Short-term acute care hospital · Round Rock, Texas · 195 beds · CMS certification number 450718
Round Rock Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended February 28, 2026, as submitted, stamped by CMS August 7, 2026. 30 years on file, every one shown below.
Fiscal 2026 at a glance
What stands out
- Net patient revenue rose from $15.6M in its first year on file (1996) to $397.5M in 2026.
- Its result from patient care: $93.5M (2024), $81.8M (2025), $105.9M (2026).
- 4 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2026.
- Medicaid paid for 2.2% of its inpatient days and Medicare for 25.1%.
- FRISCO HOLDING II holds 16% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
30 years of filings
Net patient revenue against operating expenses, each year as filed.
settled
settled
as submitted
as submitted
as submitted
reopened
settled
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
settled
settled
settled
settled
settled
settled
settled
settled
settled
amended
as submitted
Beside its peers
Hospitals of the same type (short-term acute care hospital), nearest in size, from Texas first; each on fiscal year 2026.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Round Rock Medical Center | 195 | $397,512,164 | $291,638,464 | 26.6% |
| Baylor Scott & White Medical Center - Frisco at Pga Parkway, Frisco | 84 | $61,109,032 | $79,037,084 | −29.3% |
| Medical City Alliance, Fort Worth | 130 | $249,801,174 | $171,845,941 | 31.2% |
| Medical City Fort Worth, Fort Worth | 225 | $489,491,381 | $359,851,837 | 26.5% |
| Valley Regional Medical Center, Brownsville | 214 | $243,525,377 | $128,383,515 | 47.3% |
| The Woman's Hospital of Texas, Houston | 224 | $444,465,041 | $82,429,332 | 81.5% |
Patients and payers
- Discharges
- 12,908S-3 line 14, col 15
- Inpatient days
- 61,233S-3 line 14, col 8
- Beds in use, on an average day
- 168.2days ÷ days in year
- Occupancy
- 86.0%days ÷ bed days
- Medicare share of days
- 25.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 2.2%S-3 cols 7 ÷ 8
Who owns it
- FRISCO HOLDING II16%
- HERCULES HOLDING II14%
Indirect owners: COL-NAMC HOLDINGS INC; COLUMBIA-SDH HOLDINGS INC; GALEN HOLDCO LLC; GALTEX LLC; HCA HEALTH SERVICES OF TEXAS INC; HCA HEALTHCARE INC; HCA INC; HCA SQUARED LLC; HEALTHSERV ACQUISITION LLC; HEALTHTRUST INC - THE HOSPITAL COMPANY; HOSPITAL CORP LLC; MEDICAL CITY DALLAS HOSPITAL INC; NOTCO, LLC; ROUND ROCK HOSPITAL INC; ST. DAVID'S FOUNDATION
Related organizations on its own cost report: HCA INC, healthcare mgmt; ST DAVIDS HEALTHCARE PART, healthcare mgmt; HPG, medical supplie; HCI, insurance.
Other hospitals with the same owner: Alaska Regional Hospital (AK), Riverside Community Hospital (CA), Good Samaritan Hospital (CA), Los Robles Hospital and Medical Center (CA), HCA Healthone Presbyterian St. Luke's Hospital (CO), HCA Healthone Rose Hospital (CO), HCA Healthone Swedish Hospital (CO), HCA Healthone Mountain Ridge Hospital (CO), HCA Healthone Aurora Hospital (CO).
Type of control on its cost report: proprietary, partnership.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Follow this hospital, free
We send this record now and tell you when it files again.
More short-term acute care hospitals in Texas
From the publisher of Velarion Records
Velarion Intel
Independent Decision-Grade Intelligence
Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 450718. 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 August 7, 2026.