Critical access hospital · Leon, Iowa · 11 beds · CMS certification number 161340
Decatur County Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 9, 2025. 23 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 $6.9M in its first year on file (2003) to $26.9M in 2025.
- Its result from patient care: −$4K (2023), $2.3M (2024), −$966K (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 7.7% of its inpatient days and Medicare for 43.4%.
Every statement is drawn from figures on this page; nothing is estimated.
23 years of filings
Net patient revenue against operating expenses, each year as filed.
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as submitted
Beside its peers
Critical access hospitals in Iowa with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Decatur County Hospital | 11 | $26,931,590 | $27,897,590 | −3.6% |
| Avera Merrill Pioneer Hospital, Rock Rapids | 11 | $11,790,993 | $12,287,736 | −4.2% |
| Community Memorial Hospital, Sumner | 16 | $19,021,432 | $19,470,930 | −2.4% |
| Mercyone Genesis Dewitt Medical Center, Dewitt | 13 | $34,299,283 | $38,770,411 | −13.0% |
| Mercyone New Hampton Medical Center, New Hampton | 11 | $23,191,316 | $21,593,865 | 6.9% |
| Mercyone Dyersville Medical Center, Dyersville | 13 | $8,585,337 | $7,903,142 | 8.0% |
Patients and payers
- Discharges
- 145S-3 line 14, col 15
- Inpatient days
- 953S-3 line 14, col 8
- Beds in use, on an average day
- 2.6days ÷ days in year
- Occupancy
- 23.7%days ÷ bed days
- Medicare share of days
- 43.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 7.7%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: MHN INC.; COMMON SPIRIT; MERCYONE DM.
Type of control on its cost report: governmental, city-county.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161340. 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 December 9, 2025.