Velarion Records

Short-term acute care hospital · Rapid City, South Dakota · 6 beds · CMS certification number 430093

Same Day Surgery Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS March 10, 2026. 28 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$18.7M
$18,687,921 · G-3 line 3
Operating expenses
$13.7M
$13,705,500 · G-3 line 4
Result from patient care
$5.0M
$4,982,421 · G-3 line 5
Margin on patient care
26.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.7M in its first year on file (1998) to $18.7M in 2025.
  • Its result from patient care: $4.8M (2023), $6.4M (2024), $5.0M (2025).
  • 3 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 2.4% of its inpatient days and Medicare for 7.3%.
  • RAPID CITY AMBULATORY SURGERY LLC holds 60% of it, on its Medicare enrollment.

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

28 years of filings

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

Net patient revenueOperating expenses
1998
settled
$2.7M
$2.5M
1999
settled
$4.6M
$4.0M
2000
reopened
$3.8M
$3.7M
2001
reopened
$4.6M
$4.3M
2002
reopened
$5.0M
$4.5M
2003
settled
$6.8M
$5.6M
2004
settled
$7.6M
$5.5M
2005
settled
$7.7M
$5.7M
2006
settled
$7.4M
$5.9M
2007
settled
$8.2M
$5.9M
2008
settled
$9.2M
$6.2M
2009
settled
$10.1M
$5.9M
2010
settled
$10.9M
$5.9M
2011
settled
$11.6M
$5.0M
2012
settled
$11.8M
$6.2M
2013
reopened
$11.4M
$6.4M
2014
settled
$11.8M
$6.6M
2015
settled
$15.1M
$7.9M
2016
settled
$15.8M
$8.1M
2017
settled
$16.4M
$8.8M
2018
settled
$16.1M
$9.5M
2019
settled
$14.6M
$14.2M
2020
settled
$13.2M
$10.8M
2021
settled
$16.1M
$11.4M
2022
settled
$16.4M
$11.6M
2023
settled
$16.4M
$11.6M
2024
settled
$18.2M
$11.8M
2025
settled
$18.7M
$13.7M

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.

HospitalBedsNet patient revenueOperating expensesMargin
Same Day Surgery Center6$18,687,921$13,705,50026.7%
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%
Monument Health Spearfish Hospital, Spearfish20$120,698,311$120,718,410−0.0%
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
23
S-3 line 14, col 15
Inpatient days
41
S-3 line 14, col 8
Beds in use, on an average day
0.1
days ÷ days in year
Occupancy
1.9%
days ÷ bed days
Medicare share of days
7.3%
S-3 cols 6 ÷ 8
Medicaid share of days
2.4%
S-3 cols 7 ÷ 8

Who owns it

  • RAPID CITY AMBULATORY SURGERY LLC60%
  • MONUMENT HEALTH RAPID CITY HOSPITAL INC40%
  • E DAVID BLICKENSDERFER12%
  • WEST RIVER ANESTHESIOLOGY CONSULTANTS PC12%
  • WESLEY L SUFFICOOL11%
  • WESLEY L SUFFICOOL7%
  • KATHERINE A DEGEN6%

Related organizations on its own cost report: HOSPITAL (40%).

Other hospitals with the same owner: Rehabilitation and Critical Care Hospital of the Black Hills (SD).

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 430093. 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 March 10, 2026.