Critical access hospital · Britton, South Dakota · 20 beds · CMS certification number 431312
Marhsall County Healthcare Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 26, 2025. 25 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $2.2M in its first year on file (2001) to $11.7M in 2025.
- Its result from patient care: −$1.4M (2023), −$1.9M (2024), −$1.3M (2025).
- 3 of the 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 0.6% of its inpatient days and Medicare for 79.0%.
Every statement is drawn from figures on this page; nothing is estimated.
25 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in South Dakota with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Marhsall County Healthcare Center | 20 | $11,746,730 | $13,021,700 | −10.8% |
| Avera Dells Area Hospital, Dell Rapids | 23 | $14,502,855 | $13,668,064 | 5.8% |
| Avera Flandreau Hospital, Flandreau | 18 | $10,000,918 | $9,954,387 | 0.5% |
| Landmann-Jungman Memorial Hospital, Scotland | 20 | $5,894,433 | $7,709,238 | −30.8% |
| Madison Community Hospital, Madison | 22 | $34,845,432 | $37,067,378 | −6.4% |
| Hans P Peterson Memorial Hospital, Philip | 18 | $17,932,427 | $19,730,648 | −10.0% |
Patients and payers
- Discharges
- 135S-3 line 14, col 15
- Inpatient days
- 790S-3 line 14, col 8
- Beds in use, on an average day
- 2.2days ÷ days in year
- Occupancy
- 10.8%days ÷ bed days
- Medicare share of days
- 79.0%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.6%S-3 cols 7 ÷ 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 MARSHALL COUNTY HEALTHCARE CENTER (employer identification number 460380552) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,018,581 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $36,000 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $36,000 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,982,581 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.1708 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202430679349301003. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by MARSHALL COUNTY HEALTHCARE CENTER (employer identification number 460380552) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ADRIAN HEITMANN | PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| AMANDA SCHMIEG | NURSE PRACTIONER | Highest-compensated employee | $166,640 | $0 | $28,780 |
| BILL HAYWOOD | SEC/TREAS | Trustee/director | $0 | $0 | $0 |
| BJ RICHTER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| ERIK PETERSON | CFO BEG AUG 2022 | Officer | $61,560 | $0 | $13,547 |
| JILL ZUEHLKE | NURSE PRACTIONER | Highest-compensated employee | $151,239 | $0 | $26,398 |
| KAYLA SUTHER | TRUSTEE BEG DEC 2022 | Trustee/director | $0 | $0 | $0 |
| LINDA HAALAND | TRUSTEE UNTIL OCT 2022 | Trustee/director | $0 | $0 | $0 |
| MATT SCHULLER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| NICK FOSNESS | CEO | Officer | $178,110 | $0 | $33,977 |
| PATTY ROEHR | CFO UNTIL FEB 2023 | Officer | $123,180 | $0 | $4,340 |
| ROGER FURMAN | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| RYAN SMITH | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| SARA RAABE | NURSE PRACTIONER | Highest-compensated employee | $164,537 | $0 | $30,262 |
| SHANNON LEE | VICE PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| TOM SNYDER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
E-file object id 202430679349301003. 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 431312. 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 26, 2025.