This is a Hyper-V hypervisor host on a private VLAN three layers behind the internet and two layers behind the users locked in a room with no console access other than via an ILO card on yet another VLAN.
There has only been one KB which infers a security problem and that has had alternative mitigation put in place.
Not rebooting your server doesn't imply incompetence or disregard to security.
It must be great to know no-one within your environment will ever do anything wrong. Or download anything that will do anything wrong. Or visit any websites than can hijack your browser into doing anything wrong.
Being 'private' only means you don't get hit by drive-by scans from the Internet. There are (depending on configuration) plenty of opportunities for internal attacks, for example the workstation being used to access the boxes. Not to mention removable media (usb, cd-rom) or files copied onto those otherwise isolated hosts could be infected.
Patching servers is just good practice. As is designing a system that can handle rebooting individual servers without user-facing downtime.
http://i.imgur.com/5ZxiLGf.png