Velarion Records

Public registries, as they were filed.

Critical access hospital · SD

Avera McKennan DBA Avera Flandreau Hospital

$10,000,918Net patient revenueWhat the hospital took in for treating patients, after discounts.
0.5%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
2.3%Charity careCare given free or discounted, as a share of what patients brought in.
3.3%Uncompensated careCharity care plus bills that went unpaid, on the same basis.

From this hospital’s Medicare cost report for the year ended 30 June 2025. Every figure on this page names the cell it came from.

  • 1Registered locations
  • 3Associated locations
  • 12Contract pharmacies
  • 4With no end date
  • 1 January 2011In 340B since

Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 June 2025.

FigureAs filedWhere it comes from
Net patient revenue$10,000,918CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$9,954,387CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$46,531CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$525,666CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$234,485CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$224,370CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost$326,127CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds18CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.4084CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 431310 for 1 July 2024 to 30 June 2025, as submitted. The public file it was read from.

Where this hospital sits among its peers

Each figure’s position among critical access hospitals in South Dakota that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.

  • 87thpercentile of 39 critical access hospitals in South DakotaCharity care
  • 64thpercentile of 39 critical access hospitals in South DakotaUncompensated care
  • 62ndpercentile of 39 critical access hospitals in South DakotaLeft after the cost of care
  • 77thpercentile of 39 critical access hospitals in South DakotaContract pharmacies

Among hospitals of the same type in South Dakota

Every critical access hospital in South Dakota that files a Medicare cost report carrying both figures — 39 hospitals, each at its own reporting year. Across the bottom: how much of what the hospital took in from patients went to charity care. Up the side: what it had left after the cost of serving them. Both come straight from the filings.

0.0%2.0%4.0%6.0%8.0%-40.0%-20.0%0.0%20.0%AVERA DE SMET MEMORIAL HOSPITAL — charity care 0.8% of patient revenue, 12.3% left after the cost of careAvera Gettysburg dba Avera Missouri River Health Center — charity care 0.4% of patient revenue, 2.4% left after the cost of careAvera McKennan DBA Avera Dells Area Hospital — charity care 0.4% of patient revenue, 5.8% left after the cost of careAvera McKennan dba Avera Gregory Hospital — charity care 0.8% of patient revenue, -18.1% left after the cost of careAVERA MCKENNAN DBA AVERA HAND COUNTY MEMORIAL HOSPITAL — charity care 0.6% of patient revenue, 5.1% left after the cost of careAvera McKennan dba Milbank Area Hospital Avera — charity care 0.7% of patient revenue, -9.4% left after the cost of careAVERA QUEEN OF PEACE — charity care 1.2% of patient revenue, -9.1% left after the cost of careAvera St. Benedict Health Center — charity care 0.2% of patient revenue, 13.7% left after the cost of careAVERA WESKOTA MEMORIAL MEDICAL CENTER — charity care 0.8% of patient revenue, 16.4% left after the cost of careBENNETT COUNTY HOSPITAL — charity care 0.8% of patient revenue, -9.6% left after the cost of careBOWDLE HOSPITAL — charity care 0.1% of patient revenue, -15.2% left after the cost of careCommunity Memorial Hospital — charity care 0.7% of patient revenue, -12.0% left after the cost of careCommunity Memorial Hospital, Inc — charity care 0.2% of patient revenue, -10.4% left after the cost of careCoteau des Prairies — charity care 0.0% of patient revenue, -5.8% left after the cost of careDOUGLAS COUNTY MEMORIAL HOSPITAL — charity care 0.8% of patient revenue, 1.1% left after the cost of careEUREKA COMMUNITY HEALTH SERVICES AVERA — charity care 2.1% of patient revenue, -10.4% left after the cost of careFALL RIVER HEALTH SERVICES — charity care 0.4% of patient revenue, -3.4% left after the cost of careFaulkton Area Medical Center — charity care 0.9% of patient revenue, -7.2% left after the cost of careFREEMAN REGIONAL HEALTH SERVICES — charity care 0.7% of patient revenue, -4.6% left after the cost of careHans P Peterson Memorial Hospital — charity care 0.3% of patient revenue, -4.7% left after the cost of careHURON REGIONAL MEDICAL CENTER — charity care 0.2% of patient revenue, -15.9% left after the cost of careLandmann-Jungman Memorial Hospital — charity care 0.1% of patient revenue, -30.8% left after the cost of careMADISON COMMUNITY HOSPITAL — charity care 0.4% of patient revenue, -6.4% left after the cost of careMARSHALL COUNTY MEMORIAL HOSPITAL — charity care 0.1% of patient revenue, -10.8% left after the cost of careMobridge Regional Hospital — charity care 0.3% of patient revenue, -6.9% left after the cost of careMONUMENT HEALTH CUSTER HOSPITAL — charity care 0.4% of patient revenue, -0.5% left after the cost of careMONUMENT HEALTH LEAD-DEADWOOD HOSPITAL — charity care 0.9% of patient revenue, -3.6% left after the cost of careMONUMENT HEALTH STURGIS HOSPITAL — charity care 0.5% of patient revenue, 2.2% left after the cost of carePioneer Memorial Hospital & Health Services — charity care 0.2% of patient revenue, 1.7% left after the cost of carePlatte Community Memorial Hospital, Inc. — charity care 0.1% of patient revenue, 10.0% left after the cost of careSANFORD CANTON-INWOOD MEDICAL CENTER — charity care 6.7% of patient revenue, 10.2% left after the cost of careSANFORD HEALTH NETWORK DBA SANFORD CHAMBERLAIN MEDICAL CENTER — charity care 5.7% of patient revenue, -0.7% left after the cost of careSANFORD HEALTH NETWORK DBA SANFORD MEDICAL CENTER CLEAR LAKE — charity care 6.1% of patient revenue, 7.2% left after the cost of careSANFORD HOSPITAL WEBSTER — charity care 3.6% of patient revenue, 10.4% left after the cost of careSANFORD VERMILLION MEDICAL CENTER — charity care 5.0% of patient revenue, 11.4% left after the cost of careSt. Michael's Hospital, Inc. — charity care 1.3% of patient revenue, -22.4% left after the cost of careWAGNER COMMUNITY MEMORIAL HOSPITAL — charity care 1.9% of patient revenue, 5.7% left after the cost of careWinner Regional Healthcare Center — charity care 0.4% of patient revenue, -29.1% left after the cost of careAvera McKennan DBA Avera Flandreau Hospital — this hospitalThis hospitalCharity care, as a share of what patients brought inLeft after the cost of care

