Astrelis
Urban PPS hospital · Kerrville, TX

PETERSON REGIONAL MEDICAL CENTER

CCN 450007KERR CountyVoluntary non-profit - Private88 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Kerrville, TX. It ran an operating surplus of 5.2% in FY25 on $209.4M of operating revenue. It held 354 days of cash on hand (94th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 5.8% in FY21 to 5.2% in FY25, though it rose 3.7 points in the most recent year.

Operating margin · FY25
+5.2%
3.7 pts vs FY24
vs Urban PPS hospitals61st pctl of 1,475 (FY25)
Days cash on hand · FY25
354d
all sources
13.8 days vs FY24
vs Urban PPS hospitals94th pctl of 1,386 (FY25)
Total operating revenue · FY25
$209.4M
30.0 $M vs FY24
vs Urban PPS hospitals41st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+18.2%
2.1 pts vs FY24
vs Urban PPS hospitals84th pctl of 1,475 (FY25)
One point of operating margin at PETERSON REGIONAL MEDICAL CENTER is about $2.1M per year (1% of FY25 total operating revenue).

Where PETERSON REGIONAL MEDICAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%PETERSON REGIONAL +5.2018662465956%-20%0%+20%Urban PPS hospital median +1.3311360264910879%PETERSON REGIONAL +5.2018662465956%
One urban pps hospitalPETERSON REGIONALUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+5.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
354d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.55× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
81% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
29d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue156,805168,710207,711
Other operating revenue7,75310,6121,651
Total operating revenue164,558179,322209,361
Total operating expenses172,402176,622198,471
Operating income(7,845)2,70010,891
Operating margin %-4.8%+1.5%+5.2%
Grants & contributions1706196
Investment income14,15722,31020,095
Other non-operating, net16,04719,95214,452
Net income22,52945,02345,534
Net income %+11.6%+20.3%+18.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 88-bed hospital at 53% occupancy 69% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
53.3%
Verified fact2025
HCRIS WS S-3
Average daily census
47.03
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
88
Verified fact2025
HCRIS WS S-3
Annual discharges
5,671
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
68.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
975
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.584
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.587471
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+5.8%+3.7%-4.8%+1.5%+5.2%FY21FY22FY23FY24FY25
Days cash on hand
525 days384 days346 days368 days354 daysFY21FY22FY23FY24FY25

The county this hospital serves

KERR County, TX
Median household income
$67.9K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
17.8%
vs 8.6% US · 8.4% rural median
Age 65+
28.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 23.4% arrives as government transfers (BEA, 2022).

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