Critical access hospital · Rock Rapids, Iowa · 11 beds · CMS certification number 161321
Avera Merrill Pioneer Hospital
Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 5, 2025. 23 years on file, all shown below. Also on the 340B covered-entity register.
Enrolled with Medicare by Avera McKennan.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $5.0M in its first year on file (2003) to $11.8M in 2025.
- Its result from patient care: −$883K (2023), −$726K (2024), −$497K (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.
- AVERA HEALTH holds 100% of it, on its Medicare enrollment.
23 years of filings
2003 settled margin −7.5% $5.0M $5.4M
2004 settled with audit margin −7.5% $5.1M $5.5M
2005 settled margin −7.6% $5.3M $5.7M
2006 reopened margin −3.9% $6.1M $6.3M
2007 settled margin −0.6% $6.4M $6.4M
2008 settled margin 4.6% $7.0M $6.7M
2009 settled margin 0.7% $7.3M $7.3M
2010 settled margin 3.5% $9.3M $8.9M
2011 settled margin 3.8% $8.2M $7.9M
2012 settled margin 2.8% $8.3M $8.0M
2013 reopened margin 2.5% $8.8M $8.5M
2014 settled margin 1.8% $8.7M $8.6M
2015 settled margin 5.1% $8.8M $8.4M
2016 settled margin 2.5% $8.8M $8.6M
2017 settled margin 2.9% $9.3M $9.0M
2018 settled margin 2.2% $9.5M $9.3M
2019 settled margin −238.0% $591K $2.0M
2020 reopened margin −33.6% $6.4M $8.5M
2021 reopened margin −13.8% $8.2M $9.3M
2022 reopened margin −6.4% $9.1M $9.7M
2023 settled margin −9.7% $9.1M $10.0M
2024 settled margin −6.7% $10.9M $11.6M
2025 as submitted margin −4.2% $11.8M $12.3M
Beside its peers
Critical access hospitals in Iowa with under 25 beds, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Avera Merrill Pioneer Hospital 11 $11,790,993 $12,287,736 −4.2%
Community Memorial Hospital, Sumner 16 $19,021,432 $19,470,930 −2.4%
Decatur County Hospital, Leon 11 $26,931,590 $27,897,590 −3.6%
Mercyone Genesis Dewitt Medical Center, Dewitt 13 $34,299,283 $38,770,411 −13.0%
Mercyone New Hampton Medical Center, New Hampton 11 $23,191,316 $21,593,865 6.9%
Mercyone Dyersville Medical Center, Dyersville 13 $8,585,337 $7,903,142 8.0%
Patients and payers
- Discharges 65 S-3 line 14, col 15
- Inpatient days 625 S-3 line 14, col 8
- Beds in use, on an average day 1.7 days ÷ days in year
- Occupancy 15.6% days ÷ bed days
- Medicare share of days 69.4% S-3 cols 6 ÷ 8
Who owns it
- AVERA HEALTH100%
Related organizations on its own cost report: AVERA MCKENNAN (100%), health care adm.
Other hospitals with the same owner: Avera Holy Family Hospital (IA), Avera Granite Falls Health Center (MN), Avera Marshall Regional Medical Center (MN), Avera Tyler Hospital (MN), Avera St. Anthonys Hospital (NE), Avera Creighton Hospital (NE).
Control: voluntary nonprofit, other.
Follow Avera Merrill Pioneer Hospital, free
More critical access hospitals in Iowa
File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 161321. 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 HOSP10FY2024.ZIP, read December 5, 2025.
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