CCN 450108WILSON CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)40 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Floresville, TX. It ran an operating loss of 8.4% in FY25 on $43.8M of operating revenue. It held 177 days of cash on hand (82nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -11.7% in FY20 to -8.4% in FY25, though it fell 4.9 points in the most recent year. Including nonoperating items, the all-in result was positive at 4.4%.
Operating margin · FY25
-8.4%
▼ 4.9 pts vs FY24
vs Urban PPS hospitals24th pctl of 1,475 (FY25)
Days cash on hand · FY25
177d
all sources
▼ 38.4 days vs FY24
vs Urban PPS hospitals82nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$43.8M
▲ 2.3 $M vs FY24
vs Urban PPS hospitals8th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+4.4%
▼ 5.8 pts vs FY24
vs Urban PPS hospitals43rd pctl of 1,475 (FY25)
One point of operating margin at CONNALLY MEMORIAL MEDICAL CENTER is about $438K per year (1% of FY25 total operating revenue).
Where CONNALLY MEMORIAL 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.
One urban pps hospitalCONNALLY MEMORIALUrban 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
41,955
41,506
43,787
Other operating revenue
12
11
9
Total operating revenue
41,968
41,516
43,796
Total operating expenses
44,017
42,972
47,483
Operating income
(2,050)
(1,456)
(3,687)
Operating margin %
-4.9%
-3.5%
-8.4%
Grants & contributions
5,122
5,052
5,272
Investment income
269
1,169
531
Other non-operating, net
857
132
53
Net income
4,198
4,897
2,169
Net income %
+8.7%
+10.2%
+4.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–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 40-bed hospital at 8% occupancy 93% 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
7.8%
Verified fact2025
HCRIS WS S-3
Average daily census
3.12
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
40
Verified fact2025
HCRIS WS S-3
Annual discharges
444
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
93.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
274.50
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.5%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$1.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.11
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.97629
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
WILSON County, TX · metro, 1M+ population
Median household income
$92.5K
vs $82.1K US · $59.7K rural median
Poverty rate
9.8%
vs 12.5% US · 14.3% rural median
Uninsured
11.3%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.3% of county personal income is Medicare/Medicaid medical benefits; 20.6% arrives as government transfers (BEA, 2022).
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