Operating margin: -36.7% in FY2025, the 2nd percentile of 7,109 dialysis facilities in the FY2025 pool. Days cash on hand: -42 days in FY2025, the 7th percentile of 1,453 dialysis facilities in the FY2025 pool. Total operating revenue: $7.3M in FY2025, the 90th percentile of 7,110 dialysis facilities in the FY2025 pool. Total margin (including nonoperating): -36.6% in FY2025, the 2nd percentile of 7,110 dialysis facilities in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A dialysis facility in Rapid City, SD. It ran an operating loss of 36.7% in FY25 on $7.3M of operating revenue. It held -42 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (7th percentile of 1,453 dialysis facilities on liquidity, FY25 pool). 2 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.
Operating margin · FY25
-36.7%
Astrelis calculation · as-filed inputs
vs dialysis facilities2nd pctl of 7,109 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
-42d
all sources
Astrelis calculation · as-filed inputs
vs dialysis facilities7th pctl of 1,453 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$7.3M
Astrelis calculation · as-filed inputs
vs dialysis facilities90th pctl of 7,110 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
-36.6%
Astrelis calculation · as-filed inputs
vs dialysis facilities2nd pctl of 7,110 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Where Monument Health Dialysis sits among dialysis facilities
Operating margin · FY25 pool · n = 7,109 of 7,234 filed
Each point is one dialysis facility in the national FY25 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 FY25 median is +16.8%. 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Operating margin
-36.7% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-36.6% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-42d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY24 · 61 days
FY25
Patient revenue
144
7,311
Total operating revenue
144
7,311
Total operating expenses
284
9,994
Operating income
(140)
(2,683)
Operating margin %
-97.6%
-36.7%
Other non-operating, net
0
3
Net income
(140)
(2,679)
Net income %
-97.5%
-36.6%
2 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS CMS-265 cost report · $ thousands · FY24–FY25 · operating revenue reflects net patient service revenue
Display states.FY24 · Days cash on hand: -37 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)FY25 · Days cash on hand: -42 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
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 provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Total treatments
23,371
Reported value2025
HCRIS CMS-265
Cost per treatment ($)
427.63
Astrelis calculation2025
HCRIS CMS-265
Net revenue per treatment ($)
312.84
Astrelis calculation2025
HCRIS CMS-265
Dialysis stations
36
Reported value2026
CMS Dialysis Facility Compare
Modalities offered
In-center hemodialysis, Peritoneal dialysis
Reported value2026
CMS Dialysis Facility Compare
Trajectory
Cost-report basis · 2 reporting years
Operating margin
Days cash on hand
State context
Rapid City, SD
Located in Rapid City, SD. County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 7,109.
Performance Benchmark Report: FY25 peer pool · n = 7,109 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 9 of 10 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
Astrelis Atlas, "Monument Health Dialysis Llc Rapid City", https://astrelis.co/providers/dialysis/432518, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/providers/dialysis/432518.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
