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Critical access hospital · Shenandoah, Iowa · 25 beds · CMS certification number 161366

Shenandoah Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 27, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$67.0M
$67,045,760 · G-3 line 3
Operating expenses
$69.3M
$69,252,968 · G-3 line 4
Result from patient care
−$2.2M
−$2,207,208 · G-3 line 5
Margin on patient care
−3.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $15.4M in its first year on file (2005) to $67.0M in 2025.
  • Its result from patient care: −$1.2M (2023), −$3.1M (2024), −$2.2M (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 17.5% of its inpatient days and Medicare for 44.5%.
  • SHENANDOAH MEDICAL CENTER 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
settled
$15.4M
$16.0M
2006
settled
$16.9M
$16.9M
2007
settled
$18.5M
$19.1M
2008
settled
$19.0M
$19.5M
2009
reopened
$19.5M
$19.8M
2010
settled
$19.8M
$20.2M
2011
settled
$23.2M
$23.4M
2012
reopened
$22.0M
$23.0M
2013
settled
$29.2M
$29.3M
2014
settled
$33.6M
$31.9M
2015
settled
$37.2M
$37.7M
2016
reopened
$36.7M
$43.5M
2017
settled
$34.4M
$43.7M
2018
settled
$36.6M
$43.9M
2019
settled
$37.8M
$41.9M
2020
settled
$36.0M
$41.7M
2021
settled
$39.8M
$44.9M
2022
settled
$43.3M
$46.3M
2023
settled
$52.4M
$53.6M
2024
settled
$59.4M
$62.5M
2025
as submitted
$67.0M
$69.3M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Shenandoah Memorial Hospital25$67,045,760$69,252,968−3.3%
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
328
S-3 line 14, col 15
Inpatient days
1,857
S-3 line 14, col 8
Beds in use, on an average day
5.1
days ÷ days in year
Occupancy
20.3%
days ÷ bed days
Medicare share of days
44.5%
S-3 cols 6 ÷ 8
Medicaid share of days
17.5%
S-3 cols 7 ÷ 8

Who owns it

  • SHENANDOAH MEDICAL CENTER100%

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).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by SHENANDOAH MEDICAL CENTER (employer identification number 421101835) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$883,120IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$77,511IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$0IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$77,511IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$805,609IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0164IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202443139349303114. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by SHENANDOAH MEDICAL CENTER (employer identification number 421101835) for tax year 2023. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AMY MILLERDIRECTORTrustee/director$0$0$0
BRUCE BALDWINDIRECTORTrustee/director$0$0$0
CHASE BROWNPHYSICIANHighest-compensated employee$433,304$0$31,728
DENNIS GREBERTCHAIRMANTrustee/director, Officer$0$0$0
HEATHER BABE MDDIRECTORTrustee/director$353,416$0$19,403
JAMES DOYLEDIRECTORTrustee/director$0$0$0
JILLIAN TRAVISDIRECTORTrustee/director$0$0$0
JOHN FINNVICE CHAIRMANTrustee/director, Officer$0$0$0
JON SKILLERNSECRETARY/TREASURERTrustee/director, Officer$0$0$0
KALEY NEALCFOOfficer$166,528$0$11,222
MARTEE MACLEOD-KOZALPHYSICIANHighest-compensated employee$443,163$0$32,200
MATTHEW SELLSPRESIDENT & CEOOfficer$338,608$0$39,610
MICHAEL WOODSPHYSICIANHighest-compensated employee$427,067$0$22,462
MOHAMED ABDIPHYSICIANHighest-compensated employee$421,728$0$8,231
NICK BOSLEYDIRECTORTrustee/director$0$0$0
REBECCA ROSEPHYSICIANHighest-compensated employee$494,940$0$25,523

E-file object id 202443139349303114. 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 161366. 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 HOSP10FY2025.ZIP, read May 27, 2026.