A home health agency in Rapid City, SD. It ran an operating surplus of 17.0% in FY23 on $17.8M of operating revenue. Only a single comparable reporting year is available, so trend context is limited. On care, it carries a 5-star CMS quality rating and 3-star patient experience. Its within-stay preventable hospitalization runs 6.3%. On the filed record it is comfortably profitable with strong measured quality. Source-reported context, not a recommendation.
Quality of patient care star
5★
Verified fact2026
Source: CMS Care Compare
HHCAHPS patient-survey star
3★
Verified fact2026
Source: CMS HHCAHPS
Operating margin · FY23
+17.0%
vs home health agencies80th pctl of 6,394 (FY24)
Within-stay preventable hospitalization
6.3%
Verified fact2026
Source: CMS Care Compare
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=6,394).
Where MONUMENT HEALTH HOME sits among home health agencies
Operating margin · FY24 pool · n = 6,394 of 8,555 filed
Each point is one home health agency 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 home health agency median is +4.1%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=6,394).
One home health agencyMONUMENT HEALTHhome health agency median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this home health agency 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
+17.0% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+17.0% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
68,519
86,407
17,765
Total operating revenue
68,519
86,407
17,765
Total operating expenses
73,813
88,353
14,743
Operating income
(5,294)
(1,945)
3,022
Operating margin %
-7.7%
-2.3%
+17.0%
Other non-operating, net
71
0
0
Net income
(5,223)
(1,945)
3,022
Net income %
-7.6%
-2.3%
+17.0%
HCRIS CMS-1728 cost report · $ thousands · FY21–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
A condensed balance sheet is not shown for this home health agency: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
How it operates
quality & operational context · CMS public reporting
The metrics this home health agency 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 of patient care star
5★
Verified fact2026
CMS Care Compare
HHCAHPS patient-survey star
3★
Verified fact2026
CMS HHCAHPS
Timely initiation of care
98.8%
Verified fact2026
CMS Care Compare
Improvement in ambulation
96.3%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
99.3%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
6.3%
Verified fact2026
CMS Care Compare
Discharge to community
80.1%
Proxy2024
CMS HHVBP
Rated care 9–10
83.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
27
Proxy2026
CMS HH PUF
Total visits
27,538
Verified fact2025
HCRIS CMS-1728
Total episodes
1,246
Verified fact2025
HCRIS CMS-1728
Unduplicated patients
1,947
Verified fact2025
HCRIS CMS-1728
Cost per visit ($)
1,005
Verified fact2025
HCRIS CMS-1728
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Pennington County, SD · metro, under 250K
Median household income
$70.8K
vs $82.1K US · $59.7K rural median
Poverty rate
12.0%
vs 12.5% US · 14.3% rural median
Uninsured
10.5%
vs 8.6% US · 8.4% rural median
Age 65+
19.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 19.4% arrives as government transfers (BEA, 2022).
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Home Health Performance Benchmark$2,500Founding Edition
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.
