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Critical access hospital · Fairfield, Iowa · 25 beds · CMS certification number 161364

Jefferson County Health Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 9, 2025. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$74.8M
$74,770,431 · G-3 line 3
Operating expenses
$67.0M
$67,025,863 · G-3 line 4
Result from patient care
$7.7M
$7,744,568 · G-3 line 5
Margin on patient care
10.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $10.8M in its first year on file (2005) to $74.8M in 2025.
  • Its result from patient care: −$3.7M (2023), $4.7M (2024), $7.7M (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.
  • Medicaid paid for 0.1% of its inpatient days and Medicare for 54.2%.
  • JEFFERSON COUNTY HOSPITAL holds 100% of it, on its Medicare enrollment.

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
reopened
$10.8M
$11.1M
2006
reopened
$16.8M
$17.3M
2007
settled
$17.5M
$17.5M
2008
settled
$17.6M
$18.3M
2009
settled
$18.3M
$21.1M
2010
settled with audit
$19.3M
$22.3M
2011
settled
$20.8M
$22.2M
2012
reopened
$22.2M
$24.4M
2013
reopened
$24.7M
$27.1M
2014
settled
$28.5M
$29.6M
2015
settled
$38.1M
$36.2M
2016
settled
$40.1M
$41.4M
2017
settled
$43.5M
$44.7M
2018
settled
$42.5M
$47.6M
2019
settled
$43.4M
$48.7M
2020
settled
$44.4M
$50.9M
2021
settled
$49.0M
$54.8M
2022
settled
$54.6M
$58.7M
2023
settled
$56.0M
$59.7M
2024
settled
$68.4M
$63.7M
2025
as submitted
$74.8M
$67.0M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Jefferson County Health Center25$74,770,431$67,025,86310.4%
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
425
S-3 line 14, col 15
Inpatient days
2,612
S-3 line 14, col 8
Beds in use, on an average day
7.2
days ÷ days in year
Occupancy
28.6%
days ÷ bed days
Medicare share of days
54.2%
S-3 cols 6 ÷ 8
Medicaid share of days
0.1%
S-3 cols 7 ÷ 8

Who owns it

  • JEFFERSON COUNTY HOSPITAL100%

Other hospitals with the same owner: Jefferson County Hospital (MS).

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

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161364. 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 9, 2025.