Velarion Records

Public registries, as they were filed.

Critical access hospital · FL

CAMPBELLTON-GRACEVILLE HOSPITAL

Taking partNoTermination date filed1 January 2018Last certified25 August 2016

  • 1Registered locations
  • 1Associated locations
  • 2Contract pharmacies
  • 0With no end date
  • 1 October 2014In 340B since

Every Medicare cost report this hospital has filed is on its cost-report record.

Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 September 2015.

FigureAs filedWhere it comes from
Total patient revenue$12,613,744CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$8,061,483CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$4,552,261CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$5,258,516CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients−$706,255CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$176,494CMS-2552-10 worksheet S100000 line 2000 column 300
Charity care, at cost$71,705CMS-2552-10 worksheet S100000 line 2300 column 300
Bad debt expense$357,589CMS-2552-10 worksheet S100000 line 2600 column 100
Bad debt other than Medicare, at cost$145,279CMS-2552-10 worksheet S100000 line 2900 column 100
Uncompensated care, at cost$216,984CMS-2552-10 worksheet S100000 line 3000 column 100
Total facility beds25CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.4063CMS-2552-10 worksheet S100000 line 100 column 100

Cost report filed under CMS certification number 101302 for 1 October 2014 to 30 September 2015, settled. The public file it was read from.

The full report for CAMPBELLTON-GRACEVILLE HOSPITAL

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

Every cost report on file

One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.

15 filings, ordered by Fiscal year
Fiscal year Period ended Days Form Status Beds Net patient revenue Total operating expenses Income from service to patients Charity care, at cost Uncompensated care, at cost Bad debt expense Cost-to-charge ratio Stamped by CMS
20012001-09-30333CMS-2552-96reopened25$3,401,694$4,099,055−$697,3612003-12-18
20022002-09-30364CMS-2552-96reopened25$3,566,291$4,496,088−$929,7972007-01-31
20032003-09-30364CMS-2552-96reopened25$4,099,149$5,067,779−$968,6302006-09-29
20042004-09-30365CMS-2552-96settled with audit25$4,386,822$5,181,270−$794,4482006-09-29
20052005-09-30364CMS-2552-96settled25$4,158,891$4,623,586−$464,6952007-01-31
20062006-09-30364CMS-2552-96reopened25$4,815,235$4,856,688−$41,4532010-04-29
20072007-09-30364CMS-2552-96reopened15$4,851,896$5,079,050−$227,1542010-04-29
20082008-09-30365CMS-2552-96settled25$5,112,796$5,363,836−$251,0402010-02-16
20092009-09-30364CMS-2552-96settled with audit25$5,803,442$6,691,795−$888,3532011-09-16
20102010-09-30364CMS-2552-96settled25$7,140,506$8,178,553−$1,038,0472012-01-18
20112011-09-30364CMS-2552-10settled25$6,959,909$8,517,707−$1,557,798$39,365$384,769$702,2410.55242013-03-27
20122012-09-30365CMS-2552-10reopened25$7,089,211$8,560,999−$1,471,788−$246,854−$11,307$456,2580.63592015-03-30
20132013-09-30364CMS-2552-10reopened25$7,503,676$8,748,839−$1,245,163$258,700$545,6110.56932016-02-16
20142014-09-30364CMS-2552-10reopened25$6,001,944$7,528,205−$1,526,261$234,544$376,9180.67152017-03-31
20152015-09-30364CMS-2552-10settled25$4,552,261$5,258,516−$706,255$71,705$216,984$357,5890.40632016-10-04

Changes recorded

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Cite this page

Velarion Records, “CAMPBELLTON-GRACEVILLE HOSPITAL”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/CAH101302-00. Accessed 9 September 2026.

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
1 October 2014
Termination date
1 January 2018
Termination reason
Failure to recertify
Certification date
25 August 2016
Record last edited
1 January 2018

Identifiers

340B ID
CAH101302-00
Entity type as filed
CAH
CMS certification number
101302
Rural
Yes

5429 COLLEGE DRIVE, GRACEVILLE FL 32440

Locations registered under this record

Browse all of them as a list →

CAH101302-01RURAL HEALTH CLINICCAHGRACEVILLE, FLNo

Associated locations

CAMPBELLTON-GRACEVILLE HOSPITAL5429 COLLEGE DRIVEGRACEVILLE FL 32440

Pharmacy contracts

No end date filed0

No arrangement with no end date filed matches that.

An end date is filed2

An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.

COOK DISCOUNT DRUGS INCGRACEVILLE, FL1 January 20171 January 2018
SERVICE DRUG STORE INC.GRACEVILLE, FL1 January 20171 January 2018

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.