A hospital in Victoria, TX. It ran an operating loss of 17.6% in FY25 on $181.6M of operating revenue. It held 18 days of cash on hand (47th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -6.5% in FY21 to -17.6% in FY25.
Operating margin · FY25
-17.6%
▼ 7.6 pts vs FY24
vs Urban PPS hospitals12th pctl of 1,475 (FY25)
Days cash on hand · FY25
18d
all sources
▼ 48.6 days vs FY24
vs Urban PPS hospitals47th pctl of 1,386 (FY25)
Total operating revenue · FY25
$181.6M
▼ 6.1 $M vs FY24
vs Urban PPS hospitals36th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-5.5%
▼ 6.9 pts vs FY24
vs Urban PPS hospitals15th pctl of 1,475 (FY25)
One point of operating margin at CITIZENS MEDICAL CENTER is about $1.8M per year (1% of FY25 total operating revenue).
Where CITIZENS MEDICAL CENTER 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.
One urban pps hospitalCITIZENS MEDICALUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
174,012
183,429
183,641
Other operating revenue
(3,805)
4,228
(2,054)
Total operating revenue
170,207
187,657
181,587
Total operating expenses
195,332
206,534
213,601
Operating income
(25,124)
(18,877)
(32,014)
Operating margin %
-14.8%
-10.1%
-17.6%
Grants & contributions
1,200
4,050
2,266
Investment income
11,668
11,925
12,844
Other non-operating, net
7,477
5,736
5,689
Net income
(4,779)
2,834
(11,215)
Net income %
-2.5%
+1.4%
-5.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 264-bed hospital at 30% occupancy 65% 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
29.6%
Verified fact2025
HCRIS WS S-3
Average daily census
78.35
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
264
Verified fact2025
HCRIS WS S-3
Annual discharges
7,680
Verified fact2025
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
64.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,129
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.483
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.22
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.903621
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
VICTORIA County, TX
Median household income
$70.1K
vs $82.1K US · $59.7K rural median
Poverty rate
16.0%
vs 12.5% US · 14.3% rural median
Uninsured
16.8%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.1% of county personal income is Medicare/Medicaid medical benefits; 24.8% arrives as government transfers (BEA, 2022).
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