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Short-term acute care hospital · Sioux Falls, South Dakota · 53 beds · CMS certification number 430095

Avera Heart Hospital of South Dakota

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS August 7, 2026. 25 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$194.5M
$194,545,088 · G-3 line 3
Operating expenses
$182.3M
$182,324,845 · G-3 line 4
Result from patient care
$12.2M
$12,220,243 · G-3 line 5
Margin on patient care
6.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $19.9M in its first year on file (2001) to $194.5M in 2025.
  • Its result from patient care: $2.1M (2023), $7.0M (2024), $12.2M (2025).
  • 1 of the 5 short-term acute care hospital peers below with a margin on file also reports a gain on patient care for fiscal year 2025.
  • Medicaid paid for 3.4% of its inpatient days and Medicare for 48.9%.
  • AVERA MCKENNAN holds 33% of it, on its Medicare enrollment.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
reopened
$19.9M
$24.2M
2002
settled with audit
$47.9M
$42.2M
2003
settled with audit
$55.6M
$48.4M
2004
settled
$57.2M
$48.8M
2005
settled
$59.0M
$50.0M
2006
settled
$61.3M
$48.4M
2007
settled
$66.0M
$52.5M
2008
settled
$67.0M
$50.6M
2009
settled
$66.6M
$54.1M
2010
settled
$65.2M
$53.8M
2011
settled
$49.0M
$38.7M
2012
settled
$67.1M
$55.7M
2013
settled
$81.9M
$68.9M
2014
reopened
$98.8M
$83.7M
2015
settled
$101.2M
$86.4M
2016
settled
$101.4M
$87.7M
2017
settled
$104.1M
$90.0M
2018
settled
$108.3M
$95.1M
2019
settled
$115.1M
$102.9M
2020
settled
$113.0M
$104.0M
2021
settled
$126.4M
$116.5M
2022
settled
$127.0M
$123.9M
2023
settled
$139.0M
$136.9M
2024
settled
$166.6M
$159.6M
2025
settled
$194.5M
$182.3M

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
Avera Heart Hospital of South Dakota53$194,545,088$182,324,8456.3%
Avera St. Luke's, Aberdeen50$198,110,631$211,154,077−6.6%
Brookings Health System, Brookings49$89,417,282$78,525,28012.2%
Monument Health Rapid City Hospital, Rapid City416$830,101,200$959,218,702−15.6%
Sanford Watertown Medical Center, Watertown81$162,395,283$168,480,440−3.8%
Sanford Usd Medical Center, Sioux Falls450$1,440,768,904$1,614,679,139−12.1%

Patients and payers

Discharges
3,059
S-3 line 14, col 15
Inpatient days
10,565
S-3 line 14, col 8
Beds in use, on an average day
29.0
days ÷ days in year
Occupancy
54.6%
days ÷ bed days
Medicare share of days
48.9%
S-3 cols 6 ÷ 8
Medicaid share of days
3.4%
S-3 cols 7 ÷ 8

Who owns it

  • AVERA MCKENNAN33%
  • NORTH CENTRAL HEART INSTITUTE33%
  • SIOUX FALLS HOSPITAL MANAGEMENT, INC33%

Related organizations on its own cost report: AVERA MCKENNAN (67%), hospital; AVERA MCKENNAN (67%), administrative.

Other hospitals with the same owner: Lakes Regional Healthcare (IA), Avera Holy Family Hospital (IA).

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

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 430095. 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 August 7, 2026.