State AI Adoption Leaderboard

Top AI-ready companies in South Dakota — 291 ranked

Ranked leaderboard of 291 South Dakota companies by Meo AI adoption score. Updated 2026-05-14.

291

Companies Scored

Avg Adoption Score

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Which 291 ranked companies lead in AI adoption?

What is the average AI adoption score in 291 ranked?
Who are the top AI adopters headquartered in 291 ranked?

#	Company	Stage	Key Opportunity	Industry	Marketing audit
1	Deerequipment	Advanced		Retail	Free audit →
2	docutap	Moderate	Leverage AI to automate clinical documentation and coding within its EHR platform, reducing physician burnout and improving revenue cycle management.	Healthcare IT & Practice Management Software	Free audit →
3	Five Star Call Centers	Moderate		Telecommunications	Free audit →
4	CNOS	Moderate	Automated Prior Authorization Processing	Hospital And Health Care	Free audit →
5	gpac	Moderate	Integrate AI-driven predictive analytics and automated data cleansing into the core platform to help clients unlock real-time insights and reduce manual data preparation efforts.	Computer software	Free audit →
6	Ketel Thorstenson	Moderate	Automated Tax Document Ingestion and Categorization	Accounting	Free audit →
7	malloy wind	Moderate	Leverage generative AI to automate code generation and accelerate software development cycles, reducing project delivery times and costs.	IT Services & Consulting	Free audit →
8	BHSH	Basic		Hospital And Health Care	Free audit →
9	Brinkred	Basic		Utilities	Free audit →
10	NDSCS	Basic		Higher Education	Free audit →
11	Black Hills Orthopedic & Spine	Basic	Automated Accounts Payable Invoice Processing	Accounting	Free audit →
12	brinks web solutions	Basic	Leverage generative AI to automate content creation and personalize ad campaigns at scale, reducing production time and improving ROI for clients.	Marketing & Advertising	Free audit →
13	dakota state university	Basic	Leverage AI to personalize student success pathways and automate administrative workflows, enhancing DSU's niche as a tech-forward institution while improving retention and operational efficiency.	Higher education	Free audit →
14	first insight corporation	Basic	Leverage generative AI to automate the creation of predictive product-testing reports and personalized buying recommendations, turning raw consumer data into instant, actionable merchant guidance.	Enterprise Software & Analytics	Free audit →
15	good samaritan	Basic	Implement AI-driven predictive analytics for patient fall prevention and staff scheduling optimization across its 200+ locations.	Senior living & care	Free audit →
16	Guardsman	Basic		Furniture	Free audit →
17	keller williams realty sioux falls	Basic	Deploy AI-powered lead scoring and automated personalized marketing to convert more buyer/seller leads and improve agent productivity.	Real estate brokerage	Free audit →
18	lawrence & schiller teleservices	Basic	Deploy conversational AI agents to handle routine customer inquiries, reducing average handle time by 30-40% and freeing agents for high-value interactions.	Contact Centers & Teleservices	Free audit →
19	Neighborhood Dental	Basic	Automated Patient Appointment Scheduling and Reminders	Hospital And Health Care	Free audit →
20	net global markets	Basic	Deploy AI-driven algorithmic trading and personalized advisory to boost client returns and automate compliance.	Securities Brokerage	Free audit →
21	Orthopedic Institute	Basic	Automated Patient Intake and Pre-registration	Medical Practice	Free audit →
22	riverside technologies, inc. (rti)	Basic	Implement AI-driven predictive maintenance and automated incident response to reduce downtime and improve service delivery efficiency for managed IT clients.	IT Services & Consulting	Free audit →
23	sanford research	Basic	Leverage AI to accelerate translational research by automating data extraction from electronic health records and integrating multi-omics data for biomarker discovery.	Biomedical Research	Free audit →
24	vervent	Basic	Deploy AI-driven underwriting models to expand credit access for thin-file consumers while reducing default rates, directly boosting portfolio profitability.	Financial Services	Free audit →
25	Casey Peterson	Basic	Automated Client Data Ingestion and Validation	Accounting	Free audit →
26	Expansion Capital Group	Basic	Automated Underwriting Document Verification	Financial Services	Free audit →
27	Furniture Mart USA	Basic		Furniture	Free audit →
28	Great Plains Tribal Health	Basic	Automated Patient Intake and Registration	Health, Wellness And Fitness	Free audit →
29	North Central Heart	Basic	Automated Patient Appointment Scheduling and Reminders	Medical Practice	Free audit →
30	Rapid City Medical Center	Basic	AI-Powered Patient Scheduling and Appointment Management	Hospital And Health Care	Free audit →
31	Vance Thompson Vision	Basic	Automated Prior Authorization Processing	Hospital And Health Care	Free audit →
32	Central Payments	Basic	Automated Customer Inquiry Triage and Routing	Financial Services	Free audit →
33	Dow Rummel Village	Basic		Hospitality	Free audit →
34	ELO CPAs & Advisors	Basic	Automated Data Entry and Categorization for Tax Filings	Accounting	Free audit →
35	Fnbsf	Basic		Banking	Free audit →
36	Harms Oil	Basic		Transportation Trucking Railroad	Free audit →
37	Prime Physicians	Basic	Automated Prior Authorization Processing	Hospital And Health Care	Free audit →
38	Wireless World	Basic		Telecommunications	Free audit →
39	ALARIS Group Inc. is now Paradigm	Basic	Automated Prior Authorization Processing	Hospital And Health Care	Free audit →
40	angus palm	Basic	AI-powered predictive maintenance and quality control on assembly lines can dramatically reduce unplanned downtime and defect rates, directly boosting output and profitability.	Automotive manufacturing	Free audit →
