Velarion Records

Public registries, as they were filed.

Disproportionate share hospital · SD

SPEARFISH REGIONAL HOSPITAL

$120,698,311Net patient revenueWhat the hospital took in for treating patients, after discounts.
-0.0%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
0.4%Charity careCare given free or discounted, as a share of what patients brought in.
1.5%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.

  • 12Registered locations
  • 1Associated locations
  • 12Contract pharmacies
  • 0With no end date
  • 1 April 2019In 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$120,698,311CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$120,718,410CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients−$20,099CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$1,207,550CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$497,616CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$4,679,408CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost$1,814,269CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds20CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.2805CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 430048 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 disproportionate share hospitals in South Dakota that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.

  • 40thpercentile of 5 disproportionate share hospitals in South DakotaCharity care
  • 60thpercentile of 5 disproportionate share hospitals in South DakotaUncompensated care
  • 100thpercentile of 5 disproportionate share hospitals in South DakotaLeft after the cost of care
  • 20thpercentile of 5 disproportionate share hospitals in South DakotaContract pharmacies

Among hospitals of the same type in South Dakota

Every disproportionate share hospital in South Dakota that files a Medicare cost report carrying both figures — 5 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%0.5%1.0%1.5%-20.0%-15.0%-10.0%-5.0%0.0%AVERA MCKENNAN — charity care 1.0% of patient revenue, -7.6% left after the cost of careAVERA ST. MARY'S — charity care 0.7% of patient revenue, -7.4% left after the cost of careMonument Health Rapid City Hospital — charity care 0.4% of patient revenue, -15.6% left after the cost of careSanford USD Medical Center — charity care 1.5% of patient revenue, -0.5% left after the cost of careSPEARFISH REGIONAL 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 MCKENNANSIOUX FALLS, SD1.0%-7.6%2025-06-30
AVERA ST. MARY'SPIERRE, SD0.7%-7.4%2025-06-30
Monument Health Rapid City HospitalRAPID CITY, SD0.4%-15.6%2025-06-30
Sanford USD Medical CenterSioux Falls, SD1.5%-0.5%2024-12-31
SPEARFISH REGIONAL HOSPITAL — this hospitalSPEARFISH, SD0.4%-0.0%2025-06-30

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, “SPEARFISH REGIONAL HOSPITAL” (340B ID DSH430048), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/DSH430048

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
1 April 2019
Termination date
31 March 2020
Termination reason
Change of covered entity type (non-hospital)
Certification date
22 August 2019
Record last edited
31 March 2020

Identifiers

340B ID
DSH430048
Entity type as filed
DSH
CMS certification number
430048
Rural
Yes

1440 NORTH MAIN, SPEARFISH SD 57783

Locations registered under this record

Browse all of them as a list →

340B IDNameTypeWhereParticipating
DSH430048ARegional Health Rehabilitation and Sports Medicine - Physical therapyDSHSpearfish, SDFALSE
DSH430048BREGIONAL HEALTH MEDICAL CLINIC NORTH AVENUE - SURGERY - SurgeryDSHSpearfish, SDFALSE
DSH430048CREGIONAL HEALTH ORTHOPEDICS - OrthopedicsDSHSpearfish, SDFALSE
DSH430048DREGIONAL HEALTH SURGERY CENTER - Surgical servicesDSHSpearfish, SDFALSE
DSH430048EREGIONAL HEALTH DERMATOLOGY EAST COLORADO BOULEVARD - DermatologyDSHSpearfish, SDFALSE
DSH430048FREGIONAL HEALTH MEDICAL CLINIC NORTH 10TH STREET - PODIATRY - PodiatryDSHSpearfish, SDFALSE
DSH430048GREGIONAL HEALTH MEDICAL CLINIC NORTH AVENUE - ENT - ENTDSHSpearfish, SDFALSE
DSH430048HREGIONAL HEALTH MEDICAL CLINIC NORTH AVENUE - OB/GYN - OB/GYNDSHSpearfish, SDFALSE
DSH430048JRegional Health Medical Clinic 13th Ave - Rehabilitation - Physical TherapyDSHBelle Fourche, SDFALSE
DSH430048KREGIONAL HEALTH MEDICAL CLINIC NORTH AVENUE - PRIMARY CARE - Primary careDSHSpearfish, SDFALSE
DSH430048LREGIONAL HEALTH MEDICAL CLINIC 13TH AVENUE - Primary CareDSHBelle Fourche, SDFALSE
DSH430048MREGIONAL HEALTH MEDICAL CLINIC NORTH 10TH STREET - PRIMARY CARE - Primary careDSHSpearfish, SDFALSE

Associated locations

OrganizationAddressWhere
SPEARFISH REGIONAL HOSPITAL1440 NORTH MAINSPEARFISH SD 57783

Pharmacy contracts

PharmacyWhereBeginsEnds
CSRX, INCRAPID CITY, SD1 July 20193 February 2020
MONUMENT HEALTH HOME PLUS HOME INFUSIONRAPID CITY, SD1 April 20193 February 2020
MONUMENT HEALTH HOME PLUS PHARMACYRAPID CITY, SD1 April 20193 February 2020
MONUMENT HEALTH HOME PLUS PHARMACYSPEARFISH, SD1 April 20193 February 2020
MONUMENT HEALTH HOME PLUS SPECIALTY PHARRAPID CITY, SD1 April 20193 February 2020
SAFEWAY INCSPEARFISH, SD1 April 20193 February 2020
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 April 20193 February 2020
WAL-MART PHARMACY 10-1543SPEARFISH, SD1 April 20193 February 2020
WAL-MART PHARMACY 10-5997ORLANDO, FL1 April 20193 February 2020
WALGREEN COSPEARFISH, SD1 April 20193 February 2020
REGIONAL HEALTH HOME PLUS LONG TERM CARERAPID CITY, SD1 April 201915 December 2019
SHOPKO PHARMACY #2757BELLE FOURCHE, SD1 April 20194 February 2019

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.