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Critical access hospital · Smith Center, Kansas · 16 beds · CMS certification number 171377

Smith County Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended March 31, 2026, as submitted, stamped by CMS September 10, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2026 at a glance

Net patient revenue
$23.5M
$23,454,757 · G-3 line 3
Operating expenses
$28.5M
$28,494,517 · G-3 line 4
Result from patient care
−$5.0M
−$5,039,760 · G-3 line 5
Margin on patient care
−21.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.5M in its first year on file (2006) to $23.5M in 2026.
  • Its result from patient care: −$5.4M (2024), −$4.8M (2025), −$5.0M (2026).
  • 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2026.
  • Medicaid paid for 1.1% of its inpatient days and Medicare for 66.4%.

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
2006
settled
$4.5M
$5.5M
2007
settled
$6.9M
$7.4M
2008
settled
$7.8M
$8.3M
2009
settled
$8.3M
$9.5M
2010
settled
$8.7M
$9.9M
2011
settled
$8.9M
$10.0M
2012
settled
$9.3M
$10.0M
2013
settled
$9.9M
$10.4M
2014
reopened
$10.1M
$11.3M
2015
reopened
$10.6M
$12.0M
2016
settled
$11.1M
$14.3M
2017
settled
$11.9M
$15.0M
2018
reopened
$11.8M
$15.1M
2019
settled with audit
$13.3M
$17.9M
2020
settled
$14.7M
$18.4M
2021
settled
$15.4M
$20.1M
2022
settled
$17.5M
$23.3M
2023
settled
$20.6M
$25.5M
2024
settled
$21.1M
$26.5M
2025
as submitted
$22.9M
$27.7M
2026
as submitted
$23.5M
$28.5M

Beside its peers

Hospitals of the same type (critical access hospital), nearest in size, from Kansas first; each on fiscal year 2026.

HospitalBedsNet patient revenueOperating expensesMargin
Smith County Memorial Hospital16$23,454,757$28,494,517−21.5%
Community Hospital, Onaga & St. Marys Campus, Onaga25$41,057,756$43,590,441−6.2%
Lincoln County Hospital, Lincoln14$7,204,444$8,522,569−18.3%
Mitchell County Hospital Health Systems, Beloit25$33,805,893$34,391,149−1.7%
Nemaha County Hospital, Auburn (NE)16$25,470,240$21,826,69614.3%
Phillips County Health Systems, Phillipsburg25$16,737,693$19,543,832−16.8%

Patients and payers

Discharges
430
S-3 line 14, col 15
Inpatient days
1,996
S-3 line 14, col 8
Beds in use, on an average day
5.5
days ÷ days in year
Occupancy
34.2%
days ÷ bed days
Medicare share of days
66.4%
S-3 cols 6 ÷ 8
Medicaid share of days
1.1%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: GPHA, hospital management; BOT OF SCMH, hospital owner.

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by GREAT PLAINS OF SMITH CO INC (employer identification number 481226830) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$879,114IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$57,749IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$732,340IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$790,089IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$89,025IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0346IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202430299349301303. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by GREAT PLAINS OF SMITH CO INC (employer identification number 481226830) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
ALLEN VANDRIELADMINISTRATOROfficer$185,628$0$38,145
ARTHUR HENDRICKSONDIRECTORTrustee/director$0$0$0
CHARLES WESTINDIRECTORTrustee/director$0$0$0
CURT COLSONPRESIDENT/CEOTrustee/director, Officer$0$216,245$60,227
DR BARBARA BROWN APPLEGATEDIRECTORTrustee/director$0$0$0
FERRILL CONANTPHYSICIANHighest-compensated employee$274,568$0$43,728
HANNAH HAACKPHYSICIANHighest-compensated employee$347,418$0$57,856
JASON BARBCFOOfficer$0$176,924$49,870
JOHN TERRILLCHAIRMAN/DIRECTORTrustee/director, Officer$0$0$0
JUSTIN OVERMILLERPHYSICIANHighest-compensated employee$322,524$0$55,942
LEAH WIEHLPHYSICIANHighest-compensated employee$227,734$0$42,326
ROGER JOHNSECRETARY/DIRECTORTrustee/director, Officer$0$0$0
STEPHEN LEWISCFOOfficer$0$0$0
STEPHEN MOLLPHYSICIANHighest-compensated employee$274,196$0$33,203
STEVE CARLSONTREASURER/DIRECTORTrustee/director, Officer$0$0$0

E-file object id 202430299349301303. 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 171377. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read September 10, 2026.