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Critical access hospital · Storm Lake, Iowa · 25 beds · CMS certification number 161375

Buena Vista Regional Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS October 28, 2025. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$77.6M
$77,579,345 · G-3 line 3
Operating expenses
$75.1M
$75,064,866 · G-3 line 4
Result from patient care
$2.5M
$2,514,479 · G-3 line 5
Margin on patient care
3.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $18.4M in its first year on file (2006) to $77.6M in 2025.
  • Its result from patient care: −$6.6M (2023), $1.3M (2024), $2.5M (2025).
  • 3 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 3.5% of its inpatient days and Medicare for 34.5%.

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
settled with audit
$18.4M
$17.8M
2007
settled
$32.8M
$29.9M
2008
settled
$32.9M
$31.0M
2009
reopened
$34.6M
$33.7M
2010
reopened
$39.5M
$36.8M
2011
reopened
$39.0M
$40.3M
2012
reopened
$38.4M
$40.0M
2013
reopened
$39.0M
$42.0M
2014
reopened
$40.6M
$43.6M
2015
reopened
$42.3M
$44.6M
2016
settled
$43.3M
$43.9M
2017
settled
$45.5M
$48.0M
2018
settled
$46.2M
$51.6M
2019
settled
$48.9M
$53.4M
2020
settled
$50.8M
$56.1M
2021
settled
$56.9M
$61.2M
2022
settled
$59.3M
$61.8M
2023
settled
$59.4M
$66.0M
2024
settled
$72.2M
$70.9M
2025
as submitted
$77.6M
$75.1M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Buena Vista Regional Medical Center25$77,579,345$75,064,8663.2%
Franklin General Hospital, Hampton25$29,579,752$30,707,291−3.8%
Grundy County Memorial Hospital, Grundy Center25$40,182,578$34,694,38013.7%
Hancock County Health System, Britt25$31,795,008$34,237,396−7.7%
Iowa Specialty Hospital- Clarion, Clarion25$98,705,037$95,382,1813.4%
Pocahontas Community Hospital, Pocahontas25$18,666,192$17,733,4855.0%

Patients and payers

Discharges
812
S-3 line 14, col 15
Inpatient days
3,103
S-3 line 14, col 8
Beds in use, on an average day
8.5
days ÷ days in year
Occupancy
34.0%
days ÷ bed days
Medicare share of days
34.5%
S-3 cols 6 ÷ 8
Medicaid share of days
3.5%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: TRINITY HEALTH SYSTEMS (FD).

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 161375. 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 October 28, 2025.