A hospital in Sioux Falls, SD. It ran an operating surplus of 6.5% in FY25 on $195.0M of operating revenue. It held 29 days of cash on hand (53rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 8.1% in FY21 to 6.5% in FY25, though it rose 2.0 points in the most recent year.
Operating margin · FY25
+6.5%
▲ 2.0 pts vs FY24
vs Urban PPS hospitals65th pctl of 1,475 (FY25)
Days cash on hand · FY25
29d
all sources
▲ 10.3 days vs FY24
vs Urban PPS hospitals53rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$195.0M
▲ 27.9 $M vs FY24
vs Urban PPS hospitals39th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.0%
▼ 0.3 pts vs FY24
vs Urban PPS hospitals53rd pctl of 1,475 (FY25)
One point of operating margin at AVERA HEART HOSPITAL OF SOUTH DAKOTA is about $2.0M per year (1% of FY25 total operating revenue).
Where AVERA HEART HOSPITAL 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 hospitalAVERA HEARTUrban 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
139,003
166,625
194,545
Other operating revenue
469
500
488
Total operating revenue
139,472
167,125
195,033
Total operating expenses
136,900
159,627
182,325
Operating income
2,572
7,499
12,708
Operating margin %
+1.8%
+4.5%
+6.5%
Other non-operating, net
5,435
5,091
971
Net income
8,007
12,590
13,679
Net income %
+5.5%
+7.3%
+7.0%
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 53-bed hospital at 55% 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
54.6%
Verified fact2025
HCRIS WS S-3
Average daily census
29.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
53
Verified fact2025
HCRIS WS S-3
Annual discharges
3,059
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
57.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
561.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.216
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.932991
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
Location, SD
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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