Velarion Records

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

Adams County Memorial Hospital

Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 2, 2026. 21 years on file, all 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.

How these statements are drawn

21 years of filings

Net patient revenueOperating expenses

2005 settled margin −22.1% $5.6M $6.8M

2006 settled margin −10.9% $34.4M $38.2M

2007 settled margin −8.3% $36.4M $39.4M

2008 reopened margin −8.6% $38.9M $42.2M

2009 settled with audit margin −9.9% $42.8M $47.0M

2010 settled margin −17.8% $38.9M $45.8M

2011 settled margin −10.6% $40.8M $45.1M

2012 reopened margin −10.3% $40.8M $45.0M

2013 settled margin −7.5% $40.1M $43.1M

2014 reopened margin −5.8% $44.6M $47.2M

2015 settled margin −11.2% $45.7M $50.8M

2016 reopened margin −13.3% $47.0M $53.2M

2017 settled margin −8.5% $50.6M $54.9M

2018 settled margin −29.7% $46.5M $60.3M

2019 reopened margin −9.5% $58.5M $64.0M

2020 settled margin −0.1% $65.4M $65.4M

2021 reopened margin 1.9% $71.1M $69.8M

2022 settled margin 0.1% $76.5M $76.4M

2023 settled margin −4.2% $80.7M $84.1M

2024 as submitted margin −2.9% $95.3M $98.1M

2025 as submitted margin −17.6% $92.8M $109.1M

Beside its peers

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

Hospital Beds Net patient revenue Operating expenses Margin

Adams County Memorial Hospital 25 $92,764,924 $109,116,421 −17.6%

Ascension St. Vincent Clay, Brazil 25 $20,126,211 $20,052,334 0.4%

Ascension St. Vincent Randolph, Winchester 25 $29,173,829 $26,838,958 8.0%

Iu Health Tipton Hospital, Tipton 25 $44,930,552 $46,209,475 −2.9%

Pulaski Memorial Hospital, Winamac 25 $45,949,572 $50,497,243 −9.9%

Rush Memorial Hospital, Rushville 25 $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.

Control: governmental, county.

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More critical access hospitals in Indiana

File HOSP10FY2025.ZIP, form CMS-2552-10, CMS certification number 151330. 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 June 2, 2026.

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