Short-term acute care hospital · Spearfish, South Dakota · 20 beds · CMS certification number 430048
Monument Health Spearfish Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS September 9, 2026. 30 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $12.6M in its first year on file (1996) to $120.7M in 2025.
- Its result from patient care: $2.2M (2023), $4.9M (2024), −$20K (2025).
- 1 of the 5 short-term acute care hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
- Medicaid paid for 16.4% of its inpatient days and Medicare for 30.2%.
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.
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Beside its peers
Hospitals of the same type (short-term acute care hospital), nearest in size, from South Dakota first; each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Monument Health Spearfish Hospital | 20 | $120,698,311 | $120,718,410 | −0.0% |
| Avera St. Marys Hospital, Pierre | 36 | $124,560,403 | $133,793,024 | −7.4% |
| Black Hills Surgical Hospital, Rapid City | 25 | $111,519,611 | $94,035,871 | 15.7% |
| Same Day Surgery Center, Rapid City | 6 | $18,687,921 | $13,705,500 | 26.7% |
| Sioux Falls Specialty Hospital, Sioux Falls | 33 | $154,738,180 | $116,675,081 | 24.6% |
| Dunes Surgical Hospital, Dakota Dunes | 38 | $111,761,350 | $70,899,029 | 36.6% |
Patients and payers
- Discharges
- 1,330S-3 line 14, col 15
- Inpatient days
- 3,659S-3 line 14, col 8
- Beds in use, on an average day
- 10.1days ÷ days in year
- Occupancy
- 50.1%days ÷ bed days
- Medicare share of days
- 30.2%S-3 cols 6 ÷ 8
- Medicaid share of days
- 16.4%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: SPEARFISH HOSPI (100%), health care.
Type of control on its cost report: voluntary nonprofit, other.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 430048. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read September 9, 2026.