Velarion Records

Critical access hospital · Decatur, Indiana · 25 beds · CMS certification number 151330

Adams County Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 2, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$92.8M
$92,764,924 · G-3 line 3
Operating expenses
$109.1M
$109,116,421 · G-3 line 4
Result from patient care
−$16.4M
−$16,351,497 · G-3 line 5
Margin on patient care
−17.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $5.6M in its first year on file (2005) to $92.8M in 2025.
  • Its result from patient care: −$3.4M (2023), −$2.8M (2024), −$16.4M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 5.3% of its inpatient days and Medicare for 31.9%.
  • ADAMS COUNTY MEMORIAL HOSPITAL holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

21 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2005
settled
$5.6M
$6.8M
2006
settled
$34.4M
$38.2M
2007
settled
$36.4M
$39.4M
2008
reopened
$38.9M
$42.2M
2009
settled with audit
$42.8M
$47.0M
2010
settled
$38.9M
$45.8M
2011
settled
$40.8M
$45.1M
2012
reopened
$40.8M
$45.0M
2013
settled
$40.1M
$43.1M
2014
reopened
$44.6M
$47.2M
2015
settled
$45.7M
$50.8M
2016
reopened
$47.0M
$53.2M
2017
settled
$50.6M
$54.9M
2018
settled
$46.5M
$60.3M
2019
reopened
$58.5M
$64.0M
2020
settled
$65.4M
$65.4M
2021
reopened
$71.1M
$69.8M
2022
settled
$76.5M
$76.4M
2023
settled
$80.7M
$84.1M
2024
as submitted
$95.3M
$98.1M
2025
as submitted
$92.8M
$109.1M

Beside its peers

Critical access hospitals in Indiana with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Adams County Memorial Hospital25$92,764,924$109,116,421−17.6%
Ascension St. Vincent Clay, Brazil25$20,126,211$20,052,3340.4%
Ascension St. Vincent Randolph, Winchester25$29,173,829$26,838,9588.0%
Iu Health Tipton Hospital, Tipton25$44,930,552$46,209,475−2.9%
Pulaski Memorial Hospital, Winamac25$45,949,572$50,497,243−9.9%
Rush Memorial Hospital, Rushville25$61,229,694$63,356,528−3.5%

Patients and payers

Discharges
1,091
S-3 line 14, col 15
Inpatient days
3,409
S-3 line 14, col 8
Beds in use, on an average day
9.4
days ÷ days in year
Occupancy
37.4%
days ÷ bed days
Medicare share of days
31.9%
S-3 cols 6 ÷ 8
Medicaid share of days
5.3%
S-3 cols 7 ÷ 8

Who owns it

  • ADAMS COUNTY MEMORIAL HOSPITAL100%

Related organizations on its own cost report: ADAMS HEALTH NETWORK, management.

Type of control on its cost report: governmental, county.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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More critical access hospitals in Indiana

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 151330. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 2, 2026.