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Critical access hospital · Atlantic, Iowa · 25 beds · CMS certification number 161376

Cass County Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 17, 2025. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$82.6M
$82,633,497 · G-3 line 3
Operating expenses
$83.6M
$83,590,433 · G-3 line 4
Result from patient care
−$957K
−$956,936 · G-3 line 5
Margin on patient care
−1.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $15.8M in its first year on file (2006) to $82.6M in 2025.
  • Its result from patient care: −$4.6M (2023), $3.3M (2024), −$957K (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.

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
$15.8M
$17.8M
2007
reopened
$25.1M
$28.2M
2008
settled
$29.9M
$32.9M
2009
settled
$29.9M
$33.7M
2010
settled
$33.1M
$37.4M
2011
settled
$31.6M
$36.3M
2012
settled
$33.7M
$37.2M
2013
reopened
$32.7M
$40.7M
2014
settled
$37.4M
$45.5M
2015
settled
$38.9M
$45.4M
2016
settled
$41.7M
$48.0M
2017
settled
$40.3M
$51.8M
2018
settled
$45.5M
$54.1M
2019
reopened
$48.4M
$54.5M
2020
settled
$48.9M
$55.5M
2021
settled
$51.4M
$58.1M
2022
settled
$61.4M
$63.8M
2023
settled
$64.0M
$68.6M
2024
settled
$77.7M
$74.3M
2025
as submitted
$82.6M
$83.6M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Cass County Memorial Hospital25$82,633,497$83,590,433−1.2%
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
781
S-3 line 14, col 15
Inpatient days
3,896
S-3 line 14, col 8
Beds in use, on an average day
10.7
days ÷ days in year
Occupancy
42.7%
days ÷ bed days
Medicare share of days
52.4%
S-3 cols 6 ÷ 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 161376. 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 November 17, 2025.