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Critical access hospital · Boone, Iowa · 25 beds · CMS certification number 161372

Boone County Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$58.2M
$58,162,466 · G-3 line 3
Operating expenses
$58.0M
$57,981,717 · G-3 line 4
Result from patient care
$181K
$180,749 · G-3 line 5
Margin on patient care
0.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $23.5M in its first year on file (2006) to $58.2M in 2025.
  • Its result from patient care: −$8.8M (2023), −$2.9M (2024), $181K (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 12.6% of its inpatient days and Medicare for 29.9%.

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

Twenty years of filings

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

Net patient revenueOperating expenses
2006
settled with audit
$23.5M
$25.0M
2007
settled
$30.7M
$31.5M
2008
settled
$32.8M
$35.4M
2009
settled
$35.9M
$37.9M
2010
settled
$37.8M
$39.9M
2011
settled
$38.2M
$41.3M
2012
reopened
$41.1M
$43.3M
2013
settled
$39.7M
$45.6M
2014
settled
$36.9M
$42.2M
2015
settled
$35.5M
$40.3M
2016
settled
$37.0M
$42.5M
2017
settled
$38.8M
$46.6M
2018
settled
$38.7M
$46.4M
2019
settled
$39.8M
$46.8M
2020
settled
$37.0M
$47.4M
2021
settled
$40.0M
$49.8M
2022
settled
$44.0M
$49.9M
2023
settled
$44.5M
$53.3M
2024
settled
$51.8M
$54.6M
2025
as submitted
$58.2M
$58.0M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Boone County Hospital25$58,162,466$57,981,7170.3%
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
403
S-3 line 14, col 15
Inpatient days
2,554
S-3 line 14, col 8
Beds in use, on an average day
7.0
days ÷ days in year
Occupancy
28.0%
days ÷ bed days
Medicare share of days
29.9%
S-3 cols 6 ÷ 8
Medicaid share of days
12.6%
S-3 cols 7 ÷ 8

Who owns it

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161372. 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 December 10, 2025.