A hospital in Rapid City, SD. It ran an operating surplus of 19.0% in FY24 on $104.4M of operating revenue. It held 19 days of cash on hand (48th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 21.9% in FY20 to 19.0% in FY24, though it rose 1.8 points in the most recent year.
Operating margin · FY24
+19.0%
▲ 1.8 pts vs FY23
vs Urban PPS hospitals88th pctl of 2,562 (FY24)
Days cash on hand · FY24
19d
all sources
▲ 13.6 days vs FY23
vs Urban PPS hospitals48th pctl of 2,354 (FY24)
Total operating revenue · FY24
$104.4M
▲ 4.1 $M vs FY23
vs Urban PPS hospitals22nd pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+19.9%
▲ 1.8 pts vs FY23
vs Urban PPS hospitals87th 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 BLACK HILLS SURGICAL HOSPITAL LLC is about $1.0M per year (1% of FY24 total operating revenue).
Where BLACK HILLS SURGICAL 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 hospitalBLACK HILLSUrban 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
91,058
99,519
103,580
Other operating revenue
414
752
800
Total operating revenue
91,472
100,271
104,380
Total operating expenses
77,108
83,063
84,578
Operating income
14,364
17,208
19,802
Operating margin %
+15.7%
+17.2%
+19.0%
Investment income
3
3
3
Other non-operating, net
426
1,181
1,236
Net income
14,793
18,392
21,041
Net income %
+16.1%
+18.1%
+19.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 33% occupancy 35% 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
33.4%
Verified fact2024
HCRIS WS S-3
Average daily census
8.37
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
1,057
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
35.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
343.40
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.2%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.3M
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
12.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.87
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.779065
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 · metro, under 250K
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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