1 location registered under this record — data as of November 9, 2026
Critical access hospital · NEBRASKA CITY, NE
SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's
Taking partYesLast certifiedAugust 12, 2026
- 1Registered locations
- 1Associated locations
- 36Contract pharmacies
- 14With no end date
- September 22, 2010In 340B since
Where this record sits: among the 60 Critical access hospitals in Nebraska, the median open contract-pharmacy count is 2; this record’s open count ranks 4.
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 June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $86,794,662 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $39,869,514 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $46,925,148 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $41,951,970 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $4,973,178 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $1,066,315 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $567,500 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $1,593,167 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $722,166 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $1,289,666 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 18 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.4574 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 281342 for July 1, 2024 to June 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 ST MARY'S COMMUNITY HOSPITAL (employer identification number 470443636) 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) | $2,244,050 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $252,430 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $907,326 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,159,756 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,084,294 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0588 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202431319349302183. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by ST MARY'S COMMUNITY HOSPITAL (employer identification number 470443636) 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 |
|---|---|---|---|---|---|
| BILL YATES | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| BRADLEY VASA MD | MEDICAL DIRECTOR | Highest-compensated employee | $467,442 | $0 | $53,586 |
| BRETT MEYER MD | PHYSICIAN-FAMILY MEDICINE | Highest-compensated employee | $477,642 | $96,820 | $19,482 |
| DANIEL DEFREECE MD | PRESIDENT | Officer | $322,791 | $0 | $60,897 |
| DAVE TAYLOR | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DAVID JONES | MARKET PRESIDENT, REGIONAL HOSPITALS | Officer | $0 | $307,588 | $30,939 |
| EVERT KUIPER | EX-OFFICIO BM/ PRESIDENT & CEO CHI HEALTH | Trustee/director, Officer | $0 | $1,274,593 | $29,391 |
| HEATHER MORGAN MD | BOARD MEMBER/PHYSICIAN | Trustee/director | $0 | $278,612 | $50,607 |
| JEANETTE WOJTALEWICZ | CFO, CHI HEALTH (TERMED 1/6/23) | Officer | $0 | $1,168,841 | $54,280 |
| JEFFREY STEARNES MD | PHYSICIAN | Former | $0 | $741,464 | $54,293 |
| JOHN PETERSDORF | BOARD MEMBER | Trustee/director | $0 | $2,349,200 | $677,245 |
| KELLY BACON | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| KENT BARNEY | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| KEVIN FITZGERALD | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| KIRTIBALA GUPTA MD | BOARD MEMBER/PHYSICIAN | Trustee/director | $0 | $396,003 | $44,314 |
| LG SEARCEY | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| MARDELL WILSON | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| NICK O'TOOL | INTERIM CFO, CHI HEALTH | Officer | $0 | $257,678 | $47,032 |
| SAMANTHA BOYER MD | PHYSICIAN-FAMILY MEDICINE | Highest-compensated employee | $306,553 | $109,980 | $4,863 |
| SISTER MAURITA SOUKUP | BOARD CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| SISTER NADINE HEIMANN OSF | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| STACY BLUM MD | PHYSICIAN-FAMILY MEDICINE | Highest-compensated employee | $465,369 | $91,923 | $54,494 |
| SUSANNE L HRUZA MD | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| TRAVIS TIERNEY MD | NEUROSURGEON | Highest-compensated employee | $389,758 | $0 | $29,917 |
E-file object id 202431319349302183. 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.
- 98thpercentile of 51 hospitals in NE, same facility class, under 25 bedsNet patient revenue, in dollars, as filed
- 96thpercentile of 52 hospitals in NE, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed
- 90thpercentile of 48 hospitals in NE, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
- 90thpercentile of 51 hospitals in NE, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 63rdpercentile of 52 hospitals in NE, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed
- 2ndpercentile of 51 hospitals in NE, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed
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 Nebraska 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
- September 22, 2010
- Certification date
- August 12, 2026
- Record last edited
- August 12, 2026
Identifiers
- 340B ID
- CAH281342-00
- Entity type as filed
- CAH
- CMS certification number
- 281342
- NPI
- 1528016995 (NE), 1851737316 (NE)
- Rural
- Yes
1301 Grundman BLVD, NEBRASKA CITY NE 68410
Locations registered under this record
Browse all of them as a list →
| CAH281342-01 | Nebraska City Medical Clinic | CAH | Nebraska City, NE | Yes |
Associated locations
| SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's | 1301 Grundman BLVD | NEBRASKA CITY NE 68410 |
Pharmacy contracts
No end date filed14
| CODY'S U-SAVE PHARMACY | AUBURN, NE | October 1, 2026 | no end date filed |
| CODY'S USAVE PHARMACY | NEBRASKA CITY, NE | April 1, 2023 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | October 1, 2026 | no end date filed |
| OPTUM PHARMACY 701, LLC | MESA, AZ | July 1, 2026 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | July 1, 2026 | no end date filed |
| OPTUMRX | OVERLAND PARK, KS | July 1, 2026 | no end date filed |
| ST JOSEPH'S MCAULEY PHARMACY | PHOENIX, AZ | January 1, 2027 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2020 | no end date filed |
| WAL-MART PHARMACY 10-4209 | NEBRASKA CITY, NE | September 19, 2012 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2020 | no end date filed |
| WALGREEN CO. | NEBRASKA CITY, NE | April 1, 2018 | no end date filed |
| Walgreens Central Fill #21394 | Liberty, MO | October 1, 2023 | no end date filed |
| WALGREENS MAIL SERVICE, LLC | TEMPE, AZ | April 1, 2018 | no end date filed |
| WALGREENS.COM, INC. | CHANDLER, AZ | April 1, 2018 | no end date filed |
An end date is filed22
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.
| CHI HEALTH PHARMACY - 42ND AND L | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - 132ND AND CENTER | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - 161ST AND MAPLE | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - BELLEVUE | BELLEVUE, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - BERGAN MERCY | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - FLORENCE | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - IMMANUEL | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - LAKESIDE | OMAHA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - LAVISTA | LA VISTA, NE | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY - MIDLANDS | PAPILLION, NE | January 1, 2020 | December 6, 2024 |
| CHI HEALTH PHARMACY - VALLEY VIEW | COUNCIL BLUFFS, IA | January 1, 2020 | October 12, 2022 |
| CHI HEALTH PHARMACY WEST BROADWAY | COUNCIL BLUFFS, IA | January 1, 2020 | October 12, 2022 |
| CHI HEALTH SPECIALTY PHARMACY | OMAHA, NE | July 1, 2019 | October 12, 2022 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | April 1, 2018 | July 6, 2022 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | April 1, 2018 | July 6, 2022 |
| ST JOSEPH'S MCAULEY PHARMACY | PHOENIX, AZ | July 1, 2019 | October 12, 2022 |
| U-SAVE PHARMACY | NEBRASKA CITY, NE | July 1, 2022 | October 12, 2022 |
| U-SAVE PHARMACY | NEBRASKA CITY, NE | October 24, 2012 | May 3, 2019 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | April 1, 2018 | July 6, 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | April 1, 2018 | July 6, 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | April 1, 2018 | July 6, 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | April 1, 2018 | July 6, 2022 |
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 9, 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_20261109_071015.xlsx, stamped by its publisher November 9, 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_20261109_071015.xlsx, read November 9, 2026.
The full report for SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's
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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