Velarion Records

Public registries, as they were filed.

Critical access hospital · IA

Palmer Lutheran Health Center

$46,622,630Net patient revenueWhat the hospital took in for treating patients, after discounts.
6.3%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
3.3%Charity careCare given free or discounted, as a share of what patients brought in.
4.4%Uncompensated careCharity care plus bills that went unpaid, on the same basis.

From this hospital’s Medicare cost report for the year ended 30 September 2024. Every figure on this page names the cell it came from.

  • 3Registered locations
  • 1Associated locations
  • 14Contract pharmacies
  • 11With no end date
  • 1 April 2012In 340B since

Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 September 2024.

FigureAs filedWhere it comes from
Net patient revenue$46,622,630CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$43,670,339CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$2,952,291CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$1,852,372CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$1,552,939CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$680,425CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost$2,071,615CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds25CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.7623CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 161316 for 1 October 2023 to 30 September 2024, as submitted. The public file it was read from.

Where this hospital sits among its peers

Each figure’s position among critical access hospitals in Iowa that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.

  • 98thpercentile of 81 critical access hospitals in IowaCharity care
  • 96thpercentile of 82 critical access hospitals in IowaUncompensated care
  • 83rdpercentile of 82 critical access hospitals in IowaLeft after the cost of care
  • 75thpercentile of 83 critical access hospitals in IowaContract pharmacies

Among hospitals of the same type in Iowa

Every critical access hospital in Iowa that files a Medicare cost report carrying both figures — 81 hospitals, each at its own reporting year. Across the bottom: how much of what the hospital took in from patients went to charity care. Up the side: what it had left after the cost of serving them. Both come straight from the filings.

