Velarion Records

Public registries, as they were filed.

Critical access hospital · NE

Howard County Medical Center

$26,374,188Net patient revenueWhat the hospital took in for treating patients, after discounts.
-8.4%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
0.7%Charity careCare given free or discounted, as a share of what patients brought in.
2.0%Uncompensated careCharity care plus bills that went unpaid, on the same basis.

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.

  • 3Registered locations
  • 1Associated locations
  • 14Contract pharmacies
  • 6With no end date
  • 1 January 2013In 340B since

Finances, as filed

From this hospital’s Medicare cost report for the year ended 30 June 2025.

FigureAs filedWhere it comes from
Net patient revenue$26,374,188CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$28,599,703CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients−$2,225,515CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$221,103CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$184,211CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$473,278CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost$525,501CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds10CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.7370CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 281338 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 Nebraska that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.

  • 71stpercentile of 58 critical access hospitals in NebraskaCharity care
  • 49thpercentile of 61 critical access hospitals in NebraskaUncompensated care
  • 36thpercentile of 61 critical access hospitals in NebraskaLeft after the cost of care
  • 73rdpercentile of 62 critical access hospitals in NebraskaContract pharmacies

Among hospitals of the same type in Nebraska

Every critical access hospital in Nebraska that files a Medicare cost report carrying both figures — 58 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.

