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Critical access hospital · Refugio, Texas · 20 beds · CMS certification number 451317

Refugio County Memorial Hospital District

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 5, 2026. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$15.1M
$15,117,395 · G-3 line 3
Operating expenses
$20.8M
$20,799,027 · G-3 line 4
Result from patient care
−$5.7M
−$5,681,632 · G-3 line 5
Margin on patient care
−37.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $4.4M in its first year on file (2001) to $15.1M in 2025.
  • Its result from patient care: −$4.8M (2023), −$7.9M (2024), −$5.7M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
settled with audit
$4.4M
$7.0M
2002
reopened
$5.6M
$8.4M
2003
reopened
$5.5M
$8.3M
2004
reopened
$6.1M
$8.7M
2005
reopened
$6.4M
$8.4M
2006
reopened
$6.0M
$9.4M
2007
reopened
$6.4M
$9.7M
2008
reopened
$6.3M
$10.4M
2009
settled
$7.9M
$11.5M
2010
settled
$7.5M
$11.5M
2011
settled
$9.2M
$11.9M
2012
as submitted
$9.1M
$12.3M
2013
settled
$7.1M
$12.2M
2014
settled
$7.8M
$13.2M
2015
settled
$7.5M
$14.1M
2016
settled
$9.2M
$14.4M
2017
settled
$8.3M
$13.7M
2018
settled
$9.1M
$14.5M
2019
settled
$9.0M
$13.4M
2020
settled
$9.2M
$14.1M
2021
settled
$10.9M
$13.9M
2022
settled
$11.4M
$16.3M
2023
settled
$14.3M
$19.0M
2024
as submitted
$12.9M
$20.8M
2025
as submitted
$15.1M
$20.8M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Refugio County Memorial Hospital District20$15,117,395$20,799,027−37.6%
CHRISTUS Mother Frances Hospital - Jacksonville, Jacksonville23$93,957,128$80,960,26213.8%
Coon Memorial Hospital, Dalhart21$20,242,817$30,953,796−52.9%
Limestone Medical Center, Groesbeck20$25,584,894$30,361,093−18.7%
Rice Medical Center, Eagle Lake21$26,428,356$24,884,3255.8%
Stonewall Memorial Hospital District, Aspermont20$9,913,226$12,319,473−24.3%

Patients and payers

Discharges
50
S-3 line 14, col 15
Inpatient days
1,192
S-3 line 14, col 8
Beds in use, on an average day
3.3
days ÷ days in year
Occupancy
16.3%
days ÷ bed days
Medicare share of days
49.4%
S-3 cols 6 ÷ 8

Who owns it

Type of control on its cost report: governmental, hospital district.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 451317. 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 June 5, 2026.