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Short-term acute care hospital · Nacogdoches, Texas · 192 beds · CMS certification number 450508

NCHD Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 8, 2025. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$41.5M
$41,513,299 · G-3 line 3
Operating expenses
$64.5M
$64,477,352 · G-3 line 4
Result from patient care
−$23.0M
−$22,964,053 · G-3 line 5
Margin on patient care
−55.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $40.3M in its first year on file (1997) to $41.5M in 2025.
  • Its result from patient care: −$13.4M (2023), −$7.0M (2024), −$23.0M (2025).
  • None of the 5 short-term acute care hospital peers below with a margin on file reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.3% of its inpatient days and Medicare for 27.4%.

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

29 years of filings

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

Net patient revenueOperating expenses
1997
settled
$40.3M
$44.7M
1998
settled
$41.3M
$47.6M
1999
settled with audit
$38.5M
$47.9M
2000
as submitted
$39.1M
$49.5M
2001
settled with audit
$42.2M
$54.7M
2002
settled with audit
$45.0M
$60.7M
2003
settled
$48.9M
$65.9M
2004
settled with audit
$54.0M
$73.5M
2005
settled with audit
$54.8M
$74.6M
2006
reopened
$62.8M
$80.3M
2007
reopened
$63.8M
$83.8M
2008
settled with audit
$63.3M
$87.8M
2009
reopened
$64.0M
$94.0M
2010
reopened
$65.1M
$92.3M
2011
reopened
$58.0M
$93.9M
2012
reopened
$56.5M
$89.2M
2013
reopened
$59.7M
$83.2M
2014
reopened
$59.0M
$79.8M
2015
settled
$61.4M
$84.7M
2016
settled
$64.5M
$90.1M
2017
settled
$63.6M
$94.5M
2018
settled
$54.8M
$84.0M
2019
settled
$56.1M
$78.7M
2020
settled
$47.0M
$73.9M
2021
settled
$60.4M
$79.6M
2022
settled
$54.4M
$70.9M
2023
settled
$62.5M
$76.0M
2024
as submitted
$25.3M
$32.2M
2025
as submitted
$41.5M
$64.5M

Beside its peers

Short-term acute care hospitals in Texas with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
NCHD Memorial Hospital192$41,513,299$64,477,352−55.3%
Baylor Scott & White Medical Center - McKinney, Mckinney192$356,328,503$300,625,03915.6%
Doctors Hospital of Laredo, Laredo183$233,837,373$207,285,34811.3%
HCA Houston Healthcare Tomball, Tomball194$234,546,640$231,915,5131.1%
Round Rock Medical Center, Round Rock195$370,010,946$288,213,67922.1%
Texas Health Heb, Bedford195$351,401,316$336,477,4234.3%

Patients and payers

Discharges
1,587
S-3 line 14, col 15
Inpatient days
6,579
S-3 line 14, col 8
Beds in use, on an average day
18.1
days ÷ days in year
Occupancy
9.4%
days ÷ bed days
Medicare share of days
27.4%
S-3 cols 6 ÷ 8
Medicaid share of days
0.3%
S-3 cols 7 ÷ 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 HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 450508. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 8, 2025.