0.0%2.0%4.0%6.0%-60.0%-40.0%-20.0%0.0%20.0%ALEGENT CREIGHTON HEALTH d/b/a CHI Health Plainview — charity care 1.3% of patient revenue, 12.6% left after the cost of careALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler — charity care 3.9% of patient revenue, -5.5% left after the cost of careANNIE JEFFREY MEM. CNTY HLTH. CTR. — charity care 0.2% of patient revenue, -2.2% left after the cost of careAntelope Memorial Hospital — charity care 0.1% of patient revenue, 2.3% left after the cost of careAVERA ST. ANTHONY'S HOSPITAL — charity care 1.0% of patient revenue, 3.1% left after the cost of careBOONE COUNTY HEALTH CENTER — charity care 0.1% of patient revenue, -9.7% left after the cost of careBOX BUTTE GENERAL HOSPITAL — charity care 0.1% of patient revenue, -5.4% left after the cost of careBRODSTONE MEMORIAL HOSPITAL — charity care 0.5% of patient revenue, -4.9% left after the cost of careBrown County Hospital — charity care 0.9% of patient revenue, -7.3% left after the cost of careButler County Health Care Center — charity care 0.4% of patient revenue, 4.1% left after the cost of careCALLAWAY HOSPITAL DISTRICT DBA CALLAWAY DISTRICT HOSPITAL — charity care 0.2% of patient revenue, -0.3% left after the cost of careCambridge Memorial Hospital Inc. DBA Tri Valley Health System — charity care 0.3% of patient revenue, -1.1% left after the cost of careChadron Community Hospital — charity care 0.7% of patient revenue, -6.3% left after the cost of careChase County Community Hospital — charity care 0.5% of patient revenue, -4.8% left after the cost of careCherry County Hospital — charity care 0.0% of patient revenue, -15.9% left after the cost of careCheyenne County Hospital Association, Inc. DBA Sidney Regional Medical Center — charity care 0.6% of patient revenue, 1.8% left after the cost of careCOMMUNITY HOSPITAL ASSOCIATION — charity care 1.4% of patient revenue, -3.7% left after the cost of careCommunity Medical Center, Inc. — charity care 1.7% of patient revenue, 5.1% left after the cost of careCommunity Memorial Hospital District dba Syracuse Area Health — charity care 0.3% of patient revenue, -8.3% left after the cost of careCozad Community Hospital — charity care 0.3% of patient revenue, -12.1% left after the cost of careCRETE AREA MEDICAL CENTER — charity care 3.8% of patient revenue, 6.1% left after the cost of careDUNDY COUNTY HOSPITAL — charity care 0.2% of patient revenue, -24.7% left after the cost of careFILLMORE COUNTY HOSPITAL — charity care 0.1% of patient revenue, -0.6% left after the cost of careFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE — charity care 0.6% of patient revenue, 3.9% left after the cost of careGARDEN COUNTY HEALTH SERVICES — charity care 1.0% of patient revenue, -53.8% left after the cost of careGenoa Community Hospital — charity care 0.0% of patient revenue, -13.2% left after the cost of careGORDON MEMORIAL HOSPITAL DISTRICT — charity care 1.1% of patient revenue, -3.1% left after the cost of careGothenburg Memorial Hospital — charity care 0.3% of patient revenue, 0.5% left after the cost of careHarlan County Health System — charity care 0.5% of patient revenue, -11.5% left after the cost of careHENDERSON HEALTH CARE SERVICES — charity care 0.1% of patient revenue, -13.9% left after the cost of careJEFFERSON COMMUNITY HEALTH CENTER DBA JEFFERSON COMMUNITY HEALTH & LIFE — charity care 0.3% of patient revenue, -8.9% left after the cost of careJENNIE M. MELHAM MEMORIAL MED CENTER — charity care 0.2% of patient revenue, -1.5% left after the cost of careJohnson County Hospital — charity care 0.3% of patient revenue, -10.5% left after the cost of careKEARNEY CO HEALTH SERVICES — charity care 0.3% of patient revenue, -8.7% left after the cost of careKIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES — charity care 0.4% of patient revenue, -14.5% left after the cost of careLEXINGTON REGIONAL HEALTH CENTER — charity care 0.6% of patient revenue, -4.1% left after the cost of careMemorial Community Health, Inc. DBA Memorial Hospital — charity care 0.2% of patient revenue, -19.6% left after the cost of careMEMORIAL COMMUNITY HOSPITAL — charity care 4.0% of patient revenue, 1.6% left after the cost of careMEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL — charity care 0.3% of patient revenue, -9.5% left after the cost of careMERRICK MEDICAL CENTER — charity care 4.1% of patient revenue, -7.9% left after the cost of careMorrill County Community Hospital — charity care 0.0% of patient revenue, -2.0% left after the cost of careNEMAHA COUNTY HOSPITAL — charity care 1.0% of patient revenue, 3.3% left after the cost of careOGALLALA COMMUNITY HOSPITAL — charity care 1.6% of patient revenue, -9.2% left after the cost of careOSMOND GENERAL HOSPITAL — charity care 0.5% of patient revenue, -5.4% left after the cost of carePawnee County Memorial Hospital — charity care 0.7% of patient revenue, 6.4% left after the cost of carePENDER COMMUNITY HEALTH — charity care 0.6% of patient revenue, 3.5% left after the cost of carePERKINS COUNTY HEALTH SERVICES — charity care 0.1% of patient revenue, -12.3% left after the cost of carePhelps Memorial Health Center — charity care 0.9% of patient revenue, 5.9% left after the cost of careProvidence Medical Center — charity care 1.8% of patient revenue, -12.8% left after the cost of careROCK COUNTY HOSPITAL — charity care 0.9% of patient revenue, -54.5% left after the cost of careSacred Heart Health Services D/B/A Avera Creighton Hospital — charity care 0.5% of patient revenue, -6.6% left after the cost of careSAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's — charity care 1.2% of patient revenue, 10.6% left after the cost of careSaunders Medical Center — charity care 0.3% of patient revenue, 4.7% left after the cost of careThayer County Memorial Hospital dba Thayer County Health Services — charity care 0.4% of patient revenue, -20.8% left after the cost of careVALLEY COUNTY HOSPITAL DBA VALLEY COUNTY HEALTH SYSTEM — charity care 0.4% of patient revenue, 3.7% left after the cost of careWest Holt Memorial Hospital — charity care 0.3% of patient revenue, -28.3% left after the cost of careYORK GENERAL HOSPITAL — charity care 0.0% of patient revenue, -3.2% left after the cost of careHoward County Medical Center — this hospitalThis hospitalCharity care, as a share of what patients brought inLeft after the cost of care

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.

