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Critical access hospital · Hamburg, Iowa · 25 beds · CMS certification number 161324

George C Grape Community Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 20, 2026. 24 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$15.7M
$15,724,712 · G-3 line 3
Operating expenses
$15.4M
$15,362,853 · G-3 line 4
Result from patient care
$362K
$361,859 · G-3 line 5
Margin on patient care
2.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $7.4M in its first year on file (2002) to $15.7M in 2025.
  • Its result from patient care: −$1.9M (2023), $59K (2024), $362K (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.

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

24 years of filings

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

Net patient revenueOperating expenses
2002
settled
$7.4M
$7.3M
2003
settled
$7.6M
$7.0M
2004
settled with audit
$8.2M
$8.1M
2005
settled
$8.8M
$8.8M
2006
settled
$10.1M
$10.0M
2007
settled
$11.0M
$11.9M
2008
settled
$9.7M
$10.9M
2009
settled
$8.6M
$9.3M
2010
settled
$9.0M
$9.1M
2011
reopened
$9.4M
$9.2M
2012
settled
$9.8M
$9.9M
2013
settled
$9.7M
$10.0M
2014
settled
$10.5M
$10.7M
2015
settled
$10.3M
$10.5M
2016
settled
$11.1M
$11.1M
2017
settled
$10.7M
$10.9M
2018
settled
$10.7M
$11.2M
2019
settled
$10.7M
$11.4M
2020
settled
$10.9M
$11.7M
2021
settled
$10.9M
$11.7M
2022
settled
$11.4M
$13.9M
2023
settled
$12.8M
$14.7M
2024
settled
$15.0M
$14.9M
2025
as submitted
$15.7M
$15.4M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
George C Grape Community Hospital25$15,724,712$15,362,8532.3%
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
82
S-3 line 14, col 15
Inpatient days
597
S-3 line 14, col 8
Beds in use, on an average day
1.6
days ÷ days in year
Occupancy
6.5%
days ÷ bed days
Medicare share of days
73.7%
S-3 cols 6 ÷ 8

Who owns it

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by COMMUNITY HOSPITAL INC (employer identification number 420738969) 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)$1,136,986IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$69,867IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,062,920IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,132,787IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$4,199IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0774IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202432279349301938. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by COMMUNITY HOSPITAL INC (employer identification number 420738969) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
ANGIE ETTLEMANDIRECTORTrustee/director$0$0$0
CINDY BRUCERNHighest-compensated employee$110,066$0$15,208
CONNIE SMITHSECRETARY/TREASURERTrustee/director, Officer$0$0$0
CRAIG WELLSCIOHighest-compensated employee$102,242$0$6,456
CRISTIN HENDRICKSONCEOOfficer$172,257$0$10,387
DOUG BRANDTCFOOfficer$0$0$0
DR MICHAEL WELLSDIRECTORTrustee/director$0$0$0
DR THOMAS LARGENPRESIDENTTrustee/director, Officer$0$0$0
GREG WARDENVICE PRESIDENTTrustee/director, Officer$0$0$0
LOA TRIVELYDIRECTORTrustee/director$0$0$0
MAKAYLA OAKSRNHighest-compensated employee$103,598$0$16,888
MICHAEL ANDERSONINTERIM CFO THRU 1/23Officer$34,775$0$0
PATTY HAMMONSRNHighest-compensated employee$114,369$0$5,211
TANYA HAYESDIRECTOR OF NURSINGHighest-compensated employee$109,860$0$6,550
TROY HENDRICKSONDIRECTORTrustee/director$0$0$0

E-file object id 202432279349301938. 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 161324. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 20, 2026.