Critical access hospital · IA
SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITAL
From this hospital’s Medicare cost report for the year ended 30 June 2025. Every figure on this page names the cell it came from.
- 6Registered locations
- 1Associated locations
- 40Contract pharmacies
- 15With no end date
- 1 April 2011In 340B since
Counting the locations registered under this record as well: 46 pharmacy contracts.
Finances, as filed
From this hospital’s Medicare cost report for the year ended 30 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $59,902,431 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $65,127,412 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$5,224,981 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $587,233 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $352,112 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $1,461,745 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $1,200,461 | 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 | 0.5804 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 161374 for 1 July 2024 to 30 June 2025, 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.
- 54thpercentile of 81 critical access hospitals in IowaCharity care
- 45thpercentile of 82 critical access hospitals in IowaUncompensated care
- 20thpercentile of 82 critical access hospitals in IowaLeft after the cost of care
- 96thpercentile 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.
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.
Earlier years
One cost report is on file for this hospital, for the year ended 30 June 2025. 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.
Cite this page
Velarion Records, “SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITAL” (340B ID CAH161374-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CAH161374-00
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 2011
- Certification date
- 17 August 2026
- Record last edited
- 17 August 2026
Identifiers
- 340B ID
- CAH161374-00
- Entity type as filed
- CAH
- CMS certification number
- 161374
- Rural
- Yes
1213 Garfield Ave, Harlan IA 51537
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| CAH161374-01 | Myrtue Medical Center Earling Clinic | CAH | Earling, IA | TRUE |
| CAH161374-02 | Myrtue Medical Center Shelby RHC | CAH | Shelby, IA | TRUE |
| CAH161374-03 | Myrtue Medical Center Elk Horn RHC | CAH | Elk Horn, IA | TRUE |
| CAH161374-04 | Myrtue Medical Center Avoca RHC | CAH | Avoca, IA | TRUE |
| CAH161374-05 | Myrtue Medical Center Harlan RHC | CAH | Harlan, IA | TRUE |
| CAH161374-06 | MMC Mental Health Services | CAH | Harlan, IA | TRUE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITAL | 1213 Garfield Ave | Harlan IA 51537 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 April 2022 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 April 2022 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 April 2022 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 April 2022 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 April 2022 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | 1 April 2022 | no end date filed |
| DOTZLER PHARMACIES, INC. | HARLAN, IA | 1 January 2021 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | 1 April 2022 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | 1 April 2022 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | 1 April 2022 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | 1 April 2022 | no end date filed |
| GRX HOLDINGS, LLC | AUDUBON, IA | 1 July 2025 | no end date filed |
| HY-VEE PHARMACY #1241 | HARLAN, IA | 1 October 2016 | no end date filed |
| HY-VEE PHARMACY FULFILLMENT CENTER 4016 | DES MOINES, IA | 1 October 2016 | no end date filed |
| OAKLAND PHARMACY INC | OAKLAND, IA | 1 October 2023 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 April 2023 | 1 June 2025 |
| WAL-MART PHARMACY 10-1732 | DENISON, IA | 1 October 2021 | 1 June 2025 |
| WAL-MART PHARMACY 10-3394 | ATLANTIC, IA | 1 October 2021 | 1 June 2025 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 April 2023 | 1 June 2025 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 April 2023 | 1 June 2025 |
| DOTZLER PHARMACIES, INC. DBA LEHAN PHARM | MINDEN, IA | 1 January 2021 | 17 September 2024 |
| ELK HORN PHARMACY | ELK HORN, IA | 1 April 2014 | 31 May 2024 |
| GENOA HEALTHCARE LLC | SIOUX CITY, IA | 1 July 2023 | 24 March 2024 |
| GENOA HEALTHCARE LLC | OMAHA, NE | 1 July 2023 | 24 March 2024 |
| GENOA HEALTHCARE LLC | FREMONT, NE | 1 July 2023 | 24 March 2024 |
| OPTUM INFUSION SERVICES 305, LLC | LENEXA, KS | 1 July 2023 | 24 March 2024 |
| OPTUM INFUSION SERVICES 404 LLC | BEND, OR | 1 July 2023 | 24 March 2024 |
| OPTUM INFUSION SERVICES 500 INC | FRANKLIN, TN | 1 July 2023 | 24 March 2024 |
| OPTUM INFUSION SERVICES 501, INC. | WOODINVILLE, WA | 1 July 2023 | 24 March 2024 |
| OPTUM INFUSION SERVICES 553, LLC | RALEIGH, NC | 1 July 2023 | 24 March 2024 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 July 2023 | 24 March 2024 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 July 2023 | 24 March 2024 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 July 2023 | 24 March 2024 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | 1 July 2023 | 24 March 2024 |
| OPTUMRX | OVERLAND PARK, KS | 1 July 2023 | 24 March 2024 |
| KWIK-RX PHARMACY | HARLAN, IA | 1 April 2013 | 8 November 2023 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 April 2022 | 30 June 2023 |
| HARLAN PHARMACY | HARLAN, IA | 1 January 2021 | 21 June 2021 |
| AVOCA FOOD LAND PHARMACY INC | AVOCA, IA | 1 October 2018 | 15 March 2019 |
| SHOPKO PHARMACY #2682 | HARLAN, IA | 1 October 2013 | 5 November 2018 |
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.