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Critical access hospital · Comanche, Texas · 20 beds · CMS certification number 451382

Comanche County Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 30, 2026. Fourteen years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$35.4M
$35,421,154 · G-3 line 3
Operating expenses
$63.9M
$63,942,105 · G-3 line 4
Result from patient care
−$28.5M
−$28,520,951 · G-3 line 5
Margin on patient care
−80.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $14.0M in its first year on file (2012) to $35.4M in 2025.
  • Its result from patient care: −$11.4M (2023), −$17.7M (2024), −$28.5M (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.

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

Fourteen years of filings

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

Net patient revenueOperating expenses
2012
settled
$14.0M
$15.3M
2013
settled
$21.4M
$21.9M
2014
settled
$17.7M
$22.2M
2015
settled
$17.7M
$22.5M
2016
settled with audit
$16.2M
$22.8M
2017
settled
$16.4M
$21.6M
2018
settled
$17.9M
$23.1M
2019
settled
$21.4M
$28.2M
2020
settled
$28.3M
$37.1M
2021
settled
$24.6M
$40.4M
2022
settled
$29.6M
$42.8M
2023
as submitted
$38.7M
$50.0M
2024
as submitted
$40.1M
$57.8M
2025
as submitted
$35.4M
$63.9M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Comanche County Medical Center20$35,421,154$63,942,105−80.5%
Coon Memorial Hospital, Dalhart21$20,242,817$30,953,796−52.9%
Limestone Medical Center, Groesbeck20$25,584,894$30,361,093−18.7%
Refugio County Memorial Hospital District, Refugio20$15,117,395$20,799,027−37.6%
Rice Medical Center, Eagle Lake21$26,428,356$24,884,3255.8%
Stonewall Memorial Hospital District, Aspermont20$9,913,226$12,319,473−24.3%

Patients and payers

Discharges
345
S-3 line 14, col 15
Inpatient days
1,662
S-3 line 14, col 8
Beds in use, on an average day
4.6
days ÷ days in year
Occupancy
22.8%
days ÷ bed days
Medicare share of days
61.2%
S-3 cols 6 ÷ 8

Who owns it

Indirect owner: COMANCHE COUNTY MEDICAL CENTER COMPANY

Type of control on its cost report: voluntary nonprofit, other.

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Comanche County Medical Center Company (employer identification number 273993262) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$2,772,151IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$1,833,935IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$224,444IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$2,191,401IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$580,750IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0554IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202443169349302414. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 451382. 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 June 30, 2026.