Velarion Records

Critical access hospital · Richmond, Missouri · 25 beds · CMS certification number 261327

Ray County Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended October 31, 2025, as submitted, stamped by CMS May 6, 2026. Twenty years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$26.4M
$26,392,752 · G-3 line 3
Operating expenses
$30.5M
$30,451,169 · G-3 line 4
Result from patient care
−$4.1M
−$4,058,417 · G-3 line 5
Margin on patient care
−15.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $22.1M in its first year on file (2006) to $26.4M in 2025.
  • Its result from patient care: −$2.0M (2023), −$3.2M (2024), −$4.1M (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 39.7%.

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

Twenty years of filings

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

Net patient revenueOperating expenses
2006
settled
$22.1M
$21.5M
2007
settled
$20.0M
$18.0M
2008
settled with audit
$18.5M
$18.7M
2009
settled
$20.5M
$19.9M
2010
settled
$20.9M
$19.6M
2011
settled
$21.7M
$21.2M
2012
settled
$21.0M
$21.1M
2013
reopened
$22.7M
$22.0M
2014
settled
$22.7M
$20.1M
2015
settled
$25.6M
$21.2M
2016
settled
$26.9M
$22.0M
2017
settled
$25.7M
$23.6M
2018
settled
$27.3M
$26.3M
2019
settled
$26.8M
$26.8M
2020
settled
$23.9M
$25.9M
2021
settled
$24.1M
$25.6M
2022
settled
$24.3M
$26.6M
2023
settled
$22.9M
$24.9M
2024
settled
$25.2M
$28.5M
2025
as submitted
$26.4M
$30.5M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Ray County Memorial Hospital25$26,392,752$30,451,169−15.4%
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
155
S-3 line 14, col 15
Inpatient days
1,377
S-3 line 14, col 8
Beds in use, on an average day
3.8
days ÷ days in year
Occupancy
15.1%
days ÷ bed days
Medicare share of days
39.7%
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.

Follow this hospital, free

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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 261327. 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 May 6, 2026.