Velarion Records

Critical access hospital · Red Oak, Iowa · 25 beds · CMS certification number 161363

Montgomery County Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS October 31, 2025. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$56.5M
$56,500,388 · G-3 line 3
Operating expenses
$65.7M
$65,693,622 · G-3 line 4
Result from patient care
−$9.2M
−$9,193,234 · G-3 line 5
Margin on patient care
−16.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $15.2M in its first year on file (2005) to $56.5M in 2025.
  • Its result from patient care: −$4.8M (2023), −$16.8M (2024), −$9.2M (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 3.2% of its inpatient days and Medicare for 67.8%.

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

21 years of filings

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

Net patient revenueOperating expenses
2005
settled with audit
$15.2M
$14.9M
2006
reopened
$21.0M
$21.3M
2007
settled
$21.5M
$22.1M
2008
settled
$22.3M
$23.2M
2009
settled
$24.5M
$26.1M
2010
settled with audit
$26.0M
$26.8M
2011
settled
$26.6M
$29.2M
2012
settled
$26.7M
$29.1M
2013
reopened
$28.1M
$30.1M
2014
reopened
$29.1M
$31.3M
2015
settled
$31.3M
$32.3M
2016
reopened
$36.5M
$37.4M
2017
settled
$39.8M
$42.7M
2018
settled
$43.3M
$45.9M
2019
settled
$44.0M
$48.5M
2020
settled
$43.5M
$51.5M
2021
reopened
$44.2M
$51.2M
2022
settled
$45.9M
$49.3M
2023
settled
$45.8M
$50.6M
2024
settled
$45.4M
$62.1M
2025
as submitted
$56.5M
$65.7M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Montgomery County Memorial Hospital25$56,500,388$65,693,622−16.3%
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
290
S-3 line 14, col 15
Inpatient days
1,154
S-3 line 14, col 8
Beds in use, on an average day
3.2
days ÷ days in year
Occupancy
12.7%
days ÷ bed days
Medicare share of days
67.8%
S-3 cols 6 ÷ 8
Medicaid share of days
3.2%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: governmental, county.

Follow this hospital, free

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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 161363. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read October 31, 2025.