Identity never rests on color: this hospital is labelled on the plot and marked in the table. Hover a dot for the hospital’s name.

Hospitals plotted above, with the figures at full precision
HospitalWhereCharity care, share of patient revenueLeft after the cost of careYear ended
AVERA DE SMET MEMORIAL HOSPITALDE SMET, SD0.8%12.3%2025-06-30
Avera Gettysburg dba Avera Missouri River Health CenterGETTYSBURG, SD0.4%2.4%2025-06-30
Avera McKennan DBA Avera Dells Area HospitalDell Rapids, SD0.4%5.8%2025-06-30
Avera McKennan DBA Avera Flandreau Hospital — this hospitalFLANDREAU, SD2.3%0.5%2025-06-30
Avera McKennan dba Avera Gregory HospitalGregory, SD0.8%-18.1%2025-06-30
AVERA MCKENNAN DBA AVERA HAND COUNTY MEMORIAL HOSPITALMILLER, SD0.6%5.1%2025-06-30
Avera McKennan dba Milbank Area Hospital AveraMILBANK, SD0.7%-9.4%2025-06-30
AVERA QUEEN OF PEACEMitchell, SD1.2%-9.1%2025-06-30
Avera St. Benedict Health CenterPARKSTON, SD0.2%13.7%2025-06-30
AVERA WESKOTA MEMORIAL MEDICAL CENTERWESSINGTON SPRINGS, SD0.8%16.4%2025-06-30
BENNETT COUNTY HOSPITALMARTIN, SD0.8%-9.6%2024-12-31
BOWDLE HOSPITALBOWDLE, SD0.1%-15.2%2025-06-30
Community Memorial HospitalRedfield, SD0.7%-12.0%2024-12-31
Community Memorial Hospital, IncBurke, SD0.2%-10.4%2024-12-31
Coteau des PrairiesSisseton, SD0.0%-5.8%2024-12-31
DOUGLAS COUNTY MEMORIAL HOSPITALARMOUR, SD0.8%1.1%2025-05-31
EUREKA COMMUNITY HEALTH SERVICES AVERAEUREKA, SD2.1%-10.4%2025-06-30
FALL RIVER HEALTH SERVICESHOT SPRINGS, SD0.4%-3.4%2024-12-31
Faulkton Area Medical CenterFaulkton, SD0.9%-7.2%2024-12-31
FREEMAN REGIONAL HEALTH SERVICESFREEMAN, SD0.7%-4.6%2024-12-31
Hans P Peterson Memorial HospitalPhilip, SD0.3%-4.7%2024-12-31
HURON REGIONAL MEDICAL CENTERHURON, SD0.2%-15.9%2025-06-30
Landmann-Jungman Memorial HospitalScotland, SD0.1%-30.8%2025-06-30
MADISON COMMUNITY HOSPITALMADISON, SD0.4%-6.4%2025-06-30
MARSHALL COUNTY MEMORIAL HOSPITALBRITTON, SD0.1%-10.8%2025-06-30
Mobridge Regional HospitalMobridge, SD0.3%-6.9%2024-09-30
MONUMENT HEALTH CUSTER HOSPITALCUSTER, SD0.4%-0.5%2025-06-30
MONUMENT HEALTH LEAD-DEADWOOD HOSPITALDEADWOOD, SD0.9%-3.6%2025-06-30
MONUMENT HEALTH STURGIS HOSPITALSTURGIS, SD0.5%2.2%2025-06-30
Pioneer Memorial Hospital & Health ServicesViborg, SD0.2%1.7%2024-12-31
Platte Community Memorial Hospital, Inc.Platte, SD0.1%10.0%2025-06-30
SANFORD CANTON-INWOOD MEDICAL CENTERCANTON, SD6.7%10.2%2024-12-31
SANFORD HEALTH NETWORK DBA SANFORD CHAMBERLAIN MEDICAL CENTERCHAMBERLAIN, SD5.7%-0.7%2024-12-31
SANFORD HEALTH NETWORK DBA SANFORD MEDICAL CENTER CLEAR LAKECLEAR LAKE, SD6.1%7.2%2024-12-31
SANFORD HOSPITAL WEBSTERWEBSTER, SD3.6%10.4%2024-12-31
SANFORD VERMILLION MEDICAL CENTERVERMILLION, SD5.0%11.4%2024-12-31
St. Michael's Hospital, Inc.Tyndall, SD1.3%-22.4%2025-06-30
WAGNER COMMUNITY MEMORIAL HOSPITALWAGNER, SD1.9%5.7%2025-06-30
Winner Regional Healthcare CenterWinner, SD0.4%-29.1%2024-12-31

