Critical access hospital · Lamar, Missouri · 25 beds · CMS certification number 261325
Cox Barton County Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 10, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $8.9M in its first year on file (2005) to $30.4M in 2025.
- Its result from patient care: $2.1M (2023), $799K (2024), −$1.3M (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 3.4% of its inpatient days and Medicare for 35.7%.
- COXHEALTH 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.
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Beside its peers
Critical access hospitals in Missouri with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Cox Barton County Hospital | 25 | $30,409,277 | $31,748,576 | −4.4% |
| Madison Medical Center, Fredericktown | 25 | $22,798,275 | $25,435,527 | −11.6% |
| Pershing Memorial Hospital, Brookfield | 25 | $22,234,092 | $22,976,666 | −3.3% |
| Sullivan County Memorial Hospital, Milan | 25 | $9,663,974 | $13,721,994 | −42.0% |
| Washington County Memorial Hospital, Potosi | 25 | $25,732,151 | $28,388,641 | −10.3% |
| Wright Memorial Hospital, Trenton | 25 | $41,091,829 | $40,053,195 | 2.5% |
Patients and payers
- Discharges
- 525S-3 line 14, col 15
- Inpatient days
- 2,784S-3 line 14, col 8
- Beds in use, on an average day
- 7.6days ÷ days in year
- Occupancy
- 30.5%days ÷ bed days
- Medicare share of days
- 35.7%S-3 cols 6 ÷ 8
- Medicaid share of days
- 3.4%S-3 cols 7 ÷ 8
Who owns it
- COXHEALTH100%
Related organizations on its own cost report: LESTER E COX ME, hospital; COX HOME PARENT, home health; COX INSURANCE C, health insuranc; COX HEALTH PLAN, health insuranc; COX REGIONAL SE, billing service.
Other hospitals with the same owner: Cox Medical Centers (MO), Cox Medical Center Branson (MO), Cox Monett Hospital (MO).
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Cox Barton County Hospital (employer identification number 823300758) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,981,802 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $645,809 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $0 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $645,809 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,335,993 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0712 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202402279349303165. 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 261325. 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 10, 2026.