▸ Cost Report · CCN 430048 · FY 2025
MONUMENT HEALTH SPEARFISH HOSPITAL
SPEARFISH, SD 57783- · Fiscal year ending 2025-06-30
$120.7M
TOTAL REVENUES
$972K
NET INCOME
0.8%
OPERATING MARGIN
1,330
DISCHARGES
01 — FINANCIAL
Financial summary
- Total revenues
- $120.7M
- Total costs
- $120.7M
- Net income
- $972K
- Operating margin
- 0.8%
- Total charges
- $215.0M
- Medicare charges
- —
- Medicaid charges
- —
- Charity care charges
- $1.2M
- Uncompensated care
- $3.6M
- Bad debt
- $822K
- Total assets
- $142.2M
- Total liabilities
- $25.3M
- Fund balance
- $116.9M
02 — UTILIZATION
Utilization
- Total beds
- 20
- Bed days available
- 7,300
- Total inpatient days
- 3,659
- Medicare inpatient days
- 1,104
- Medicaid inpatient days
- 602
- Total outpatient visits
- —
- Total discharges
- 1,330
- Total FTEs
- —
- Inpatient residents
- —
- Outpatient residents
- —
03 — HISTORY
Latest filing
| Fiscal year | Discharges | Revenue | Net income | Margin |
|---|---|---|---|---|
| 2025-06-30 | 1,330 | $120.7M | $972K | 0.8% |
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03b — TREND CHART
Revenue, costs, and net income by fiscal year
Multi-year P&L chart — visualize revenue, costs, and net income side-by-side across every filing.See Solo · $499/yr →
DISTRESS RADAR
Risk signals detected
Auto-flagged from 3-year trend on margin, volume, and bad debt
This hospital tripped 1 distress signal. Upgrade to see which signals fired and the underlying numbers.See Solo · $499/yr →
04 — PEER BENCHMARK
Peer cohort — SD Acute Care Hospitals
9 hospitals filing FY2025
- Median operating margin
- 7.0%
- 25th percentile margin
- 1.3%
- 75th percentile margin
- 14.8%
- Median discharges
- 2,778
- Median net income
- $13.7M
- Median bed count
- 50
05 — QUALITY (CMS CARE COMPARE)
CMS Care Compare quality measures
Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.
Overall rating
4 / 5
- Emergency services
- Yes
- Mortality vs national avg
- Same as the national average
- Safety vs national avg
- Same as the national average
- Readmissions vs national avg
- Below the national average
- Patient experience vs national avg
- —
- Timely & effective vs national avg
- —
07a — MS-DRG MIX
Top inpatient DRGs by volume
Per CMS Medicare Inpatient Hospitals dataset (PY2021)
| DRG | Description | Discharges | Avg payment |
|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 46 | $20K |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 35 | $21K |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 18 | $19K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 15 | $13K |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 14 | $13K |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 13 | $14K |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND… | 13 | $8K |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 12 | $24K |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 12 | $12K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 12 | $13K |
07 — MARKET (HSAF)
Top patient-origin ZIPs
Catchment based on CMS Hospital Service Area File (PY2022)
| ZIP | Cases | Bed days |
|---|---|---|
| 57783 | 265 | 835 |
| 57783 | 258 | 994 |
| 57783 | 256 | 672 |
| 57783 | 231 | 693 |
| 57783 | 226 | 567 |
| 57783 | 223 | 647 |
| 57717 | 122 | 421 |
| 57717 | 116 | 405 |
| 57717 | 111 | 291 |
| 57717 | 96 | 232 |
CROSS-REFERENCE
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