Medicare cost report · CMS certification number 351332

HEART OF AMERICA MEDICAL CENTER

RUGBY, North Dakota · critical access hospital

Buy the report: $295Filing alerts: $390/year · The register under license: from $25,000/year

Figures for April 1, 2025 to March 31, 2026 — a reporting period of 364 days, on form CMS-2552-10, as submitted.

This hospital also appears on the 340B covered-entity register: Heart of America Medical Center.

Finances, as filed

From this hospital’s Medicare cost report for the year ended March 31, 2026.

Figure	As filed	Where it comes from
Total patient revenue	$57,855,430	CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances	$23,368,543	CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue	$34,486,887	CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses	$38,451,134	CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients	−$3,964,247	CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges	$716,136	CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost	$629,633	CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense	$452,136	CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost	$262,119	CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost	$891,752	CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds	25	CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio	0.5797	CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 351332 for April 1, 2025 to March 31, 2026, as submitted. The public file it was read from.

Community benefit, as filed

Executive and director compensation, as filed

Where this hospital sits among its peers

A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.

89thpercentile of 18 hospitals in ND, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2026, in every state and of every size, with this one marked.

Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)

Middle half between $23,466,837 and $137,722,733, median $43,102,995, across 270 hospitals that filed for 2026, in every state and of every size.

86thpercentile of 21 hospitals in ND, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2026, in every state and of every size, with this one marked.

Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)

Middle half between $21,989,913 and $120,074,080, median $38,600,761, across 270 hospitals that filed for 2026, in every state and of every size.

85thpercentile of 20 hospitals in ND, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed

80thpercentile of 20 hospitals in ND, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed

95thpercentile of 21 hospitals in ND, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2026, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

Middle half between 29 and 108, median 50, across 268 hospitals that filed for 2026, in every state and of every size.

35thpercentile of 20 hospitals in ND, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed

Cost-to-charge ratio across every hospital that filed for 2026, in every state and of every size, with this one marked.

Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)

Middle half between 0.1207 and 0.4450, median 0.2553, across 170 hospitals that filed for 2026, in every state and of every size.

Peers and history

Every Medicare cost report this hospital has filed, with the date CMS stamped each one, and five hospitals of its own size in North Dakota beside it — each figure with the cell it came from — are in one signed, dated document. The citable document with peers and history — $295.

Get an email when this record changes

One email a day naming what moved on HEART OF AMERICA MEDICAL CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The filing alert follows cost reports: one named person, one hospital, invoiced once a year. The certification number arrives filled in because you are on this hospital's own record.

On July 14, 2026, a cost report was filed for fiscal year 2026. That is one line of the filing alert.

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Take these figures as a spreadsheet The citable document with peers and history

Other public records in North Dakota

Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 351332 on form CMS-2552-10, publication year 2025, file HOSP10FY2025.ZIP.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read July 14, 2026.

The full report for HEART OF AMERICA MEDICAL CENTER

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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