0.0%2.0%4.0%6.0%-100%-50.0%0.0%50.0%ADAIR COUNTY MEMORIAL HOSPITAL — charity care 0.2% of patient revenue, -28.4% left after the cost of careALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning — charity care 1.7% of patient revenue, 7.6% left after the cost of careALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL d/b/a CHI Health Missouri Valley — charity care 1.3% of patient revenue, -1.9% left after the cost of careAUDUBON COUNTY MEMORIAL HOSPITAL — charity care 0.1% of patient revenue, -11.1% left after the cost of careAvera Holy Family Health — charity care 0.8% of patient revenue, 3.7% left after the cost of careAvera McKennan dba Avera Merrill Pioneer Hospital — charity care 0.6% of patient revenue, -4.2% left after the cost of careBAUM HARMON MERCY HOSPITAL DBA MERCYONE PRIMGHAR MEDICAL CENTER — charity care 2.0% of patient revenue, -85.2% left after the cost of careBELMOND COMMUNITY HOSPITAL — charity care 0.6% of patient revenue, 2.2% left after the cost of careBOONE COUNTY HOSPITAL — charity care 0.9% of patient revenue, 0.3% left after the cost of careBUENA VISTA REGIONAL MEDICAL CENTER — charity care 1.7% of patient revenue, 3.2% left after the cost of careBURGESS HEALTH CENTER — charity care 0.7% of patient revenue, -1.7% left after the cost of careCASS COUNTY MEMORIAL HOSPITAL — charity care 0.7% of patient revenue, -1.2% left after the cost of careCLARINDA REGIONAL HEALTH CENTER — charity care 0.0% of patient revenue, -5.7% left after the cost of careCLARKE COUNTY PUBLIC HOSPITAL — charity care 0.2% of patient revenue, 2.4% left after the cost of careCRAWFORD COUNTY MEMORIAL HOSPITAL — charity care 0.2% of patient revenue, 3.8% left after the cost of careDallas County Hospital — charity care 0.4% of patient revenue, -5.7% left after the cost of careDAVIS COUNTY HOSPITAL — charity care 0.5% of patient revenue, -0.1% left after the cost of careDECATUR COUNTY HOSPITAL — charity care 0.6% of patient revenue, -3.6% left after the cost of careDELAWARE COUNTY MEMORIAL HOSPITAL — charity care 5.2% of patient revenue, -0.2% left after the cost of careELLSWORTH MUNICIPAL HOSPITAL — charity care 0.4% of patient revenue, 7.0% left after the cost of careFLOYD COUNTY HOSPITAL — charity care 0.1% of patient revenue, 3.0% left after the cost of careFLOYD VALLEY HOSPITAL — charity care 0.6% of patient revenue, -5.6% left after the cost of careFranklin General Hospital — charity care 0.1% of patient revenue, -3.8% left after the cost of careGenesis Medical Center, DeWitt — charity care 0.7% of patient revenue, -13.0% left after the cost of careGRAPE COMMUNITY HOSPITAL - HAMBURG — charity care 0.4% of patient revenue, 0.4% left after the cost of careGREATER REGIONAL MEDICAL CENTER — charity care 0.7% of patient revenue, 0.8% left after the cost of careGREENE COUNTY MEDICAL CENTER — charity care 0.7% of patient revenue, -0.3% left after the cost of careGrundy County Memorial Hospital — charity care 0.1% of patient revenue, 13.7% left after the cost of careGUTTENBERG MUNICIPAL HOSPITAL — charity care 0.5% of patient revenue, -3.6% left after the cost of careHamilton County Public Hospital d/b/a Van Diest Medical Center — charity care 0.1% of patient revenue, 1.9% left after the cost of careHANCOCK COUNTY HEALTH SYSTEM — charity care 0.1% of patient revenue, -7.7% left after the cost of careHawarden Regional Healthcare — charity care 0.3% of patient revenue, -5.7% left after the cost of careHegg Memorial Hospital — charity care 0.5% of patient revenue, -16.4% left after the cost of careHENRY COUNTY HEALTH CENTER INC — charity care 0.4% of patient revenue, 9.8% left after the cost of careHumboldt County Memorial Hospital — charity care 0.1% of patient revenue, -3.4% left after the cost of careIda County Iowa Community Hospital dba Horn Memorial Hospital — charity care 0.0% of patient revenue, -15.6% left after the cost of careIOWA SPECIALTY HOSPITAL - CLARION — charity care 0.3% of patient revenue, 3.4% left after the cost of careJackson County Public Hospital — charity care 0.1% of patient revenue, 18.6% left after the cost of careJEFFERSON COUNTY HEALTH CENTER — charity care 0.8% of patient revenue, 10.4% left after the cost of careKeokuk County Health Center — charity care 0.2% of patient revenue, -15.3% left after the cost of careKNOXVILLE COMMUNITY HOSPITAL INC. — charity care 0.3% of patient revenue, 2.1% left