Velarion Records

Critical access hospital · Shamrock, Texas · 25 beds · CMS certification number 451340

Shamrock General Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended March 31, 2025, as submitted, stamped by CMS September 11, 2025. 23 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$5.1M
$5,146,724 · G-3 line 3
Operating expenses
$8.9M
$8,887,661 · G-3 line 4
Result from patient care
−$3.7M
−$3,740,937 · G-3 line 5
Margin on patient care
−72.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $987K in its first year on file (2003) to $5.1M in 2025.
  • Its result from patient care: −$2.6M (2023), −$3.7M (2024), −$3.7M (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.
  • DONALD A FREEMAN holds 51% of it, on its Medicare enrollment.

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

23 years of filings

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

Net patient revenueOperating expenses
2003
as submitted
$987K
$1.6M
2004
settled
$3.0M
$3.9M
2005
reopened
$3.2M
$4.2M
2006
reopened
$3.4M
$4.4M
2007
settled
$3.1M
$4.6M
2008
settled
$3.0M
$4.8M
2009
settled
$3.0M
$4.8M
2010
settled
$2.7M
$5.0M
2011
settled
$2.6M
$4.9M
2012
settled
$2.6M
$5.5M
2013
settled
$2.6M
$6.0M
2014
settled
$2.8M
$6.6M
2015
settled
$2.8M
$7.0M
2016
settled
$2.8M
$7.1M
2017
settled
$2.7M
$6.5M
2018
settled
$3.0M
$7.2M
2019
settled
$3.1M
$7.6M
2020
settled
$3.1M
$8.2M
2021
settled
$4.4M
$8.1M
2022
settled
$2.9M
$4.2M
2023
settled
$4.5M
$7.1M
2024
settled
$4.5M
$8.2M
2025
as submitted
$5.1M
$8.9M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Shamrock General Hospital25$5,146,724$8,887,661−72.7%
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
20
S-3 line 14, col 15
Inpatient days
390
S-3 line 14, col 8
Beds in use, on an average day
1.1
days ÷ days in year
Occupancy
4.3%
days ÷ bed days
Medicare share of days
88.7%
S-3 cols 6 ÷ 8

Who owns it

  • DONALD A FREEMAN51%

Related organizations on its own cost report: PREFERRED MANAG (100%); S WHEELER CNTY (100%); CCSI (100%); CCSI (100%).

Type of control on its cost report: proprietary, corporation.

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 critical access 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.

See what Intel shows

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 451340. 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 HOSP10FY2024.ZIP, read September 11, 2025.