Astrelis
Urban PPS hospital · Tyler, TX

CHRISTUS MOTHER FRANCES HOSPITAL

CCN 450102SMITH CountyVoluntary non-profit - PrivateUrban (USDA RUCC)346 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Tyler, TX. It ran an operating loss of 22.4% in FY25 on $1142.0M of operating revenue. It held 21 days of cash on hand (49th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 2.1% in FY21 to -22.4% in FY25. Including nonoperating items, the all-in result was positive at 1.0%.

Operating margin · FY25
-22.4%
7.2 pts vs FY24
vs Urban PPS hospitals9th pctl of 1,475 (FY25)
Days cash on hand · FY25
21d
all sources
2.7 days vs FY24
vs Urban PPS hospitals49th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.14B
21.0 $M vs FY24
vs Urban PPS hospitals89th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+1.0%
0.5 pts vs FY24
vs Urban PPS hospitals30th pctl of 1,475 (FY25)
One point of operating margin at CHRISTUS MOTHER FRANCES HOSPITAL is about $11.4M per year (1% of FY25 total operating revenue).

Where CHRISTUS MOTHER FRANCES 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%CHRISTUS MOTHER -22.352300688561588%-20%0%+20%Urban PPS hospital median +1.3311360264910879%CHRISTUS MOTHER -22.352300688561588%
One urban pps hospitalCHRISTUS MOTHERUrban 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
-22.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+1.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
21d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
6.72× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
91% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
45d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue971,638982,7801,010,086
Other operating revenue129,552138,159131,874
Total operating revenue1,101,1901,120,9391,141,960
Total operating expenses1,136,6901,291,0281,397,215
Operating income(35,500)(170,090)(255,254)
Operating margin %-3.2%-15.2%-22.4%
Grants & contributions63949886
Investment income7,99810,81812,411
Other non-operating, net117,975178,080256,300
Net income91,11219,30613,543
Net income %+7.4%+1.5%+1.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, 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 346-bed hospital at 89% occupancy 59% 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
88.6%
Verified fact2025
HCRIS WS S-3
Average daily census
307.52
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
346
Verified fact2025
HCRIS WS S-3
Annual discharges
33,564
Verified fact2025
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
58.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,788
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.108
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.6%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.82513
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+2.1%-0.4%-3.2%-15.2%-22.4%FY21FY22FY23FY24FY25
Days cash on hand
37 days31 days28 days24 days21 daysFY21FY22FY23FY24FY25

The county this hospital serves

SMITH County, TX
Median household income
$71.9K
vs $82.1K US · $59.7K rural median
Poverty rate
12.2%
vs 12.5% US · 14.3% rural median
Uninsured
16.7%
vs 8.6% US · 8.4% rural median
Age 65+
17.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 18.5% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-23