hospitals report net patient revenue, $6.45 billion in all. The 10 on this list hold $5.08 billion of it. The median hospital has $20.5 million in net patient revenue, so Avera McKennan Hospital & University Health Center is about 83 times that size.
- of all net patient revenue at South Dakota hospitals that report them
- 79%
- the size of the median South Dakota hospital, which has $20.5 million in net patient revenue
- 83×
- of the 58 South Dakota hospitals that report net patient revenue
- 17%
How we ranked the top South Dakota hospitals
- Measure
- Net patient revenue from each hospital's latest Medicare cost report.
- What counts as a hospital
- One CMS certification number. A hospital with several campuses under one number counts once.
- Field
- 58 South Dakota hospitals in the Dmand AI database report net patient revenue.
- Ties
- Hospitals with the same number share a rank.
- What a rank means
- Size only. A rank compares net patient revenue; it says nothing about quality of care.
- Refresh
- Monthly. Updated Oct 28, 2026.
FAQ
Questions about the top South Dakota hospitals
Answers from the same data, updated monthly.
Which South Dakota hospital has the most net patient revenue?
Avera McKennan Hospital & University Health Center in Sioux Falls, with $1.71 billion in net patient revenue. Sanford USD Medical Center is second with $1.44B.
What are the top 10 South Dakota hospitals by net patient revenue?
Avera McKennan Hospital & University Health Center ($1.71B), Sanford USD Medical Center ($1.44B), Monument Health Rapid City Hospital ($830.1M), Avera St. Luke's Hospital ($198.1M), Avera Heart Hospital ($194.5M), Sanford Health Watertown ($162.4M), Sioux Falls Specialty Hospital ($154.7M), Avera Sacred Heart Hospital ($138M), Avera Queen of Peace Hospital ($126.5M), Avera St. Mary's Hospital ($124.6M).
How many net patient revenue does a typical South Dakota hospital have?
The median South Dakota hospital that reports net patient revenue has $20.5 million in net patient revenue, out of 58 that report them.
How often is this list updated?
Every month, when the Dmand AI database refreshes. This version is from Oct 28, 2026.
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The 10 largest hospitals in the US by net patient revenue
The national ranking by net patient revenue.
Insight
EHR market share in South Dakota
MEDITECH runs 40% of South Dakota hospitals with an EHR on file.
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