Short-term acute care hospital · Rapid City, South Dakota · 25 beds · CMS certification number 430091
Black Hills Surgical Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 29 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $4.2M in its first year on file (1997) to $111.5M in 2025.
- Its result from patient care: $16.5M (2023), $19.0M (2024), $17.5M (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 3.3% of its inpatient days and Medicare for 53.1%.
- SANFORD holds 100% of it, on its Medicare enrollment.
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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as submitted
Beside its peers
Short-term acute care hospitals in South Dakota with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Black Hills Surgical Hospital | 25 | $111,519,611 | $94,035,871 | 15.7% |
| Avera Sacred Heart Hospital, Yankton | 42 | $138,043,706 | $139,326,524 | −0.9% |
| Avera St. Marys Hospital, Pierre | 36 | $124,560,403 | $133,793,024 | −7.4% |
| Sanford Aberdeen Medical Center, Aberdeen | 48 | $80,331,738 | $90,806,237 | −13.0% |
| 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
- 1,004S-3 line 14, col 15
- Inpatient days
- 2,309S-3 line 14, col 8
- Beds in use, on an average day
- 6.3days ÷ days in year
- Occupancy
- 25.3%days ÷ bed days
- Medicare share of days
- 53.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 3.3%S-3 cols 7 ÷ 8
Who owns it
- SANFORD100%
- SANFORD HEALTH OF SOUTH DAKOTA100%
Related organizations on its own cost report: VARIOUS (21%), physical therap; SANFORD, healthcare.
Other hospitals with the same owner: Sanford Sheldon Medical Center (IA), Sanford Worthington Medical Center (MN), Sanford Bemidji Medical Center (MN), Sanford Westbrook Medical Center (MN), Sanford Tracy Medical Center (MN), Sanford Wheaton Medical Center (MN), Sanford Jackson Medical Center (MN), Sanford Bagley Medical Center (MN).
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 430091. 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 22, 2026.