A dialysis facility in Spearfish, SD. It ran an operating surplus of 33.4% in FY24 on $1.5M of operating revenue. It held 418 days of cash on hand (94th percentile among dialysis facilities on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY24
+33.4%
vs dialysis facilities92nd pctl of 7,741
Days cash on hand · FY24
418d
all sources
vs dialysis facilities94th pctl
Total operating revenue · FY24
$1.5M
vs dialysis facilities18th pctl
Total margin · incl. nonoperating · FY24
+33.4%
vs dialysis facilities93rd pctl
Where Monument Health 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 facilityMonument Healthdialysis 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
+33.4% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+33.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
418d (FY24)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not shown, outside plausibility bounds
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
89% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY24
Patient revenue
1,522
Total operating revenue
1,522
Total operating expenses
1,014
Operating income
508
Operating margin %
+33.4%
Net income
508
Net income %
+33.4%
1 of 3 years available for this statement.
HCRIS CMS-265 cost report · $ thousands · FY24–FY24 · operating revenue reflects net patient service revenue
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.
Total treatments
3,929
Verified fact2024
HCRIS CMS-265
Cost per treatment ($)
258.11
Verified fact2024
HCRIS CMS-265
Net revenue per treatment ($)
387.34
Verified fact2024
HCRIS CMS-265
Dialysis stations
7
Verified fact2026
CMS Dialysis Facility Compare
Modalities offered
1
Verified fact2026
CMS Dialysis Facility Compare
Trajectory
Cost-report basis · single reporting year
Operating margin
Days cash on hand
The county this dialysis facility serves
Location, SD
Median household income
$66.8K
vs $82.1K US · $59.7K rural median
Poverty rate
11.8%
vs 12.5% US · 14.3% rural median
Uninsured
10.9%
vs 8.6% US · 8.4% rural median
Age 65+
24.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.0% of county personal income is Medicare/Medicaid medical benefits; 18.1% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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