4 locations registered under this record — data as of November 6, 2026
Critical access hospital · Hicksville, OH
Community Memorial Hospital
Taking partNoTermination date filedOctober 1, 2024Last certifiedAugust 31, 2023
- 4Registered locations
- 1Associated locations
- 13Contract pharmacies
- 0With no end date
- January 1, 2014In 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 December 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $47,583,965 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $22,248,086 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,335,879 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,016,124 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$7,680,245 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.6891 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 361301 for January 1, 2023 to December 31, 2023, 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.
- 21stpercentile of 28 hospitals in OH, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2023, 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 $23,316,727 and $237,270,145, median $62,119,169, across 5,799 hospitals that filed for 2023, in every state and of every size.
- 34thpercentile of 29 hospitals in OH, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2023, 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 $24,828,740 and $233,739,753, median $64,736,066, across 5,945 hospitals that filed for 2023, in every state and of every size.
- 97thpercentile of 29 hospitals in OH, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2023, 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 169, median 63, across 5,924 hospitals that filed for 2023, in every state and of every size.
- 100thpercentile of 28 hospitals in OH, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2023, 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 0.1928 and 0.4718, median 0.2823, across 4,564 hospitals that filed for 2023, 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 Ohio beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- January 1, 2014
- Termination date
- October 1, 2024
- Termination reason
- Failure to recertify
- Certification date
- August 31, 2023
- Record last edited
- October 1, 2024
Identifiers
- 340B ID
- CAH361301-00
- Entity type as filed
- CAH
- CMS certification number
- 361301
- Rural
- Yes
208 Columbus Street, Hicksville OH 43526
Locations registered under this record
Browse all of them as a list →
| CAH361301-01 | COMMUNITY MEMORIAL HOSPITAL - Family Practice | CAH | ANTWERP, OH | No |
| CAH361301-02 | COMMUNITY MEMORIAL HOSPITAL - Family Practice | CAH | EDGERTON, OH | No |
| CAH361301-03 | COMMUNITY MEMORIAL HOSPITAL - Family Practice | CAH | ANTWERP, OH | No |
| CAH361301-04 | COMMUNITY MEMORIAL HOSPITAL - Family Practice | CAH | HICKSVILLE, OH | No |
Associated locations
| Community Memorial Hospital | 208 Columbus Street | Hicksville OH 43526 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed13
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.
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCA | APOPKA, FL | January 1, 2016 | October 1, 2024 |
| AVELLA OF COLUMBUS | COLUMBUS, OH | January 1, 2016 | October 1, 2024 |
| AVELLA OF DEER VALLEY | PHOENIX, AZ | January 1, 2016 | October 1, 2024 |
| AVELLA OF ORLANDO | LAKE MARY, FL | January 1, 2016 | October 1, 2024 |
| HICKSVILLE PHARMACY AND HOME MEDICAL, IN | HICKSVILLE, OH | April 1, 2014 | October 1, 2024 |
| MILLER PHARMACEUTICAL CARE, LLC | ANTWERP, OH | October 23, 2020 | October 1, 2024 |
| THE LANE DRUG COMPANY | BRYAN, OH | April 1, 2023 | October 1, 2024 |
| THE LANE DRUG COMPANY | PAULDING, OH | April 1, 2023 | October 1, 2024 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2017 | October 1, 2024 |
| WAL-MART PHARMACY 10-2191 | BRYAN, OH | January 1, 2016 | October 1, 2024 |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | October 1, 2020 | October 1, 2024 |
| WAL-MART PHARMACY 10-5385 | DEFIANCE, OH | April 1, 2019 | October 1, 2024 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2017 | October 1, 2024 |
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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