Velarion Records

Critical access hospital · Belleville, Kansas · 25 beds · CMS certification number 171361

Republic County Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 2, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$23.8M
$23,760,292 · G-3 line 3
Operating expenses
$28.3M
$28,317,433 · G-3 line 4
Result from patient care
−$4.6M
−$4,557,141 · G-3 line 5
Margin on patient care
−19.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $8.2M in its first year on file (2004) to $23.8M in 2025.
  • Its result from patient care: −$2.9M (2023), −$4.1M (2024), −$4.6M (2025).
  • 4 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 0.4% of its inpatient days and Medicare for 26.4%.

Every statement is drawn from figures on this page; nothing is estimated.

22 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2004
settled with audit
$8.2M
$9.3M
2005
settled
$8.8M
$9.1M
2006
reopened
$10.7M
$10.6M
2007
reopened
$10.0M
$10.8M
2008
reopened
$10.5M
$11.7M
2009
settled
$11.0M
$12.6M
2010
settled
$12.2M
$13.0M
2011
settled
$11.8M
$13.6M
2012
reopened
$12.0M
$13.1M
2013
reopened
$11.8M
$13.7M
2014
reopened
$12.3M
$13.7M
2015
settled
$12.4M
$13.8M
2016
settled
$12.3M
$14.1M
2017
settled
$11.8M
$14.2M
2018
settled
$11.9M
$13.5M
2019
settled
$13.5M
$14.4M
2020
settled
$13.5M
$15.5M
2021
settled
$16.1M
$17.6M
2022
settled
$16.9M
$18.9M
2023
settled
$17.3M
$20.2M
2024
settled
$21.3M
$25.4M
2025
as submitted
$23.8M
$28.3M

Beside its peers

Critical access hospitals in Kansas with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Republic County Hospital25$23,760,292$28,317,433−19.2%
Ashland Health Center, Ashland25$10,501,355$13,399,110−27.6%
Grisell Memorial Hospital District 1, Ransom25$6,981,982$8,452,415−21.1%
Lane County Hospital, Dighton25$6,971,600$8,398,942−20.5%
Mercy Hospital Columbus, Columbus25$8,044,905$6,237,43022.5%
Wichita County Health Center, Leoti25$10,390,528$13,036,260−25.5%

Patients and payers

Discharges
444
S-3 line 14, col 15
Inpatient days
5,454
S-3 line 14, col 8
Beds in use, on an average day
15.0
days ÷ days in year
Occupancy
59.8%
days ÷ bed days
Medicare share of days
26.4%
S-3 cols 6 ÷ 8
Medicaid share of days
0.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: GREAT PLAINS HL (100%), hospital management; GREAT PLAINS HL (100%), hospital manage; GREAT PLAINS HL (100%), hospital manage; GREAT PLAINS HL (100%), hospital manage; GREAT PLAINS HL (100%), hospital manage.

Type of control on its cost report: governmental, county.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Great Plains of Republic Co Inc (employer identification number 481226977) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$1,215,859IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$82,399IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,116,113IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,198,512IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$17,347IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0602IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202432289349302623. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 171361. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 2, 2026.