Floyd County Medical Center

What Floyd County Medical Center does

Floyd County Medical Center (FCMC) is a privately held Critical Access Hospital and Rural Health Clinic founded in 1965 and headquartered in Charles City, Iowa. It operates a single integrated delivery system anchored by a Level IV Trauma Center emergency department (24/7), inpatient acute care, a swing-bed rehabilitation program, an obstetric Birth Center, three surgical suites, and a 60,000-square-foot three-story Rural Health Clinic that opened in July 2026 following a $40 million Phase I expansion. Service lines span family medicine, obstetrics, general and orthopedic surgery, otolaryngology, podiatry, pain management, cardiology, nephrology, sleep medicine, wound and ostomy care, infusion, diabetes education, therapy (physical, occupational, speech), and a Suboxone clinic opened February 2025. Visiting specialists from UnityPoint Health-Waterloo Cardiology, Mason City Clinic, MercyOne, Cedar Valley Foot and Ankle, Midwest Sleep Services, and Hearing Associates extend on-site specialty coverage.

The core technology platform is the Meditech Expanse Electronic Health Record, which connects hospital and clinic records and exposes a patient portal featuring secure messaging, prescription refills, test results, online bill pay, Expanse Patient Connect SMS reminders, and Health Records on iPhone integration via Apple Health. Diagnostic technology includes 3D digital mammography, low-dose CT lung cancer screening, MRI, ultrasound, and echocardiography. Diagnostic imaging and laboratory services are CLIA-accredited, and the sleep program holds ACHC accreditation.

FCMC's revenue is generated almost entirely from patient services billed to Medicare, Medicaid, and private insurance — emergency, inpatient, outpatient, specialty clinic, and ancillary services — supplemented by charitable donations to the FCMC Foundation Endowment Fund held with the Community Foundation of Northeast Iowa (eligible for Endow Iowa 25% state tax credits) and education-class fees. Capital for the ongoing $79.5M three-phase build has come from a $27.5M USDA Rural Development Community Facilities Direct Loan, $8M in commercial lending, $4M in owner equity, grants, and more than $11M from the Stille Estate awarded by the Iowa Supreme Court in May 2026. Phase II (surgical services expansion, five new operating rooms) and Phase III (Stille Cancer Center) are scheduled for completion in 2028.

Name

Floyd County Medical Center

Legal name

Floyd County Medical Center

Website

https://fcmc.us.com

Company type

Private

Founded year

1965

Operating status

Operating

Headcount range

251–500 employees

Short description

Privately held Critical Access Hospital and Rural Health Clinic in Charles City, Iowa, delivering 24/7 emergency, inpatient, surgical, obstetric, therapy, and specialty outpatient services to Floyd County and surrounding rural communities via a unified Meditech Expanse EHR.

Ownership category

akta.pro rank

Product category

Rural Hospital and Healthcare Services

NAICS

Specialty (except Psychiatric and Substance Abuse) Hospitals (62231), Ambulatory Health Care Services (621), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Hospitals (8060), Services-General Medical & Surgical Hospitals, Nec (8062), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

akta.pro secondary industry

Outpatient Mental Health Clinics & Counseling Centers (HLAFACAA)

Keywords

• Critical access hospital
• Rural health clinic
• Emergency medical services
• Rural primary care
• Outpatient specialty clinics

Headquarters

HQ city

Charles City

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Infrastructure, Operations, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Healthcare Services Revenue: FCMC generates primary revenue from providing healthcare services billed to patients and insurance providers including Medicare, Medicaid, and private insurance. Services include emergency care, inpatient acute care, swing bed rehabilitation, outpatient services, specialty clinics, laboratory, radiology, surgical services, and rural health clinic visits.
2. USDA Rural Development Financing: USDA Community Facilities Direct Loan program providing $27.5 million loan for facility expansion and modernization. This is part of Phase II expansion including surgical services, materials management, and dietary departments.
3. Foundation Donations: FCMC Foundation Endowment Fund held with Community Foundation of Northeast Iowa accepts charitable donations eligible for Endow Iowa 25% state tax credit. Donations fund medical equipment and special projects.
4. Construction Financing: Phase I project cost approximately $40 million funded by owner equity, USDA loan, grants, and local bank financing. Phase II estimated at $39.5 million with USDA loan, commercial lending, and equity contributions.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels8 records

