Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Yankton, SD. It ran an operating loss of 0.6% in FY25 on $138.4M of operating revenue. It held 1,045 days of cash on hand (100th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -2.1% in FY21 to -0.6% in FY25. Including nonoperating items, the all-in result was positive at 21.4%.
Operating margin · FY25
-0.6%
▲ 0.5 pts vs FY24
vs Urban PPS hospitals43rd pctl of 1,475 (FY25)
Days cash on hand · FY25
1,045d
all sources
▲ 44.9 days vs FY24
vs Urban PPS hospitals100th pctl of 1,386 (FY25)
Total operating revenue · FY25
$138.4M
▲ 9.3 $M vs FY24
vs Urban PPS hospitals28th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+21.4%
▲ 0.8 pts vs FY24
vs Urban PPS hospitals89th pctl of 1,475 (FY25)
One point of operating margin at AVERA SACRED HEART HOSPITAL is about $1.4M per year (1% of FY25 total operating revenue).
Where AVERA SACRED HEART sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalAVERA SACREDUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
123,107
129,065
138,044
Other operating revenue
97
104
389
Total operating revenue
123,203
129,169
138,433
Total operating expenses
125,495
130,678
139,327
Operating income
(2,292)
(1,509)
(894)
Operating margin %
-1.9%
-1.2%
-0.6%
Grants & contributions
441
354
1,295
Investment income
2,293
5,291
35,510
Other non-operating, net
20,927
29,851
2,178
Net income
21,369
33,987
38,089
Net income %
+14.6%
+20.6%
+21.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 36-bed hospital at 54% occupancy 60% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
54.4%
Verified fact2025
HCRIS WS S-3
Average daily census
19.63
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
36
Verified fact2025
HCRIS WS S-3
Annual discharges
2,925
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.24
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
6.0%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
60.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
644.30
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.619
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.865759
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
YANKTON County, SD
Median household income
$73.9K
vs $82.1K US · $59.7K rural median
Poverty rate
9.4%
vs 12.5% US · 14.3% rural median
Uninsured
6.3%
vs 8.6% US · 8.4% rural median
Age 65+
20.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.6% of county personal income is Medicare/Medicaid medical benefits; 17.2% arrives as government transfers (BEA, 2022).
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