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Critical access hospital · Colby, Kansas · 23 beds · CMS certification number 171362

Citizens Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS May 11, 2026. 23 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$61.4M
$61,350,076 · G-3 line 3
Operating expenses
$76.4M
$76,426,370 · G-3 line 4
Result from patient care
−$15.1M
−$15,076,294 · G-3 line 5
Margin on patient care
−24.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.6M in its first year on file (2003) to $61.4M in 2025.
  • Its result from patient care: −$7.6M (2023), −$11.1M (2024), −$15.1M (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 8.5% of its inpatient days and Medicare for 54.3%.

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 with audit
$4.6M
$4.4M
2004
settled
$14.0M
$14.3M
2005
settled with audit
$14.2M
$14.4M
2006
settled
$16.2M
$15.9M
2007
settled with audit
$18.6M
$18.3M
2008
settled
$21.3M
$20.2M
2009
settled
$21.1M
$21.1M
2010
settled
$20.9M
$21.0M
2011
settled with audit
$22.0M
$21.7M
2012
reopened
$23.2M
$22.5M
2013
reopened
$23.8M
$23.7M
2014
settled
$26.1M
$26.7M
2015
settled
$28.6M
$29.9M
2016
settled
$30.2M
$34.0M
2017
settled
$33.3M
$34.4M
2018
settled
$37.4M
$39.0M
2019
settled
$39.7M
$42.4M
2020
settled
$39.1M
$45.6M
2021
settled
$46.9M
$50.0M
2022
settled
$49.5M
$56.4M
2023
settled
$57.3M
$64.9M
2024
settled
$60.3M
$71.5M
2025
as submitted
$61.4M
$76.4M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Citizens Medical Center23$61,350,076$76,426,370−24.6%
Clay County Medical Center, Clay Center23$38,250,290$42,220,597−10.4%
Community Memorial Healthcare, Marysville23$22,697,132$30,000,903−32.2%
Goodland Regional Medical Center, Goodland24$25,347,054$29,045,978−14.6%
Rooks County Health Center, Plainville22$20,874,133$24,967,367−19.6%
Satanta District Hospital, Satanta23$14,904,420$17,622,782−18.2%

Patients and payers

Discharges
587
S-3 line 14, col 15
Inpatient days
3,796
S-3 line 14, col 8
Beds in use, on an average day
10.4
days ÷ days in year
Occupancy
45.2%
days ÷ bed days
Medicare share of days
54.3%
S-3 cols 6 ÷ 8
Medicaid share of days
8.5%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Citizens Medical Center Inc (employer identification number 480892178) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$2,246,387IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$632,279IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,394,414IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$2,026,693IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$219,694IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0347IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202433209349329103. 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 171362. 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 11, 2026.