6 locations registered under this record — data as of November 6, 2026
Critical access hospital · KEOSAUQUA, IA
VAN BUREN COUNTY HOSPITAL
Taking partYesLast certifiedAugust 14, 2026
- 6Registered locations
- 1Associated locations
- 43Contract pharmacies
- 40With no end date
- July 1, 2017In 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 2.
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 | $42,988,161 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $13,217,949 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,770,212 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,348,674 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $1,421,538 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $539,961 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $347,392 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $432,252 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $264,583 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $611,975 | 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 | 0.6434 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 161337 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
The full report for VAN BUREN COUNTY 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.
How we handle your data → Privacy
Buy with a purchase order
An invoice from VELARIONAI LLC for $295, sent to your billing address; the report arrives the moment it is paid. The report is a document you can keep, file or send on; no refunds. W-9 (VELARIONAI LLC).
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.
- 27thpercentile 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.
- 18thpercentile 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.
- 64thpercentile of 55 hospitals in IA, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 34thpercentile 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.
- 75thpercentile 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
- July 1, 2017
- Certification date
- August 14, 2026
- Record last edited
- August 14, 2026
Identifiers
- 340B ID
- CAH161337-00
- Entity type as filed
- CAH
- CMS certification number
- 161337
- Rural
- No
304 FRANKLIN STREET, KEOSAUQUA IA 52565
Locations registered under this record
Browse all of them as a list →
| CAH161337-01 | Farmington Rural Health Clinic | CAH | Farmington, IA | Yes |
| CAH161337-02 | Bonaparte Rural Health Clinic | CAH | Bonaparte, IA | No |
| CAH161337-03 | Fox River (Cantril) Rural Health Clinic | CAH | Cantril, IA | Yes |
| CAH161337-04 | Birmingham Rural Health Clinic | CAH | Birmingham, IA | Yes |
| CAH161337-05 | Douds Rural Health Clinic | CAH | Douds, IA | No |
| CAH161337-06 | Keosauqua Rural Health Clinic / Keosauqua Rural Health Clinic | CAH | Keosauqua, IA | Yes |
Associated locations
| VAN BUREN COUNTY HOSPITAL | 304 FRANKLIN STREET | KEOSAUQUA IA 52565 |
Pharmacy contracts
No end date filed40
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | July 1, 2025 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | July 1, 2025 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | July 1, 2025 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | July 1, 2025 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | July 1, 2025 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | July 1, 2025 | no end date filed |
| AMBER ENTERPRISES, INC | CHICAGO, IL | April 1, 2019 | no end date filed |
| AMBER ENTERPRISES, INC | OMAHA, NE | April 1, 2019 | no end date filed |
| CENTERWELL PHARMACY, INC. | WEST CHESTER, OH | April 1, 2021 | no end date filed |
| CENTERWELL PHARMACY, INC. | MIRAMAR, FL | April 1, 2021 | no end date filed |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | July 1, 2021 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | July 1, 2025 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | July 1, 2025 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | July 1, 2025 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | July 1, 2025 | no end date filed |
| HY-VEE PHARMACY #1180 | FAIRFIELD, IA | April 1, 2019 | no end date filed |
| HY-VEE PHARMACY FULFILLMENT CENTER 4016 | DES MOINES, IA | April 1, 2019 | no end date filed |
| HY-VEE PHARMACY SOLUTIONS | OMAHA, NE | April 1, 2019 | no end date filed |
| OPTUM PHARMACY 700, LLC | PINE BROOK, NJ | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | WOODINVILLE, WA | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | May 11, 2023 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 704, INC. | SAN ANTONIO, TX | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | July 1, 2021 | no end date filed |
| OPTUMRX | OVERLAND PARK, KS | July 1, 2021 | no end date filed |
| OPTUMRX | CARLSBAD, CA | July 1, 2021 | no end date filed |
| SENDERRA RX PHARMACY | PLANO, TX | October 1, 2020 | no end date filed |
| SUMMIT PHARMACY OF IOWA, INC | FAIRFIELD, IA | October 1, 2022 | no end date filed |
| US BIOSERVICES | CARROLLTON, TX | October 1, 2020 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | October 1, 2017 | no end date filed |
| WAL-MART PHARMACY 10-0985 | FAIRFIELD, IA | October 1, 2017 | no end date filed |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | October 1, 2020 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | October 1, 2017 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | July 1, 2023 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | January 1, 2024 | no end date filed |
| WELLS HOMETOWN DRUG | BLOOMFIELD, IA | January 1, 2020 | no end date filed |
| WELLS HOMETOWN DRUG KEOSAUQUA | KEOSAUQUA, IA | January 1, 2022 | no end date filed |
An end date is filed3
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.
| LEE PHARMACY | KEOSAUQUA, IA | January 1, 2018 | December 21, 2017 |
| OPTUM PHARMACY 705, LLC | LENEXA, KS | July 1, 2021 | May 28, 2021 |
| T & H PHARMACY SOLUTIONS, LLC DBA LEE PH | KEOSAUQUA, IA | January 1, 2018 | July 31, 2023 |
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.