- No active BIPD/Primary insurance on file — uninsured for 797 days (since Jul 14, 2024). A carrier without active primary liability coverage cannot legally operate.
SIOUX VALLEY HOSPITAL ASSOCIATION INC
DBA: SANFORD USD MEDICAL CENTER
SIOUX VALLEY HOSPITAL ASSOCIATION INC is a mid-sized fleet, operating 13 power units and 26 drivers, organized as a corporation, based in Sioux Falls, SD. Across 8 roadside inspections in the last 24 months, the fleet's 25.0% out-of-service rate sits above the 19.4% national average, with no reportable crashes on file. The carrier currently has no active BIPD/Primary coverage on file, and operating authority is on file.
Do not book — hard regulatory blocker
One or more hard blockers are on file. Do not tender until the issue is cured and confirmed on FMCSA.
- No active BIPD/Primary insurance on file Uninsured 797 days (since Jul 14, 2024).
- OOS rate worse than size peers Driver 11.1% vs peer 0.00% · Vehicle 12.5% vs peer 11.1% Details →
- BOC-3 process agent on file Truck Process Agents of America, Inc. Details →
Plain-text risk summary (print / paste)
TruckCodex risk summary — SIOUX VALLEY HOSPITAL ASSOCIATION INC (USDOT 596857) Verdict: DO NOT BOOK Do not book — hard regulatory blocker One or more hard blockers are on file. Do not tender until the issue is cured and confirmed on FMCSA. Authority / census status: Active Blockers: • No active BIPD/Primary insurance on file — Uninsured 797 days (since Jul 14, 2024). Cautions: • OOS rate worse than size peers — Driver 11.1% vs peer 0.00% · Vehicle 12.5% vs peer 11.1% On file: • BOC-3 process agent on file — Truck Process Agents of America, Inc. Source: https://truckcodex.com/usdot/596857/ As of: Sep 19, 2026 Always confirm on FMCSA SAFER and L&I before tendering — TruckCodex mirrors public filings and can lag by up to a day.
TruckCodex · filing & peer scorecard
TruckCodex filing & peer scorecard · F
Hard regulatory signal on file (OOS / revoked / Not Authorized / uninsured / Unsatisfactory). Composite mean of 4/5 scored components is 54/100 — letter capped at F. Expand for per-signal evidence. Heuristic — not an FMCSA rating, booking verdict, or legal advice.
F
confidence 80% · 4/5 signals · expand
TruckCodex filing & peer scorecard · F
Hard regulatory signal on file (OOS / revoked / Not Authorized / uninsured / Unsatisfactory). Composite mean of 4/5 scored components is 54/100 — letter capped at F. Expand for per-signal evidence. Heuristic — not an FMCSA rating, booking verdict, or legal advice.
Active census status with no OOS order or revoked authority on file.
No active BIPD/Primary on file since Jul 14, 2024.
Driver OOS 11.1% vs peer median 0% (worse). Vehicle OOS 12.5% vs peer median 11.1% (worse). n=78535 same-size ACTIVE peers.
FMCSA has not assigned this carrier a formal safety rating. We do not invent one.
NR reason: No published FMCSA safety_rating.
No BMC-91 insurance-lapse watch classification on file for this USDOT.
TruckCodex filing & peer scorecard from authority, BIPD, peer OOS, FMCSA safety rating, and insurance-watch signals. Not a booking verdict and not legal advice. See methodology. Booking triage on this page: Do not book.
Uninsured since Jul 14, 2024
Company profile
No active FMCSA cargo filing on file.
FMCSA L&I filing evidence — not a shipper certificate of insurance (COI). Cargo (BMC-34) is primarily an HHG / household-goods requirement; general freight carriers often have none.
No active broker surety bond or trust fund on file.
BMC-84 is a surety bond; BMC-85 is a trust-fund agreement. Required for property brokers / freight forwarders — not motor-carrier BIPD liability insurance.
