A hospital in Rapid City, SD. It ran an operating loss of 13.3% in FY25 on $846.8M of operating revenue. It held 265 days of cash on hand (89th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -7.6% in FY21 to -13.3% in FY25, though it rose 0.7 points in the most recent year. Including nonoperating items, the all-in result was positive at 8.0%.
Operating margin · FY25
-13.3%
vs Urban PPS hospitals17th pctl of 1,475 (FY25)
Days cash on hand · FY25
265d
all sources
vs Urban PPS hospitals89th pctl of 1,386 (FY25)
Total operating revenue · FY25
$846.8M
vs Urban PPS hospitals85th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+8.0%
vs Urban PPS hospitals57th pctl of 1,475 (FY25)
One point of operating margin at MONUMENT HEALTH RAPID CITY HOSPITAL is about $8.5M per year (1% of FY25 total operating revenue).
Where MONUMENT HEALTH RAPID 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
707,475
784,197
830,101
Other operating revenue
2,196
2,816
16,723
Total operating revenue
709,671
787,013
846,824
Total operating expenses
842,848
897,014
959,219
Operating income
(133,177)
(110,001)
(112,395)
Operating margin %
-18.8%
-14.0%
-13.3%
Investment income
17,807
32,193
60,282
Other non-operating, net
110,897
146,553
136,065
Net income
(4,473)
68,745
83,952
Net income %
-0.5%
+7.1%
+8.0%
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 343-bed hospital at 63% occupancy 57% 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
63.4%
Verified fact2025
HCRIS WS S-3
Average daily census
218.07
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
343
Verified fact2025
HCRIS WS S-3
Annual discharges
19,140
Verified fact2025
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
57.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,000
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.3%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.512
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.150592
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
PENNINGTON County, SD
Median household income
$70.8K
vs $82.1K US · $59.7K rural median
Poverty rate
12.0%
vs 12.5% US · 14.3% rural median
Uninsured
10.5%
vs 8.6% US · 8.4% rural median
Age 65+
19.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 19.4% arrives as government transfers (BEA, 2022).
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