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Short-term acute care hospital · Brookings, South Dakota · 49 beds · CMS certification number 430008

Brookings Health System

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 26, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$89.4M
$89,417,282 · G-3 line 3
Operating expenses
$78.5M
$78,525,280 · G-3 line 4
Result from patient care
$10.9M
$10,892,002 · G-3 line 5
Margin on patient care
12.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $14.4M in its first year on file (1996) to $89.4M in 2025.
  • Its result from patient care: $6.6M (2023), $11.3M (2024), $10.9M (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 8.2% of its inpatient days and Medicare for 36.5%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled
$14.4M
$13.1M
1997
settled
$16.1M
$14.4M
1998
settled
$14.9M
$14.9M
1999
settled
$16.0M
$15.0M
2000
settled
$18.5M
$17.2M
2001
settled
$18.0M
$18.5M
2002
settled
$18.9M
$18.5M
2003
settled
$19.9M
$18.4M
2004
settled
$19.3M
$18.6M
2005
settled
$23.4M
$21.3M
2006
settled
$26.8M
$22.9M
2007
settled
$28.1M
$25.2M
2008
settled
$28.6M
$27.7M
2009
settled with audit
$30.2M
$29.8M
2010
settled
$30.0M
$30.4M
2011
settled with audit
$32.6M
$31.7M
2012
settled
$35.7M
$33.7M
2013
settled
$35.8M
$35.3M
2014
settled
$51.9M
$52.2M
2015
settled
$60.3M
$54.5M
2016
settled with audit
$58.5M
$57.0M
2017
settled
$64.5M
$60.2M
2018
settled
$66.2M
$69.7M
2019
settled
$77.1M
$78.0M
2020
settled
$74.4M
$78.5M
2021
settled with audit
$76.6M
$68.5M
2022
as submitted
$79.1M
$75.6M
2023
as submitted
$80.1M
$73.5M
2024
as submitted
$84.5M
$73.2M
2025
as submitted
$89.4M
$78.5M

Beside its peers

Short-term acute care hospitals in South Dakota with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Brookings Health System49$89,417,282$78,525,28012.2%
Avera Sacred Heart Hospital, Yankton42$138,043,706$139,326,524−0.9%
Avera St. Marys Hospital, Pierre36$124,560,403$133,793,024−7.4%
Sanford Aberdeen Medical Center, Aberdeen48$80,331,738$90,806,237−13.0%
Sioux Falls Specialty Hospital, Sioux Falls33$154,738,180$116,675,08124.6%
Dunes Surgical Hospital, Dakota Dunes38$111,761,350$70,899,02936.6%

Patients and payers

Discharges
1,437
S-3 line 14, col 15
Inpatient days
4,956
S-3 line 14, col 8
Beds in use, on an average day
13.6
days ÷ days in year
Occupancy
27.7%
days ÷ bed days
Medicare share of days
36.5%
S-3 cols 6 ÷ 8
Medicaid share of days
8.2%
S-3 cols 7 ÷ 8

Who owns it

Indirect owner: CITY OF BROOKINGS

Type of control on its cost report: governmental, city.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 430008. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 26, 2026.