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Short-term acute care hospital · Yankton, South Dakota · 42 beds · CMS certification number 430012

Avera Sacred Heart Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS September 17, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$138.0M
$138,043,706 · G-3 line 3
Operating expenses
$139.3M
$139,326,524 · G-3 line 4
Result from patient care
−$1.3M
−$1,282,818 · G-3 line 5
Margin on patient care
−0.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $40.8M in its first year on file (1997) to $138.0M in 2025.
  • Its result from patient care: −$2.4M (2023), −$1.6M (2024), −$1.3M (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 12.7% of its inpatient days and Medicare for 36.6%.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
reopened
$40.8M
$38.8M
1998
settled
$44.7M
$42.0M
1999
settled
$44.9M
$42.9M
2000
settled with audit
$47.1M
$45.6M
2001
reopened
$53.9M
$49.4M
2002
reopened
$59.1M
$58.0M
2003
settled with audit
$61.7M
$59.8M
2004
settled with audit
$63.2M
$61.3M
2005
reopened
$63.9M
$63.5M
2006
reopened
$67.1M
$66.4M
2007
reopened
$72.4M
$69.7M
2008
settled
$75.1M
$74.6M
2009
reopened
$83.6M
$82.1M
2010
settled
$91.6M
$90.6M
2011
reopened
$82.6M
$96.4M
2012
reopened
$98.1M
$100.2M
2013
reopened
$97.5M
$101.4M
2014
reopened
$101.5M
$104.3M
2015
settled
$108.3M
$107.2M
2016
settled
$114.1M
$114.1M
2017
settled
$118.0M
$119.1M
2018
settled
$121.0M
$124.5M
2019
settled
$130.3M
$129.3M
2020
settled
$130.1M
$137.2M
2021
settled
$118.7M
$121.4M
2022
settled
$123.3M
$124.8M
2023
settled
$123.1M
$125.5M
2024
settled
$129.1M
$130.7M
2025
settled
$138.0M
$139.3M

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
Avera Sacred Heart Hospital42$138,043,706$139,326,524−0.9%
Avera St. Marys Hospital, Pierre36$124,560,403$133,793,024−7.4%
Brookings Health System, Brookings49$89,417,282$78,525,28012.2%
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
2,925
S-3 line 14, col 15
Inpatient days
10,364
S-3 line 14, col 8
Beds in use, on an average day
28.5
days ÷ days in year
Occupancy
67.6%
days ÷ bed days
Medicare share of days
36.6%
S-3 cols 6 ÷ 8
Medicaid share of days
12.7%
S-3 cols 7 ÷ 8

Who owns it

Indirect owner: AVERA HEALTH

Related organizations on its own cost report: AVERA SACRED HE (100%).

Other hospitals with the same owner: Avera Merrill Pioneer Hospital (IA), Avera Holy Family Hospital (IA), Avera Granite Falls Health Center (MN), Avera Tyler Hospital (MN), Avera Marshall Regional Medical Center (MN), Avera St. Anthonys Hospital (NE).

Type of control on its cost report: voluntary nonprofit, other.

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 HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 430012. 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 HOSP10FY2024.ZIP, read September 17, 2026.