CCN 450132ECTOR CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)230 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Odessa, TX. It ran an operating loss of 15.3% in FY25 on $326.8M of operating revenue. It held 77 days of cash on hand (66th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -0.2% in FY20 to -15.3% in FY25, though it rose 1.8 points in the most recent year. Including nonoperating items, the all-in result was positive at 2.5%.
Operating margin · FY25
-15.3%
▲ 1.8 pts vs FY24
vs Urban PPS hospitals14th pctl of 1,475 (FY25)
Days cash on hand · FY25
77d
all sources
▼ 19.2 days vs FY24
vs Urban PPS hospitals66th pctl of 1,386 (FY25)
Total operating revenue · FY25
$326.8M
▲ 15.6 $M vs FY24
vs Urban PPS hospitals55th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.5%
▼ 3.1 pts vs FY24
vs Urban PPS hospitals36th pctl of 1,475 (FY25)
One point of operating margin at MEDICAL CENTER HOSPITAL is about $3.3M per year (1% of FY25 total operating revenue).
Where MEDICAL CENTER HOSPITAL 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 hospitalMEDICAL CENTERUrban 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
247,090
270,947
280,413
Other operating revenue
40,463
40,308
46,422
Total operating revenue
287,553
311,254
326,835
Total operating expenses
351,828
364,517
376,931
Operating income
(64,275)
(53,263)
(50,096)
Operating margin %
-22.4%
-17.1%
-15.3%
Grants & contributions
78,379
78,609
84,770
Investment income
(19,784)
(25,690)
(28,209)
Other non-operating, net
4,538
21,970
3,254
Net income
(1,142)
21,626
9,719
Net income %
-0.3%
+5.6%
+2.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23 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 230-bed hospital at 64% occupancy 46% 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
63.9%
Verified fact2025
HCRIS WS S-3
Average daily census
147.49
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
230
Verified fact2025
HCRIS WS S-3
Annual discharges
14,294
Verified fact2025
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
46.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,798
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$37.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.222
Better than the 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
1.11
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.283882
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
ECTOR County, TX · metro, under 250K
Median household income
$71.0K
vs $82.1K US · $59.7K rural median
Poverty rate
15.3%
vs 12.5% US · 14.3% rural median
Uninsured
21.6%
vs 8.6% US · 8.4% rural median
Age 65+
9.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 17.3% arrives as government transfers (BEA, 2022).
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