Core offering

Floyd County Medical Center operates a Critical Access Hospital and Rural Health Clinic delivering 24/7 emergency care, inpatient acute care, Swing Bed rehabilitation, surgical services, a Birth Center, therapy services, diagnostic imaging, laboratory, and outpatient specialty clinics to residents of Floyd County and surrounding communities in north and northeastern Iowa. Services are provided through a direct-to-consumer model with walk-in access, scheduled appointments, physician referrals, and a Meditech Expanse-driven patient portal for records, messaging, refills, and bill pay.

Product overview

Floyd County Medical Center (FCMC) is a Critical Access Hospital and Rural Health Clinic operating as a single unified healthcare delivery system with multiple integrated service lines. The core hospital facilities include Emergency Department (Level IV Trauma Center), Surgical Services, Birth Center, and Swing Bed rehabilitation program, supported by extensive outpatient services. The Meditech Expanse Patient Portal serves as the unified electronic health record connecting hospital and clinic operations. Key service modules include Therapy Services (Physical, Occupational, Speech), Radiology & Imaging, Laboratory, Cardiac Services, and Wound & Ostomy Care. The Rural Health Clinic provides primary care while Specialty Clinics bring visiting specialists in cardiology, orthopedics, ENT, podiatry, and general surgery. Additional offerings include Urgent Care, Infusion Services, Sleep Studies, Diabetes Education, Pain Management, Suboxone Clinic, and CT Lung Cancer Screening. Education programs through the AHA Training Center provide CPR, First Aid, and healthcare professional certifications. The FCMC Foundation Endowment Fund supports equipment purchases and special projects through community donations.

