Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Operating margin: -4.6% in FY2023, the 36th percentile of 2,529 urban pps hospitals in the FY2023 pool. Days cash on hand: 0 days in FY2023, the 9th percentile of 2,446 urban pps hospitals in the FY2023 pool. Total operating revenue: $102.7M in FY2023, the 22nd percentile of 2,561 urban pps hospitals in the FY2023 pool. Total margin (including nonoperating): -4.0% in FY2023, the 21st percentile of 2,530 urban pps hospitals in the FY2023 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Texarkana, TX. It ran an operating loss of 4.6% in FY23 on $102.7M of operating revenue. It held 0 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (9th percentile of 2,446 Urban PPS hospitals on liquidity, FY23 pool). Operating margin declined from -3.1% in FY20 to -39.4% in FY24.
Operating margin · FY23
-4.6%
Astrelis calculation · as-filed inputs
▲ 10.6 pts vs FY22
vs Urban PPS hospitals36th pctl of 2,529 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
0d
all sources
Astrelis calculation · as-filed inputs
▼ 0 days vs FY22
vs Urban PPS hospitals9th pctl of 2,446 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$102.7M
Astrelis calculation · as-filed inputs
▲ $11.0M vs FY22
vs Urban PPS hospitals22nd pctl of 2,561 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-4.0%
Astrelis calculation · as-filed inputs
▲ 3.9 pts vs FY22
vs Urban PPS hospitals21st pctl of 2,530 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at WADLEY REGIONAL MEDICAL CENTER is about $1.0M per year (1% of FY23 total operating revenue).
Where WADLEY REGIONAL MEDICAL sits among Urban PPS hospitals
Operating margin · FY23 pool · n = 2,529 of 2,652 filed
Each point is one Urban PPS hospital in the national FY23 distribution for Urban PPS hospitals, this hospital's comparison cohort, 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 FY23 median is +0.5%. Descriptive context only, not a ranking.
One urban pps hospitalWADLEY REGIONALUrban 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24 · 304 days
Patient revenue
91,636
102,646
65,531
Other operating revenue
83
49
662
Total operating revenue
91,719
102,695
66,193
Total operating expenses
105,681
107,426
92,297
Operating income
(13,962)
(4,731)
(26,104)
Operating margin %
-15.2%
-4.6%
-39.4%
Investment income
1,750
11
—
Other non-operating, net
4,513
621
(7,227)
Net income
(7,700)
(4,099)
(33,331)
Net income %
-7.9%
-4.0%
-43.7%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY24 · Net patient A/R: 16,116K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY22 · Net patient A/R: 16,027K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: 12,884K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Net patient A/R: 17,351K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: 0 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: 0 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)
How it operates
quality & operational context · CMS public reporting
A 159-bed hospital running at 23% occupancy, where 53% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
22.8%
Reported value2024
HCRIS WS S-3
Average daily census
36.41
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
159
Reported value2024
HCRIS WS S-3
Annual discharges
3,713
Reported value2024
HCRIS WS S-3
Average length of stay
3 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$8,338
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$24,858
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
53.5%
Reported value2024
HCRIS WS G-2 L28
Total FTEs
384.50
Reported value2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.9%
Reported value2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$6.8M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 1)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 1)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Results are not available for this reporting period.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
BOWIE County, TX · metro, under 250K
Median household income
$59.3K
vs $82.1K US · $59.7K rural median
Poverty rate
16.3%
vs 12.5% US · 14.3% rural median
Uninsured
15.4%
vs 8.6% US · 8.4% rural median
Age 65+
17.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.1% of county personal income is Medicare/Medicaid medical benefits; 29.3% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Bowie County
Illustrative estimate · FY24 cost report
Direct annual spending
$92.3M
total operating expense · Reported value, not a local-capture estimate
Labor income
$36.1M
$30.4M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$212.3M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.9%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY23Astrelis calculation
Operating margin vs its peer pool: FY23 pool · n = 2,529.
Report coverage: Historical Facility Benchmark. 15 of 17 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
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Cite this page
release 2321a4fc37a7 · 2026-10-22
Astrelis Atlas, "Wadley Regional Medical Center", https://astrelis.co/hospitals/450200, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/450200.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
