CCN 450271WISE CountyGovernment - Hospital District or Authority76 bedsLatest FY 2024
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). Continued as Urban PPS hospital CCN 450634 (no profile for that CCN in this atlas). 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: -15.5% in FY2022, the 15th percentile of 2,503 urban pps hospitals in the FY2022 pool. Days cash on hand: 93 days in FY2022, the 70th percentile of 2,441 urban pps hospitals in the FY2022 pool. Total operating revenue: $361.2M in FY2022, the 65th percentile of 2,545 urban pps hospitals in the FY2022 pool. Total margin (including nonoperating): -12.1% in FY2022, the 11th percentile of 2,503 urban pps hospitals in the FY2022 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY22. Margin and revenue are as filed for FY22. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Wise County, TX. It ran an operating loss of 15.5% in FY22 on $361.2M of operating revenue. It held 93 days of cash on hand (70th percentile of 2,441 Urban PPS hospitals on liquidity, FY22 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.
Operating margin · FY22
-15.5%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals15th pctl of 2,503 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY22
93d
all sources
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals70th pctl of 2,441 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY22
$361.2M
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals65th pctl of 2,545 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY22
-12.1%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals11th pctl of 2,503 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at MEDICAL CITY DECATUR is about $3.6M per year (1% of FY22 total operating revenue).
Where MEDICAL CITY DECATUR sits among Urban PPS hospitals
Operating margin · FY22 pool · n = 2,503 of 2,652 filed
Each point is one Urban PPS hospital in the national FY22 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 FY22 median is -0.8%. Descriptive context only, not a ranking.
One urban pps hospitalMEDICAL CITYUrban 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.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23 · 334 days
FY24 · 183 days
Patient revenue
360,973
265,596
66,412
Other operating revenue
181
321
426
Total operating revenue
361,153
265,916
66,838
Total operating expenses
416,996
356,715
96,273
Operating income
(55,843)
(90,799)
(29,436)
Operating margin %
-15.5%
-34.1%
-44.0%
Grants & contributions
0
—
—
Investment income
(491)
1,530
—
Other non-operating, net
11,327
17,258
3
Net income
(45,007)
(72,011)
(29,433)
Net income %
-12.1%
-25.3%
-44.0%
— = 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
How it operates
quality & operational context · CMS public reporting
A 76-bed hospital running at 55% occupancy, where 56% 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
54.8%
Reported value2024
HCRIS WS S-3
Average daily census
41.68
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
76
Reported value2024
HCRIS WS S-3
Annual discharges
2,224
Reported value2024
HCRIS WS S-3
Average length of stay
3 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$12,623
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$43,288
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
55.6%
Reported value2024
HCRIS WS G-2 L28
Total FTEs
284.10
Reported value2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.6%
Reported value2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$13.6M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
WISE County, TX
Median household income
$89.9K
vs $82.1K US · $59.7K rural median
Poverty rate
9.1%
vs 12.5% US · 14.3% rural median
Uninsured
15.0%
vs 8.6% US · 8.4% rural median
Age 65+
15.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.5% of county personal income is Medicare/Medicaid medical benefits; 18.3% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Wise County
Illustrative estimate · FY24 cost report
Direct annual spending
$96.3M
total operating expense · Reported value, not a local-capture estimate
Labor income
$29.4M
$24.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$221.4M
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
1.3%
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 poolFY22Astrelis calculation
Operating margin vs its peer pool: FY22 pool · n = 2,503.
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.
The Board Briefing
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, "Medical City Decatur", https://astrelis.co/hospitals/450271, 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/450271.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.