Differentiator

Problem solved

Functional benefit

Products and services

• Meditech Expanse Patient Portal Patient-facing electronic health record portal providing access to medical records, test results, prescription refills, secure messaging with providers, and online bill payment across hospital and clinic settings.
• Emergency Department Level IV Trauma Center open 24/7/365 with staff certified in ACLS, PALS, NRP, and TNCC, providing emergency care for geriatric, adult, pediatric, and neonatal patients.
• Surgical Services Comprehensive surgical department with same day surgery, procedure room, post-anesthesia care unit, and three surgical suites offering general surgery, orthopedics, otolaryngology, pain management, ophthalmology, and podiatry.
• Birth Center Family-oriented birth center with private birthing suites featuring kitchenettes, whirlpool tubs, and amenities. Offers prenatal care, delivery, breastfeeding support, and postpartum services.
• Therapy Services Comprehensive therapy services including Physical Therapy (with EMG/Nerve Conduction testing), Occupational Therapy (pediatric clinic, hand clinic, stroke rehab), and Speech Language Pathology for communication and swallowing disorders.
• Urgent Care Walk-in and same-day acute care services open 8 a.m. to 8 p.m., 7 days a week for minor illness, infections, strains, sprains, and other non-life-threatening conditions. Accepts Medicaid and Medicare.
• Wound and Ostomy Care Wound, Ostomy and Continence Nursing providing management of neuropathic ulcers, pressure ulcers, traumatic wounds, surgical incisions, vascular ulcers, and ostomy care using evidence-based therapies including compression wraps, negative pressure wound therapy, and antimicrobial dressings.
• Swing Bed Program Short-term hospital stay following inpatient acute care providing rehabilitation services including physical therapy, occupational therapy, speech therapy, daily wound care, IV medication therapy, and diabetes education to help patients return to prior level of functioning.
• Radiology and Imaging Diagnostic imaging services including bone densitometry, CT scans with 3-D reformation, diagnostic radiography, MRI, mobile nuclear medicine, vascular ultrasound, ultrasound, and 3D digital mammography. Staffed 24/7.
• Laboratory Services CLIA-accredited wellness and direct access laboratory offering blood collections, specimen testing, and health screenings. Open Monday-Friday 7am-5pm and Saturday 8am-12pm with no appointments necessary.
• Infusion Services Outpatient infusion services including antibiotic therapy, blood product transfusions, IVIG, hydration therapy, chemotherapy pump discontinuation, and port/PICC line care in a private, comfortable setting.
• Cardiac Services Cardiology services including EKGs, echocardiograms, cardiac nuclear imaging, stress tests, and Phase II Cardiac Rehabilitation program for patients recovering from cardiac events. Provided in partnership with UnityPoint Health-Waterloo Cardiology.
• Sleep Studies Sleep disorder diagnosis and treatment in partnership with Midwest Sleep Services, offering both in-hospital and home sleep testing options for conditions such as obstructive sleep apnea. ACHC-accredited.
• CT Lung Cancer Screening Low-dose CT scan screening for early detection of lung cancer in high-risk individuals meeting eligibility criteria (age 50-77, current smoker or quit within 15 years, 20+ pack-year history).
• Women's Health Services Comprehensive women's health services including annual exams, gynecology (contraception, menopause, STD treatment), obstetrics, surgical services (breast care, C-sections), and vein ablation.
• Men's Health Services Men's health services including physical exams, blood pressure management, heart disease and diabetes screening, cancer screening, immunizations, and vasectomy.
• Pain Management Interventional pain management offering non-opioid techniques including epidural injections, joint injections, radiofrequency lesioning, sympathetic nerve blocks, and trigger point injections for chronic arthritis, spinal stenosis, and diabetic neuropathy.
• Suboxone Clinic Opioid dependency treatment clinic providing medication-assisted treatment with Suboxone, psychiatric management, physical therapy, pain management, and cognitive behavioral therapy in a multidisciplinary approach.
• Diabetes Education Diabetes self-management education and support including insulin pump training, glucometer and continuous glucose monitor management, medication administration, and lifestyle counseling. Includes monthly diabetes support group.
• Rural Health Clinic Primary care clinic providing family medicine, obstetrics, men's and women's health, camp/sports/DOT physicals, well child checks, and acute care services. Open Monday-Friday 8am-5pm.
• American Heart Association Training Center Education and certification programs including CPR, First Aid, Pediatric First Aid, BLS, ACLS, and PALS for healthcare professionals and community members.
• Childbirth Education Classes Free childbirth education courses covering comfort techniques, birth plans, equipment demonstration, and Birth Center tours. Classes held multiple times throughout the year with virtual option.
• Specialty Clinics Visiting specialist clinics including General Surgery, Orthopedics, Pain Management, Cardiology, Otolaryngology (ENT), and Podiatry providing specialized care closer to home through partnerships with UnityPoint Health-Waterloo Cardiology, Mason City Clinic, Cedar Valley Foot and Ankle, and MercyOne.
• FCMC Foundation Endowment Fund Permanent endowment fund held with Community Foundation of Northeast Iowa supporting hospital equipment and special projects, with Endow Iowa 25% state tax credit eligibility for donors.

