# Hospices in South Dakota · Financial Profiles

State rollup · SD · Hospices  
Page: https://astrelis.co/providers/hospice/state/sd  
This twin: https://astrelis.co/providers/hospice/state/sd.md  
Release: 2321a4fc37a7 (2026-10-22)

The 5 current hospices in South Dakota (plus 1 historical record, listed and labeled below) run ahead of the national cohort: median operating margin +4.0%, versus -0.8% nationally. 40% of the state's cohort filed an operating loss; the rest held at or above break-even. Median liquidity stands at 19 days cash on hand.

## Counts

- Current hospices: 5
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 1
- Records listed: 6

## Medians

- **Median operating margin:** +4.0%. Basis: n = 5 values, each facility at its own latest settled fiscal year (FY2025). Astrelis calculation.
- **Median days cash on hand:** 19 days. Basis: n = 5 values, each facility at its own latest settled fiscal year (FY2025). Astrelis calculation.
- **National median operating margin (the module's benchmark pool, as the page's narrative compares it):** -0.8%. Basis: n = 3,640 facilities in the national pool, each at its own latest settled fiscal year. Astrelis calculation.

Each median is over eligibility-gated latest-year values from the clean-room panel; facility rows below are shown as filed; historical records are excluded from the medians.

## Facilities (6 records: 5 current, 1 historical)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | City | Latest FY | Patient days | Avg daily census | Routine home care mix | General inpatient mix | Operating margin |
|---|---|---:|---:|---:|---:|---:|---:|
| [ASERACARE HOSPICE](https://astrelis.co/providers/hospice/431516) ([twin](https://astrelis.co/providers/hospice/431516.md)) | Sioux Falls | 2025 | 22,824 | 67 | 100% | 0% | -43.8% |
| [Avera @ Home](https://astrelis.co/providers/hospice/431503) ([twin](https://astrelis.co/providers/hospice/431503.md)) | Sioux Falls | 2025 | 46,718 | 120 | 98% | 2% | +6.1% |
| [HEARTLAND HOME HEALTH & HOSPICE LLC](https://astrelis.co/providers/hospice/431523) ([twin](https://astrelis.co/providers/hospice/431523.md)) | Belle Fourche | 2025 | 3,478 | 6 | 100% | 0% | +30.4% |
| [MOMENTS HOSPICE OF SOUTH DAKOTA](https://astrelis.co/providers/hospice/431522) ([twin](https://astrelis.co/providers/hospice/431522.md)) · historical | Sioux Falls | 2024 | 2,616 | 7 | 100% | 0% | -63.9% |
| [ST CROIX HOSPICE](https://astrelis.co/providers/hospice/431521) ([twin](https://astrelis.co/providers/hospice/431521.md)) | Sioux Falls | 2025 | 17,955 | 37 | 100% | 0% | +4.0% |
| [STILLWATER HOSPICE OF SOUTH DAKOTA](https://astrelis.co/providers/hospice/431520) ([twin](https://astrelis.co/providers/hospice/431520.md)) | Rapid City | 2025 | 14,256 | 38 | 100% | 0% | -37.7% |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Hospices in South Dakota · Financial Profiles", https://astrelis.co/providers/hospice/state/sd, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

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.