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Critical access hospital · Missouri Valley, Iowa · 25 beds · CMS certification number 161309

CHI Health Missouri Valley

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$36.6M
$36,642,568 · G-3 line 3
Operating expenses
$37.4M
$37,352,398 · G-3 line 4
Result from patient care
−$710K
−$709,830 · G-3 line 5
Margin on patient care
−1.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $7.8M in its first year on file (2001) to $36.6M in 2025.
  • Its result from patient care: −$70K (2023), $1.8M (2024), −$710K (2025).
  • 2 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • CHI NEBRASKA holds 100% of it, on its Medicare enrollment.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
reopened
$7.8M
$7.9M
2002
reopened
$8.7M
$9.5M
2003
reopened
$12.7M
$11.1M
2004
reopened
$13.7M
$13.1M
2005
settled
$15.4M
$14.3M
2006
reopened
$17.3M
$16.4M
2007
reopened
$18.6M
$18.1M
2008
reopened
$22.4M
$19.6M
2009
reopened
$21.7M
$19.5M
2010
reopened
$22.6M
$21.6M
2011
settled
$22.9M
$22.0M
2012
settled
$22.9M
$21.8M
2013
settled
$22.7M
$23.0M
2014
settled
$20.2M
$20.2M
2015
reopened
$22.0M
$22.8M
2016
settled
$23.4M
$21.9M
2017
settled
$23.4M
$22.0M
2018
settled
$23.9M
$21.4M
2019
reopened
$21.5M
$23.4M
2020
settled
$21.5M
$22.1M
2021
settled
$22.3M
$24.9M
2022
settled
$26.9M
$26.9M
2023
settled
$31.1M
$31.1M
2024
settled
$36.8M
$34.9M
2025
as submitted
$36.6M
$37.4M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
CHI Health Missouri Valley25$36,642,568$37,352,398−1.9%
Franklin General Hospital, Hampton25$29,579,752$30,707,291−3.8%
Grundy County Memorial Hospital, Grundy Center25$40,182,578$34,694,38013.7%
Hancock County Health System, Britt25$31,795,008$34,237,396−7.7%
Iowa Specialty Hospital- Clarion, Clarion25$98,705,037$95,382,1813.4%
Pocahontas Community Hospital, Pocahontas25$18,666,192$17,733,4855.0%

Patients and payers

Discharges
377
S-3 line 14, col 15
Inpatient days
2,507
S-3 line 14, col 8
Beds in use, on an average day
6.9
days ÷ days in year
Occupancy
27.5%
days ÷ bed days
Medicare share of days
47.0%
S-3 cols 6 ÷ 8

Who owns it

  • CHI NEBRASKA100%
  • COMMONSPIRIT HEALTH100%

Related organizations on its own cost report: COMMONSPIRIT; CHI HEALTH.

Other hospitals with the same owner: Yavapai Regional Medical Center (AZ), St. Joseph's Hospital and Medical Center (AZ), Chandler Regional Medical Center (AZ), Mercy Gilbert Medical Center (AZ), Dignity Health Arizona General Hospital (AZ), Dignity Health Arizona General Hospital (AZ), CHI St. Vincent Infirmary (AR), CHI St. Vincent Hospital Hot Springs (AR), St. Vincent Medical Center North (AR), CHI St. Vincent Morrilton (AR).

Type of control on its cost report: voluntary nonprofit, church.

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ALEGENT HEALTH-COMMUNITY MEMORIAL (employer identification number 420776568) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$972,544IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$224,492IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$0IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$224,492IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$748,052IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0312IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202421319349304972. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ALEGENT HEALTH-COMMUNITY MEMORIAL (employer identification number 420776568) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AHMAD ALCHOMMALI MDPHYSICIANHighest-compensated employee$738,776$0$47,957
ALLISON PAGAN MDFAMILY MEDICINE PROVIDERHighest-compensated employee$278,954$0$7,096
BILL YATESVICE CHAIRTrustee/director, Officer$0$0$0
DANIEL RICHTER MDPHYSICIANHighest-compensated employee$297,803$0$54,586
DAVE TAYLORBOARD MEMBERTrustee/director$0$0$0
DAVID JONESMARKET PRESIDENT, REGIONAL HOSPITALSOfficer$107,609$199,979$30,939
EVERT KUIPEREX-OFFICIO BM/ PRESIDENT & CEO CHI HEALTHTrustee/director, Officer$0$1,274,593$29,391
HEATHER MORGAN MDBOARD MEMBER/PHYSICIANTrustee/director$0$278,612$50,607
JEANETTE WOJTALEWICZCFO, CHI HEALTH (TERMED 1/6/23)Officer$0$0$0
JOHN PETERSDORFBOARD MEMBERTrustee/director$0$2,349,200$677,245
KELLY BACONBOARD MEMBERTrustee/director$0$0$0
KENT BARNEYTREASURERTrustee/director, Officer$0$0$0
KEVIN FITZGERALD PHDSECRETARYTrustee/director, Officer$0$0$0
KIRTIBALA GUPTA MDBOARD MEMBER/PHYSICIANTrustee/director$0$396,003$44,314
LG SEARCEYBOARD MEMBERTrustee/director$0$0$0
MARDELL WILSON EDDBOARD MEMBERTrustee/director$0$0$0
MATTHEW BOGARD MDPHYSICIANHighest-compensated employee$346,362$0$42,371
NATHANIEL ALVIS MDPHYSICIANHighest-compensated employee$389,841$0$53,586
NICK OTOOLINTERIM CFO, CHI HEALTHOfficer$0$257,678$47,032
SISTER MAURITA SOUKUPBOARD CHAIRTrustee/director, Officer$0$0$0
SISTER NADINE HEIMANN OSFBOARD MEMBERTrustee/director$0$0$0
SUSANNE L HRUZA MDBOARD MEMBERTrustee/director$0$0$0

E-file object id 202421319349304972. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161309. 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 HOSP10FY2024.ZIP, read December 10, 2025.