Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
4500 W 69TH ST, SIOUX FALLS, SD 57108
Phone
(605) 977-7000
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
5 /5
CMS Overall Rating
p89
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 4 of 7 measures reported
4
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 2 of 8 measures reported
1
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 5 of 11 measures reported
1
4
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 7 of 12 measures reported
7 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital does not have excess readmissions triggering HRRP penalties.
Acute Myocardial Infarction (Heart Attack) 642 discharges
0.8368 p0
Heart Failure 226 discharges
0.8659 p2
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery 275 discharges
0.9416 p27
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is above the national median, suggesting a positive payment adjustment.

39.0 p77
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
6.7 p62
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Person & Community Engagement 25% weight
32.3 p99
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Not Penalized
Worst ERR: 0.9416
Value-Based Purchasing
39.0 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: -0.7320

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE
Hybrid_HWM 4.20 No Different Than the National Rate 842
MORT_30_AMI 12.00 No Different Than the National Rate 529
MORT_30_CABG 3.40 No Different Than the National Rate 284
MORT_30_COPD Number of Cases Too Small
MORT_30_HF 11.20 No Different Than the National Rate 192
MORT_30_PN Number of Cases Too Small
MORT_30_STK Number of Cases Too Small
PSI_03 0.36 No Different Than the National Rate 1,389
PSI_04 172.41 No Different Than the National Rate 35
PSI_06 0.20 No Different Than the National Rate 2,049
PSI_08 0.25 No Different Than the National Rate 2,553
PSI_09 2.65 No Different Than the National Rate 1,355
PSI_10 1.68 No Different Than the National Rate 865
PSI_11 9.32 No Different Than the National Rate 803
PSI_12 3.34 No Different Than the National Rate 1,560
PSI_13 5.67 No Different Than the National Rate 860
PSI_14 Number of Cases Too Small
PSI_15 1.31 No Different Than the National Rate 153
PSI_90 0.93 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 88%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 1%
H_COMP_1_U_P: Nurses "usually" communicated well 11%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 5
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 94%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 1%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 5%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 88%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 1%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 11%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 83%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 2%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 15%
H_COMP_2_A_P: Doctors "always" communicated well 85%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 3%
H_COMP_2_U_P: Doctors "usually" communicated well 12%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 91%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 7%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 85%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 2%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 13%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 80%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 4%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 16%
H_COMP_5_A_P: Staff "always" explained 69%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 12%
H_COMP_5_U_P: Staff "usually" explained 19%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 4
H_MED_FOR_A_P: Staff "always" explained new medications 83%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 4%
H_MED_FOR_U_P: Staff "usually" explained new medications 13%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 55%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 21%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 24%
H_COMP_6_N_P: No, staff "did not" give patients this information 9%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 91%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 5
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 11%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 89%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 6%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 94%
H_CLEAN_HSP_A_P: Room was "always" clean 84%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 5%
H_CLEAN_HSP_U_P: Room was "usually" clean 11%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 5
H_QUIET_HSP_A_P: "Always" quiet at night 70%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 4%
H_QUIET_HSP_U_P: "Usually" quiet at night 26%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 3%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 8%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 89%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 5
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 1%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 91%
H_RECMND_PY: "YES", patients would probably recommend the hospital 8%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 5
H_STAR_RATING: Summary star rating 5

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER
HAI_1_CIUPPER
HAI_1_DOPC
HAI_1_ELIGCASES
HAI_1_NUMERATOR
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC
HAI_2_ELIGCASES
HAI_2_NUMERATOR
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC
HAI_3_ELIGCASES
HAI_3_NUMERATOR
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 11852.000
HAI_5_ELIGCASES 0.451
HAI_5_NUMERATOR 2.000
HAI_5_SIR
HAI_6_CILOWER 0.010 Better than the National Benchmark
HAI_6_CIUPPER 0.988 Better than the National Benchmark
HAI_6_DOPC 11852.000 Better than the National Benchmark
HAI_6_ELIGCASES 4.992 Better than the National Benchmark
HAI_6_NUMERATOR 1.000 Better than the National Benchmark
HAI_6_SIR 0.200 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV low Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 77.0 Healthcare Personnel Vaccination
OP_18a 115.0 Emergency Department
OP_18b 112.0 Emergency Department
OP_18c Emergency Department
OP_18d 290.0 Emergency Department
OP_22 0.0 Emergency Department
OP_23 Emergency Department
OP_29 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 9.0 Electronic Clinical Quality Measure
SEP_1 Sepsis Care
SEP_SH_3HR Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR Sepsis Care
SEV_SEP_6HR Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 3.70 Average Days per 100 Discharges
EDAC_30_HF -25.80 Fewer Days Than Average per 100 Discharges
EDAC_30_PN Number of Cases Too Small
Hybrid_HWR 13.80 No Different Than the National Rate
OP_32
OP_35_ADM
OP_35_ED
OP_36 1.00 No Different than expected
READM_30_AMI 12.50 No Different Than the National Rate
READM_30_CABG 10.50 No Different Than the National Rate
READM_30_COPD Number of Cases Too Small
READM_30_HF 18.20 No Different Than the National Rate
READM_30_HIP_KNEE
READM_30_PN Number of Cases Too Small

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.02

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

Download CSV

Show 78 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.18 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.42 metrics.current_ratio
Cost Report Employees per Bed 9.51 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $37,382,400 metrics.fund_balance
Cost Report Net Income ($) $12,590,328 metrics.net_income
Cost Report Net Patient Revenue ($) $166,625,346 metrics.net_patient_revenue
Cost Report Operating Margin (%) 4.2% metrics.operating_margin
Cost Report Total Assets ($) $96,540,183 metrics.total_assets
Cost Report Total Costs ($) $125,551,731 metrics.total_costs
Cost Report Total Liabilities ($) $59,157,783 metrics.total_liabilities
Cost Report Total Margin (%) 7.3% metrics.total_margin
Cost Report Uncompensated Care (%) 0.9% metrics.uncompensated_care_pct
General Information Address 4500 W 69TH ST Address
General Information City/Town SIOUX FALLS City/Town
General Information Count of Facility MORT Measures 4 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 5 Count of Facility READM Measures
General Information Count of Facility Safety Measures 2 Count of Facility Safety Measures
General Information Count of Facility TE Measures 7 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 4 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 1 Count of READM Measures Better
General Information Count of READM Measures No Different 4 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 1 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish LINCOLN County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 430095 Facility ID
General Information Facility Name AVERA HEART HOSPITAL OF SOUTH DAKOTA Facility Name
General Information Hospital overall rating 5 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Proprietary Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State SD State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (605) 977-7000 Telephone Number
General Information ZIP Code 57108 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cdi — sir 0.10 measures.cdi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.73 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 1.02 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.84 0.9995 p0 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 11.3% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 642 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 52 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 9.5% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.94 1.0000 p27 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 9.5% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 275 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 23 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 8.9% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.87 0.9983 p2 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 17.3% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 226 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 24 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 15.0% READM-30-HF-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 6.67 5.00 p62 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 32.33 8.75 p99 person_community_score
Value-Based Purchasing Total Performance Score 39.00 29.50 p77 total_performance_score
Methodology

Full methodology →