Critical access hospital · Custer, South Dakota · 12 beds · CMS certification number 431323
Monument Health Custer Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 24 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 $6.9M in its first year on file (2002) to $31.1M in 2025.
- Its result from patient care: −$2.0M (2023), −$530K (2024), −$156K (2025).
- 3 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 6.3% of its inpatient days and Medicare for 60.1%.
Every statement is drawn from figures on this page; nothing is estimated.
24 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 |
|---|---|---|---|---|
| Monument Health Custer Hospital | 12 | $31,120,701 | $31,276,735 | −0.5% |
| Avera Gregory Hospital, Gregory | 13 | $23,219,628 | $27,414,061 | −18.1% |
| Bowdle Hospital, Bowdle | 12 | $10,059,158 | $11,588,978 | −15.2% |
| Community Memorial Hospital, Burke | 16 | $8,175,984 | $8,643,218 | −5.7% |
| Faulkton Area Medical Center, Faulkton | 12 | $12,389,252 | $12,345,097 | 0.4% |
| Wagner Community Memorial Hospital, Wagner | 15 | $20,502,850 | $19,331,153 | 5.7% |
Patients and payers
- Discharges
- 339S-3 line 14, col 15
- Inpatient days
- 2,317S-3 line 14, col 8
- Beds in use, on an average day
- 6.4days ÷ days in year
- Occupancy
- 52.9%days ÷ bed days
- Medicare share of days
- 60.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 6.3%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: MONUMENT HEALTH (100%), acute care.
Type of control on its cost report: voluntary nonprofit, other.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431323. 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 December 8, 2025.