CCN 450213BEXAR CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)562 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in San Antonio, TX. It reported $3172.7M of operating revenue. It held 94 days of cash on hand (71st percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin
Not available
vs Urban PPS hospitals—
Days cash on hand · FY24
94d
all sources
vs Urban PPS hospitals71st pctl of 2,354 (FY24)
Total operating revenue · FY24
$3.17B
vs Urban PPS hospitals99th pctl of 2,608 (FY24)
Total margin · incl. nonoperating
Not available
vs Urban PPS hospitals—
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at UNIVERSITY HEALTH SYSTEM is about $31.7M per year (1% of FY24 total operating revenue).
Where UNIVERSITY HEALTH SYSTEM sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalUNIVERSITY HEALTHUrban 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
FY22
FY23
FY24
Patient revenue
1,096,152
1,284,464
1,458,758
Other operating revenue
9,488
10,330
1,713,924
Total operating revenue
1,105,640
1,294,794
3,172,682
Total operating expenses
2,656,251
2,923,981
3,233,259
Operating income
(1,550,611)
(1,629,187)
(60,578)
Operating margin %
-140.2%
-125.8%
-1.9%
Grants & contributions
263,280
292,812
297,575
Investment income
113
113,913
117,654
Other non-operating, net
1,523,988
1,595,520
17,640
Net income
236,770
373,058
372,291
Net income %
+8.2%
+11.3%
+10.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, 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 562-bed hospital at 89% occupancy 50% 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
89.1%
Verified fact2024
HCRIS WS S-3
Average daily census
502.34
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
562
Verified fact2024
HCRIS WS S-3
Annual discharges
39,411
Verified fact2024
HCRIS WS S-3
Average length of stay
4.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
49.5%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
9,919
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$355.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.387
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.971947
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
BEXAR County, TX · metro, 1M+ population
Median household income
$70.6K
vs $82.1K US · $59.7K rural median
Poverty rate
14.7%
vs 12.5% US · 14.3% rural median
Uninsured
15.9%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
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