4 locations registered under this record — data as of November 5, 2026
Critical access hospital · FREEMAN, SD
FREEMAN REGIONAL HEALTH SERVICES
Taking partYesLast certifiedAugust 23, 2026
- 4Registered locations
- 3Associated locations
- 6Contract pharmacies
- 3With no end date
- July 1, 2015In 340B since
Where this record sits: among the 38 Critical access hospitals in South Dakota, the median open contract-pharmacy count is 2; this record’s open count ranks 16.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,461,607 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $8,222,588 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,239,019 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,136,066 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$897,047 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $144,066 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $105,542 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $33,488 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $18,446 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $123,988 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.6081 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 431313 for January 1, 2025 to December 31, 2025, as submitted. The public file it was read from.
Community benefit, as filed
Executive and director compensation, as filed
The full report for FREEMAN REGIONAL HEALTH SERVICES
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 25thpercentile of 16 hospitals in SD, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 25thpercentile of 16 hospitals in SD, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 50thpercentile of 16 hospitals in SD, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 19thpercentile of 16 hospitals in SD, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 16 hospitals in SD, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 94thpercentile of 16 hospitals in SD, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in South Dakota beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- July 1, 2015
- Certification date
- August 23, 2026
- Record last edited
- August 23, 2026
Identifiers
- 340B ID
- CAH431313-00
- Entity type as filed
- CAH
- CMS certification number
- 431313
- Rural
- Yes
510 E 8TH ST, FREEMAN SD 57029
Locations registered under this record
Browse all of them as a list →
| CAH431313-01 | RURAL MEDICAL CLINICS | CAH | FREEMAN, SD | Yes |
| CAH431313-02 | Rural Medical Clinic Marion | CAH | Marion, SD | Yes |
| CAH431313-03 | Rural Medical Clinic-Bridgewater | CAH | Bridgewater, SD | Yes |
| CAH431313-04 | Menno Clinic | CAH | Menno, SD | Yes |
Associated locations
| Avera Pharmacy Distribution Center | 4101 W Memory Circle, Ste 150 | Sioux Falls SD 57107 |
| FREEMAN REGIONAL HEALTH SERVICES | 510 E 8TH ST | FREEMAN SD 57029 |
| Freeman Regional Health Services | 510 E 8th St | Freeman SD 57029 |
Pharmacy contracts
No end date filed3
| AVERA SPECIALTY PHARMACY | SIOUX FALLS, SD | January 17, 2023 | no end date filed |
| HERITAGE PHARMACY | FREEMAN, SD | July 1, 2015 | no end date filed |
| PARKER PHARMACY, LLC | PARKER, SD | July 1, 2026 | no end date filed |
An end date is filed3
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| HERITAGE PHARMACY | BRIDGEWATER, SD | July 1, 2015 | March 26, 2018 |
| MAIN STREET PHARMACY I CORP | MARION, SD | July 1, 2015 | September 28, 2016 |
| MAIN STREET PHARMACY I, CORP. | FREEMAN, SD | July 1, 2015 | February 19, 2024 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_071011.xlsx, stamped by its publisher November 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_071011.xlsx, read November 5, 2026.