CCN 450155DEAF SMITH CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)30 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Hereford, TX. It ran an operating loss of 69.8% in FY25 on $20.3M of operating revenue. It held 314 days of cash on hand (92nd percentile among Rural PPS hospitals on liquidity). Operating margin improved from -71.3% in FY20 to -69.8% in FY25, though it fell 0.9 points in the most recent year. Including nonoperating items, the all-in result was positive at 7.5%.
Operating margin · FY25
-69.8%
▼ 0.9 pts vs FY23
vs Rural PPS hospitals1st pctl of 387 (FY24)
Days cash on hand · FY25
314d
all sources
▲ 31.3 days vs FY24
vs Rural PPS hospitals92nd pctl of 376 (FY24)
Total operating revenue · FY25
$20.3M
▲ 3.6 $M vs FY24
vs Rural PPS hospitals9th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
+7.5%
▲ 1.1 pts vs FY23
vs Rural PPS hospitals64th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at HEREFORD REGIONAL MEDICAL CENTER is about $203K per year (1% of FY25 total operating revenue).
Where HEREFORD REGIONAL MEDICAL sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalHEREFORD REGIONALRural 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
18,632
16,647
17,979
Other operating revenue
(3)
9
2,299
Total operating revenue
18,629
16,656
20,279
Total operating expenses
31,467
33,577
34,431
Operating income
(12,838)
(16,921)
(14,152)
Operating margin %
-68.9%
-101.6%
-69.8%
Grants & contributions
6,430
6,903
7,074
Investment income
1,099
1,388
1,256
Other non-operating, net
7,475
8,445
8,639
Net income
2,166
(185)
2,817
Net income %
+6.4%
-0.6%
+7.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY24 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 30-bed hospital at 6% occupancy where swing beds are 38% of the inpatient business and 87% 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
5.7%
Verified fact2025
HCRIS WS S-3
Average daily census
1.71
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
30
Verified fact2025
HCRIS WS S-3
Annual discharges
201
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.04
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
37.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
86.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
196.10
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
23.8%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$7.3M
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
14.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
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
DEAF SMITH County, TX · nonmetro, urban 5–20K, metro-adjacent
Median household income
$54.1K
vs $82.1K US · $59.7K rural median
Poverty rate
15.8%
vs 12.5% US · 14.3% rural median
Uninsured
20.4%
vs 8.6% US · 8.4% rural median
Age 65+
13.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
32.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.7% of county personal income is Medicare/Medicaid medical benefits; 18.4% arrives as government transfers (BEA, 2022).
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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