1 associated location — data as of November 6, 2026
Critical access hospital · MONTICELLO, GA
JASPER MEMORIAL HOSPITAL
Taking partYesLast certifiedAugust 13, 2026
- 0Registered locations
- 1Associated locations
- 1Contract pharmacies
- 1With no end date
- September 28, 2010In 340B since
Where this record sits: among the 28 Critical access hospitals in Georgia, the median open contract-pharmacy count is 0; this record’s open count ranks 8.
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 September 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,398,655 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $9,433,052 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,965,603 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,498,075 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,532,472 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $381,451 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $260,931 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $1,634,154 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,115,451 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $1,376,382 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 12 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.6840 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 111303 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by JASPER HEALTH SERVICES INC (employer identification number 582510435) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $677,373 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $127,245 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $139,530 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $537,843 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.045 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202422259349301302. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by JASPER HEALTH SERVICES INC (employer identification number 582510435) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALISON HILDEBRANT | CHAIRMAN | Trustee/director, Officer | $0 | $0 | $0 |
| ANGIE GORDON | MEMBER | Trustee/director | $0 | $0 | $0 |
| ASHLEY NORDSTROM | PHYSICIAN AS | Highest-compensated employee | $165,265 | $0 | $19,931 |
| DAVID LEACH | MEMBER | Trustee/director | $0 | $0 | $0 |
| ELIZABETH WOOD | PHYSICIAN AS | Highest-compensated employee | $148,132 | $0 | $28,181 |
| JAN GASTON | ADMIN. (LEFT | Officer | $167,067 | $0 | $23,325 |
| LYNDSY JOHNSTON | MEMBER | Trustee/director | $0 | $0 | $0 |
| MARLENA WADDELL | THERAPIST | Highest-compensated employee | $129,451 | $0 | $4,334 |
| NATALIYA KUBASOVA MD | PHYSICIAN | Highest-compensated employee | $364,211 | $0 | $22,849 |
| ROBERT CUMBIE | ADMINISTRATO | Highest-compensated employee | $167,235 | $0 | $29,835 |
| STUART ABNEY | CONTROLLER | Officer | $123,917 | $0 | $13,144 |
| WALKER JORDON | MEMBER | Trustee/director | $0 | $0 | $0 |
E-file object id 202422259349301302. The IRS archive it was read from.
The full report for JASPER MEMORIAL 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.
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Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Georgia beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- September 28, 2010
- Certification date
- August 13, 2026
- Record last edited
- August 13, 2026
Identifiers
- 340B ID
- CAH111303-00
- Entity type as filed
- CAH
- CMS certification number
- 111303
- NPI
- 1225031750 (GA)
- Rural
- Yes
898 COLLEGE STREET, MONTICELLO GA 31064
Associated locations
| JASPER MEMORIAL HOSPITAL | 898 COLLEGE STREET | MONTICELLO GA 31064 |
Pharmacy contracts
No end date filed1
| MONTICELLO DRUGS, INC | MONTICELLO, GA | July 1, 2025 | no end date filed |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 6, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.