1 associated location — data as of October 30, 2026
Disproportionate share hospital · SIDNEY, OH
WILSON MEMORIAL HOSPITAL
Taking partNoTermination date filedJuly 1, 2026Last certifiedAugust 11, 2025
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- October 1, 2024In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $355,970,830 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $253,507,476 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $102,463,354 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $107,732,046 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$5,268,692 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $3,277,400 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $897,345 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $7,075,266 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,757,545 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $2,654,890 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 71 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2467 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.1049 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 360013 for January 1, 2025 to December 31, 2025, amended. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by THE SHELBY COUNTY MEMORIAL HOSPITAL (employer identification number 344427944) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $3,555,385 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $474,559 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $3,080,826 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $3,555,385 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0292 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202413189349310841. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by THE SHELBY COUNTY MEMORIAL HOSPITAL (employer identification number 344427944) for tax year 2023. 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 |
|---|---|---|---|---|---|
| ANDREW D MCDONALD | PHYSICIAN | Highest-compensated employee | $599,336 | $0 | $50,276 |
| ANDY COUNTS | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| CHARLES EDELEN | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| DANIEL DILWORTH | PHYSICIAN | Highest-compensated employee | $542,557 | $0 | $47,566 |
| DEVON BEER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| DOREEN LARSON | TRUSTEE PARTIAL TERM | Trustee/director | $0 | $0 | $0 |
| DR ERIC PRENGER | TRUSTEE | Trustee/director | $297,352 | $0 | $44,071 |
| DR FRED HAUSSMAN | TRUSTEE | Trustee/director | $79,281 | $0 | $6,342 |
| DR MATTHEW VASKO | TRUSTEE | Trustee/director | $311,815 | $0 | $42,887 |
| FRANCIS N OGBOLU | PHYSICIAN | Highest-compensated employee | $646,357 | $0 | $40,556 |
| GARY HEITMEYER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| JACKIE DAVIS | TREASURER/SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| JANICE BENANZER | CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| JASON STIVER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| JOHN DEEDS | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| JULIE COVAULT | COO | Officer | $441,937 | $0 | $49,593 |
| MARIAN SPICER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| MARK KLOSTERMAN | CEO | Trustee/director, Officer | $590,826 | $0 | $52,680 |
| MELISSA TALLMADGE | CHIEF NURSING OFFICER | Key employee | $264,019 | $0 | $25,296 |
| MICHAEL J VIETTI | PHYSICIAN | Highest-compensated employee | $712,435 | $0 | $50,927 |
| PAUL DENTINGER | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| ROSEMARY MCCARTHY | PHYSICIAN | Highest-compensated employee | $559,018 | $0 | $48,770 |
| SHELLY GASSON | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| TOM MILLIGAN | VICE-CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
E-file object id 202413189349310841. The IRS archive it was read from.
The full report for WILSON MEMORIAL HOSPITAL
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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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: short-term acute care 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.
- 67thpercentile of 48 hospitals in OH, same facility class, 50 to 99 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, 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 $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 65thpercentile of 48 hospitals in OH, same facility class, 50 to 99 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, 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 $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 32ndpercentile of 28 hospitals in OH, same facility class, 50 to 99 bedsCharity care, at cost, in dollars, as filed
- 47thpercentile of 30 hospitals in OH, same facility class, 50 to 99 bedsUncompensated care, at cost, in dollars, as filed
- 52ndpercentile of 48 hospitals in OH, same facility class, 50 to 99 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, 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 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 53rdpercentile of 30 hospitals in OH, same facility class, 50 to 99 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, 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 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Ohio beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- October 1, 2024
- Termination date
- July 1, 2026
- Termination reason
- DSH percentage below statutory minimum
- Certification date
- August 11, 2025
- Record last edited
- July 1, 2026
Identifiers
- 340B ID
- DSH360013
- Entity type as filed
- DSH
- CMS certification number
- 360013
- NPI
- 1639174204 (OH)
- Rural
- Yes
915 WEST MICHIGAN STREET, SIDNEY OH 45365
Associated locations
| WILSON MEMORIAL HOSPITAL | 915 WEST MICHIGAN STREET | SIDNEY OH 45365 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 30, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_121151.xlsx, stamped by its publisher October 30, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_121151.xlsx, read October 30, 2026.