Velarion Records

Critical access hospital · Hermann, Missouri · 24 beds · CMS certification number 261314

Hermann Area District Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 27, 2026. 23 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$20.7M
$20,731,700 · G-3 line 3
Operating expenses
$23.5M
$23,545,457 · G-3 line 4
Result from patient care
−$2.8M
−$2,813,757 · G-3 line 5
Margin on patient care
−13.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $7.6M in its first year on file (2003) to $20.7M in 2025.
  • Its result from patient care: −$3.8M (2023), −$2.1M (2024), −$2.8M (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 0.2% of its inpatient days and Medicare for 22.5%.
  • HERMANN AREA HOSPITAL DISTRICT holds 100% of it, on its Medicare enrollment.

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.

Net patient revenueOperating expenses
2003
settled
$7.6M
$7.3M
2004
settled with audit
$9.7M
$9.1M
2005
settled
$10.6M
$10.8M
2006
settled
$11.9M
$12.7M
2007
settled
$12.2M
$13.6M
2008
settled
$14.8M
$16.0M
2009
settled
$16.6M
$18.3M
2010
settled
$17.5M
$18.8M
2011
settled
$16.8M
$18.7M
2012
reopened
$17.4M
$19.5M
2013
settled
$16.1M
$19.3M
2014
settled
$16.5M
$20.0M
2015
settled
$17.1M
$19.7M
2016
settled
$18.6M
$21.5M
2017
settled
$18.4M
$21.0M
2018
settled
$17.0M
$19.9M
2019
settled
$17.5M
$19.5M
2020
settled
$15.9M
$19.4M
2021
settled
$17.5M
$20.4M
2022
settled
$17.3M
$21.2M
2023
settled
$17.4M
$21.1M
2024
settled
$19.2M
$21.3M
2025
as submitted
$20.7M
$23.5M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Hermann Area District Hospital24$20,731,700$23,545,457−13.6%
Carroll County Memorial Hospital, Carrollton21$45,021,126$48,172,185−7.0%
Community Hospital Association, Fairfax16$25,245,814$27,109,872−7.4%
Harrison County Community Hospital, Bethany15$32,370,386$36,048,074−11.4%
Mosaic Medical Center - Maryville, Maryville21$92,448,861$98,308,717−6.3%
Putnam County Memorial Hospital, Unionville15$13,912,281$17,944,575−29.0%

Patients and payers

Discharges
83
S-3 line 14, col 15
Inpatient days
3,891
S-3 line 14, col 8
Beds in use, on an average day
10.7
days ÷ days in year
Occupancy
44.4%
days ÷ bed days
Medicare share of days
22.5%
S-3 cols 6 ÷ 8
Medicaid share of days
0.2%
S-3 cols 7 ÷ 8

Who owns it

  • HERMANN AREA HOSPITAL DISTRICT100%

Type of control on its cost report: governmental, hospital district.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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More critical access hospitals in Missouri

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 261314. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read May 27, 2026.