Based on FMCSA authority grant of 1995-04-06 (2,000+ days). Published gates only — not a guarantee they will accept. Confirm with the broker.
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Process AgentTruck Process Agents of America, Inc.BOC-3 on file
Fleet details (MCS-150)
| Vehicle type | Owned | Term leased | Trip leased |
|---|---|---|---|
| Truck tractors | 2 | 2 | 0 |
| Trailers | 4 | 0 | 0 |
| Trucks | 9 | 0 | 0 |
Self-reported on the carrier’s Form MCS-150 (FMCSA Company Census).
Inspections (24 months)
All 15 inspections →| Driver | Vehicle | Hazmat | |
|---|---|---|---|
| Inspections | 8 | 8 | 0 |
| OOS inspections | 1 | 1 | 0 |
| OOS percentage | 12.5% | 12.5% | — |
| National average | 6.7% | 23.4% | 4.4% |
Roadside inspections in the last 24 months. National averages are FMCSA MCSAP reference rates (driver ~6.7%, vehicle ~23.4%, hazmat ~4.4%).
Carrier analysis & narrative context Status notes, risk intelligence, and safety profiles
Carrier is unrated
FMCSA has not assigned this carrier a formal safety rating. Use the inspection history and BASIC scores below to assess on-road performance.
SANFORD USD MEDICAL CENTER had 8 roadside inspections over the past 24 months with an out-of-service rate of 25.0%, which is above the national average of 19.4%. Their highest FMCSA BASIC percentile is vehicle_maint at 2.0.
8 roadside inspections over the last 24 months, most heavily in SD (8 stops).
25.0% out-of-service rate, above the 19.4% national average; led by Vehicle Maintenance (33.3% of violations); top code 396.17(c) (Operating a CMV without proof of a periodic inspection) cited 1 times.
The fleet comprises 13 power units (mid-sized fleet) and 26 drivers; Unknown, Ford, and International are the most-inspected makes.
Risk Signals
Out-of-Service rate vs same-size peers FMCSA roadside inspections, % placed out-of-service
Compared against 78,535 ACTIVE carriers operating 6–20 power units (±50% of this carrier's 13 unit fleet).
Inspection Analytics Monthly activity · BASIC mix · state map
Monthly Inspection Activity (12 months)
Violations by BASIC Category
Activity by State
| State | Inspections | OOS | OOS % | Last Inspection |
|---|---|---|---|---|
| South Dakota (SD) | 8 | 2 | 25.0% | Sep 8, 2026 |
Vehicle Fleet Top makes and models observed in roadside inspections
SMS BASIC Scores FMCSA Safety Measurement System per-BASIC scores
| BASIC | Inspections | Serious | Measure | Percentile | Alert | As Of |
|---|---|---|---|---|---|---|
| Driver Fitness | 1 | — | 0.28 | 0 | — | Sep 14, 2026 |
| Controlled Substances / Alcohol | 0 | — | 0.00 | 0 | — | Sep 14, 2026 |
| Hours of Service | 0 | — | 0.00 | 0 | — | Sep 14, 2026 |
| Unsafe Driving | 0 | — | 0.00 | 0 | — | Sep 14, 2026 |
| Vehicle Maintenance | 2 | — | 1.63 | 2 | — | Sep 14, 2026 |
Higher percentiles indicate worse performance relative to peer carriers. Carriers at or above the FMCSA intervention threshold are marked ALERT.
