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Critical access hospital · Gregory, South Dakota · 13 beds · CMS certification number 431338

Avera Gregory Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$23.2M
$23,219,628 · G-3 line 3
Operating expenses
$27.4M
$27,414,061 · G-3 line 4
Result from patient care
−$4.2M
−$4,194,433 · G-3 line 5
Margin on patient care
−18.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.2M in its first year on file (2006) to $23.2M in 2025.
  • Its result from patient care: −$4.1M (2023), −$4.1M (2024), −$4.2M (2025).
  • 2 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 4.5% of its inpatient days and Medicare for 76.9%.
  • AVERA HEALTH holds 100% of it, on its Medicare enrollment.

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

Twenty years of filings

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

Net patient revenueOperating expenses
2006
reopened
$4.2M
$4.4M
2007
settled with audit
$8.5M
$10.4M
2008
settled with audit
$10.2M
$11.6M
2009
settled
$9.9M
$12.1M
2010
settled with audit
$10.0M
$12.1M
2011
settled
$11.3M
$12.8M
2012
settled
$11.5M
$12.9M
2013
settled
$11.6M
$13.7M
2014
settled
$12.3M
$13.8M
2015
settled
$13.6M
$13.8M
2016
settled
$14.5M
$14.3M
2017
settled
$15.0M
$15.0M
2018
settled
$15.7M
$15.7M
2019
settled
$17.0M
$16.3M
2020
settled
$16.8M
$18.0M
2021
settled
$18.1M
$19.1M
2022
as submitted
$17.5M
$20.4M
2023
as submitted
$17.5M
$21.6M
2024
as submitted
$21.2M
$25.3M
2025
as submitted
$23.2M
$27.4M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Avera Gregory Hospital13$23,219,628$27,414,061−18.1%
Avera Weskota Memorial Medical Center, Wessington Springs16$5,656,815$4,727,12116.4%
Bowdle Hospital, Bowdle12$10,059,158$11,588,978−15.2%
Community Memorial Hospital, Burke16$8,175,984$8,643,218−5.7%
Faulkton Area Medical Center, Faulkton12$12,389,252$12,345,0970.4%
Wagner Community Memorial Hospital, Wagner15$20,502,850$19,331,1535.7%

Patients and payers

Discharges
204
S-3 line 14, col 15
Inpatient days
1,399
S-3 line 14, col 8
Beds in use, on an average day
3.8
days ÷ days in year
Occupancy
29.5%
days ÷ bed days
Medicare share of days
76.9%
S-3 cols 6 ÷ 8
Medicaid share of days
4.5%
S-3 cols 7 ÷ 8

Who owns it

  • AVERA HEALTH100%

Related organizations on its own cost report: AVERA MCKENNAN HOSPITAL, home office.

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 431338. 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 10, 2025.