10 locations registered under this record — data as of October 5, 2026
Disproportionate share hospital · CONNERSVILLE, IN
FAYETTE MEMORIAL HOSPITAL ASSOCIATION
Taking partNoTermination date filedOctober 1, 2019Last certifiedSeptember 4, 2018
- 10Registered locations
- 1Associated locations
- 21Contract pharmacies
- 0With no end date
- April 1, 2010In 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 July 15, 2019 — a reporting period of 287 days, not a full year.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $67,311,086 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $39,590,781 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,720,305 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $34,431,419 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$6,711,114 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Bad debt expense | $145,109 | CMS-2552-10 worksheet S100000 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $50,788 | CMS-2552-10 worksheet S100000 line 2900 column 100 |
| Uncompensated care, at cost | $50,788 | CMS-2552-10 worksheet S100000 line 3000 column 100 |
| Total facility beds | 45 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3506 | CMS-2552-10 worksheet S100000 line 100 column 100 |
| Allowable disproportionate share percentage | 0.12 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 150064 for October 1, 2018 to July 15, 2019, settled. 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: short-term acute care 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.
- 59thpercentile of 51 hospitals in IN, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2019, 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 $19,570,311 and $191,699,303, median $53,667,523, across 5,787 hospitals that filed for 2019, in every state and of every size.
- 63rdpercentile of 51 hospitals in IN, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2019, 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 $20,580,419 and $187,199,120, median $54,830,726, across 5,941 hospitals that filed for 2019, in every state and of every size.
- 5thpercentile of 21 hospitals in IN, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 84thpercentile of 51 hospitals in IN, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2019, 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 172, median 66, across 5,961 hospitals that filed for 2019, in every state and of every size.
- 81stpercentile of 21 hospitals in IN, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2019, 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 0.1979 and 0.4704, median 0.2869, across 4,650 hospitals that filed for 2019, 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 Indiana 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
- April 1, 2010
- Termination date
- October 1, 2019
- Termination reason
- Failure to recertify
- Certification date
- September 4, 2018
- Record last edited
- October 1, 2019
Identifiers
- 340B ID
- DSH150064
- Entity type as filed
- DSH
- CMS certification number
- 150064
- Rural
- Yes
1941 VIRGINIA AVENUE, CONNERSVILLE IN 47331
Locations registered under this record
Browse all of them as a list →
| DSH150064A | Fayette Regional Primary Care | DSH | Connersville, IN | No |
| DSH150064B | Healthy Women | DSH | Connersville, IN | No |
| DSH150064C | Fayette Regional Internal Medicine | DSH | Connersville, IN | No |
| DSH150064D | Fayette Regional Pediatric Health Group | DSH | Connersville, IN | No |
| DSH150064E | Fayette Regional Pain Clinic | DSH | Connersville, IN | No |
| DSH150064F | Brookville Immediate Care | DSH | Brookville, IN | No |
| DSH150064G | Brookville Specialty Clinic | DSH | Brookville, IN | No |
| DSH150064H | Fayette Regional Internal Medicine - Kapoor | DSH | Connersville, IN | No |
| DSH150064J | Fayette Regional Care Pavilion | DSH | CONNERSVILLE, IN | No |
| DSH150064K | Healthplex Family Practice | DSH | Brookville, IN | No |
Associated locations
| FAYETTE MEMORIAL HOSPITAL ASSOCIATION | 1941 VIRGINIA AVENUE | CONNERSVILLE IN 47331 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed21
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.
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | January 1, 2017 | August 9, 2017 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | July 1, 2017 | October 1, 2019 |
| HOOK-SUPERX, L.L.C. | CONNERSVILLE, IN | January 1, 2015 | October 1, 2019 |
| HOOK-SUPERX, L.L.C. | BROOKVILLE, IN | January 1, 2015 | October 1, 2019 |
| KROGER PHARMACY #014827 | CONNERSVILLE, IN | October 25, 2012 | October 1, 2019 |
| ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO | AMHERST, NY | January 1, 2017 | October 1, 2019 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | October 1, 2017 | October 1, 2019 |
| SINA DRUG LLC | NEW HYDE PARK, NY | January 1, 2017 | October 1, 2019 |
| SINA DRUG LLC | LOUISVILLE, KY | January 1, 2017 | October 1, 2019 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | January 1, 2016 | October 1, 2019 |
| WAL-MART PHARMACY 10-1729 | CONNERSVILLE, IN | October 26, 2012 | October 1, 2019 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | January 1, 2016 | October 1, 2019 |
| WALGREEN CO. | HARRISON, OH | January 1, 2017 | October 1, 2019 |
| WALGREEN CO. | OXFORD, OH | April 1, 2017 | October 1, 2019 |
| WALGREEN CO. | RICHMOND, IN | April 1, 2017 | October 1, 2019 |
| WALGREEN CO. | NEW CASTLE, IN | April 1, 2017 | October 1, 2019 |
| WALGREEN CO. | INDIANAPOLIS, IN | January 1, 2017 | October 1, 2019 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | January 1, 2017 | October 1, 2019 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | January 1, 2017 | October 1, 2019 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | January 1, 2017 | October 1, 2019 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | January 1, 2017 | October 1, 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 5, 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_20261005_121310.xlsx, stamped by its publisher October 5, 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_20261005_121310.xlsx, read October 5, 2026.
The full report for FAYETTE MEMORIAL HOSPITAL ASSOCIATION
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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