Velarion Records

Critical access hospital · Hawarden, Iowa · 25 beds · CMS certification number 161311

Hawarden Regional Healthcare

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$21.6M
$21,577,463 · G-3 line 3
Operating expenses
$22.8M
$22,804,915 · G-3 line 4
Result from patient care
−$1.2M
−$1,227,452 · G-3 line 5
Margin on patient care
−5.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.5M in its first year on file (2001) to $21.6M in 2025.
  • Its result from patient care: −$2.7M (2023), −$5.4M (2024), −$1.2M (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 1.1% of its inpatient days and Medicare for 76.7%.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
reopened
$2.5M
$3.2M
2002
settled
$3.3M
$3.1M
2003
settled with audit
$3.3M
$3.4M
2004
settled
$3.4M
$3.7M
2005
settled
$2.6M
$2.8M
2006
settled
$3.9M
$4.6M
2007
settled
$4.1M
$4.9M
2008
settled
$4.7M
$5.6M
2009
settled
$4.9M
$6.0M
2010
settled
$5.1M
$6.2M
2011
settled
$5.6M
$6.4M
2012
settled
$6.7M
$6.9M
2013
reopened
$6.9M
$7.2M
2014
settled
$6.1M
$7.2M
2015
settled
$6.9M
$7.8M
2016
settled
$6.7M
$8.3M
2017
reopened
$7.7M
$9.5M
2018
settled
$9.0M
$11.1M
2019
settled
$9.4M
$12.3M
2020
settled
$11.1M
$13.2M
2021
settled
$11.1M
$14.8M
2022
settled
$16.6M
$15.7M
2023
settled
$15.2M
$17.9M
2024
settled
$15.2M
$20.6M
2025
as submitted
$21.6M
$22.8M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Hawarden Regional Healthcare25$21,577,463$22,804,915−5.7%
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
188
S-3 line 14, col 15
Inpatient days
1,216
S-3 line 14, col 8
Beds in use, on an average day
3.3
days ÷ days in year
Occupancy
13.3%
days ÷ bed days
Medicare share of days
76.7%
S-3 cols 6 ÷ 8
Medicaid share of days
1.1%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: HAWARDEN COMMUNITY CLINIC, clinic; IRETON COMMUNITY CLINIC, clinic; MHN, health network; MERCYONE, medical center.

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

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More critical access hospitals in Iowa

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161311. 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 8, 2025.