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Critical access hospital · Ainsworth, Nebraska · 19 beds · CMS certification number 281325

Brown County Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$13.6M
$13,604,372 · G-3 line 3
Operating expenses
$14.6M
$14,603,522 · G-3 line 4
Result from patient care
−$999K
−$999,150 · G-3 line 5
Margin on patient care
−7.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $516K in its first year on file (2000) to $13.6M in 2025.
  • Its result from patient care: −$1.3M (2023), −$1.4M (2024), −$999K (2025).
  • All 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 0.5% of its inpatient days and Medicare for 82.1%.

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

26 years of filings

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

Net patient revenueOperating expenses
2000
settled
$516K
$575K
2001
as submitted
$3.2M
$3.5M
2002
settled
$3.8M
$3.7M
2003
as submitted
$4.0M
$4.1M
2004
settled
$4.7M
$4.5M
2005
settled
$4.2M
$4.4M
2006
settled
$4.5M
$4.3M
2007
reopened
$4.1M
$4.0M
2008
settled
$3.6M
$4.0M
2009
settled
$4.5M
$5.2M
2010
settled
$5.5M
$5.7M
2011
settled
$6.1M
$6.2M
2012
settled
$6.8M
$6.8M
2013
reopened
$8.3M
$8.3M
2014
settled
$8.5M
$8.7M
2015
settled
$8.6M
$9.5M
2016
settled
$9.3M
$9.9M
2017
settled
$9.1M
$9.8M
2018
settled
$9.0M
$10.0M
2019
settled
$9.1M
$9.9M
2020
settled
$8.7M
$9.4M
2021
settled
$9.7M
$9.9M
2022
settled
$11.0M
$11.2M
2023
settled
$10.3M
$11.6M
2024
settled
$11.4M
$12.8M
2025
as submitted
$13.6M
$14.6M

Beside its peers

Critical access hospitals in Nebraska with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Brown County Hospital19$13,604,372$14,603,522−7.3%
Fillmore County Hospital, Geneva20$32,785,006$32,994,128−0.6%
Genoa Community Hospital, Genoa19$9,519,617$10,776,768−13.2%
Harlan County Health System, Alma19$18,238,346$20,087,677−10.1%
Morrill County Community Hospital, Bridgeport20$31,463,956$32,101,395−2.0%
Thayer County Health Services, Hebron19$28,860,161$34,849,304−20.8%

Patients and payers

Discharges
61
S-3 line 14, col 15
Inpatient days
407
S-3 line 14, col 8
Beds in use, on an average day
1.1
days ÷ days in year
Occupancy
5.9%
days ÷ bed days
Medicare share of days
82.1%
S-3 cols 6 ÷ 8
Medicaid share of days
0.5%
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 281325. 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 8, 2025.