41	avera health	Basic	Implementing AI-powered predictive analytics for patient readmission and clinical deterioration to improve outcomes and reduce financial penalties in value-based care models.	Health systems & hospitals	Free audit →
42	avera mckennan hospital & university health center	Basic	AI-powered predictive analytics for patient deterioration and readmission risk can significantly improve clinical outcomes and reduce financial penalties in this large academic health system.	Health systems & hospitals	Free audit →
43	avera pace	Basic	AI-powered predictive analytics can proactively identify PACE participants at highest risk for hospital readmission or functional decline, enabling timely, targeted clinical interventions to improve outcomes and reduce costly acute care utilization.	Senior healthcare & home services	Free audit →
44	Bankeasy	Basic		Banking	Free audit →
45	beijing zhongke vitiligo hospital	Basic	Implementing AI-powered diagnostic imaging and personalized treatment planning for vitiligo can improve accuracy, patient outcomes, and operational efficiency.	Health systems & hospitals	Free audit →
46	Black Hills Surgical Hospital	Basic	Automated Prior Authorization Processing	Hospital And Health Care	Free audit →
47	Children's Care Hospital and School	Basic	Automated Patient Intake and Registration	Hospital And Health Care	Free audit →
48	health quest, inc.	Basic	Deploy AI-powered clinical decision support and operational analytics to enhance patient outcomes, reduce readmissions, and streamline resource allocation.	Health systems & hospitals	Free audit →
49	iberia services private limited	Basic	AI can dramatically accelerate enterprise software development and testing cycles, enabling Iberia to deliver higher-quality, more secure custom applications faster and at lower cost.	Custom software development & IT services	Free audit →
50	iconcept contact solutions	Basic	Deploy AI-driven automation for data entry, reconciliation, and customer inquiry handling to reduce manual effort and improve accuracy.	Accounting & Tax Services	Free audit →
51	KAJ Hospitality	Basic		Hospitality	Free audit →
52	lantis enterprises, inc	Basic	AI-powered analysis of client operations and market data can automate insights generation, enabling consultants to deliver faster, deeper strategic recommendations and freeing up capacity for higher-value advisory work.	Management consulting	Free audit →
53	max muscle nutrition	Basic	AI can personalize supplement recommendations and shopping experiences at scale, boosting customer lifetime value and retention in a competitive market.	Specialty health & wellness retail	Free audit →
54	metabank	Basic	Deploying AI-powered fraud detection and underwriting models can significantly reduce operational losses and improve credit decision speed and accuracy.	Financial services & banking	Free audit →
55	monument health	Basic	AI-powered predictive analytics for patient readmission risk and operational bottlenecks can significantly reduce costs and improve care coordination across their regional network.	Health systems & hospitals	Free audit →
56	pathward	Basic	Implementing AI-powered fraud detection and anti-money laundering (AML) systems can significantly reduce false positives, lower operational costs, and enhance regulatory compliance in real-time.	Financial services & banking	Free audit →
57	penikmat kopi	Basic	AI-powered predictive maintenance and process optimization can significantly reduce unplanned downtime, improve yield, and enhance safety in batch chemical production.	Specialty chemicals manufacturing	Free audit →
58	plains commerce bank	Basic	Deploy AI-powered fraud detection and personalized customer engagement to enhance digital banking services and operational efficiency.	Banking	Free audit →
59	poet	Basic	AI-driven predictive modeling can optimize fermentation processes and feedstock selection to dramatically increase biofuel yield and reduce production costs.	Biotechnology & Biofuels	Free audit →
60	profile plan	Basic	Leverage AI to hyper-personalize wellness plans by analyzing client health data, behavior patterns, and goals, boosting engagement and outcomes.	Health, Wellness & Fitness Services	Free audit →
61	raven europe	Basic	Deploying computer vision AI on field sensors and machinery to autonomously diagnose crop health issues and prescribe variable-rate treatments in real-time.	Precision agriculture & farming technology	Free audit →
62	raven industries	Basic	AI-powered predictive analytics for optimizing variable-rate seeding, fertilizer, and irrigation prescriptions based on soil, weather, and crop imagery data.	Agricultural machinery manufacturing	Free audit →
63	renew	Basic	Implementing AI-driven predictive maintenance for wind turbines using sensor data to reduce downtime and optimize repair schedules.	Renewable Energy Maintenance	Free audit →
64	respec	Basic	AI can automate the analysis of client operations data to generate predictive insights and personalized strategic recommendations, dramatically increasing consultant productivity and client value.	Management consulting	Free audit →
65	rosenbauer america	Basic	Implementing AI-driven predictive maintenance for fire apparatus fleets can drastically reduce unplanned downtime and extend vehicle lifespan, ensuring critical emergency vehicles are always mission-ready.	Firefighting & emergency vehicle manufacturing	Free audit →
66	sanford health	Basic	AI-powered predictive analytics can optimize patient flow, reduce readmissions, and personalize treatment plans across Sanford's vast network, directly improving outcomes and operational efficiency.	Health systems & hospitals	Free audit →
67	sanford health innovations	Basic	Implementing predictive analytics for patient readmission and operational bottlenecks would optimize resource allocation and improve care quality across its vast network.	Health systems & hospitals	Free audit →
