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Critical access hospital · Armour, South Dakota · 11 beds · CMS certification number 431305

Douglas County Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended May 31, 2025, as submitted, stamped by CMS November 5, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$12.7M
$12,726,567 · G-3 line 3
Operating expenses
$12.6M
$12,582,770 · G-3 line 4
Result from patient care
$144K
$143,797 · G-3 line 5
Margin on patient care
1.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.8M in its first year on file (1997) to $12.7M in 2025.
  • Its result from patient care: −$70K (2023), −$170K (2024), $144K (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
settled
$1.8M
$1.8M
1998
settled
$2.0M
$1.7M
1999
settled
$2.2M
$2.0M
2000
settled
$4.6M
$2.2M
2001
settled
$2.3M
$2.3M
2002
settled
$2.9M
$2.6M
2003
settled
$2.6M
$2.9M
2004
settled
$4.0M
$4.1M
2005
settled
$3.8M
$4.4M
2006
as submitted
$4.8M
$4.6M
2007
settled
$5.6M
$5.4M
2008
settled
$6.3M
$6.2M
2009
settled
$7.0M
$7.2M
2010
settled
$7.6M
$7.4M
2011
settled
$7.7M
$7.7M
2012
settled
$7.5M
$7.5M
2013
settled
$7.4M
$7.6M
2014
settled
$8.5M
$8.6M
2015
settled
$9.2M
$9.1M
2016
settled
$8.7M
$8.6M
2017
settled
$9.8M
$8.9M
2018
settled
$9.3M
$8.8M
2019
settled
$9.6M
$9.6M
2020
settled
$10.3M
$10.6M
2021
settled
$10.7M
$11.0M
2022
settled
$11.6M
$11.3M
2023
settled
$12.5M
$12.6M
2024
settled
$12.5M
$12.7M
2025
as submitted
$12.7M
$12.6M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Douglas County Memorial Hospital11$12,726,567$12,582,7701.1%
Bowdle Hospital, Bowdle12$10,059,158$11,588,978−15.2%
Faulkton Area Medical Center, Faulkton12$12,389,252$12,345,0970.4%
Monument Health Custer Hospital, Custer12$31,120,701$31,276,735−0.5%
Sanford Canton Inwood Medical Center, Canton11$15,902,593$14,618,8748.1%
Sanford Clear Lake Medical Center, Clear Lake10$8,755,667$7,688,67212.2%

Patients and payers

Discharges
94
S-3 line 14, col 15
Inpatient days
580
S-3 line 14, col 8
Beds in use, on an average day
1.6
days ÷ days in year
Occupancy
14.4%
days ÷ bed days
Medicare share of days
69.1%
S-3 cols 6 ÷ 8

Who owns it

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by DOUGLAS COUNTY MEMORIAL HOSPITAL (employer identification number 460400557) 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)$310,449IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$147,189IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$45,299IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$192,488IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$117,961IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0257IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202441079349300619. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by DOUGLAS COUNTY MEMORIAL HOSPITAL (employer identification number 460400557) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BRAD VANDEN BERGVICE-PRESIDETrustee/director$0$0$0
HEATH BROUWERADMINISTRATOOfficer$153,595$0$23,546
JANET LEFERSSECRETARYTrustee/director$0$0$0
JENNIFER BIETZPHYSICIAN ASHighest-compensated employee$158,335$0$43,102
JODI SCHRANKMEMBERTrustee/director$0$0$0
JOEL BAIERPRESIDENTTrustee/director$0$0$0
JOSHUA CHRISTENSENCFOOfficer$100,732$0$18,695
MARLYS LUEBKEPHYSICIANHighest-compensated employee$176,601$0$20,371
MAURICE CHESSMOREPHYSICIANHighest-compensated employee$190,744$0$19,880
MISSY JORGENSENCOMPLIANCE OOfficer$0$0$0
RANDAL NOYESPHYSICIANHighest-compensated employee$256,278$0$11,521
SAM SCHUMANMEMBERTrustee/director$0$0$0
SCOTT HOLBECKTREASURERTrustee/director$0$0$0
VANESSA MIILLERPHYSICIAN ASHighest-compensated employee$137,356$0$14,234

E-file object id 202441079349300619. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431305. 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 5, 2025.