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Critical access hospital · Flora, Illinois · 20 beds · CMS certification number 141351

Clay County Hospital

Latest filing: fiscal year ended February 28, 2026, as submitted, stamped by CMS August 10, 2026. 21 years on file, all shown below. Also on the 340B covered-entity register.

Enrolled with Medicare by County of Clay.

Fiscal 2026 at a glance

Net patient revenue $48.8M $48,822,863 · G-3 line 3
Operating expenses $45.9M $45,895,796 · G-3 line 4
Result from patient care $2.9M $2,927,067 · G-3 line 5
Margin on patient care 6.0% line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.5M in its first year on file (2006) to $48.8M in 2026.
  • Its result from patient care: $5.5M (2024), $1.6M (2025), $2.9M (2026).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2026.
  • Medicaid paid for 0.2% of its inpatient days and Medicare for 74.0%.
  • COUNTY OF CLAY holds 100% of it, on its Medicare enrollment.

How these statements are drawn

21 years of filings

Net patient revenueOperating expenses

2006 reopened margin −7.9% $2.5M $2.7M

2007 reopened margin 1.0% $16.6M $16.4M

2008 reopened margin −3.2% $16.5M $17.0M

2009 as submitted margin −9.0% $17.1M $18.6M

2010 settled margin −6.0% $18.1M $19.2M

2011 settled margin −3.1% $19.9M $20.5M

2012 settled margin −2.8% $21.4M $22.0M

2013 settled margin −2.8% $23.4M $24.1M

2014 settled margin −4.7% $21.3M $22.3M

2015 settled margin −1.8% $25.3M $25.8M

2016 settled margin −13.0% $27.9M $31.6M

2017 reopened margin −16.8% $27.1M $31.7M

2018 settled margin −10.8% $28.6M $31.7M

2019 settled with audit margin −12.2% $24.4M $27.4M

2020 settled margin 2.6% $27.1M $26.4M

2021 settled margin 6.8% $26.3M $24.5M

2022 settled margin 16.3% $33.3M $27.9M

2023 settled margin 14.5% $38.2M $32.7M

2024 as submitted margin 13.4% $40.9M $35.4M

2025 as submitted margin 3.8% $41.7M $40.1M

2026 as submitted margin 6.0% $48.8M $45.9M

Beside its peers

Critical access hospitals in Illinois with under 25 beds, fiscal year 2026.

Hospital Beds Net patient revenue Operating expenses Margin

Clay County Hospital 20 $48,822,863 $45,895,796 6.0%

Pinckneyville Community Hospital, Pinckneyville 20 $48,145,692 $48,717,186 −1.2%

Rochelle Community Hospital, Rochelle 15 $53,566,808 $52,593,829 1.8%

Sarah D. Culbertson Memorial Hospital, Rushville 22 $30,980,287 $29,602,597 4.5%

Warner Hospital and Health Services, Clinton 12 $24,984,411 $25,935,018 −3.8%

Washington County Hospital District, Nashville 22 $19,193,155 $18,715,111 2.5%

Patients and payers

  • Discharges 166 S-3 line 14, col 15
  • Inpatient days 1,455 S-3 line 14, col 8
  • Beds in use, on an average day 4.0 days ÷ days in year
  • Occupancy 19.9% days ÷ bed days
  • Medicare share of days 74.0% S-3 cols 6 ÷ 8
  • Medicaid share of days 0.2% S-3 cols 7 ÷ 8

Who owns it

  • COUNTY OF CLAY100%

Related organizations on its own cost report: SSM HEALTHCARE (1%).

Other hospitals with the same owner: Clay County Memorial Hospital (TX).

Control: governmental, county.

Follow Clay County Hospital, free

More critical access hospitals in Illinois

File HOSP10FY2025.ZIP, form CMS-2552-10, CMS certification number 141351. Owners of 5% or more: CMS Hospital All Owners and Hospital Enrollments, Medicare enrollment October 1, 2026.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read August 10, 2026.

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