1 location registered under this record — data as of October 30, 2026
Critical access hospital · FREDERICKTOWN, MO
MADISON MEDICAL CENTER
Taking partYesLast certifiedAugust 10, 2026
- 1Registered locations
- 1Associated locations
- 41Contract pharmacies
- 32With no end date
- December 9, 2011In 340B since
Where this record sits: among the 34 Critical access hospitals in Missouri, the median open contract-pharmacy count is 12; this record’s open count ranks 5.
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 | $62,791,649 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $39,993,374 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,798,275 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,435,527 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$2,637,252 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $85,135 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $35,993 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $3,302,354 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,388,954 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $1,424,947 | 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 | 0.4228 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 261302 for October 1, 2024 to September 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.
- 18thpercentile of 28 hospitals in MO, 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.
- 21stpercentile of 28 hospitals in MO, 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.
- 23rdpercentile of 26 hospitals in MO, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 32ndpercentile of 28 hospitals in MO, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 28 hospitals in MO, 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.
- 61stpercentile of 28 hospitals in MO, 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 Missouri 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
- December 9, 2011
- Certification date
- August 10, 2026
- Record last edited
- August 10, 2026
Identifiers
- 340B ID
- CAH261302-00
- Entity type as filed
- CAH
- CMS certification number
- 261302
- Rural
- Yes
611 WEST MAIN STREET, FREDERICKTOWN MO 63645
Locations registered under this record
Browse all of them as a list →
| CAH261302-01 | Arcadia Valley Family Clinic | CAH | Pilot Knob, MO | No |
Associated locations
| MADISON MEDICAL CENTER | 611 WEST MAIN STREET | FREDERICKTOWN MO 63645 |
Pharmacy contracts
No end date filed32
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | October 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | October 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | October 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | October 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | October 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | October 1, 2023 | no end date filed |
| BIOLOGICS, INC. | CARY, NC | July 1, 2021 | no end date filed |
| CENTERWELL PHARMACY, INC. | PHOENIX, AZ | January 1, 2027 | no end date filed |
| CENTERWELL PHARMACY, INC. | ORLANDO, FL | January 1, 2024 | no end date filed |
| CENTERWELL PHARMACY, INC. | WEST CHESTER, OH | April 1, 2021 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | October 1, 2023 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | October 1, 2023 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | October 1, 2023 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | October 1, 2023 | no end date filed |
| HARPS PHARMACY #208 | FREDERICKTOWN, MO | April 1, 2021 | no end date filed |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 700, LLC | PINE BROOK, NJ | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | WOODINVILLE, WA | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | July 1, 2021 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | January 19, 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 |
| OPTUMRX | OVERLAND PARK, KS | July 1, 2021 | no end date filed |
| PARKLAND PHARMACY DEVELOPMENT LLC | IRONTON, MO | July 1, 2016 | no end date filed |
| PARKLAND PHARMACY DEVELOPMENT LLC | FREDERICKTOWN, MO | November 9, 2012 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2017 | no end date filed |
| WAL-MART PHARMACY 10-0337 | FREDERICKTOWN, MO | September 5, 2012 | no end date filed |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | January 1, 2021 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 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 |
An end date is filed9
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.
| CENTERWELL PHARMACY, INC. | MIRAMAR, FL | April 1, 2021 | October 9, 2023 |
| DICUS PRESCRIPTION DRUGS | FREDERICKTOWN, MO | October 11, 2012 | May 14, 2020 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | July 1, 2021 | June 7, 2022 |
| OPTUM PHARMACY 705, LLC | LENEXA, KS | July 1, 2021 | November 4, 2022 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | July 1, 2021 | May 1, 2026 |
| OPTUMRX | CARLSBAD, CA | July 1, 2021 | May 1, 2026 |
| US BIOSERVICES | CARROLLTON, TX | January 1, 2021 | September 30, 2022 |
| WAL-MART PHARMACY 10-0037 | FARMINGTON, MO | January 1, 2014 | April 3, 2019 |
| WAL-MART PHARMACY 10-0095 | DESLOGE, MO | January 1, 2014 | April 3, 2019 |
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
- October 30, 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_20261030_130602.xlsx, stamped by its publisher October 30, 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_20261030_130602.xlsx, read October 30, 2026.
The full report for MADISON 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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