1 location registered under this record — data as of November 6, 2026
Critical access hospital · CLOQUET, MN
COMMUNITY MEMORIAL HOSPITAL
Taking partYesLast certifiedAugust 27, 2026
- 1Registered locations
- 1Associated locations
- 8Contract pharmacies
- 8With no end date
- July 1, 2019In 340B since
Where this record sits: among the 72 Critical access hospitals in Minnesota, the median open contract-pharmacy count is 4.5; this record’s open count ranks 19.
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 September 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $218,341,194 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $124,365,414 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $93,975,780 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $94,412,652 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$436,872 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $279,174 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $275,050 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $3,429,000 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,342,163 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $1,617,213 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 22 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3925 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 241364 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by COMMUNITY MEMORIAL HOSPITAL ASSOCIATION (employer identification number 410743546) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $6,168,525 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $1,795,414 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $4,141,497 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $5,954,848 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $213,677 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.087 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202402269349301385. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by COMMUNITY MEMORIAL HOSPITAL ASSOCIATION (employer identification number 410743546) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| BRAD ANDERSON | CFO | Officer | $248,861 | $0 | $45,205 |
| JEFF RAPP MD | PHYSICIAN | Highest-compensated employee | $375,694 | $0 | $61,463 |
| JENNY BARTA | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JOANNA ROBNIK MD | PHYSICIAN/DIRECTOR | Trustee/director | $264,109 | $0 | $36,937 |
| JOSEPH LEMKER MD | PHYSICIAN | Highest-compensated employee | $472,846 | $0 | $15,250 |
| KARA UNDERWOOD MD | PHYSICIAN/DIRECTOR | Trustee/director | $381,760 | $0 | $15,354 |
| KELLY JOHNSON | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| KENNETH RIPP MD | PHYSICIAN | Highest-compensated employee | $381,087 | $0 | $59,968 |
| KIRK WIMMER | FORMER VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| KYLE MENZEL MD | PHYSICIAN | Highest-compensated employee | $752,685 | $0 | $38,045 |
| LEE OLSEN | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| LES RIESS MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MATTHEW LEWIS | CRNA | Highest-compensated employee | $375,038 | $0 | $59,336 |
| RICK BREUER | CEO | Officer | $449,426 | $0 | $50,062 |
| SAMUEL MOOSE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| STEVE RISACHER | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
E-file object id 202402269349301385. The IRS archive it was read from.
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.
- 96thpercentile of 57 hospitals in MN, same facility class, under 25 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.
- 97thpercentile of 58 hospitals in MN, same facility class, under 25 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.
- 56thpercentile of 52 hospitals in MN, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
- 89thpercentile of 53 hospitals in MN, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 88thpercentile of 58 hospitals in MN, same facility class, under 25 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.
- 4thpercentile of 54 hospitals in MN, same facility class, under 25 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 Minnesota 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, 2019
- Certification date
- August 27, 2026
- Record last edited
- August 27, 2026
Identifiers
- 340B ID
- CAH241364-00
- Entity type as filed
- CAH
- CMS certification number
- 241364
- NPI
- 1003869082 (MN)
- Rural
- Yes
512 SKYLINE BOULEVARD, CLOQUET MN 55720
Locations registered under this record
Browse all of them as a list →
| CAH241364-01 | CMH RAITER FAMILY CLINIC - CMH RAITER FAMILY CLINIC | CAH | CLOQUET, MN | Yes |
Associated locations
| COMMUNITY MEMORIAL HOSPITAL | 512 SKYLINE BOULEVARD | CLOQUET MN 55720 |
Pharmacy contracts
No end date filed8
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2024 | no end date filed |
| WAL-MART PHARMACY 10-1929 | CLOQUET, MN | April 1, 2024 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2024 | no end date filed |
| WALGREEN CO. | CLOQUET, MN | April 1, 2026 | no end date filed |
| Walgreens Central Fill #21426 | Brooklyn Park, MN | April 1, 2026 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | April 1, 2024 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | April 1, 2024 | no end date filed |
| WHITE DRUG #107 | CLOQUET, MN | January 1, 2026 | no end date filed |
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 COMMUNITY MEMORIAL 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.
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