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Critical access hospital · Parkston, South Dakota · 25 beds · CMS certification number 431330

Avera St. Benedict Health Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 4, 2025. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$30.8M
$30,843,316 · G-3 line 3
Operating expenses
$26.6M
$26,610,541 · G-3 line 4
Result from patient care
$4.2M
$4,232,775 · G-3 line 5
Margin on patient care
13.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $9.3M in its first year on file (2004) to $30.8M in 2025.
  • Its result from patient care: $4.1M (2023), $4.2M (2024), $4.2M (2025).
  • 2 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 6.4% of its inpatient days and Medicare for 64.1%.

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

22 years of filings

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

Net patient revenueOperating expenses
2004
settled with audit
$9.3M
$11.3M
2005
settled
$11.7M
$12.0M
2006
settled
$12.1M
$12.2M
2007
settled with audit
$13.9M
$13.0M
2008
settled
$15.0M
$14.5M
2009
settled
$15.1M
$14.7M
2010
settled
$16.0M
$15.3M
2011
settled
$16.9M
$15.5M
2012
settled
$17.9M
$16.4M
2013
settled
$17.8M
$16.8M
2014
settled
$19.1M
$18.0M
2015
settled
$19.9M
$19.0M
2016
settled
$20.7M
$20.4M
2017
settled
$22.0M
$21.5M
2018
settled with audit
$23.2M
$21.8M
2019
settled
$24.9M
$22.1M
2020
settled
$23.8M
$23.0M
2021
settled
$25.4M
$23.1M
2022
settled
$26.6M
$23.1M
2023
settled
$27.3M
$23.2M
2024
settled
$29.1M
$24.9M
2025
as submitted
$30.8M
$26.6M

Beside its peers

Critical access hospitals in South Dakota with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Avera St. Benedict Health Center25$30,843,316$26,610,54113.7%
Community Memorial Hospital, Redfield25$18,049,924$19,759,889−9.5%
Fall River Health Services, Hot Springs25$32,149,653$32,655,791−1.6%
Freeman Medical Center, Freeman25$17,239,019$18,136,066−5.2%
Monument Health Sturgis Hospital, Sturgis25$40,547,796$39,671,5572.2%
Sanford Webster Medical Center, Webster25$12,502,266$11,719,5446.3%

Patients and payers

Discharges
351
S-3 line 14, col 15
Inpatient days
2,780
S-3 line 14, col 8
Beds in use, on an average day
7.6
days ÷ days in year
Occupancy
30.5%
days ÷ bed days
Medicare share of days
64.1%
S-3 cols 6 ÷ 8
Medicaid share of days
6.4%
S-3 cols 7 ÷ 8

Who owns it

Indirect owner: AVERA HEALTH

Related organizations on its own cost report: AVERA QOP/AVERA (100%), health system.

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).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by St Benedict Health Center (employer identification number 460226738) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$698,998IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$105,506IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$71,591IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$178,832IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$520,166IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0297IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202411359349310031. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by St Benedict Health Center (employer identification number 460226738) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Adam FischerBoard MemberTrustee/director$0$0$0
Antoinette VanderPol MDChair/Family Medicine/OBTrustee/director, Officer$303,277$0$25,793
Barb WeidenbachVice ChairTrustee/director, Officer$0$0$0
Beth SchroederManager - ClinicHighest-compensated employee$217,395$0$33,667
Bob JustSecretaryTrustee/director, Officer$0$0$0
Jason Wickersham MDFamily Practice/OB PhysicianHighest-compensated employee$428,084$0$46,560
Jedd BialasCRNAHighest-compensated employee$222,425$0$45,578
Julie LauttCFO Avera Health Secretary/TreasurerOfficer$0$1,086,452$17,088
Larissa Sanger MDFamily Practice/OB PhysicianHighest-compensated employee$289,397$0$47,709
Lindsay WeberPresident/CEO (Beg 09/2022)Trustee/director, Officer$76,705$47,846$48,486
Pat ReinerBoard MemberTrustee/director$0$0$0
Patricia LeischnerBoard MemberTrustee/director, Officer$0$0$0
Patrick McCannBoard MemberTrustee/director$0$0$0
Paul Berndt MDFamily Practice/OB PhysicianHighest-compensated employee$298,076$0$47,044
Richard BoettcherBoard MemberTrustee/director$0$0$0
Rita BlasiusPresident/CEO (End 08/2022)Trustee/director, Officer$332,761$0$22,798
Sr Denette LeifeldBoard MemberTrustee/director$0$0$0
Sr Pam DonelanBoard MemberTrustee/director$0$0$0

E-file object id 202411359349310031. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431330. 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 December 4, 2025.