7 locations registered under this record — data as of November 6, 2026
Critical access hospital · Harlan, IA
DBA MYRTUE MEDICAL CENTER
Filed as SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITAL.
Taking partYesLast certifiedAugust 17, 2026
- 7Registered locations
- 1Associated locations
- 40Contract pharmacies
- 15With no end date
- April 1, 2011In 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 3.
Every Medicare cost report this hospital has filed is on its cost-report record.
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 June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $100,161,824 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $40,259,393 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| 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 |
| Bad debt other than Medicare, at cost | $848,349 | CMS-2552-10 worksheet S100001 line 2900 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 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.
- 75thpercentile 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.
- 75thpercentile 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.
- 65thpercentile of 55 hospitals in IA, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 66thpercentile 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.
- 50thpercentile 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
- April 1, 2011
- Certification date
- August 17, 2026
- Record last edited
- August 17, 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 →
| CAH161374-01 | Myrtue Medical Center Earling Clinic | CAH | Earling, IA | Yes |
| CAH161374-02 | Myrtue Medical Center Shelby RHC | CAH | Shelby, IA | Yes |
| CAH161374-03 | Myrtue Medical Center Elk Horn RHC | CAH | Elk Horn, IA | Yes |
| CAH161374-04 | Myrtue Medical Center Avoca RHC | CAH | Avoca, IA | Yes |
| CAH161374-05 | Myrtue Medical Center Harlan RHC | CAH | Harlan, IA | Yes |
| CAH161374-06 | MMC Mental Health Services | CAH | Harlan, IA | Yes |
| CAH161374-07 | MMC Harlan Mental Health Center RHC: Therapy and Medication Management - Mental Health | CAH | Harlan, IA | No |
Associated locations
| DBA MYRTUE MEDICAL CENTER | 1213 Garfield Ave | Harlan IA 51537 |
Pharmacy contracts
No end date filed15
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | April 1, 2022 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | April 1, 2022 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | April 1, 2022 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | April 1, 2022 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | April 1, 2022 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | April 1, 2022 | no end date filed |
| DOTZLER PHARMACIES, INC. | HARLAN, IA | January 1, 2021 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | April 1, 2022 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | April 1, 2022 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | April 1, 2022 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | April 1, 2022 | no end date filed |
| GRX HOLDINGS, LLC | AUDUBON, IA | July 1, 2025 | no end date filed |
| HY-VEE PHARMACY #1241 | HARLAN, IA | October 1, 2016 | no end date filed |
| HY-VEE PHARMACY FULFILLMENT CENTER 4016 | DES MOINES, IA | October 1, 2016 | no end date filed |
| OAKLAND PHARMACY INC | OAKLAND, IA | October 1, 2023 | no end date filed |
An end date is filed25
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.
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | April 1, 2022 | June 30, 2023 |
| AVOCA FOOD LAND PHARMACY INC | AVOCA, IA | October 1, 2018 | March 15, 2019 |
| DOTZLER PHARMACIES, INC. DBA LEHAN PHARM | MINDEN, IA | January 1, 2021 | September 17, 2024 |
| ELK HORN PHARMACY | ELK HORN, IA | April 1, 2014 | May 31, 2024 |
| GENOA HEALTHCARE LLC | OMAHA, NE | July 1, 2023 | March 24, 2024 |
| GENOA HEALTHCARE LLC | SIOUX CITY, IA | July 1, 2023 | March 24, 2024 |
| GENOA HEALTHCARE LLC | FREMONT, NE | July 1, 2023 | March 24, 2024 |
| HARLAN PHARMACY | HARLAN, IA | January 1, 2021 | June 21, 2021 |
| KWIK-RX PHARMACY | HARLAN, IA | April 1, 2013 | November 8, 2023 |
| OPTUM INFUSION SERVICES 305, LLC | LENEXA, KS | July 1, 2023 | March 24, 2024 |
| OPTUM INFUSION SERVICES 404 LLC | BEND, OR | July 1, 2023 | March 24, 2024 |
| OPTUM INFUSION SERVICES 500 INC | FRANKLIN, TN | July 1, 2023 | March 24, 2024 |
| OPTUM INFUSION SERVICES 501, INC. | WOODINVILLE, WA | July 1, 2023 | March 24, 2024 |
| OPTUM INFUSION SERVICES 553, LLC | RALEIGH, NC | July 1, 2023 | March 24, 2024 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | July 1, 2023 | March 24, 2024 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | July 1, 2023 | March 24, 2024 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | July 1, 2023 | March 24, 2024 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | July 1, 2023 | March 24, 2024 |
| OPTUMRX | OVERLAND PARK, KS | July 1, 2023 | March 24, 2024 |
| SHOPKO PHARMACY #2682 | HARLAN, IA | October 1, 2013 | November 5, 2018 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2023 | June 1, 2025 |
| WAL-MART PHARMACY 10-1732 | DENISON, IA | October 1, 2021 | June 1, 2025 |
| WAL-MART PHARMACY 10-3394 | ATLANTIC, IA | October 1, 2021 | June 1, 2025 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2023 | June 1, 2025 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | April 1, 2023 | June 1, 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 DBA MYRTUE MEDICAL CENTER
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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