Critical access hospital · Pilot Knob, Missouri · 15 beds · CMS certification number 261336
Iron County Medical Center
Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS November 26, 2025. Nineteen years on file, all shown below. Also on the 340B covered-entity register.
Enrolled with Medicare by Iron County Hospital District.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $1.7M in its first year on file (2007) to $24.0M in 2025.
- Its result from patient care: −$1.8M (2023), −$93K (2024), −$770K (2025).
- All 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 2.2% of its inpatient days and Medicare for 57.8%.
Nineteen years of filings
2007 settled margin 2.3% $1.7M $1.7M
2008 reopened margin −14.3% $6.0M $6.8M
2009 reopened margin −15.3% $5.1M $5.9M
2010 settled margin −20.4% $5.3M $6.4M
2011 settled margin 0.5% $6.7M $6.7M
2012 settled margin 3.2% $7.2M $7.0M
2013 settled margin 12.3% $11.2M $9.8M
2014 reopened margin −24.7% $7.7M $9.6M
2015 settled margin −31.5% $9.3M $12.2M
2016 settled margin −21.6% $11.3M $13.7M
2017 settled margin −21.0% $11.6M $14.0M
2018 settled margin −10.1% $13.3M $14.6M
2019 settled margin −11.5% $13.2M $14.8M
2020 settled margin −12.6% $13.6M $15.3M
2021 settled margin −15.9% $15.5M $17.9M
2022 settled margin −17.9% $16.4M $19.3M
2023 settled margin −9.8% $17.9M $19.6M
2024 settled margin −0.4% $21.7M $21.8M
2025 as submitted margin −3.2% $24.0M $24.8M
Beside its peers
Critical access hospitals in Missouri with under 25 beds, fiscal year 2025.
Hospital Beds Net patient revenue Operating expenses Margin
Iron County Medical Center 15 $24,038,163 $24,808,257 −3.2%
Carroll County Memorial Hospital, Carrollton 21 $45,021,126 $48,172,185 −7.0%
Community Hospital Association, Fairfax 16 $25,245,814 $27,109,872 −7.4%
Harrison County Community Hospital, Bethany 15 $32,370,386 $36,048,074 −11.4%
Mosaic Medical Center - Maryville, Maryville 21 $92,448,861 $98,308,717 −6.3%
Putnam County Memorial Hospital, Unionville 15 $13,912,281 $17,944,575 −29.0%
Patients and payers
- Discharges 93 S-3 line 14, col 15
- Inpatient days 2,705 S-3 line 14, col 8
- Beds in use, on an average day 7.4 days ÷ days in year
- Occupancy 49.4% days ÷ bed days
- Medicare share of days 57.8% S-3 cols 6 ÷ 8
- Medicaid share of days 2.2% S-3 cols 7 ÷ 8
Who owns it
Control: governmental, hospital district.
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More critical access hospitals in Missouri
File HOSP10FY2024.ZIP, form CMS-2552-10, CMS certification number 261336.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read November 26, 2025.
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