4 locations registered under this record — data as of November 6, 2026
Critical access hospital · BRITT, IA
HANCOCK COUNTY HEALTH SYSTEM
Taking partYesLast certifiedAugust 10, 2026
- 4Registered locations
- 1Associated locations
- 20Contract pharmacies
- 1With no end date
- August 9, 2010In 340B since
Where this record sits: among the 82 Critical access hospitals in Iowa, the median open contract-pharmacy count is 3; this record’s open count ranks 64.
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 June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $60,763,922 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $28,968,914 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $31,795,008 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,237,396 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,442,388 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $18,991 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $18,991 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $1,761,187 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $879,270 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $898,261 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.5042 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 161307 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
Executive and director compensation, as filed
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 30thpercentile of 56 hospitals in IA, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 32ndpercentile of 56 hospitals in IA, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 7thpercentile of 55 hospitals in IA, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 50thpercentile of 56 hospitals in IA, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 56 hospitals in IA, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 30thpercentile of 56 hospitals in IA, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
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 Iowa 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
- August 9, 2010
- Certification date
- August 10, 2026
- Record last edited
- August 10, 2026
Identifiers
- 340B ID
- CAH161307-00
- Entity type as filed
- CAH
- CMS certification number
- 161307
- Rural
- Yes
532 1ST STREET NW, BRITT IA 50423
Locations registered under this record
Browse all of them as a list →
| CAH161307-01 | Kanawha Medical Clinic | CAH | Kanawha, IA | Yes |
| CAH161307-02 | Wesley Medical Clinic | CAH | Wesley, IA | Yes |
| CAH161307-03 | Garner Medical Clinic | CAH | Garner, IA | Yes |
| CAH161307-04 | Britt Medical Clinic | CAH | Britt, IA | Yes |
Associated locations
| HANCOCK COUNTY HEALTH SYSTEM | 532 1ST STREET NW | BRITT IA 50423 |
Pharmacy contracts
No end date filed1
| WAGNER DRUG - BRITT | BRITT, IA | November 21, 2025 | no end date filed |
An end date is filed19
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.
| CLEAR LAKE LTC PHARMACY | CLEAR LAKE, IA | January 1, 2014 | May 3, 2017 |
| HY-VEE FOOD STORES | ALGONA, IA | July 1, 2019 | March 17, 2025 |
| Hy-Vee Pharmacy Fulfillment Center #4016 | Des Moines, IA | January 1, 2024 | March 17, 2025 |
| Hy-Vee Pharmacy Fullfillment Center #4016 | Des Moines, IA | July 1, 2019 | January 1, 2024 |
| HY-VEE, INC. | EMMETSBURG, IA | July 1, 2019 | May 24, 2021 |
| HY-VEE, INC. | FOREST CITY, IA | July 1, 2019 | May 21, 2021 |
| KMART OPERATIONS LLC | ALGONA, IA | January 1, 2020 | May 21, 2021 |
| KMART OPERATIONS LLC | ALGONA, IA | October 1, 2017 | August 9, 2019 |
| SHOPKO PHARMACY #2052 | MASON CITY, IA | July 1, 2017 | March 15, 2019 |
| SHOPKO PHARMACY #2201 | EMMETSBURG, IA | July 1, 2017 | March 15, 2019 |
| SHOPKO PHARMACY #2681 | IDA GROVE, IA | July 1, 2017 | June 15, 2018 |
| SHOPKO PHARMACY #2791 | FOREST CITY, IA | July 1, 2017 | March 15, 2019 |
| THRIFTY WHITE PHARMACY #064 | CLEAR LAKE, IA | April 1, 2015 | March 17, 2025 |
| WAGNER DRUG - BRITT | BRITT, IA | October 1, 2013 | October 1, 2025 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | October 1, 2018 | March 17, 2025 |
| WAL-MART PHARMACY 10-0810 | MASON CITY, IA | April 1, 2014 | March 17, 2025 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | October 1, 2018 | March 17, 2025 |
| WHITE DRUG #52 | FARGO, ND | April 1, 2015 | May 21, 2021 |
| WHITE DRUG #61 | FARGO, ND | April 1, 2015 | March 17, 2025 |
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.
The full report for HANCOCK COUNTY HEALTH SYSTEM
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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