Quantifiable outcome

• 60,000 square foot expansion completed July 2026
• +3 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles7 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature5 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Accord ArchitecturecoreImplementation/ SI/ Consulting Partner · 25 June 2026Architect for Phase II Surgery, Dietary, and Materials Management Project.
• Snyder & AssociatescoreImplementation/ SI/ Consulting Partner · 25 June 2026Civil Designer for Phase II construction project.
• Apex StructuralcoreImplementation/ SI/ Consulting Partner · 25 June 2026Structural Engineer for Phase II construction project.
• MODUS EngineeringcoreImplementation/ SI/ Consulting Partner · 25 June 2026MEP Engineer for Phase II construction project.
• Graham Construction CompanycoreImplementation/ SI/ Consulting Partner · 1 June 2026Construction Manager at Risk for Phase II project. Approximately 34,000 SF addition and 8,000 SF renovation. Estimated construction budget of $26 million with completion expected in 2028.
• Gospel to Haiti (GTH)minorStrategic or Co-development Partner · 1 January 2021Medical missionary organization partnership. Since 2021, FCMC staff have donated expired medical supplies to GTH healthcare clinic in Haiti mountains. Supplies include gloves, gowns, dressing and wound supplies helping rural Haitian community receive care.
• MercyOnecoreStrategic or Co-development PartnerPartnership for nephrology visiting specialists including Dr. Yuvaraj Thangaraj, MD, Lisa Quigley ARNP, and Ashley Matern ARNP addressing kidney function and treatment including dialysis.
• UnityPoint Health-Waterloo CardiologycoreStrategic or Co-development PartnerVisiting cardiology specialists Dr. David Kabel and Hannah Strottman NP provide cardiac diagnosis and treatment services at FCMC outpatient specialty clinic twice monthly.
• Mason City CliniccoreStrategic or Co-development PartnerPartnership for ENT services with Dr. Timothy Dettmer, MD providing ear, nose, throat, and related head/neck treatments including Inspire implants and DISE procedures.
• Cedar Valley Foot and Ankle CentercoreChannel Partner/ Reseller/ DistributorPartnership for podiatry services with Dr. Samuel Bernard DPM and Dr. Donohoe providing foot and ankle diagnosis and treatment including bunion treatment, diabetic foot pathology, and orthotics.
• Midwest Sleep Services, Inc.coreTechnology or IntegrationPartnership for sleep studies providing high quality diagnostic services for people of all ages with both home and hospital sleep study options. Medical Director Dr. Phillip C. Lee, MD.
• Hearing Associates, P.C.minorChannel Partner/ Reseller/ DistributorAudiology services partnership with Dr. Christine Heintskill Au.D. and Dr. Tanya Harper Rowe Au.D. providing hearing evaluations, tinnitus treatment, balance testing, and hearing aid services. Office hours Thursdays 8am-5pm.

Scale indicators8 records

Recent moves10 records

Expansion highlights5 records

Broad incumbents

• Avera Health: Multi-state rural health system operating Critical Access Hospitals across the Upper Midwest with comparable service line composition and federal CAH designation. Broad incumbent illustrating the larger regional system model FCMC operates within as an independent.
• Mayo Clinic Health System: Major regional health system with rural hospital and clinic sites in Minnesota and Iowa; competes for complex referrals and was the opposing party in FCMC's Stille Estate case, illustrating the broader competitive dynamics FCMC faces.
• MercyOne: Iowa-focused regional health system that partners with FCMC for nephrology specialty services while also operating competing regional facilities; a broad incumbent in the same Iowa market.
• UnityPoint Health: Large Iowa-based health system that is both a strategic partner (UnityPoint-Waterloo Cardiology supplies visiting specialists) and a broader incumbent operator of regional hospitals; competes for specialty referrals and physician talent in overlapping markets.

Regional players

• Waverly Health Center: Iowa community hospital with comparable rural service area and multi-specialty clinic model. Regional peer sharing payor mix and similar Critical Access-style operating challenges in northeast Iowa.
• Spencer Hospital: Iowa community hospital serving a similar rural northwest Iowa region with comparable service breadth, though larger scale. Regional peer sharing payor mix and referral patterns with FCMC.

Direct peers

• Palmer Lutheran Health Center: Iowa-affiliated Critical Access Hospital with comparable rural footprint, service breadth, and visiting specialist model. Closely comparable peer along operational and market dimensions.
• Iowa Specialty Hospital: Iowa-based Critical Access Hospital system operating multiple rural campuses with comparable service breadth including surgical, OB, and specialty clinic models. Closest direct peer to FCMC's CAH + Rural Health Clinic structure in the same state regulatory and reimbursement environment.
• Lakes Regional Healthcare: Iowa Critical Access Hospital with multi-specialty clinic, swing bed, and visiting specialist model similar to FCMC. Operates in a comparable rural Iowa market with similar payor mix and demographic profile.
• Hansen Family Hospital: Iowa Critical Access Hospital serving a similar rural north-central Iowa catchment with comparable bed size, service mix, and reliance on visiting specialists. Comparable scale and operating model to FCMC.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@floydcountymedicalcenterfcmc
• Facebookfacebook.com/fcmhosp
• LinkedInlinkedin.com/company/floyd-county-medical-center-fcmc
• Instagraminstagram.com/floydcountymedicalcenter

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Floyd County Medical Center