A dialysis facility in Eagle Butte, SD. It ran an operating loss of 8.3% in FY24 on $2.4M of operating revenue. It held 26 days of cash on hand (39th percentile among dialysis facilities on liquidity). Operating margin declined from -7.4% in FY20 to -8.3% in FY24.
Operating margin · FY24
-8.3%
▼ 2.7 pts vs FY23
vs dialysis facilities17th pctl of 7,741
Days cash on hand · FY24
26d
all sources
▲ 15.0 days vs FY23
vs dialysis facilities39th pctl
Total operating revenue · FY24
$2.4M
▲ 0.0 $M vs FY23
vs dialysis facilities37th pctl
Total margin · incl. nonoperating · FY24
-7.0%
▼ 1.4 pts vs FY23
vs dialysis facilities18th pctl
Where BLACK HILLS DIALYSIS sits among dialysis facilities
Operating margin · FY24 pool · n = 7,741 of 7,741 filed
Each point is one dialysis facility 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 dialysis facility median is +11.9%. Descriptive context only, not a ranking.
One dialysis facilityBLACK HILLSdialysis facility median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this dialysis facility 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.
Operating margin
-8.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-7.0% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
26d (FY24)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
2.59× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
76% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
197d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
2,464
2,400
2,433
Total operating revenue
2,464
2,400
2,433
Total operating expenses
2,621
2,535
2,636
Operating income
(158)
(135)
(202)
Operating margin %
-6.4%
-5.6%
-8.3%
Other non-operating, net
109
1
30
Net income
(49)
(134)
(172)
Net income %
-1.9%
-5.6%
-7.0%
HCRIS CMS-265 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
How it operates
quality & operational context · CMS public reporting
The metrics this dialysis facility 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.
Quality star
4★
Proxy2026
CMS Dialysis Compare
Total treatments
7,047
Verified fact2024
HCRIS CMS-265
Cost per treatment ($)
374
Verified fact2024
HCRIS CMS-265
Net revenue per treatment ($)
345.28
Verified fact2024
HCRIS CMS-265
Dialysis stations
12
Verified fact2026
CMS Dialysis Facility Compare
Modalities offered
1
Verified fact2026
CMS Dialysis Facility Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this dialysis facility serves
Location, SD
Median household income
$57.9K
vs $82.1K US · $59.7K rural median
Poverty rate
32.3%
vs 12.5% US · 14.3% rural median
Uninsured
23.5%
vs 8.6% US · 8.4% rural median
Age 65+
9.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
29.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.7% of county personal income is Medicare/Medicaid medical benefits; 28.4% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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