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Critical access hospital · Clear Lake, South Dakota · 10 beds · CMS certification number 431307

Sanford Clear Lake Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 22, 2026. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$8.8M
$8,755,667 · G-3 line 3
Operating expenses
$7.7M
$7,688,672 · G-3 line 4
Result from patient care
$1.1M
$1,066,995 · G-3 line 5
Margin on patient care
12.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.3M in its first year on file (1997) to $8.8M in 2025.
  • Its result from patient care: $787K (2023), $577K (2024), $1.1M (2025).
  • 4 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 20.4% of its inpatient days and Medicare for 38.0%.
  • SANFORD holds 100% of it, on its Medicare enrollment.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
settled
$1.3M
$1.5M
1998
settled
$1.8M
$1.9M
1999
reopened
$1.5M
$1.4M
2000
reopened
$5.2M
$2.7M
2001
reopened
$2.8M
$3.0M
2002
settled
$3.0M
$3.3M
2003
reopened
$3.3M
$3.3M
2004
reopened
$3.4M
$3.5M
2005
settled
$3.5M
$3.7M
2006
reopened
$4.0M
$3.9M
2007
settled
$4.7M
$4.7M
2008
settled
$4.7M
$4.9M
2009
settled
$4.6M
$5.1M
2010
settled with audit
$5.8M
$5.9M
2011
settled
$5.3M
$5.2M
2012
settled with audit
$5.9M
$5.7M
2013
settled
$6.4M
$6.0M
2014
settled
$5.8M
$5.9M
2015
settled
$5.9M
$6.0M
2016
settled
$6.2M
$6.1M
2017
settled
$6.7M
$6.4M
2018
settled
$6.3M
$6.3M
2019
settled
$6.7M
$6.4M
2020
settled
$6.9M
$6.4M
2021
settled
$7.4M
$6.6M
2022
settled
$8.2M
$7.1M
2023
settled
$7.8M
$7.0M
2024
settled
$8.0M
$7.4M
2025
as submitted
$8.8M
$7.7M

Beside its peers

Critical access hospitals in South Dakota with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Sanford Clear Lake Medical Center10$8,755,667$7,688,67212.2%
Avera Missouri River Health Center, Gettysburg7$14,233,634$13,896,7322.4%
Bennett County Hospital and Nursing Home, Martin10$10,160,265$10,345,046−1.8%
Douglas County Memorial Hospital, Armour11$12,726,567$12,582,7701.1%
Faulkton Area Medical Center, Faulkton12$12,389,252$12,345,0970.4%
Sanford Canton Inwood Medical Center, Canton11$15,902,593$14,618,8748.1%

Patients and payers

Discharges
32
S-3 line 14, col 15
Inpatient days
913
S-3 line 14, col 8
Beds in use, on an average day
2.5
days ÷ days in year
Occupancy
25.0%
days ÷ bed days
Medicare share of days
38.0%
S-3 cols 6 ÷ 8
Medicaid share of days
20.4%
S-3 cols 7 ÷ 8

Who owns it

  • SANFORD100%
  • SANFORD HEALTH100%

Related organizations on its own cost report: SANFORD, health network; SANFORD CLINIC, health network.

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

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 HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 431307. 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 HOSP10FY2025.ZIP, read June 22, 2026.