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Critical access hospital · Thief River Falls, Minnesota · 25 beds · CMS certification number 241381

Sanford Thief River Falls Medical Center

Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 18, 2026. Twenty years on file, all shown below. Also on the 340B covered-entity register.

Named here as the Centers for Medicare & Medicaid Services lists this hospital. Its latest cost report was filed as Sanford Thief River Falls.

Enrolled with Medicare by Sanford Health Network North.

Fiscal 2025 at a glance

Net patient revenue $80.5M $80,548,665 · G-3 line 3
Operating expenses $84.6M $84,597,831 · G-3 line 4
Result from patient care −$4.0M −$4,049,166 · G-3 line 5
Margin on patient care −5.0% line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $25.1M in its first year on file (2006) to $80.5M in 2025.
  • Its result from patient care: $658K (2023), −$1.2M (2024), −$4.0M (2025).
  • 4 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 5.1% of its inpatient days and Medicare for 21.4%.
  • SANFORD holds 100% of it, on its Medicare enrollment.

How these statements are drawn

Twenty years of filings

Net patient revenueOperating expenses

2006 settled margin −10.8% $25.1M $27.8M

2007 settled with audit margin −2.8% $26.5M $27.2M

2008 settled with audit margin −9.8% $31.4M $34.5M

2009 settled margin −24.4% $27.2M $33.8M

2010 settled margin 5.1% $62.4M $59.2M

2011 settled margin 6.9% $64.7M $60.3M

2012 settled with audit margin 7.2% $63.6M $59.0M

2013 settled margin −2.5% $61.6M $63.2M

2014 settled margin −5.1% $60.9M $64.0M

2015 settled with audit margin −5.0% $66.2M $69.5M

2016 settled margin 9.1% $71.8M $65.2M

2017 settled margin 10.8% $73.2M $65.3M

2018 settled margin 11.2% $72.7M $64.6M

2019 settled margin 2.2% $67.1M $65.6M

2020 settled margin 2.3% $66.2M $64.7M

2021 settled margin 10.9% $74.3M $66.2M

2022 settled margin 7.8% $74.0M $68.2M

2023 as submitted margin 0.9% $71.5M $70.9M

2024 as submitted margin −1.6% $76.0M $77.2M

2025 as submitted margin −5.0% $80.5M $84.6M

Beside its peers

Critical access hospitals in Minnesota with 25 to 49 beds, fiscal year 2025.

Hospital Beds Net patient revenue Operating expenses Margin

Sanford Thief River Falls Medical Center 25 $80,548,665 $84,597,831 −5.0%

CCM Health, Montevideo 25 $72,369,462 $75,837,744 −4.8%

Lakewood Health System, Staples 25 $153,924,280 $170,270,412 −10.6%

Madelia Health, Madelia 25 $23,038,187 $24,835,605 −7.8%

Riverwood Health Care Center, Aitkin 25 $99,605,141 $120,986,513 −21.5%

Sanford Bagley Medical Center, Bagley 25 $15,624,155 $14,799,767 5.3%

Patients and payers

  • Discharges 775 S-3 line 14, col 15
  • Inpatient days 2,924 S-3 line 14, col 8
  • Beds in use, on an average day 8.0 days ÷ days in year
  • Occupancy 32.0% days ÷ bed days
  • Medicare share of days 21.4% S-3 cols 6 ÷ 8
  • Medicaid share of days 5.1% S-3 cols 7 ÷ 8

Who owns it

  • SANFORD100%
  • SANFORD NORTH100%

Related organizations on its own cost report: SANFORD, healthcare.

Other hospitals with the same owner: Sanford Sheldon Medical Center (IA), Sanford Bagley Medical Center (MN), Sanford Tracy Medical Center (MN), Sanford Wheaton Medical Center (MN), Sanford Jackson Medical Center (MN), Sanford Westbrook Medical Center (MN), and 2 more.

Control: voluntary nonprofit, other.

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More critical access hospitals in Minnesota

File HOSP10FY2025.ZIP, form CMS-2552-10, CMS certification number 241381. Owners of 5% or more: CMS Hospital All Owners and Hospital Enrollments, Medicare enrollment October 1, 2026.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read May 18, 2026.

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