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Critical access hospital · Deadwood, South Dakota · 18 beds · CMS certification number 431320

Monument Health Lead-Deadwood Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 26, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$19.2M
$19,246,464 · G-3 line 3
Operating expenses
$19.9M
$19,943,435 · G-3 line 4
Result from patient care
−$697K
−$696,971 · G-3 line 5
Margin on patient care
−3.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.3M in its first year on file (2001) to $19.2M in 2025.
  • Its result from patient care: −$119K (2023), −$790K (2024), −$697K (2025).
  • 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 28.0% of its inpatient days and Medicare for 33.3%.

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
settled
$1.3M
$1.3M
2002
reopened
$6.6M
$8.9M
2003
reopened
$7.0M
$9.3M
2004
reopened
$6.7M
$10.2M
2005
reopened
$7.2M
$10.8M
2006
reopened
$8.2M
$9.4M
2007
reopened
$9.3M
$9.4M
2008
settled
$9.8M
$9.3M
2009
reopened
$9.3M
$9.3M
2010
settled
$8.2M
$8.2M
2011
settled
$7.2M
$8.8M
2012
as submitted
$7.6M
$8.6M
2013
settled
$7.6M
$9.4M
2014
reopened
$7.6M
$9.7M
2015
settled
$8.1M
$9.3M
2016
reopened
$11.2M
$12.7M
2017
settled
$12.5M
$14.4M
2018
settled with audit
$12.5M
$14.9M
2019
settled
$13.4M
$15.8M
2020
settled
$14.1M
$16.9M
2021
settled
$16.9M
$18.5M
2022
settled
$18.3M
$19.8M
2023
settled
$20.2M
$20.4M
2024
settled
$17.5M
$18.2M
2025
as submitted
$19.2M
$19.9M

Beside its peers

Critical access hospitals in South Dakota with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Monument Health Lead-Deadwood Hospital18$19,246,464$19,943,435−3.6%
Avera Flandreau Hospital, Flandreau18$10,000,918$9,954,3870.5%
Landmann-Jungman Memorial Hospital, Scotland20$5,894,433$7,709,238−30.8%
Madison Community Hospital, Madison22$34,845,432$37,067,378−6.4%
Marhsall County Healthcare Center, Britton20$11,746,730$13,021,700−10.8%
Hans P Peterson Memorial Hospital, Philip18$17,932,427$19,730,648−10.0%

Patients and payers

Discharges
191
S-3 line 14, col 15
Inpatient days
2,519
S-3 line 14, col 8
Beds in use, on an average day
6.9
days ÷ days in year
Occupancy
38.3%
days ÷ bed days
Medicare share of days
33.3%
S-3 cols 6 ÷ 8
Medicaid share of days
28.0%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: MONUMENT HEALTH, acute care faci.

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

Community benefit is filed on IRS Form 990 Schedule H by Monument Health Network Inc (employer identification number 460360899) for tax year 2022, once for the 4 hospital facilities the return lists, this hospital among them. The return does not divide it among them.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431320. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read November 26, 2025.