Recent Inspections (15 rows) View all 15 →
| Inspection # | Date ▼ | State | Level | Station | Vehicle | Violations | Top Codes | OOS |
|---|---|---|---|---|---|---|---|---|
| 88936044 | Sep 8, 2026 | SD | 1 | BERESFORD SD |
FORD STRAIGHT TRUCK
|
0 | — | No |
| 88042568 | Jun 3, 2026 | SD | 3 | — |
VOLVO TRUCK TRUCK TRACTOR
|
0 | — | No |
| 87996063 | May 29, 2026 | SD | 1 | — |
FORD STRAIGHT TRUCK
|
0 | — | No |
| 86126373 | Oct 16, 2025 | SD | 1 | VALLEY SPRINGS SD |
FORD STRAIGHT TRUCK
|
0 | — | No |
| 85379338 | Jul 31, 2025 | SD | 1 | VALLEY SPRINGS SD |
FORD STRAIGHT TRUCK
Ticket: Courier
|
1 | 393.75A3-TAOL | Yes |
| 84946193 | Jun 13, 2025 | SD | 2 | VALLEY SPRINGS SD |
INTERNATIONAL STRAIGHT TRUCK
|
3 | 391.41B10-MC, 393.9A-LCL, 393.9A-LHLI | Yes |
| 84832795 | May 27, 2025 | SD | 1 | VALLEY SPRINGS SD |
FORD STRAIGHT TRUCK
|
0 | — | No |
| 83806647 | Feb 7, 2025 | SD | 1 | VALLEY SPRINGS SD |
HINO STRAIGHT TRUCK
|
0 | — | No |
| 82606816 | Sep 9, 2024 | SD | 2 | BERESFORD SD |
ISUZU STRAIGHT TRUCK
|
0 | — | No |
| 82551882 | Aug 30, 2024 | SD | 1 | VALLEY SPRINGS SD |
KENWORTH STRAIGHT TRUCK
|
0 | — | No |
| 82172867 | Jul 22, 2024 | SD | 3 | CANTON SD |
VOLVO TRUCK TRUCK TRACTOR
|
0 | — | No |
| 81133031 | Mar 18, 2024 | SD | 2 | CANTON SD |
PETERBILT TRUCK TRACTOR
|
0 | — | No |
| 78938734 | Jun 2, 2023 | SD | 1 | SIOUX FALLS PORT OF ENTRY |
KENWORTH STRAIGHT TRUCK
|
1 | 396.17(c) | No |
| 78791053 | May 30, 2023 | SD | 3 | SIOUX FALLS PORT OF ENTRY |
VOLVO TRUCK TRUCK TRACTOR
|
0 | — | No |
| 78367390 | Apr 14, 2023 | SD | 3 | MM 103 I 29 SB | — | 0 | — | No |
Recent Crashes (4 rows)
| Report # | Date ▼ | State | Fatalities | Injuries | Tow | Hazmat | Severity |
|---|---|---|---|---|---|---|---|
| MN0161830039 | Jul 1, 2016 | MN | 0 | 0 | Yes | No | Tow |
| SD0201413847 | Nov 11, 2014 | SD | 0 | 0 | Yes | No | Tow |
| SD0200911441 | Oct 7, 2009 | SD | 0 | 0 | Yes | No | Tow |
| MN0130466700 | Dec 7, 2001 | MN | 0 | 2 | Yes | No | Injury |
Authority Records (1 docket)
Revocations & Inactive Status
Authority actions other than active status — revocations, voluntary surrenders, and dormant dockets.
| Date | Docket | Authority | Status | Applied |
|---|---|---|---|---|
| Unknown | MC287853 | common | N | — |
Insurance Coverage Timeline (7 rows)
Every insurance policy on file, newest effective date first. Amber rows mark BIPD/Primary coverage gaps.
