▸ Cost Report · CCN 431337 · FY 2025
AVERA HAND COUNTY MEMORIAL HOSPITAL
MILLER, SD 57362- · Fiscal year ending 2025-06-30
$12.2M
TOTAL REVENUES
$4.8M
NET INCOME
39.5%
OPERATING MARGIN
130
DISCHARGES
01 — FINANCIAL
Financial summary
- Total revenues
- $12.2M
- Total costs
- $11.6M
- Net income
- $4.8M
- Operating margin
- 39.5%
- Total charges
- $14.8M
- Medicare charges
- —
- Medicaid charges
- —
- Charity care charges
- $146K
- Uncompensated care
- $110K
- Bad debt
- $138K
- Total assets
- $31.8M
- Total liabilities
- $4.0M
- Fund balance
- $27.8M
02 — UTILIZATION
Utilization
- Total beds
- 25
- Bed days available
- 9,125
- Total inpatient days
- 727
- Medicare inpatient days
- 562
- Medicaid inpatient days
- 8
- Total outpatient visits
- —
- Total discharges
- 130
- Total FTEs
- —
- Inpatient residents
- —
- Outpatient residents
- —
03 — HISTORY
Latest filing
| Fiscal year | Discharges | Revenue | Net income | Margin |
|---|---|---|---|---|
| 2025-06-30 | 130 | $12.2M | $4.8M | 39.5% |
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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
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04 — PEER BENCHMARK
Peer cohort — SD Critical Access Hospitals
21 hospitals filing FY2025
- Median operating margin
- 15.2%
- 25th percentile margin
- 5.5%
- 75th percentile margin
- 25.4%
- Median discharges
- 135
- Median net income
- $2.7M
- Median bed count
- 18
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
Not rated
- Emergency services
- Yes
- Mortality vs national avg
- Same as the national average
- Safety vs national avg
- —
- Readmissions vs national avg
- Same as the national average
- Patient experience vs national avg
- —
- Timely & effective vs national avg
- —
07 — MARKET (HSAF)
Top patient-origin ZIPs
Catchment based on CMS Hospital Service Area File (PY2023)
| ZIP | Cases | Bed days |
|---|---|---|
| 57362 | 99 | 270 |
| 57362 | 99 | 296 |
| 57362 | 97 | 270 |
| 57362 | 92 | 284 |
| 57362 | 83 | 267 |
| 57362 | 61 | 145 |
| 57345 | 27 | 113 |
| 57345 | 26 | 71 |
| 57345 | 22 | 63 |
| 57381 | 21 | 64 |
CROSS-REFERENCE
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Published negotiated rates, payer mix, and compliance grade from this hospital's machine-readable file.
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