Critical access hospital · Albia, Iowa · 25 beds · CMS certification number 161342
Monroe County Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 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 $7.3M in its first year on file (2003) to $36.2M in 2025.
- Its result from patient care: −$3.8M (2023), −$1.7M (2024), −$1.7M (2025).
- 2 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 0.8% of its inpatient days and Medicare for 63.4%.
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 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Monroe County Hospital | 25 | $36,223,551 | $37,940,674 | −4.7% |
| Franklin General Hospital, Hampton | 25 | $29,579,752 | $30,707,291 | −3.8% |
| Grundy County Memorial Hospital, Grundy Center | 25 | $40,182,578 | $34,694,380 | 13.7% |
| Hancock County Health System, Britt | 25 | $31,795,008 | $34,237,396 | −7.7% |
| Iowa Specialty Hospital- Clarion, Clarion | 25 | $98,705,037 | $95,382,181 | 3.4% |
| Pocahontas Community Hospital, Pocahontas | 25 | $18,666,192 | $17,733,485 | 5.0% |
Patients and payers
- Discharges
- 89S-3 line 14, col 15
- Inpatient days
- 1,171S-3 line 14, col 8
- Beds in use, on an average day
- 3.2days ÷ days in year
- Occupancy
- 12.8%days ÷ bed days
- Medicare share of days
- 63.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.8%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: MHN INC., health network; MERCYONE DSM, hospital.
Type of control on its cost report: governmental, county.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 161342. 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 8, 2025.