Critical access hospital · West Union, Iowa · 25 beds · CMS certification number 161316
Gundersen Palmer Lutheran Hospital and Clinics
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, amended, stamped by CMS June 22, 2026. 25 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $7.7M in its first year on file (2001) to $44.5M in 2025.
- Its result from patient care: −$2.7M (2023), $3.0M (2024), −$313K (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.
- Medicaid paid for 7.3% of its inpatient days and Medicare for 44.8%.
- BELLIN GUNDERSEN HEALTH SYSTEM INC 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.
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Beside its peers
Critical access hospitals in Iowa with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Gundersen Palmer Lutheran Hospital and Clinics | 25 | $44,458,215 | $44,770,761 | −0.7% |
| Franklin General Hospital, Hampton | 25 | $29,579,752 | $30,707,291 | −3.8% |
| Grundy County Memorial Hospital, Grundy Center | 25 | $40,182,578 | $34,694,380 | 13.7% |
| Hancock County Health System, Britt | 25 | $31,795,008 | $34,237,396 | −7.7% |
| Iowa Specialty Hospital- Clarion, Clarion | 25 | $98,705,037 | $95,382,181 | 3.4% |
| Pocahontas Community Hospital, Pocahontas | 25 | $18,666,192 | $17,733,485 | 5.0% |
Patients and payers
- Discharges
- 215S-3 line 14, col 15
- Inpatient days
- 2,203S-3 line 14, col 8
- Beds in use, on an average day
- 6.1days ÷ days in year
- Occupancy
- 24.1%days ÷ bed days
- Medicare share of days
- 44.8%S-3 cols 6 ÷ 8
- Medicaid share of days
- 7.3%S-3 cols 7 ÷ 8
Who owns it
- BELLIN GUNDERSEN HEALTH SYSTEM INC100%
- GUNDERSEN LUTHERAN HEALTH SYSTEM INC100%
Related organizations on its own cost report: GUND HLTH SYSTM (100%); GUND LTH MED CT, hospital; GUND CLINICS, clinics; GL ADMIN SERVCS, support service.
Other hospitals with the same owner: Gundersen St. Elizabeth's Hospital and Clinics (MN), Bellin Memorial Hospital (WI), Emplify Health la Crosse Hospital (WI), Gundersen St. Joseph's Hospital and Clinics (WI), Gundersen Moundview Hospital and Clinics (WI), Gundersen Tri-County Hospital and Clinics (WI), Gundersen Boscobel Area Hospital and Clinics (WI), Emplify Health Oconto Clinic (WI).
Type of control on its cost report: voluntary nonprofit, other.
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 PALMER LUTHERAN HEALTH CENTER INC (employer identification number 421320763) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $6,618,357 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $505,682 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $566,915 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,072,597 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $5,545,760 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.221 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202442279349303359. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by PALMER LUTHERAN HEALTH CENTER INC (employer identification number 421320763) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ANDREW WENTHE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| BRENDA MOSER | FINANCE ADMINISTRATOR | Officer | $0 | $0 | $0 |
| CHUCK JOHNSON | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DR MORDECHAI LEDERMAN | SECRETARY / TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| GERALD OETZEL | CFO-GHS (THRU 08/23) | Officer | $0 | $0 | $0 |
| KRISTI FLACK | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| LYNN LAUER | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| PATRICE KUENNEN | CEO | Officer | $0 | $0 | $0 |
| RACHEL ALBRECHT | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| SCOTT RATHGABER | CEO-GHS | Officer | $0 | $0 | $0 |
| STEVE LITTLE | CFO-GHS (BEG 08/23) | Officer | $0 | $0 | $0 |
| TOM TORNSTROM | DIRECTOR | Trustee/director | $0 | $0 | $0 |
E-file object id 202442279349303359. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 161316. 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 22, 2026.