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Critical access hospital · Olney, Texas · 25 beds · CMS certification number 451354

Hamilton Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended February 28, 2026, as submitted, stamped by CMS July 24, 2026. 22 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2026 at a glance

Net patient revenue
$18.4M
$18,363,853 · G-3 line 3
Operating expenses
$23.5M
$23,500,251 · G-3 line 4
Result from patient care
−$5.1M
−$5,136,398 · G-3 line 5
Margin on patient care
−28.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $5.7M in its first year on file (2005) to $18.4M in 2026.
  • Its result from patient care: −$5.4M (2024), −$6.4M (2025), −$5.1M (2026).
  • 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2026.

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

22 years of filings

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

Net patient revenueOperating expenses
2005
settled
$5.7M
$6.3M
2006
settled
$8.0M
$9.2M
2007
reopened
$7.9M
$9.1M
2008
settled
$7.5M
$8.6M
2009
settled
$7.1M
$8.5M
2010
settled with audit
$8.5M
$9.4M
2011
settled
$8.8M
$10.2M
2012
reopened
$8.6M
$10.4M
2013
reopened
$7.2M
$9.8M
2014
reopened
$8.4M
$10.7M
2015
settled
$8.3M
$10.8M
2016
reopened
$8.8M
$11.6M
2017
settled
$9.1M
$12.7M
2018
settled
$10.7M
$13.7M
2019
settled
$9.9M
$13.6M
2020
settled
$8.6M
$13.4M
2021
settled
$7.9M
$14.0M
2022
settled
$9.8M
$15.0M
2023
settled
$12.1M
$16.5M
2024
settled
$13.2M
$18.6M
2025
as submitted
$15.7M
$22.1M
2026
as submitted
$18.4M
$23.5M

Beside its peers

Hospitals of the same type (critical access hospital), nearest in size, from Texas first; each on fiscal year 2026.

HospitalBedsNet patient revenueOperating expensesMargin
Hamilton Hospital25$18,363,853$23,500,251−28.0%
Bleckley Memorial Hosp, Cochran (GA)25$15,951,866$14,119,37811.5%
Chicot Memorial Medical Center, Lake Village (AR)25$15,205,743$20,279,909−33.4%
Heart of Texas Memorial Hospital, Brady14$13,850,838$18,236,870−31.7%
Massac Memorial Hospital, Metropolis (IL)25$35,179,695$37,092,375−5.4%
Wills Memorial Hospital, Washington (GA)25$15,817,548$18,006,500−13.8%

Patients and payers

Discharges
222
S-3 line 14, col 15
Inpatient days
2,737
S-3 line 14, col 8
Beds in use, on an average day
7.5
days ÷ days in year
Occupancy
30.0%
days ÷ bed days
Medicare share of days
67.6%
S-3 cols 6 ÷ 8

Who owns it

Related organizations on its own cost report: OLNEY HOME OFFI (100%).

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 451354. 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 July 24, 2026.