Critical access hospital · Flandreau, South Dakota · 18 beds · CMS certification number 431310
Avera Flandreau Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS September 9, 2026. 27 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 $869K in its first year on file (1999) to $10.0M in 2025.
- Its result from patient care: $1.5M (2023), $776K (2024), $47K (2025).
- None of the 5 critical access hospital peers below with a margin on file reports a gain on patient care for fiscal year 2025.
- Medicaid paid for 1.5% of its inpatient days and Medicare for 73.9%.
- AVERA HEALTH holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
27 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in South Dakota with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Avera Flandreau Hospital | 18 | $10,000,918 | $9,954,387 | 0.5% |
| Landmann-Jungman Memorial Hospital, Scotland | 20 | $5,894,433 | $7,709,238 | −30.8% |
| Madison Community Hospital, Madison | 22 | $34,845,432 | $37,067,378 | −6.4% |
| Marhsall County Healthcare Center, Britton | 20 | $11,746,730 | $13,021,700 | −10.8% |
| Monument Health Lead-Deadwood Hospital, Deadwood | 18 | $19,246,464 | $19,943,435 | −3.6% |
| Hans P Peterson Memorial Hospital, Philip | 18 | $17,932,427 | $19,730,648 | −10.0% |
Patients and payers
- Discharges
- 109S-3 line 14, col 15
- Inpatient days
- 391S-3 line 14, col 8
- Beds in use, on an average day
- 1.1days ÷ days in year
- Occupancy
- 5.9%days ÷ bed days
- Medicare share of days
- 73.9%S-3 cols 6 ÷ 8
- Medicaid share of days
- 1.5%S-3 cols 7 ÷ 8
Who owns it
- AVERA HEALTH100%
Related organizations on its own cost report: AVERA HOME OFFI, health care adm; AVERA MCKENNAN, healthcare serv.
Other hospitals with the same owner: Avera Merrill Pioneer Hospital (IA), Avera Holy Family Hospital (IA), Avera Granite Falls Health Center (MN), Avera Tyler Hospital (MN), Avera Marshall Regional Medical Center (MN), Avera St. Anthonys Hospital (NE).
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 431310. 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 September 9, 2026.