Hospitals in South Dakota
Overview of hospital infrastructure, major medical centers, and healthcare resources in South Dakota (SD).
Total Hospitals
52
Total Beds
3,900
Beds per 1,000 Pop.
4.4
Trauma Centers
2
Major Hospitals in South Dakota
The largest and highest-rated hospitals in South Dakota, based on CMS Hospital Compare data and AHA statistics.
| Hospital | City | Type | Beds | CMS Stars |
|---|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | Teaching | 545 | ★★★★★ |
| Avera McKennan Hospital | Sioux Falls | General | 545 | ★★★★☆ |
| Monument Health Rapid City Hospital | Rapid City | General | 369 | ★★★★☆ |
| Avera Sacred Heart Hospital | Yankton | General | 160 | ★★★☆☆ |
Health Systems in South Dakota
Major hospital systems and healthcare networks operating in South Dakota.
Hospital Infrastructure in South Dakota
South Dakota's 52 hospitals serve 886,000 residents across a large, predominantly rural state. Sanford Health and Avera Health are the two dominant health systems, with both headquartered in Sioux Falls and competing for market share across the state and region. Sanford USD Medical Center is the state's largest hospital and a Level II trauma center, affiliated with the University of South Dakota Sanford School of Medicine. The state has one of the highest ratios of hospital beds per capita in the nation, reflecting its extensive critical access hospital network. Indian Health Service operates hospitals and clinics on the Pine Ridge, Rosebud, and other reservations, though these facilities face chronic underfunding and staffing challenges. Healthcare access on reservations remains a significant concern, with some of the worst health outcomes in the nation. Monument Health serves the Black Hills region from Rapid City. South Dakota's lack of a state income tax and rural character create unique challenges in healthcare workforce recruitment. The state has invested in telemedicine to connect rural patients with specialists in Sioux Falls and other urban centers.
Hospital data sourced from the Centers for Medicare & Medicaid Services (CMS), the American Hospital Association (AHA), and publicly available Medicare provider data.