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Short-term acute care hospital · Sioux Falls, South Dakota · 33 beds · CMS certification number 430090

Sioux Falls Specialty Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 12, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$154.7M
$154,738,180 · G-3 line 3
Operating expenses
$116.7M
$116,675,081 · G-3 line 4
Result from patient care
$38.1M
$38,063,099 · G-3 line 5
Margin on patient care
24.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.3M in its first year on file (1996) to $154.7M in 2025.
  • Its result from patient care: $39.8M (2023), $41.5M (2024), $38.1M (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 1.5% of its inpatient days and Medicare for 64.2%.
  • MEDICAL FACILITIES AMERICA HOLDCO 1 LLC holds 100% of it, on its Medicare enrollment.

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
$2.3M
$1.2M
1997
settled
$10.8M
$8.1M
1998
reopened
$10.4M
$9.4M
1999
reopened
$14.4M
$11.2M
2000
settled
$18.0M
$12.5M
2001
settled
$21.1M
$15.2M
2002
settled
$25.5M
$17.3M
2003
settled
$35.2M
$20.8M
2004
settled
$39.0M
$21.3M
2005
settled
$41.0M
$22.4M
2006
settled
$47.2M
$25.0M
2007
settled
$54.9M
$27.9M
2008
settled
$57.8M
$30.7M
2009
settled
$63.9M
$35.7M
2010
settled
$66.5M
$37.9M
2011
settled
$73.7M
$40.9M
2012
settled
$78.9M
$44.2M
2013
settled
$88.4M
$51.9M
2014
settled
$88.5M
$52.7M
2015
settled
$95.8M
$57.6M
2016
settled
$97.1M
$64.6M
2017
settled
$113.9M
$72.4M
2018
settled
$115.6M
$79.0M
2019
settled
$119.5M
$85.4M
2020
settled
$112.0M
$85.1M
2021
settled
$126.0M
$90.5M
2022
settled
$138.8M
$94.8M
2023
settled
$146.5M
$106.7M
2024
settled
$153.8M
$112.3M
2025
as submitted
$154.7M
$116.7M

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
Sioux Falls Specialty Hospital33$154,738,180$116,675,08124.6%
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%
Black Hills Surgical Hospital, Rapid City25$111,519,611$94,035,87115.7%
Sanford Aberdeen Medical Center, Aberdeen48$80,331,738$90,806,237−13.0%
Dunes Surgical Hospital, Dakota Dunes38$111,761,350$70,899,02936.6%

Patients and payers

Discharges
350
S-3 line 14, col 15
Inpatient days
604
S-3 line 14, col 8
Beds in use, on an average day
1.7
days ÷ days in year
Occupancy
5.0%
days ÷ bed days
Medicare share of days
64.2%
S-3 cols 6 ÷ 8
Medicaid share of days
1.5%
S-3 cols 7 ÷ 8

Who owns it

  • MEDICAL FACILITIES AMERICA HOLDCO 1 LLC100%
  • MEDICAL FACILITIES AMERICA HOLDCO 2 LLC100%
  • MEDICAL FACILITIES AMERICA INC100%
  • MEDICAL FACILITIES CORPORATION100%
  • MEDICAL FACILITIES USA HOLDINGS INC51%
  • SIOUX FALLS SURGICAL PHYSICIANS, LLC49%

Other hospitals with the same owner: Arkansas Surgical Hospital (AR).

Type of control on its cost report: proprietary, partnership.

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 430090. 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 May 12, 2026.