Critical access hospital · Rock Rapids, Iowa · 11 beds · CMS certification number 161321
Avera Merrill Pioneer Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 5, 2025. 23 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 $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.
Every statement is drawn from figures on this page; nothing is estimated.
23 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 under 25 beds, each on 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
- 65S-3 line 14, col 15
- Inpatient days
- 625S-3 line 14, col 8
- Beds in use, on an average day
- 1.7days ÷ 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).
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).
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More critical access hospitals in Iowa
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161321. 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 5, 2025.