CCN 431317BON HOMME CountyVoluntary non-profit - Private20 bedsLatest FY 2025
Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 430779 — see the current profile. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Bon Homme County, SD. It ran an operating loss of 2.8% in FY25 on $7.5M of operating revenue. It held 48 days of cash on hand. Operating margin improved from -26.4% in FY21 to -2.8% in FY25.
Operating margin · FY25
-2.8%
▲ 33.9 pts vs FY24
vs Critical Access Hospitals—
Days cash on hand · FY25
48d
all sources
▲ 21.2 days vs FY24
vs Critical Access Hospitals—
Total operating revenue · FY25
$7.5M
▲ 1.9 $M vs FY24
vs Critical Access Hospitals—
Total margin · incl. nonoperating · FY25
-2.5%
▲ 8.4 pts vs FY24
vs Critical Access Hospitals—
One point of operating margin at LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH is about $75K per year (1% of FY25 total operating revenue).
Where LANDMANN-JUNGMAN MEMORIAL HOSPITAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalLANDMANN-JUNGMAN MEMORIALCritical Access 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
Medicare inpatient contribution margin
+27.6% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+52.5% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
5,538
5,576
5,894
Other operating revenue
16
24
1,602
Total operating revenue
5,554
5,600
7,496
Total operating expenses
7,244
7,658
7,709
Operating income
(1,690)
(2,058)
(213)
Operating margin %
-30.4%
-36.7%
-2.8%
Investment income
20
43
23
Other non-operating, net
1,343
1,258
0
Net income
(327)
(757)
(190)
Net income %
-4.7%
-11.0%
-2.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 20-bed hospital at 2% occupancy where swing beds are 53% of the inpatient business and 80% 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
2.2%
Verified fact2025
HCRIS WS S-3
Average daily census
0.43
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
20
Verified fact2025
HCRIS WS S-3
Annual discharges
56
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.49
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
53.1%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.3%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
As a Critical Access Hospital, this facility is exempt from most CMS public quality-measure programs. No public measures are reported for it. That is a program design fact, not a quality signal.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
BON HOMME County, SD
Median household income
$61.3K
vs $82.1K US · $59.7K rural median
Poverty rate
11.8%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
21.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.0% of county personal income is Medicare/Medicaid medical benefits; 18.6% arrives as government transfers (BEA, 2022).
What this hospital means to Bon Homme County
economic contribution · FY25 cost report
Direct annual spending
$7.7M
total operating expense · reported
Total economic output
$17.7M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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