| Insurer | Policy # | Type | Limit | Effective | Cancel | Status |
|---|---|---|---|---|---|---|
| SENTRY INSURANCE COMPANY | 90-21654-01 | BIPD/Primary | — | Jul 1, 2020 | Jul 14, 2024 | CANCELLED |
| NATIONWIDE MUTUAL INSURANCE COMP | ACP BA 7254570029 | BIPD/Primary | — | Jul 1, 2015 | Jul 1, 2020 | REPLACED |
| NATIONWIDE MUTUAL INSURANCE COMP | ACP BA 7254570029 | BIPD/Primary | — | Jul 1, 2015 | Aug 1, 2020 | CANCELLED |
| AMCO INSURANCE COMPANY | ACP BAA 7204570029 | BIPD/Primary | — | Jul 1, 2014 | Jul 30, 2015 | CANCELLED |
| AMCO INSURANCE COMPANY | ACP BAA 7204570029 | BIPD/Primary | — | Jul 1, 2014 | Jul 1, 2015 | REPLACED |
| NATIONWIDE MUTUAL INSURANCE COMP | ACP BA 7204570029 | BIPD/Primary | — | Jul 1, 2010 | Jul 1, 2014 | REPLACED |
| AMERICAN STATES INSURANCE CO. | 01BA 277133 | BIPD/Primary | — | Mar 15, 1995 | Jul 1, 2010 | REPLACED |
Compliance Timeline Merged authority / insurance / enforcement events
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Jul 22, 2024
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Jul 22, 2024authorityAuthority revoked — INVOLUNTARY REVOCATION
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Jul 14, 2024insuranceCANCEL — SENTRY INSURANCE COMPANY
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Aug 1, 2020insuranceTERM/CANCL — NATIONWIDE MUTUAL INSURANCE COMP
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Jul 29, 2020
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Jul 1, 2020insuranceTERM/REPL — NATIONWIDE MUTUAL INSURANCE COMP
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Jul 30, 2015insuranceTERM/CANCL — AMCO INSURANCE COMPANY
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Jul 1, 2015insuranceTERM/REPL — AMCO INSURANCE COMPANY
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Jul 1, 2014insuranceTERM/REPL — NATIONWIDE MUTUAL INSURANCE COMP
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Jul 1, 2010insuranceTERM/REPL — AMERICAN STATES INSURANCE CO.
Top Stations & Violation Codes Where this carrier gets inspected and what they get cited for
Most-Inspected Stations
| Station | State | Inspections | OOS |
|---|---|---|---|
| VALLEY SPRINGS SD | SD | 6 | 2 |
| BERESFORD SD | SD | 2 | 0 |
| CANTON SD | SD | 2 | 0 |
| SIOUX FALLS PORT OF ENTRY | SD | 2 | 0 |
| MM 103 I 29 SB | SD | 1 | 0 |
Top Violation Codes Cited
| Code | Description | Category | Cited | OOS |
|---|---|---|---|---|
| 396.17(c) | Operating a CMV without proof of a periodic inspection | Vehicle Maintenance | 1 | 0 |
Related Records
All cross-references Authority, BOC-3, explainers, and more
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South Dakota carriers
All carriers based in South Dakota
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Sioux Falls carriers
Carriers based in Sioux Falls, SD
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Stations in South Dakota
Where this carrier might be inspected
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Docket MC287853
common · N · MC
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SENTRY INSURANCE COMPANY
BIPD/Primary policy on file
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NATIONWIDE MUTUAL INSURANCE COMP
BIPD/Primary policy on file
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AMCO INSURANCE COMPANY
BIPD/Primary policy on file
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AMERICAN STATES INSURANCE CO.
BIPD/Primary policy on file
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Truck Process Agents of America, Inc.
BOC-3 process agent · 129,025 carriers served
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15 inspections
Full roadside inspection history
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4 reportable crashes
FMCSA MCMIS crash log
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Fleet recall search
NHTSA recalls covering this fleet's vehicle years/makes
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File a complaint
Open the FMCSA National Consumer Complaint form for this carrier
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Certificate lookup
Look up any FMCSA authority by MC/MX/FF docket number
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All state carrier directories
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Insurance-lapse watch
Carriers with recent BMC-91 cancellation or reinstatement churn
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How FMCSA safety ratings work
BASIC percentiles and compliance review context
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BOC-3 process agents explained
Why every interstate carrier must file a process agent
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FMCSA compliance filings guide
MCS-150, insurance, and authority filing requirements
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Roadside inspection rights
What drivers and carriers can expect during a stop