Velarion Records

Critical access hospital · Webster City, Iowa · 25 beds · CMS certification number 161361

Van Diest Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$48.3M
$48,317,724 · G-3 line 3
Operating expenses
$47.4M
$47,388,094 · G-3 line 4
Result from patient care
$930K
$929,630 · G-3 line 5
Margin on patient care
1.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $12.3M in its first year on file (2005) to $48.3M in 2025.
  • Its result from patient care: −$1.1M (2023), −$2.4M (2024), $930K (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 0.4% of its inpatient days and Medicare for 66.2%.

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

21 years of filings

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

Net patient revenueOperating expenses
2005
settled with audit
$12.3M
$11.3M
2006
settled
$17.2M
$15.3M
2007
settled
$16.4M
$16.1M
2008
settled
$17.5M
$17.0M
2009
settled
$19.5M
$18.9M
2010
reopened
$19.4M
$19.5M
2011
settled
$22.7M
$23.6M
2012
reopened
$24.1M
$24.6M
2013
settled
$21.9M
$23.3M
2014
settled
$22.0M
$25.7M
2015
settled
$21.5M
$24.2M
2016
reopened
$22.2M
$26.2M
2017
settled
$26.9M
$32.8M
2018
settled
$29.4M
$34.3M
2019
settled
$28.4M
$33.5M
2020
settled
$29.3M
$34.0M
2021
settled
$32.3M
$36.6M
2022
settled
$35.8M
$36.1M
2023
settled
$36.8M
$37.8M
2024
settled
$41.1M
$43.4M
2025
as submitted
$48.3M
$47.4M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Van Diest Medical Center25$48,317,724$47,388,0941.9%
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
449
S-3 line 14, col 15
Inpatient days
3,657
S-3 line 14, col 8
Beds in use, on an average day
10.0
days ÷ days in year
Occupancy
40.1%
days ÷ bed days
Medicare share of days
66.2%
S-3 cols 6 ÷ 8
Medicaid share of days
0.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: MHN INC., health network; COMMONSPIRIT, health network; MERCYONE DM, medical center.

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

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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 161361. 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.