after the cost of careKossuth Regional Health Center — charity care 0.5% of patient revenue, -3.2% left after the cost of careLORING HOSPITAL — charity care 0.4% of patient revenue, 10.5% left after the cost of careLucas County Health Center — charity care 1.3% of patient revenue, -2.6% left after the cost of careMADISON COUNTY MEMORIAL HOSPITAL — charity care 1.1% of patient revenue, -0.6% left after the cost of careMahaska County Hospital d/b/a Mahaska Health Partnership — charity care 0.8% of patient revenue, 11.5% left after the cost of careMANNING REGIONAL HEALTHCARE CENTER — charity care 0.6% of patient revenue, 11.0% left after the cost of careMarengo Memorial Hospital d/b/a Compass Memorial Healthcare — charity care 0.8% of patient revenue, 3.8% left after the cost of careMERCY MEDICAL CENTER - DYERSVILLE, DBA MERCYONE DYERSVILLE MEDICAL CENTER — charity care 2.3% of patient revenue, 8.0% left after the cost of careMercy Medical Center New Hampton — charity care 2.7% of patient revenue, 6.9% left after the cost of careMercyOne Centerville Medical Center — charity care 1.9% of patient revenue, -10.2% left after the cost of careMercyOne Oelwein Medical Center — charity care 1.1% of patient revenue, 17.2% left after the cost of careMitchell County Regional Health Center — charity care 0.0% of patient revenue, -1.4% left after the cost of careMonroe County Hospital — charity care 1.6% of patient revenue, -4.7% left after the cost of careMontgomery County Memorial Hospital — charity care 0.7% of patient revenue, -16.3% left after the cost of careORANGE CITY MUNICIPAL HOSPITAL — charity care 0.5% of patient revenue, -35.4% left after the cost of careOSCEOLA COMMUNITY HOSPITAL — charity care 0.3% of patient revenue, -1.4% left after the cost of carePALO ALTO COUNTY HOSPITAL — charity care 0.4% of patient revenue, 4.9% left after the cost of carePELLA REGIONAL HEALTH CENTER — charity care 2.6% of patient revenue, -12.1% left after the cost of carePEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center — charity care 0.3% of patient revenue, 1.4% left after the cost of carePOCAHONTAS COMMUNITY HOSPITAL — charity care 0.1% of patient revenue, 5.0% left after the cost of careREGIONAL HEALTH SERVICES OF HOWARD COUNTY — charity care 0.1% of patient revenue, -17.1% left after the cost of careRINGGOLD COUNTY HOSPITAL — charity care 1.6% of patient revenue, 1.3% left after the cost of careSANFORD SHELDON MEDICAL CENTER — charity care 3.9% of patient revenue, 15.1% left after the cost of careSHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITAL — charity care 0.6% of patient revenue, -8.7% left after the cost of careShenandoah Medical Center — charity care 0.1% of patient revenue, -5.2% left after the cost of careSIOUX CENTER HEALTH — charity care 0.6% of patient revenue, -6.0% left after the cost of careSIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER — charity care 0.4% of patient revenue, -11.6% left after the cost of careST. ANTHONY REGIONAL HOSPITAL — charity care 1.2% of patient revenue, 0.9% left after the cost of careST. LUKE'S JONES REGIONAL MEDICAL CENTER — charity care 0.8% of patient revenue, 12.3% left after the cost of careStewart Memorial Community Hospital — charity care 0.2% of patient revenue, 5.5% left after the cost of careSTORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER — charity care 0.4% of patient revenue, 0.7% left after the cost of careSumner Community Club dba Community Memorial Hospital — charity care 0.1% of patient revenue, -6.1% left after the cost of careVAN BUREN COUNTY HOSPITAL — charity care 1.2% of patient revenue, 4.8% left after the cost of careVETERANS MEMORIAL HOSPITAL — charity care 0.6% of patient revenue, -6.4% left after the cost of careVirginia Gay Hospital — charity care 0.2% of patient revenue, -0.8% left after the cost of careWASHINGTON COUNTY HOSPITAL — charity care 0.1% of patient revenue, -21.3% left after the cost of careWAVERLY HEALTH CENTER — charity care 0.4% of patient revenue, 3.8% left after the cost of careWayne County Hospital — charity care 0.1% of patient revenue, -24.6% left after the cost of careWinneshiek Medical Center — charity care 0.6% of patient revenue, -5.3% left after the cost of carePalmer Lutheran Health Center — this hospitalThis hospitalCharity care, as a share of what patients brought inLeft after the cost of care

