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Critical access hospital · Hamilton, Texas · 25 beds · CMS certification number 451392

Hamilton General Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 12, 2026. Seven years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$46.1M
$46,135,960 · G-3 line 3
Operating expenses
$54.1M
$54,147,453 · G-3 line 4
Result from patient care
−$8.0M
−$8,011,493 · G-3 line 5
Margin on patient care
−17.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $24.0M in its first year on file (2019) to $46.1M in 2025.
  • Its result from patient care: −$10.9M (2023), −$7.3M (2024), −$8.0M (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.
  • HAMILTON COUNTY HOSPITAL DISTRICT holds 100% of it, on its Medicare enrollment.

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

Seven years of filings

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

Net patient revenueOperating expenses
2019
settled
$24.0M
$31.7M
2020
settled
$22.0M
$34.0M
2021
settled
$31.3M
$41.0M
2022
settled
$36.9M
$45.7M
2023
settled
$40.4M
$51.2M
2024
as submitted
$45.4M
$52.7M
2025
as submitted
$46.1M
$54.1M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Hamilton General Hospital25$46,135,960$54,147,453−17.4%
Adventhealth Rollins Brook, Lampasas25$26,570,632$26,570,2010.0%
Medina Regional Hospital, Hondo25$42,579,822$44,577,255−4.7%
Parmer Medical Center, Friona25$10,594,221$12,818,382−21.0%
Riceland Medical Center, Winnie25$49,936,224$50,202,035−0.5%
W.J. Mangold Memorial Hospital, Lockney25$8,237,243$12,715,790−54.4%

Patients and payers

Discharges
341
S-3 line 14, col 15
Inpatient days
2,729
S-3 line 14, col 8
Beds in use, on an average day
7.5
days ÷ days in year
Occupancy
29.9%
days ÷ bed days
Medicare share of days
34.3%
S-3 cols 6 ÷ 8

Who owns it

  • HAMILTON COUNTY HOSPITAL DISTRICT100%

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

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 451392. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 12, 2026.