Hospitals plotted above, with the figures at full precision
HospitalWhereCharity care, share of patient revenueLeft after the cost of careYear ended
ALEGENT CREIGHTON HEALTH d/b/a CHI Health PlainviewPlainview, NE1.3%12.6%2025-06-30
ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health SchuylerSCHUYLER, NE3.9%-5.5%2025-06-30
ANNIE JEFFREY MEM. CNTY HLTH. CTR.OSCEOLA, NE0.2%-2.2%2025-06-30
Antelope Memorial HospitalNeligh, NE0.1%2.3%2025-06-30
AVERA ST. ANTHONY'S HOSPITALO'NEILL, NE1.0%3.1%2025-06-30
BOONE COUNTY HEALTH CENTERALBION, NE0.1%-9.7%2024-09-30
BOX BUTTE GENERAL HOSPITALALLIANCE, NE0.1%-5.4%2025-06-30
BRODSTONE MEMORIAL HOSPITALSUPERIOR, NE0.5%-4.9%2025-04-30
Brown County HospitalAinsworth, NE0.9%-7.3%2025-06-30
Butler County Health Care CenterDavid City, NE0.4%4.1%2025-06-30
CALLAWAY HOSPITAL DISTRICT DBA CALLAWAY DISTRICT HOSPITALCALLAWAY, NE0.2%-0.3%2025-07-31
Cambridge Memorial Hospital Inc. DBA Tri Valley Health SystemCambridge, NE0.3%-1.1%2025-04-30
Chadron Community HospitalChadron, NE0.7%-6.3%2024-09-30
Chase County Community HospitalImperial, NE0.5%-4.8%2025-06-30
Cherry County HospitalValentine, NE0.0%-15.9%2025-03-31
Cheyenne County Hospital Association, Inc. DBA Sidney Regional Medical CenterSidney, NE0.6%1.8%2024-12-31
COMMUNITY HOSPITAL ASSOCIATIONMCCOOK, NE1.4%-3.7%2025-06-30
Community Medical Center, Inc.Falls City, NE1.7%5.1%2025-07-31
Community Memorial Hospital District dba Syracuse Area HealthSyracuse, NE0.3%-8.3%2025-06-30
Cozad Community HospitalCozad, NE0.3%-12.1%2025-04-30
CRETE AREA MEDICAL CENTERCRETE, NE3.8%6.1%2024-12-31
DUNDY COUNTY HOSPITALBENKELMAN, NE0.2%-24.7%2025-02-28
FILLMORE COUNTY HOSPITALGENEVA, NE0.1%-0.6%2025-06-30
FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREWEST POINT, NE0.6%3.9%2024-12-31
GARDEN COUNTY HEALTH SERVICESOSHKOSH, NE1.0%-53.8%2025-06-30
Genoa Community HospitalGenoa, NE0.0%-13.2%2025-06-30
GORDON MEMORIAL HOSPITAL DISTRICTGORDON, NE1.1%-3.1%2025-06-30
Gothenburg Memorial HospitalGothenburg, NE0.3%0.5%2025-06-30
Harlan County Health SystemAlma, NE0.5%-11.5%2024-12-31
HENDERSON HEALTH CARE SERVICESHENDERSON, NE0.1%-13.9%2025-06-30
Howard County Medical Center — this hospitalSt Paul, NE0.7%-8.4%2025-06-30
JEFFERSON COMMUNITY HEALTH CENTER DBA JEFFERSON COMMUNITY HEALTH & LIFEFAIRBURY, NE0.3%-8.9%2024-09-30
JENNIE M. MELHAM MEMORIAL MED CENTERBROKEN BOW, NE0.2%-1.5%2024-09-30
Johnson County HospitalTecumseh, NE0.3%-10.5%2025-06-30
KEARNEY CO HEALTH SERVICESMINDEN, NE0.3%-8.7%2025-06-30
KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICESKIMBALL, NE0.4%-14.5%2025-06-30
LEXINGTON REGIONAL HEALTH CENTERLEXINGTON, NE0.6%-4.1%2025-06-30
Memorial Community Health, Inc. DBA Memorial HospitalAurora, NE0.2%-19.6%2024-09-30
MEMORIAL COMMUNITY HOSPITALBLAIR, NE4.0%1.6%2024-12-31
MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITALSEWARD, NE0.3%-9.5%2024-09-30
MERRICK MEDICAL CENTERCENTRAL CITY, NE4.1%-7.9%2024-12-31
Morrill County Community HospitalBridgeport, NE0.0%-2.0%2025-06-30
NEMAHA COUNTY HOSPITALAUBURN, NE1.0%3.3%2025-04-30
OGALLALA COMMUNITY HOSPITALOgallala, NE1.6%-9.2%2024-12-31
OSMOND GENERAL HOSPITALOSMOND, NE0.5%-5.4%2025-06-30
Pawnee County Memorial HospitalPawnee City, NE0.7%6.4%2025-06-30
PENDER COMMUNITY HEALTHPENDER, NE0.6%3.5%2025-06-30
PERKINS COUNTY HEALTH SERVICESGRANT, NE0.1%-12.3%2025-06-30
Phelps Memorial Health CenterHoldrege, NE0.9%5.9%2024-12-31
Providence Medical CenterWayne, NE1.8%-12.8%2024-12-31
ROCK COUNTY HOSPITALBASSETT, NE0.9%-54.5%2025-06-30
Sacred Heart Health Services D/B/A Avera Creighton HospitalCreighton, NE0.5%-6.6%2025-06-30
SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary'sNEBRASKA CITY, NE1.2%10.6%2025-06-30
Saunders Medical CenterWAHOO, NE0.3%4.7%2025-06-30
Thayer County Memorial Hospital dba Thayer County Health ServicesHebron, NE0.4%-20.8%2025-06-30
VALLEY COUNTY HOSPITAL DBA VALLEY COUNTY HEALTH SYSTEMORD, NE0.4%3.7%2025-06-30
West Holt Memorial HospitalAtkinson, NE0.3%-28.3%2025-06-30
YORK GENERAL HOSPITALYORK, NE0.0%-3.2%2024-09-30