Identity never rests on color: this hospital is labelled on the plot and marked in the table. Hover a dot for the hospital’s name.

Hospitals plotted above, with the figures at full precision
HospitalWhereCharity care, share of patient revenueLeft after the cost of careYear ended
ADAIR COUNTY MEMORIAL HOSPITALGREENFIELD, IA0.2%-28.4%2025-06-30
ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy CorningCORNING, IA1.7%7.6%2025-06-30
ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL d/b/a CHI Health Missouri ValleyMISSOURI VALLEY, IA1.3%-1.9%2025-06-30
AUDUBON COUNTY MEMORIAL HOSPITALAUDUBON, IA0.1%-11.1%2025-06-30
Avera Holy Family HealthESTHERVILLE, IA0.8%3.7%2025-06-30
Avera McKennan dba Avera Merrill Pioneer HospitalRock Rapids, IA0.6%-4.2%2025-06-30
BAUM HARMON MERCY HOSPITAL DBA MERCYONE PRIMGHAR MEDICAL CENTERPRIMGHAR, IA2.0%-85.2%2024-09-29
BELMOND COMMUNITY HOSPITALBELMOND, IA0.6%2.2%2025-06-30
BOONE COUNTY HOSPITALBOONE, IA0.9%0.3%2025-06-30
BUENA VISTA REGIONAL MEDICAL CENTERSTORM LAKE, IA1.7%3.2%2025-06-30
BURGESS HEALTH CENTERONAWA, IA0.7%-1.7%2025-06-30
CASS COUNTY MEMORIAL HOSPITALATLANTIC, IA0.7%-1.2%2025-06-30
CLARINDA REGIONAL HEALTH CENTERClarinda, IA0.0%-5.7%2025-06-30
CLARKE COUNTY PUBLIC HOSPITALOSCEOLA, IA0.2%2.4%2025-06-30
CRAWFORD COUNTY MEMORIAL HOSPITALDENISON, IA0.2%3.8%2025-06-30
Dallas County HospitalPerry, IA0.4%-5.7%2025-06-30
DAVIS COUNTY HOSPITALBLOOMFIELD, IA0.5%-0.1%2025-06-30
DECATUR COUNTY HOSPITALLEON, IA0.6%-3.6%2025-06-30
DELAWARE COUNTY MEMORIAL HOSPITALMANCHESTER, IA5.2%-0.2%2025-06-30
ELLSWORTH MUNICIPAL HOSPITALIOWA FALLS, IA0.4%7.0%2025-06-30
FLOYD COUNTY HOSPITALCHARLES CITY, IA0.1%3.0%2025-06-30
FLOYD VALLEY HOSPITALLE MARS, IA0.6%-5.6%2025-06-30
Franklin General HospitalHampton, IA0.1%-3.8%2025-06-30
Genesis Medical Center, DeWittDeWitt, IA0.7%-13.0%2025-06-30
GRAPE COMMUNITY HOSPITAL - HAMBURGHAMBURG, IA0.4%0.4%2024-09-30
GREATER REGIONAL MEDICAL CENTERCRESTON, IA0.7%0.8%2025-06-30
GREENE COUNTY MEDICAL CENTERJEFFERSON, IA0.7%-0.3%2025-06-30
Grundy County Memorial HospitalGrundy Center, IA0.1%13.7%2025-06-30
GUTTENBERG MUNICIPAL HOSPITALGUTTENBERG, IA0.5%-3.6%2025-06-30
Hamilton County Public Hospital d/b/a Van Diest Medical CenterWebster City, IA0.1%1.9%2025-06-30
HANCOCK COUNTY HEALTH SYSTEMBRITT, IA0.1%-7.7%2025-06-30
Hawarden Regional HealthcareHawarden, IA0.3%-5.7%2025-06-30
Hegg Memorial HospitalRock Valley, IA0.5%-16.4%2025-06-30
HENRY COUNTY HEALTH CENTER INCMOUNT PLEASANT, IA0.4%9.8%2025-06-30
Humboldt County Memorial HospitalHumboldt, IA0.1%-3.4%2025-06-30
Ida County Iowa Community Hospital dba Horn Memorial HospitalIda Grove, IA0.0%-15.6%2024-12-31
IOWA SPECIALTY HOSPITAL - CLARIONCLARION, IA0.3%3.4%2025-06-30
Jackson County Public HospitalMaquoketa, IA0.1%18.6%2025-06-30
JEFFERSON COUNTY HEALTH CENTERFAIRFIELD, IA0.8%10.4%2025-06-30
Keokuk County Health CenterSigourney, IA0.2%-15.3%2025-06-30
KNOXVILLE COMMUNITY HOSPITAL INC.KNOXVILLE, IA0.3%2.1%2025-06-30
Kossuth Regional Health CenterAlgona, IA0.5%-3.2%2025-06-30
LORING HOSPITALSAC CITY, IA0.4%10.5%2025-06-30
Lucas County Health CenterChariton, IA1.3%-2.6%2025-06-30
MADISON COUNTY MEMORIAL HOSPITALWINTERSET, IA1.1%-0.6%2025-06-30
Mahaska County Hospital d/b/a Mahaska Health PartnershipOskaloosa, IA0.8%11.5%2025-06-30
MANNING REGIONAL HEALTHCARE CENTERMANNING, IA0.6%11.0%2025-06-30
Marengo Memorial Hospital d/b/a Compass Memorial HealthcareMarengo, IA0.8%3.8%2025-06-30
MERCY MEDICAL CENTER - DYERSVILLE, DBA MERCYONE DYERSVILLE MEDICAL CENTERDYERSVILLE, IA2.3%8.0%2025-06-30
Mercy Medical Center New HamptonNEW HAMPTON, IA2.7%6.9%2025-06-30
MercyOne Centerville Medical CenterCENTERVILLE, IA1.9%-10.2%2025-06-30
MercyOne Oelwein Medical CenterOELWEIN, IA1.1%17.2%2025-06-30
Mitchell County Regional Health CenterOSAGE, IA0.0%-1.4%2025-06-30
Monroe County HospitalAlbia, IA1.6%-4.7%2025-06-30
Montgomery County Memorial HospitalRed Oak, IA0.7%-16.3%2025-06-30
ORANGE CITY MUNICIPAL HOSPITALORANGE CITY, IA0.5%-35.4%2025-06-30
OSCEOLA COMMUNITY HOSPITALSIBLEY, IA0.3%-1.4%2025-06-30
Palmer Lutheran Health Center — this hospitalWest Union, IA3.3%6.3%2024-09-30
PALO ALTO COUNTY HOSPITALEMMETSBURG, IA0.4%4.9%2025-06-30
PELLA REGIONAL HEALTH CENTERPELLA, IA2.6%-12.1%2024-12-31
PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health CenterINDEPENDENCE, IA0.3%1.4%2025-06-30
POCAHONTAS COMMUNITY HOSPITALPOCAHONTAS, IA0.1%5.0%2025-06-30
REGIONAL HEALTH SERVICES OF HOWARD COUNTYCRESCO, IA0.1%-17.1%2025-06-30
RINGGOLD COUNTY HOSPITALMOUNT AYR, IA1.6%1.3%2025-06-30
SANFORD SHELDON MEDICAL CENTERSHELDON, IA3.9%15.1%2024-12-31
SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITALHarlan, IA0.6%-8.7%2025-06-30
Shenandoah Medical CenterShenandoah, IA0.1%-5.2%2024-12-31
SIOUX CENTER HEALTHSIOUX CENTER, IA0.6%-6.0%2025-06-30
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTERCHEROKEE, IA0.4%-11.6%2024-12-31
ST. ANTHONY REGIONAL HOSPITALCARROLL, IA1.2%0.9%2025-06-30
ST. LUKE'S JONES REGIONAL MEDICAL CENTERANAMOSA, IA0.8%12.3%2024-12-31
Stewart Memorial Community HospitalLake City, IA0.2%5.5%2024-12-31
STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTERNEVADA, IA0.4%0.7%2025-06-30
Sumner Community Club dba Community Memorial HospitalSumner, IA0.1%-6.1%2024-12-31
VAN BUREN COUNTY HOSPITALKEOSAUQUA, IA1.2%4.8%2025-06-30
VETERANS MEMORIAL HOSPITALWAUKON, IA0.6%-6.4%2025-06-30
Virginia Gay HospitalVinton, IA0.2%-0.8%2025-06-30
WASHINGTON COUNTY HOSPITALWASHINGTON, IA0.1%-21.3%2025-06-30
WAVERLY HEALTH CENTERWAVERLY, IA0.4%3.8%2025-06-30
Wayne County HospitalCorydon, IA0.1%-24.6%2025-06-30
Winneshiek Medical CenterDecorah, IA0.6%-5.3%2025-06-30

