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Critical access hospital · Elkader, Iowa · 15 beds · CMS certification number 161319

Mercyone Elkader Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Operating expenses
$13.9M
$13,929,046 · G-3 line 4
Result from patient care
−$13.9M
−$13,929,046 · G-3 line 5

What stands out

  • Net patient revenue rose from $2.6M in its first year on file (2001) to $12.9M in 2024.
  • Its result from patient care: $117K (2023), −$165K (2024), −$13.9M (2025).
  • Medicaid paid for 14.6% of its inpatient days and Medicare for 70.6%.
  • MERCY COMMUNITY HOSPITAL GROUP LLC 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
settled
$2.6M
$2.7M
2002
settled
$3.0M
$2.9M
2003
settled with audit
$3.3M
$3.2M
2004
settled
$3.7M
$3.5M
2005
settled
$4.1M
$4.0M
2006
settled
$4.7M
$4.4M
2007
settled
$5.1M
$4.9M
2008
settled
$5.5M
$5.3M
2009
settled
$5.8M
$5.7M
2010
settled
$5.6M
$5.6M
2011
settled
$5.9M
$5.8M
2012
settled
$5.8M
$6.1M
2013
settled
$5.8M
$5.9M
2014
settled
$5.9M
$6.0M
2015
settled
$5.9M
$6.0M
2016
settled
$6.8M
$6.9M
2017
settled
$7.3M
$7.4M
2018
settled
$7.4M
$7.9M
2019
settled with audit
$8.3M
$8.7M
2020
settled
$8.5M
$8.7M
2021
settled
$9.6M
$9.4M
2022
settled
$9.8M
$10.5M
2023
settled
$12.3M
$12.2M
2024
settled
$12.9M
$13.0M
2025
as submitted
not filed
$13.9M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Mercyone Elkader Medical Center15$13,929,046
Avera Merrill Pioneer Hospital, Rock Rapids11$11,790,993$12,287,736−4.2%
Community Memorial Hospital, Sumner16$19,021,432$19,470,930−2.4%
Mercyone Genesis Dewitt Medical Center, Dewitt13$34,299,283$38,770,411−13.0%
Mercyone Dyersville Medical Center, Dyersville13$8,585,337$7,903,1428.0%
Ringgold County Hospital, Mount Ayr16$27,984,555$27,613,3831.3%

Patients and payers

Discharges
66
S-3 line 14, col 15
Inpatient days
480
S-3 line 14, col 8
Beds in use, on an average day
1.3
days ÷ days in year
Occupancy
8.8%
days ÷ bed days
Medicare share of days
70.6%
S-3 cols 6 ÷ 8
Medicaid share of days
14.6%
S-3 cols 7 ÷ 8

Who owns it

  • MERCY COMMUNITY HOSPITAL GROUP LLC100%
  • MERCY HEALTH NETWORK INC100%
  • TRINITY HEALTH CORPORATION100%

Related organizations on its own cost report: MERCY HEALTH NE, health network; MERCYONE DSM, hospital; MERCYONE DBQ, hospital; COMMONSPIRIT HE, health network.

Other hospitals with the same owner: Saint Agnes Medical Center (CA), Saint Francis Hospital and Medical Center (CT), Johnson Memorial Hospital (CT), Saint Mary's Hospital (CT), Mount Sinai Rehabilitation Hospital (CT), St. Francis Hospital (DE), Holy Cross Hospital (FL), St. Mary's Health Care System (GA).

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 CENTRAL COMMUNITY HOSPITAL (employer identification number 420818642) 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)$146,614IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$63,804IRS 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)$63,804IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$82,810IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.012IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202441319349304064. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by CENTRAL COMMUNITY HOSPITAL (employer identification number 420818642) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BROOKE KENSINGERCHIEF EXECUTIVE OFFICEROfficer$0$234,481$17,278
CHELSEA DREYERDIRECTORTrustee/director$0$0$0
DONNA DUARTREGISTERED NURSEHighest-compensated employee$103,861$0$12,012
DONNA LAWLOR MDPHYSICIANHighest-compensated employee$272,922$0$34,495
GENE GLAWEDIRECTORTrustee/director$0$0$0
JACQUELINE BRUNSSENDIRECTORTrustee/director$0$0$0
JAY MOSERDIRECTOR; CHAIRTrustee/director, Officer$0$0$0
JENNIFER COWSERTDIRECTOR; VICE CHAIRTrustee/director, Officer$0$0$0
JUSTIN VORWALDDIRECTOR; SECRETARYTrustee/director, Officer$0$0$0
LAEL ASPENSONREGISTERED NURSEHighest-compensated employee$102,154$0$12,295
LENNA DINANREGISTERED NURSEHighest-compensated employee$112,723$0$29,444
REBECCA JOHNSONCONTROLLEROfficer$88,985$0$20,826
ROBERT HANKEYDIRECTORTrustee/director$0$0$0
ROBERT HAUBERDIRECTOR; TREASURERTrustee/director, Officer$0$0$0
SANDY PHILLIPSREGISTERED NURSEHighest-compensated employee$119,982$0$13,084

E-file object id 202441319349304064. 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 161319. 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 8, 2025.