A hospital in Rapid City, SD. It ran an operating surplus of 26.9% in FY25 on $18.7M of operating revenue. It held 45 days of cash on hand (57th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 29.7% in FY21 to 26.9% in FY25.
Operating margin · FY25
+26.9%
▼ 8.6 pts vs FY24
vs Urban PPS hospitals94th pctl of 1,475 (FY25)
Days cash on hand · FY25
45d
all sources
▼ 30.5 days vs FY24
vs Urban PPS hospitals57th pctl of 1,386 (FY25)
Total operating revenue · FY25
$18.7M
▲ 0.5 $M vs FY24
vs Urban PPS hospitals3rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+26.9%
▼ 8.6 pts vs FY24
vs Urban PPS hospitals93rd pctl of 1,475 (FY25)
One point of operating margin at SAME DAY SURGERY CENTER LLC is about $187K per year (1% of FY25 total operating revenue).
Where SAME DAY SURGERY 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 hospitalSAME DAYUrban 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
16,382
18,192
18,688
Other operating revenue
(9)
54
54
Total operating revenue
16,373
18,246
18,742
Total operating expenses
11,628
11,774
13,706
Operating income
4,746
6,472
5,036
Operating margin %
+29.0%
+35.5%
+26.9%
Other non-operating, net
0
0
0
Net income
4,746
6,472
5,036
Net income %
+29.0%
+35.5%
+26.9%
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 6-bed hospital at 2% occupancy 99% 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
1.9%
Verified fact2025
HCRIS WS S-3
Average daily census
0.11
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
6
Verified fact2025
HCRIS WS S-3
Annual discharges
23
Verified fact2025
HCRIS WS S-3
Average length of stay
1.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
99.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
45.60
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.7%
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
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
The number of cases/patients is too few to report.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
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).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
