MONUMENT HEALTH SPEARFISH HOSPITAL — financial and operating metrics

CCN 430048, SPEARFISH, SD · Medicare cost reports, FY2020–FY2025

Unverified figures. Metrics marked unverified are derived from cost-report coordinates that have not yet been reconciled against audited financial statements. We show you which, rather than hiding it.

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MetricFY2020FY2021FY2022FY2023FY2024FY2025
Total facility beds availableunverified272727272420
Total bed days availableunverified9,8829,8559,8559,8558,7327,300
Total facility dischargesunverified1,4661,4881,4761,3581,3991,330
Total facility inpatient daysunverified3,7224,0444,5844,0534,1043,659
Total patient revenue (gross charges)unverified$219,832,974$259,885,113$304,848,506$326,782,640$372,076,835$370,533,561
Contractual allowances and discountsunverified$129,628,766$157,074,136$190,416,167$210,165,795$247,340,528$249,835,250
Net patient revenueunverified$90,204,208$102,810,977$114,432,339$116,616,845$124,736,307$120,698,311
Total operating expensesunverified$96,212,113$104,653,010$110,348,277$114,449,725$119,876,355$120,718,410
Net income from service to patientsunverified$-6,007,905$-1,842,033$4,084,062$2,167,120$4,859,952$-20,099
Net incomeunverified$4,404,745$4,457,771$11,408,938$7,376,048$7,907,544$972,060
Cost of uncompensated careunverified$3,257,922$2,283,552$1,836,284$1,804,754$1,877,070$1,814,269
Total facility bad debt expenseunverified$5,238,140$3,761,353$3,542,778$3,995,445$4,406,532$4,679,408
Charity care charges and uninsured discountsunverified$3,092,575$2,215,906$1,824,718$1,371,261$1,373,434$1,207,550
Cost of charity careunverified$1,365,279$982,053$719,980$561,050$568,681$497,616
Operating marginunverified-6.7%-1.8%3.6%1.9%3.9%-0.0%
Overall cost-to-charge ratiounverified43.8%40.3%36.2%35.0%32.2%32.6%
Occupancy rateunverified37.7%41.0%46.5%41.1%47.0%50.1%
Average length of stayunverified2.52.73.13.02.92.8
Uncompensated care as % of operating expenseunverified3.4%2.2%1.7%1.6%1.6%1.5%
Charity care cost-to-charge ratiounverified44.1%44.3%39.5%40.9%41.4%41.2%
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