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Critical access hospital · Astoria, Oregon · 25 beds · CMS certification number 381320

Columbia Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 18, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$250.4M
$250,412,762 · G-3 line 3
Operating expenses
$242.6M
$242,570,677 · G-3 line 4
Result from patient care
$7.8M
$7,842,085 · G-3 line 5
Margin on patient care
3.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $36.4M in its first year on file (2005) to $250.4M in 2025.
  • Its result from patient care: $10.0M (2023), $18.0M (2024), $7.8M (2025).
  • 4 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 1.0% of its inpatient days and Medicare for 47.7%.

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
2005
settled with audit
$36.4M
$35.4M
2006
settled
$40.0M
$39.3M
2007
settled with audit
$42.5M
$42.0M
2008
settled
$47.4M
$48.0M
2009
settled
$52.9M
$53.5M
2010
settled with audit
$58.9M
$57.6M
2011
reopened
$61.4M
$60.1M
2012
settled
$68.6M
$63.5M
2013
reopened
$72.6M
$67.7M
2014
settled
$81.5M
$75.2M
2015
settled with audit
$94.3M
$88.4M
2016
settled with audit
$105.2M
$95.2M
2017
settled
$113.1M
$105.8M
2018
settled with audit
$137.1M
$125.0M
2019
settled
$135.9M
$127.8M
2020
settled
$144.8M
$130.6M
2021
as submitted
$156.9M
$143.4M
2022
as submitted
$165.9M
$157.3M
2023
amended
$188.9M
$178.9M
2024
as submitted
$223.8M
$205.8M
2025
as submitted
$250.4M
$242.6M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Columbia Memorial Hospital25$250,412,762$242,570,6773.1%
Providence Hood River Memorial Hospital, Hood River25$143,392,476$134,897,6705.9%
Providence Seaside Hospital, Seaside25$108,682,853$108,378,3710.3%
Salem Health West Valley, Dallas25$92,215,444$64,504,38130.0%
Samaritan Pacific Communities Hospital, Newport25$147,337,931$141,565,9683.9%
Adventist Health Tillamook, Tillamook25$115,916,617$119,138,668−2.8%

Patients and payers

Discharges
1,078
S-3 line 14, col 15
Inpatient days
3,768
S-3 line 14, col 8
Beds in use, on an average day
10.4
days ÷ days in year
Occupancy
41.3%
days ÷ bed days
Medicare share of days
47.7%
S-3 cols 6 ÷ 8
Medicaid share of days
1.0%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

Community benefit is filed on IRS Form 990 Schedule H by COLUMBIA LUTHERAN CHARITIES (employer identification number 930583856) for tax year 2023, once for the 3 hospital facilities the return lists, this hospital among them. The return does not divide it among them.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 381320. 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 May 18, 2026.