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Short-term acute care hospital · Spirit Lake, Iowa · 44 beds · CMS certification number 160124

Lakes Regional Healthcare

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$68.8M
$68,833,914 · G-3 line 3
Operating expenses
$68.7M
$68,701,568 · G-3 line 4
Result from patient care
$132K
$132,346 · G-3 line 5
Margin on patient care
0.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $13.5M in its first year on file (1997) to $68.8M in 2025.
  • Its result from patient care: −$3.3M (2023), $968K (2024), $132K (2025).
  • 2 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 13.2% of its inpatient days and Medicare for 47.5%.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
reopened
$13.5M
$12.8M
1998
settled
$13.4M
$13.2M
1999
settled
$13.9M
$13.6M
2000
settled
$16.1M
$15.3M
2001
settled
$16.9M
$16.7M
2002
settled
$17.1M
$17.4M
2003
settled
$18.7M
$18.2M
2004
settled
$20.3M
$19.6M
2005
reopened
$21.5M
$21.1M
2006
settled
$21.2M
$22.1M
2007
reopened
$23.0M
$23.4M
2008
reopened
$24.8M
$24.9M
2009
settled
$26.1M
$26.1M
2010
settled
$24.4M
$26.3M
2011
reopened
$26.5M
$27.7M
2012
settled with audit
$27.4M
$28.7M
2013
reopened
$34.6M
$35.2M
2014
reopened
$34.4M
$35.4M
2015
settled
$36.2M
$37.2M
2016
settled
$36.2M
$37.4M
2017
settled with audit
$37.7M
$38.3M
2018
settled
$39.6M
$40.2M
2019
settled
$42.1M
$43.1M
2020
settled
$43.2M
$47.2M
2021
settled
$53.6M
$54.9M
2022
settled with audit
$55.3M
$56.7M
2023
settled
$56.8M
$60.1M
2024
settled
$66.1M
$65.1M
2025
as submitted
$68.8M
$68.7M

Beside its peers

Hospitals of the same type (short-term acute care hospital), nearest in size, from Iowa first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Lakes Regional Healthcare44$68,833,914$68,701,5680.2%
Grinnell Regional Medical Center, Grinnell21$70,354,800$76,046,863−8.1%
Mercyone Cedar Falls Medical Center, Cedar Falls35$43,240,727$38,274,95911.5%
Mercyone Newton Medical Center, Newton48$30,858,814$33,099,976−7.3%
Spencer Municipal Hospital, Spencer49$128,489,098$126,956,9681.2%
Trinity Regional Medical Center, Fort Dodge49$193,932,852$199,858,427−3.1%

Patients and payers

Discharges
1,014
S-3 line 14, col 15
Inpatient days
3,646
S-3 line 14, col 8
Beds in use, on an average day
10.0
days ÷ days in year
Occupancy
22.7%
days ÷ bed days
Medicare share of days
47.5%
S-3 cols 6 ÷ 8
Medicaid share of days
13.2%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: AVERA MCKENNAN, health system.

Type of control on its cost report: governmental, county.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 160124. 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 10, 2025.