A hospital in Chamberlain, SD. It ran an operating surplus of 4.1% in FY24 on $29.3M of operating revenue. It held 14 days of cash on hand (22nd percentile among Critical Access Hospitals on liquidity). Operating margin improved from -2.2% in FY20 to 4.1% in FY24.
Operating margin · FY24
+4.1%
▲ 4.6 pts vs FY23
vs Critical Access Hospitals69th pctl of 1,340 (FY24)
Days cash on hand · FY24
14d
all sources
▲ 8.6 days vs FY23
vs Critical Access Hospitals22nd pctl of 1,325 (FY24)
Total operating revenue · FY24
$29.3M
▲ 3.8 $M vs FY23
vs Critical Access Hospitals49th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+4.3%
▼ 4.0 pts vs FY23
vs Critical Access Hospitals47th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at SANFORD CHAMBERLAIN MEDICAL CENTER is about $293K per year (1% of FY24 total operating revenue).
Where SANFORD CHAMBERLAIN MEDICAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 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 -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalSANFORD CHAMBERLAINCritical 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
+21.0% (FY24)
36th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+60.4% (FY24)
69th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
23,641
25,497
27,886
Other operating revenue
8
8
1,393
Total operating revenue
23,650
25,505
29,279
Total operating expenses
26,302
25,624
28,068
Operating income
(2,652)
(119)
1,211
Operating margin %
-11.2%
-0.5%
+4.1%
Grants & contributions
63
368
47
Investment income
15
0
0
Other non-operating, net
1,744
2,071
14
Net income
(830)
2,320
1,272
Net income %
-3.3%
+8.3%
+4.3%
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 10% occupancy where swing beds are 44% of the inpatient business and 79% 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
9.9%
Verified fact2024
HCRIS WS S-3
Average daily census
2.49
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
300
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.99
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
44.4%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
79.4%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$4.6M
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
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
BRULE County, SD · nonmetro, rural, remote
Median household income
$74.0K
vs $82.1K US · $59.7K rural median
Poverty rate
10.5%
vs 12.5% US · 14.3% rural median
Uninsured
7.6%
vs 8.6% US · 8.4% rural median
Age 65+
20.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.5% of county personal income is Medicare/Medicaid medical benefits; 15.5% arrives as government transfers (BEA, 2022).
What this hospital means to Brule County
economic contribution · FY24 cost report
Direct annual spending
$28.1M
total operating expense · reported
Total economic output
$64.6M
× 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.
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.
Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
Commercial Pricing Study$10,000CAH only, subject to data validation
Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.
