A hospital in Sioux Falls, SD. It ran an operating surplus of 27.3% in FY24 on $154.4M of operating revenue. It held 27 days of cash on hand (53rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 24.1% in FY20 to 27.3% in FY24.
Operating margin · FY24
+27.3%
▼ 0.2 pts vs FY23
vs Urban PPS hospitals94th pctl of 2,562 (FY24)
Days cash on hand · FY24
27d
all sources
▲ 3.1 days vs FY23
vs Urban PPS hospitals53rd pctl of 2,354 (FY24)
Total operating revenue · FY24
$154.4M
▲ 7.3 $M vs FY23
vs Urban PPS hospitals33rd pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+25.8%
▲ 2.2 pts vs FY23
vs Urban PPS hospitals93rd pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at SIOUX FALLS SPECIALTY HOSPITAL is about $1.5M per year (1% of FY24 total operating revenue).
Where SIOUX FALLS SPECIALTY sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalSIOUX FALLSUrban 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
FY22
FY23
FY24
Patient revenue
138,840
146,513
153,800
Other operating revenue
581
571
586
Total operating revenue
139,420
147,084
154,386
Total operating expenses
94,849
106,692
112,299
Operating income
44,572
40,392
42,087
Operating margin %
+32.0%
+27.5%
+27.3%
Investment income
22
206
258
Other non-operating, net
(10,822)
(7,696)
(3,384)
Net income
33,772
32,902
38,961
Net income %
+26.3%
+23.6%
+25.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 33-bed hospital at 7% occupancy 91% 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
7.2%
Verified fact2024
HCRIS WS S-3
Average daily census
2.39
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
33
Verified fact2024
HCRIS WS S-3
Annual discharges
444
Verified fact2024
HCRIS WS S-3
Average length of stay
2.0d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
90.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
358.20
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.6%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.7M
Verified fact2023
HCRIS WS S-10 line 31
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
14.9%
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)
0.858265
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
MINNEHAHA County, SD · metro, 250K–1M
Median household income
$76.1K
vs $82.1K US · $59.7K rural median
Poverty rate
8.8%
vs 12.5% US · 14.3% rural median
Uninsured
8.1%
vs 8.6% US · 8.4% rural median
Age 65+
13.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.1% of county personal income is Medicare/Medicaid medical benefits; 14.0% arrives as government transfers (BEA, 2022).
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