A hospital in Spearfish, SD. It ran an operating surplus of 0.7% in FY25 on $121.5M of operating revenue. It held 1 day of cash on hand (29th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -1.5% in FY21 to 0.7% in FY25, though it fell 3.5 points in the most recent year.
Operating margin · FY25
+0.7%
vs Urban PPS hospitals48th pctl of 1,475 (FY25)
Days cash on hand · FY25
1d
all sources
vs Urban PPS hospitals29th pctl of 1,386 (FY25)
Total operating revenue · FY25
$121.5M
vs Urban PPS hospitals25th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+0.8%
vs Urban PPS hospitals29th pctl of 1,475 (FY25)
One point of operating margin at MONUMENT HEALTH SPEARFISH HOSPITAL is about $1.2M per year (1% of FY25 total operating revenue).
Where MONUMENT HEALTH SPEARFISH 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 hospitalMONUMENT HEALTHUrban 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
116,617
124,736
120,698
Other operating revenue
320
348
822
Total operating revenue
116,937
125,085
121,521
Total operating expenses
114,450
119,876
120,718
Operating income
2,487
5,208
802
Operating margin %
+2.1%
+4.2%
+0.7%
Grants & contributions
—
—
81
Investment income
—
17
(13)
Other non-operating, net
4,889
2,683
102
Net income
7,376
7,908
972
Net income %
+6.1%
+6.2%
+0.8%
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 17-bed hospital at 45% occupancy 87% 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
44.8%
Verified fact2025
HCRIS WS S-3
Average daily census
7.63
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
17
Verified fact2025
HCRIS WS S-3
Annual discharges
1,330
Verified fact2025
HCRIS WS S-3
Average length of stay
2.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
86.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
459.40
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.92
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.945526
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
LAWRENCE County, SD
Median household income
$66.8K
vs $82.1K US · $59.7K rural median
Poverty rate
11.8%
vs 12.5% US · 14.3% rural median
Uninsured
10.9%
vs 8.6% US · 8.4% rural median
Age 65+
24.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.0% of county personal income is Medicare/Medicaid medical benefits; 18.1% arrives as government transfers (BEA, 2022).
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