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.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “Howard County Medical Center” (340B ID CAH281338-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CAH281338-00

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
1 January 2013
Certification date
10 August 2026
Record last edited
10 August 2026

Identifiers

340B ID
CAH281338-00
Entity type as filed
CAH
CMS certification number
281338
Rural
No

1113 Sherman St, St Paul NE 68873

Locations registered under this record

Browse all of them as a list →

340B IDNameTypeWhereParticipating
CAH281338-01Howard County Medical Center dba Howard County Medical ClinicCAHSaint Paul, NEFALSE
CAH281338-02Howard County Medical Center dba Greeley Medical ClinicCAHGreeley, NETRUE
CAH281338-03HOWARD COUNTY MEDICAL CENTER - Loup City Medical ClinicCAHLOUP CITY, NEFALSE

Associated locations

OrganizationAddressWhere
Howard County Medical Center1113 Sherman StSt Paul NE 68873

Pharmacy contracts

PharmacyWhereBeginsEnds
BREHM DRUGSAINT PAUL, NE13 October 2020no end date filed
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 October 2025no end date filed
WAL-MART PHARMACY 10-1326GRAND ISLAND, NE1 October 2025no end date filed
WAL-MART PHARMACY 10-5997ORLANDO, FL1 October 2025no end date filed
WALMART PHARMACY 10-5169ROGERS, AR1 October 2025no end date filed
Walmart Pharmacy 10-7611Plainfield, IN1 October 2025no end date filed
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 July 201819 April 2024
WAL-MART PHARMACY 10-1326GRAND ISLAND, NE1 July 201819 April 2024
WAL-MART PHARMACY 10-5997ORLANDO, FL1 July 201819 April 2024
WALMART PHARMACY 10-5169ROGERS, AR1 July 202319 April 2024
Walmart Pharmacy 10-7611Plainfield, IN1 January 202419 April 2024
SPALDING PHARMACYSPALDING, NE1 January 202131 January 2024
GOOD LIFE DISCOUNT PHARMACYLOUP CITY, NE1 July 202031 August 2021
BREHM DRUGSAINT PAUL, NE1 July 201313 October 2020

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.