Astrelis
Urban PPS hospital · Waco, TX

BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST

CCN 450101MC LENNAN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)182 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Waco, TX. It ran an operating surplus of 1.0% in FY25 on $580.5M of operating revenue. It held 254 days of cash on hand (88th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.8% in FY21 to 1.0% in FY25.

Operating margin · FY25
+1.0%
1.9 pts vs FY24
vs Urban PPS hospitals49th pctl of 1,475 (FY25)
Days cash on hand · FY25
254d
all sources
19.5 days vs FY24
vs Urban PPS hospitals88th pctl of 1,386 (FY25)
Total operating revenue · FY25
$580.5M
54.5 $M vs FY24
vs Urban PPS hospitals75th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+15.6%
5.0 pts vs FY24
vs Urban PPS hospitals79th pctl of 1,475 (FY25)
One point of operating margin at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST is about $5.8M per year (1% of FY25 total operating revenue).

Where BAYLOR SCOTT & 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%BAYLOR SCOTT +1.0413433318645826%-20%0%+20%Urban PPS hospital median +1.3311360264910879%BAYLOR SCOTT +1.0413433318645826%
One urban pps hospitalBAYLOR SCOTTUrban 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
+1.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+15.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
254d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
4.83× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
64% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
40d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue464,843519,891563,530
Other operating revenue16,0196,17017,008
Total operating revenue480,862526,061580,539
Total operating expenses495,761530,697574,493
Operating income(14,899)(4,636)6,045
Operating margin %-3.1%-0.9%+1.0%
Grants & contributions559555173
Investment income5,20519,83424,157
Other non-operating, net48,51047,36675,794
Net income39,37563,119106,169
Net income %+7.4%+10.6%+15.6%
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 182-bed hospital at 77% occupancy 63% 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
76.7%
Verified fact2025
HCRIS WS S-3
Average daily census
139.98
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
182
Verified fact2025
HCRIS WS S-3
Annual discharges
14,785
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
63.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,987
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.257
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
1.04
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.843691
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-3.8%-5.1%-3.1%-0.9%+1.0%FY21FY22FY23FY24FY25
Days cash on hand
228 days204 days207 days235 days254 daysFY21FY22FY23FY24FY25

The county this hospital serves

MC LENNAN County, TX
Median household income
$63.9K
vs $82.1K US · $59.7K rural median
Poverty rate
17.1%
vs 12.5% US · 14.3% rural median
Uninsured
13.8%
vs 8.6% US · 8.4% rural median
Age 65+
15.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.9% of county personal income is Medicare/Medicaid medical benefits; 22.6% arrives as government transfers (BEA, 2022).

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