68	sonifi solutions, inc.	Basic	AI can personalize in-room entertainment and service recommendations, dynamically adjusting content and offers based on guest behavior and preferences to boost engagement and ancillary revenue.	Hospitality technology & connectivity	Free audit →
69	South Dakota Trust Company	Basic	Automated Client Onboarding and KYC Verification	Banking	Free audit →
70	sterling	Basic	Leverage AI to automate procurement workflows, enhance service desk efficiency, and deliver predictive analytics for government clients, driving margin growth and competitive differentiation.	IT Solutions & Services	Free audit →
71	total card visa	Basic	AI-powered dynamic credit line management and fraud detection can significantly reduce risk and increase approval rates for thin-file customers.	Consumer financial services	Free audit →
72	tyson fresh meats, inc.	Basic	AI-powered predictive analytics can optimize livestock procurement, processing yields, and supply chain logistics to significantly reduce costs and waste in a low-margin industry.	Meat processing & production	Free audit →
73	tyson fresh meats team	Basic	AI-powered predictive analytics can optimize the entire meat processing supply chain, from livestock procurement to distribution, reducing waste and maximizing yield.	Meat & protein production	Free audit →
74	Windsor Mortgage	Basic	Automated Loan Application Pre-qualification and Data Gathering	Financial Services	Free audit →
75	wurth elektronik	Basic	AI-powered predictive maintenance and yield optimization in component manufacturing can drastically reduce scrap, unplanned downtime, and quality costs.	Electronic components & manufacturing	Free audit →
76	Cancer Care Institute	Basic	Automated Appointment Scheduling and Reminders for Oncology Patients	Hospital And Health Care	Free audit →
77	DT-Trak Consulting	Basic	Automated Prior Authorization Processing	Hospital And Health Care	Free audit →
78	Fischer Rounds & Associates	Basic	Automated Claims Processing and Adjudication	Insurance	Free audit →
79	Dakota Performance Solutions	Basic		Outsourcing Offshoring	Free audit →
80	Dakota Sioux Casino	Basic		Facilities And Services	Free audit →
81	GreatLIFE	Basic		Health Wellness And Fitness	Free audit →
82	SANFORD WORLD CLINICS	Basic	Automated Patient Appointment Scheduling and Reminders	Hospital And Health Care	Free audit →
83	SINTE GLESKA UNIVERSITY	Basic		Libraries	Free audit →
84	SONIFI Health	Basic	Automated Patient Communication and Education Agent	Hospital And Health Care	Free audit →
85	Sunchase American	Basic		Real Estate	Free audit →
86	Yankton Medical Clinic P.C	Basic	Automated Patient Appointment Scheduling and Reminders	Hospital And Health Care	Free audit →
87	1st financial bank usa	Basic	Deploy an AI-powered customer intelligence platform to unify transaction data and predict next-best-product offers, boosting cross-sell revenue while reducing churn in a 201-500 employee community bank.	Banking & Financial Services	Free audit →
88	aerostar (aerostar international llc)	Basic	Leverage computer vision on persistent surveillance aerostat feeds to automate threat detection and reduce operator cognitive load, enabling real-time alerting for defense and border security customers.	Defense & Space	Free audit →
89	alaris group inc. is now paradigm	Basic	Deploy AI-driven predictive analytics to optimize clinician scheduling and reduce hospital readmissions, directly improving patient outcomes and lowering costs under value-based care contracts.	Home Health Care Services	Free audit →
90	Avera Cancer Institute	Basic	AI-powered clinical documentation and summarization	Hospital And Health Care	Free audit →
91	capital services	Basic	Deploy AI-driven transaction monitoring to reduce payment fraud losses by 30-40% while automating chargeback dispute resolution for its mid-market merchant portfolio.	Financial services	Free audit →
92	carsforsale.com	Basic	Deploy computer vision AI to auto-generate vehicle condition reports and price estimates from user-uploaded photos, dramatically reducing listing friction and improving inventory quality for private sellers.	Automotive e-commerce & classifieds	Free audit →
93	catalyst behavior solutions	Basic	Leverage AI-powered clinical decision support and automated session note generation to reduce therapist burnout and increase billable hours by 15-20%.	Behavioral Health & ABA Therapy	Free audit →
94	corporate image group	Basic	Deploying generative AI for hyper-personalized, multi-channel campaign asset creation can reduce production time by 70% while enabling real-time A/B testing at scale for mid-market clients.	Marketing & Advertising	Free audit →
95	great shots	Basic	Deploying AI-powered swing analysis and personalized coaching across simulator bays can differentiate the experience, increase lesson revenue, and build a proprietary data moat on amateur golf swings.	Golf entertainment & hospitality	Free audit →
96	huron regional medical center	Basic	Deploy AI-driven clinical documentation and prior authorization automation to reduce physician burnout and accelerate revenue cycle for this community hospital.	Health systems & hospitals	Free audit →
97	innovative systems	Basic	Deploy AI-driven predictive maintenance on network infrastructure to reduce truck rolls and service downtime across rural South Dakota.	Telecommunications	Free audit →
98	marketing inventory management	Basic	Deploy predictive inventory optimization and automated reordering to reduce carrying costs and stockouts across client promotional product programs.	Marketing & advertising	Free audit →
99	Minntronix	Basic		Electrical Electronic Manufacturing	Free audit →
100	sanford health foundation	Basic	AI can personalize donor outreach and predict major gift potential by analyzing past giving patterns, wealth indicators, and engagement history, significantly increasing fundraising efficiency.	Healthcare philanthropy	Free audit →

