Critical access hospital · NY
MEDINA MEMORIAL HOSPITAL
Taking partNoTermination date filed1 January 2018Last certified12 August 2016
- 2Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 2016In 340B since
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 25 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $67,099,560 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $67,099,560 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,765,718 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $33,333,842 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $48,501 | CMS-2552-10 worksheet S100000 line 2000 column 300 |
| Charity care, at cost | $22,226 | CMS-2552-10 worksheet S100000 line 2300 column 300 |
| Bad debt expense | $2,736,733 | CMS-2552-10 worksheet S100000 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,183,061 | CMS-2552-10 worksheet S100000 line 2900 column 100 |
| Uncompensated care, at cost | $1,205,287 | CMS-2552-10 worksheet S100000 line 3000 column 100 |
| Total facility beds | 54 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.4373 | CMS-2552-10 worksheet S100000 line 100 column 100 |
Cost report filed under CMS certification number 330053 for 1 January 2014 to 25 January 2015, reopened. The public file it was read from.
Every cost report on file
One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.
| Fiscal year ↑↓ | Period ended ↑↓ | Days ↑↓ | Form ↑↓ | Status ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Total operating expenses ↑↓ | Income from service to patients ↑↓ | Charity care, at cost ↑↓ | Uncompensated care, at cost ↑↓ | Bad debt expense ↑↓ | Cost-to-charge ratio ↑↓ | Stamped by CMS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1996 | 1996-12-31 | 365 | CMS-2552-96 | settled | 81 | $18,862,858 | $18,762,785 | $100,073 | 1999-06-17 | ||||
| 1997 | 1997-12-31 | 364 | CMS-2552-96 | settled with audit | 66 | $21,697,201 | $21,219,587 | $477,614 | 2000-07-21 | ||||
| 1998 | 1998-12-31 | 364 | CMS-2552-96 | settled | 56 | $21,901,023 | $24,129,007 | −$2,227,984 | 2002-08-05 | ||||
| 1999 | 1999-12-31 | 364 | CMS-2552-96 | settled | 51 | $22,870,185 | $23,405,530 | −$535,345 | 2003-03-24 | ||||
| 2000 | 2000-12-31 | 365 | CMS-2552-96 | settled | 51 | $22,559,947 | $23,073,563 | −$513,616 | 2003-12-18 | ||||
| 2001 | 2001-12-31 | 364 | CMS-2552-96 | reopened | 51 | $23,859,389 | $24,830,935 | −$971,546 | 2006-08-07 | ||||
| 2002 | 2002-12-31 | 364 | CMS-2552-96 | settled | 51 | $23,939,060 | $25,225,374 | −$1,286,314 | 2005-06-14 | ||||
| 2003 | 2003-12-31 | 364 | CMS-2552-96 | settled | 53 | $37,539,147 | $26,347,417 | $11,191,730 | 2006-03-10 | ||||
| 2004 | 2004-12-31 | 365 | CMS-2552-96 | settled | 46 | $27,383,853 | $27,287,494 | $96,359 | 2007-02-08 | ||||
| 2005 | 2005-12-31 | 364 | CMS-2552-96 | settled | 50 | $27,556,241 | $29,760,020 | −$2,203,779 | 2008-02-04 | ||||
| 2006 | 2006-12-31 | 364 | CMS-2552-96 | reopened | 43 | $27,664,748 | $29,207,122 | −$1,542,374 | 2012-10-30 | ||||
| 2007 | 2007-12-31 | 364 | CMS-2552-96 | reopened | 43 | $29,020,447 | $31,417,842 | −$2,397,395 | 2024-08-20 | ||||
| 2008 | 2008-12-31 | 365 | CMS-2552-96 | reopened | 43 | $28,901,894 | $31,491,033 | −$2,589,139 | 2024-08-20 | ||||
| 2009 | 2009-12-31 | 364 | CMS-2552-96 | reopened | 43 | $40,412,548 | $30,138,396 | $10,274,152 | 2024-08-20 | ||||
| 2010 | 2010-12-31 | 364 | CMS-2552-96 | reopened | 43 | $31,632,890 | $31,771,138 | −$138,248 | 2024-08-20 | ||||
| 2011 | 2011-12-31 | 364 | CMS-2552-10 | reopened | 43 | $32,683,605 | $32,618,930 | $64,675 | $25,086 | $427,510 | $699,828 | 0.5750 | 2025-08-29 |
| 2012 | 2012-12-31 | 365 | CMS-2552-10 | reopened | 54 | $28,632,075 | $31,227,284 | −$2,595,209 | $50,917 | $651,180 | $995,523 | 0.6030 | 2025-08-29 |
| 2013 | 2013-12-31 | 364 | CMS-2552-10 | reopened | 54 | $29,325,648 | $33,479,997 | −$4,154,349 | $70,254 | $871,121 | $1,450,161 | 0.5523 | 2025-08-29 |
| 2015 | 2015-01-25 | 389 | CMS-2552-10 | reopened | 54 | $67,099,560 | $33,765,718 | $33,333,842 | $22,226 | $1,205,287 | $2,736,733 | 0.4373 | 2022-01-28 |
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
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Cite this page
Velarion Records, “MEDINA MEMORIAL HOSPITAL”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/CAH330053-00. Accessed 10 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 2016
- Termination date
- 1 January 2018
- Termination reason
- Terminated - Reason unknown
- Certification date
- 12 August 2016
- Record last edited
- 1 January 2018
Identifiers
- 340B ID
- CAH330053-00
- Entity type as filed
- CAH
- CMS certification number
- 330053
- Rural
- No
200 OHIO STREET, MEDINA NY 14103
Locations registered under this record
Browse all of them as a list →
| CAH330053-01 | Lake Plains Dialysis | CAH | Medina, NY | No |
| CAH330053-02 | Batavia Dialysis | CAH | Batavia, NY | No |
Associated locations
| MEDINA MEMORIAL HOSPITAL | 200 OHIO STREET | MEDINA NY 14103 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.
The full report for MEDINA 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.