Critical access hospital · Red Oak, Iowa · 25 beds · CMS certification number 161363
Montgomery County Memorial Hospital
Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS October 31, 2025. 21 years on file, all shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $15.2M in its first year on file (2005) to $56.5M in 2025.
- From fiscal year 2024 to fiscal year 2025 its net patient revenue rose 24.6%.
- 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%.
- In its fiscal 2025 filing, its $56.5M net patient revenue sits at the 66th percentile of 56 hospitals in IA, same facility class, 25 to 49 beds.
21 years of filings
2005 settled with audit margin 1.4% $15.2M $14.9M
2006 reopened margin −1.1% $21.0M $21.3M
2007 settled margin −3.1% $21.5M $22.1M
2008 settled margin −4.3% $22.3M $23.2M
2009 settled margin −6.5% $24.5M $26.1M
2010 settled with audit margin −3.1% $26.0M $26.8M
2011 settled margin −9.7% $26.6M $29.2M
2012 settled margin −8.9% $26.7M $29.1M
2013 reopened margin −7.1% $28.1M $30.1M
2014 reopened margin −7.6% $29.1M $31.3M
2015 settled margin −3.1% $31.3M $32.3M
2016 reopened margin −2.4% $36.5M $37.4M
2017 settled margin −7.3% $39.8M $42.7M
2018 settled margin −6.2% $43.3M $45.9M
2019 settled margin −10.3% $44.0M $48.5M
2020 settled margin −18.4% $43.5M $51.5M
2021 reopened margin −15.9% $44.2M $51.2M
2022 settled margin −7.2% $45.9M $49.3M
2023 settled margin −10.6% $45.8M $50.6M
2024 settled margin −37.0% $45.4M $62.1M
2025 as submitted margin −16.3% $56.5M $65.7M
Beside its peers
Critical access hospitals in Iowa with 25 to 49 beds, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Montgomery County Memorial Hospital 25 $56,500,388 $65,693,622 −16.3%
Franklin General Hospital, Hampton 25 $29,579,752 $30,707,291 −3.8%
Grundy County Memorial Hospital, Grundy Center 25 $40,182,578 $34,694,380 13.7%
Hancock County Health System, Britt 25 $31,795,008 $34,237,396 −7.7%
Iowa Specialty Hospital- Clarion, Clarion 25 $98,705,037 $95,382,181 3.4%
Pocahontas Community Hospital, Pocahontas 25 $18,666,192 $17,733,485 5.0%
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
Control: governmental, county.
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More critical access hospitals in Iowa
File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 161363.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read October 31, 2025.
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