Earlier years

One cost report is on file for this hospital, for the year ended 30 June 2025. There is no earlier year to set beside it.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “Avera McKennan DBA Avera Flandreau Hospital” (340B ID CAH431310-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CAH431310-00

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
1 January 2011
Certification date
26 August 2026
Record last edited
26 August 2026

Identifiers

340B ID
CAH431310-00
Entity type as filed
CAH
CMS certification number
431310
Rural
Yes

214 NORTH PRAIRIE STREET, FLANDREAU SD 57028

Locations registered under this record

Browse all of them as a list →

340B IDNameTypeWhereParticipating
CAH431310-01Avera McKennan DBA Avera Medical Group FlandreauCAHFLANDREAU, SDTRUE

Associated locations

OrganizationAddressWhere
Avera McKennan DBA Avera Flandreau Hospital214 NORTH PRAIRIE STREETFLANDREAU SD 57028
Avera McKennan Distribution Center4101 W Memory Circle, Ste 150Sioux Falls SD 57107
Avera Specialty Pharmacy4101 W Memory Circle, Ste 135Sioux Falls SD 57107

Pharmacy contracts

PharmacyWhereBeginsEnds
LEWIS DRUG #12BROOKINGS, SD1 July 2026no end date filed
LEWIS DRUG DISTRIBUTION CENTERSIOUX FALLS, SD10 November 2011no end date filed
LEWIS FAMILY DRUG #53DELL RAPIDS, SD1 July 2026no end date filed
LEWIS FAMILY DRUG #70FLANDREAU, SD14 May 2026no end date filed
LEWIS DRUG #12BROOKINGS, SD1 July 202614 May 2026
LEWIS FAMILY DRUG #53DELL RAPIDS, SD1 July 202614 May 2026
LEWIS FAMILY DRUG #70FLANDREAU, SD9 August 201114 May 2026
OPTUM INFUSION SERVICES 305, LLCLENEXA, KS1 July 202515 September 2025
OPTUM PHARMACY 701, LLCMESA, AZ1 July 202515 September 2025
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, IN1 July 202515 September 2025
OPTUMRXOVERLAND PARK, KS1 July 202515 September 2025
AVERA LONG-TERM CARE PHARMACYSIOUX FALLS, SD1 January 201617 March 2021

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.