Velarion Records

Critical access hospital · Fredericktown, Missouri · 25 beds · CMS certification number 261302

Madison Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 2, 2026. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$22.8M
$22,798,275 · G-3 line 3
Operating expenses
$25.4M
$25,435,527 · G-3 line 4
Result from patient care
−$2.6M
−$2,637,252 · G-3 line 5
Margin on patient care
−11.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $2.5M in its first year on file (2000) to $22.8M in 2025.
  • Its result from patient care: −$2.2M (2023), −$3.2M (2024), −$2.6M (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 0.9% of its inpatient days and Medicare for 55.2%.

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

26 years of filings

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

Net patient revenueOperating expenses
2000
as submitted
$2.5M
$2.7M
2001
settled
$10.2M
$10.5M
2002
settled
$10.0M
$10.2M
2003
settled
$11.2M
$11.7M
2004
settled
$13.1M
$13.4M
2005
reopened
$13.2M
$15.4M
2006
as submitted
$14.9M
$15.4M
2007
settled
$15.0M
$15.4M
2008
settled
$15.7M
$16.0M
2009
reopened
$15.5M
$15.9M
2010
settled
$16.0M
$16.6M
2011
settled
$16.4M
$16.8M
2012
settled
$16.5M
$16.7M
2013
reopened
$17.1M
$17.8M
2014
settled with audit
$17.0M
$18.9M
2015
settled
$17.8M
$20.6M
2016
settled
$16.5M
$18.9M
2017
settled
$17.0M
$19.1M
2018
settled
$17.7M
$19.5M
2019
settled
$18.0M
$19.6M
2020
settled
$18.8M
$20.5M
2021
settled
$18.0M
$19.1M
2022
settled
$18.3M
$19.9M
2023
settled
$20.5M
$22.6M
2024
settled
$21.0M
$24.2M
2025
as submitted
$22.8M
$25.4M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Madison Medical Center25$22,798,275$25,435,527−11.6%
Pershing Memorial Hospital, Brookfield25$22,234,092$22,976,666−3.3%
Scotland County Hospital, Memphis25$34,133,949$40,236,956−17.9%
Sullivan County Memorial Hospital, Milan25$9,663,974$13,721,994−42.0%
Washington County Memorial Hospital, Potosi25$25,732,151$28,388,641−10.3%
Wright Memorial Hospital, Trenton25$41,091,829$40,053,1952.5%

Patients and payers

Discharges
146
S-3 line 14, col 15
Inpatient days
2,811
S-3 line 14, col 8
Beds in use, on an average day
7.7
days ÷ days in year
Occupancy
30.8%
days ÷ bed days
Medicare share of days
55.2%
S-3 cols 6 ÷ 8
Medicaid share of days
0.9%
S-3 cols 7 ÷ 8

Who owns it

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 261302. 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.