Velarion Records

Critical access hospital · Lexington, Missouri · 25 beds · CMS certification number 261320

Lafayette Regional Health Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 9, 2026. 21 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$36.1M
$36,149,845 · G-3 line 3
Operating expenses
$40.7M
$40,715,387 · G-3 line 4
Result from patient care
−$4.6M
−$4,565,542 · G-3 line 5
Margin on patient care
−12.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $20.9M in its first year on file (2005) to $36.1M in 2025.
  • Its result from patient care: −$905K (2023), −$5.1M (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 4.2% of its inpatient days and Medicare for 37.8%.
  • HCA HEALTHCARE INC holds 100% of it, on its Medicare enrollment.

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

21 years of filings

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

Net patient revenueOperating expenses
2005
settled with audit
$20.9M
$24.9M
2006
reopened
$20.8M
$24.2M
2007
reopened
$22.5M
$23.9M
2008
reopened
$23.6M
$26.5M
2009
reopened
$26.8M
$29.7M
2010
settled with audit
$31.7M
$34.3M
2011
settled with audit
$30.8M
$32.4M
2012
settled
$29.6M
$28.5M
2013
settled
$30.1M
$30.0M
2014
reopened
$31.1M
$30.2M
2015
settled
$30.4M
$31.1M
2016
reopened
$29.5M
$30.9M
2017
settled
$28.3M
$30.7M
2018
settled
$30.0M
$32.1M
2019
reopened
$28.7M
$33.1M
2020
reopened
$29.2M
$31.9M
2021
reopened
$32.0M
$33.5M
2022
reopened
$33.9M
$34.4M
2023
settled
$38.2M
$39.1M
2024
settled
$35.9M
$40.9M
2025
as submitted
$36.1M
$40.7M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Lafayette Regional Health Center25$36,149,845$40,715,387−12.6%
Madison Medical Center, Fredericktown25$22,798,275$25,435,527−11.6%
Pershing Memorial Hospital, Brookfield25$22,234,092$22,976,666−3.3%
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
691
S-3 line 14, col 15
Inpatient days
2,576
S-3 line 14, col 8
Beds in use, on an average day
7.1
days ÷ days in year
Occupancy
28.2%
days ÷ bed days
Medicare share of days
37.8%
S-3 cols 6 ÷ 8
Medicaid share of days
4.2%
S-3 cols 7 ÷ 8

Who owns it

  • HCA HEALTHCARE INC100%
  • HCA INC100%
  • HEALTHTRUST INC - THE HOSPITAL COMPANY100%
  • MIDWEST HOLDINGS, INC.100%
  • FRISCO HOLDING II16%
  • HERCULES HOLDING II14%

Related organizations on its own cost report: HPT/HTI, hpt/hti; IT&S, it&s; HCA, hca; PARALLON BUSINE, parallon busine; PARALLON SUPPLY, parallon supply.

Other hospitals with the same owner: Alaska Regional Hospital (AK), Riverside Community Hospital (CA), Good Samaritan Hospital (CA), Los Robles Hospital and Medical Center (CA), HCA Healthone Presbyterian St. Luke's Hospital (CO), HCA Healthone Rose Hospital (CO), HCA Healthone Swedish Hospital (CO), HCA Healthone Mountain Ridge Hospital (CO), HCA Healthone Aurora Hospital (CO).

Type of control on its cost report: proprietary, corporation.

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

Follow this hospital, free

We send this record now and tell you when it files again.

More critical access hospitals in Missouri

From the publisher of Velarion Records

Velarion Intel

Independent Decision-Grade Intelligence

Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.

See what Intel shows

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 261320. 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 March 9, 2026.