Short-term acute care hospital · Rapid City, South Dakota · 416 beds · CMS certification number 430077
Monument Health Rapid City Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 12, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $160.0M in its first year on file (1997) to $830.1M in 2025.
- Its result from patient care: −$135.4M (2023), −$112.8M (2024), −$129.1M (2025).
- 4 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 25.5% of its inpatient days and Medicare for 32.3%.
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.
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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 Rapid City Hospital | 416 | $830,101,200 | $959,218,702 | −15.6% |
| Avera Heart Hospital of South Dakota, Sioux Falls | 53 | $194,545,088 | $182,324,845 | 6.3% |
| Avera McKennan Hospital and University Health Center, Sioux Falls | 563 | $1,708,179,427 | $1,838,210,780 | −7.6% |
| Avera St. Luke's, Aberdeen | 50 | $198,110,631 | $211,154,077 | −6.6% |
| Sanford Watertown Medical Center, Watertown | 81 | $162,395,283 | $168,480,440 | −3.8% |
| Sanford Usd Medical Center, Sioux Falls | 450 | $1,440,768,904 | $1,614,679,139 | −12.1% |
Patients and payers
- Discharges
- 19,140S-3 line 14, col 15
- Inpatient days
- 98,593S-3 line 14, col 8
- Beds in use, on an average day
- 270.9days ÷ days in year
- Occupancy
- 64.9%days ÷ bed days
- Medicare share of days
- 32.3%S-3 cols 6 ÷ 8
- Medicaid share of days
- 25.5%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: 2 (100%), acute care.
Type of control on its cost report: voluntary nonprofit, other.
Community benefit, as filed
Community benefit is filed on IRS Form 990 Schedule H by Monument Health Rapid City Hospital Inc (employer identification number 460319070) for tax year 2022, once for the 2 hospital facilities the return lists, this hospital among them. The return does not divide it among them.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 430077. 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 December 12, 2025.