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Critical access hospital · Turtle Lake, North Dakota · 25 beds · CMS certification number 351304

CHI St. Alexius Health Turtle Lake

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 16, 2025. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$7.2M
$7,205,663 · G-3 line 3
Operating expenses
$8.3M
$8,256,857 · G-3 line 4
Result from patient care
−$1.1M
−$1,051,194 · G-3 line 5
Margin on patient care
−14.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.8M in its first year on file (2000) to $7.2M in 2025.
  • Its result from patient care: −$2.6M (2023), −$1.4M (2024), −$1.1M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • COMMONSPIRIT HEALTH holds 100% of it, on its Medicare enrollment.

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

26 years of filings

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

Net patient revenueOperating expenses
2000
settled
$1.8M
$2.2M
2001
settled
$2.2M
$2.5M
2002
settled
$2.6M
$2.6M
2003
settled
$2.6M
$2.5M
2004
settled
$2.3M
$2.2M
2005
settled
$2.5M
$2.5M
2006
settled
$2.8M
$2.9M
2007
settled
$3.0M
$3.0M
2008
settled
$3.0M
$3.2M
2009
settled
$3.2M
$3.3M
2010
settled
$3.3M
$3.5M
2011
settled
$3.4M
$3.6M
2012
settled
$3.5M
$3.6M
2013
settled
$4.0M
$3.9M
2014
settled
$4.2M
$4.2M
2015
settled
$4.7M
$4.4M
2016
settled
$4.4M
$5.0M
2017
settled
$5.0M
$5.2M
2018
settled
$5.9M
$5.0M
2019
settled
$5.4M
$5.4M
2020
reopened
$5.2M
$5.7M
2021
reopened
$4.1M
$6.2M
2022
settled
$5.5M
$4.6M
2023
settled
$4.5M
$7.1M
2024
as submitted
$6.8M
$8.1M
2025
as submitted
$7.2M
$8.3M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
CHI St. Alexius Health Turtle Lake25$7,205,663$8,256,857−14.6%
Kenmare Community Hospital, Kenmare25$6,363,906$6,485,780−1.9%
Sanford Medical Center Mayville, Mayville25$14,097,092$14,009,4530.6%
Southwesthealthcare Services, Bowman35$16,955,354$19,589,279−15.5%
SMP Health - St. Andrew's, Bottineau25$17,171,453$16,526,5763.8%
Tioga Medical Center, Tioga25$17,489,254$18,639,884−6.6%

Patients and payers

Discharges
87
S-3 line 14, col 15
Inpatient days
5,065
S-3 line 14, col 8
Beds in use, on an average day
13.9
days ÷ days in year
Occupancy
55.5%
days ÷ bed days
Medicare share of days
14.2%
S-3 cols 6 ÷ 8

Who owns it

  • COMMONSPIRIT HEALTH100%
  • ST ALEXIUS MEDICAL CENTER100%

Related organizations on its own cost report: CHI ST ALEXIUS (100%), parent office; CSH HOME OFFICE (100%), home office.

Other hospitals with the same owner: Yavapai Regional Medical Center (AZ), St. Joseph's Hospital and Medical Center (AZ), Chandler Regional Medical Center (AZ), Mercy Gilbert Medical Center (AZ), Dignity Health Arizona General Hospital (AZ), Dignity Health Arizona General Hospital (AZ), CHI St. Vincent Infirmary (AR), CHI St. Vincent Hospital Hot Springs (AR), St. Vincent Medical Center North (AR), CHI St. Vincent Morrilton (AR).

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 351304. 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 16, 2025.