Earlier years

One cost report is on file for this hospital, for the year ended 30 September 2024. There is no earlier year to set beside it.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “Palmer Lutheran Health Center” (340B ID CAH161316-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CAH161316-00

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
1 April 2012
Certification date
12 August 2026
Record last edited
12 August 2026

Identifiers

340B ID
CAH161316-00
Entity type as filed
CAH
CMS certification number
161316
Rural
Yes

112 Jefferson Street, West Union IA 52175

Locations registered under this record

Browse all of them as a list →

340B IDNameTypeWhereParticipating
CAH161316-01West Union Clinic / West Union RHCCAHWest Union, IATRUE
CAH161316-02Fayette RHCCAHFayette, IATRUE
CAH161316-03Postville RHCCAHPostville, IATRUE

Associated locations

OrganizationAddressWhere
Palmer Lutheran Health Center112 Jefferson StreetWest Union IA 52175

Pharmacy contracts

PharmacyWhereBeginsEnds
ACCREDO HEALTH GROUP INCTEMPE, AZ1 October 2024no end date filed
ACCREDO HEALTH GROUP INCWARRENDALE, PA1 October 2024no end date filed
ACCREDO HEALTH GROUP INCMEMPHIS, TN1 October 2024no end date filed
ACCREDO HEALTH GROUP, INC.NEWARK, DE1 October 2024no end date filed
ACCREDO HEALTH GROUP, INC.ORLANDO, FL1 October 2024no end date filed
ACCREDO HEALTH GROUP, INC.WHITESTOWN, IN1 October 2024no end date filed
ESI MAIL PHARMACY SERVICETEMPE, AZ1 October 2024no end date filed
EXPRESS SCRIPTSSAINT LOUIS, MO1 October 2024no end date filed
EXPRESS SCRIPTS PHARMACY, INC.WHITESTOWN, IN1 October 2024no end date filed
EXPRESS SCRIPTS PHARMACY, INC.BURLINGTON, NJ1 October 2024no end date filed
SCOTT PHARMACYFAYETTE, IA1 October 2017no end date filed
NUCARA PHARMACY #20WEST UNION, IA1 January 201431 March 2026
NUCARA PHARMACY #40MONONA, IA1 October 202028 April 2023
UNION DRUGWEST UNION, IA1 January 20142 September 2020

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.