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About AI adoption in South Dakota

South Dakota contributes 291 companies to our AI Adoption Leaderboard, with an average adoption score of 56/100. The state's strongest representation comes from Hospital And Health Care, Health systems & hospitals, Banking, K-12 Education. Deerequipment leads at 80/100. Each company in this leaderboard has been scored on a 0-100 scale that blends public hiring signals (number of AI-titled roles), tech-stack adoption (number of AI vendor integrations detected), case-study density (independently verifiable AI deployments), and executive disclosures (LinkedIn posts and earnings-call mentions). The score is recomputed monthly and is calibrated against the full 31,000-company benchmark — so a score of 60 in South Dakota is directly comparable to a score of 60 in any other state. Pages are paginated at 100 companies per page; use ?page=2, ?page=3 etc. to navigate the full ranked list. The top of the list tends to skew toward larger employers and companies in AI-native industries; the long tail captures regional firms and early-stage adopters worth tracking as adoption deepens through 2026.

Frequently asked questions about South Dakota AI adoption

How is the AI adoption score calculated for South Dakota companies?

Each company's score is a 0-100 blend of four signals: AI hiring share (LinkedIn job postings tagged AI/ML), tech-stack adoption (number of public AI vendor integrations), case-study density (independently verifiable AI deployments), and exec disclosure (board, earnings-call, and senior LinkedIn mentions). The score is re-derived monthly so trajectory matters as much as the snapshot.

What does an average score of 56 mean for South Dakota?

An average of 56 places South Dakota near the national median (~60). Companies clustering at 65-70 are typically running production AI workloads with measurable KPIs; companies in the 50-64 band are piloting; below 50 means early or no public adoption signal.

Which South Dakota industries lead in AI adoption?

Within South Dakota, the largest representations on this leaderboard are Hospital And Health Care (21 companies), Health systems & hospitals (19 companies), Banking (7 companies), K-12 Education (7 companies). Industry concentration matters: a handful of dense AI-native sectors typically anchors a state's top-quartile cluster, while the long tail captures cross-industry early adopters.

How often is the South Dakota leaderboard updated?

The underlying company-level scores recompute monthly. Pages on this site rebuild from those scores within 24 hours of the recompute. New companies enter the leaderboard as we discover and verify them through our enrichment pipeline (LinkedIn parsing, NAICS classification, AI-vendor integration detection).

How can I get my South Dakota company added or its score reviewed?

If your company is missing or you believe its score is materially out of date, request a review at /contact. We recompute scores on demand for verified companies; turnaround is usually 5-10 business days.

Can I download the South Dakota leaderboard data?

Per-state CSV exports are not yet available as a self-serve endpoint. Reach out at /contact with the use case (research, journalism, internal benchmarking) and we'll provision a one-time export.