Astrelis
Rural PPS hospital · Columbus, TX

COLUMBUS COMMUNITY HOSPITAL

CCN 450370COLORADO CountyVoluntary non-profit - PrivateRural (USDA RUCC)40 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Columbus, TX. It ran an operating loss of 7.3% in FY23 on $36.6M of operating revenue. It held 22 days of cash on hand in FY25, its most recent reported liquidity (46th percentile among Rural PPS hospitals on liquidity). Operating margin declined from -3.5% in FY21 to -7.3% in FY23.

Operating margin · FY23
-7.3%
vs Rural PPS hospitals30th pctl of 387 (FY24)
Days cash on hand · FY25
22d
all sources
vs Rural PPS hospitals46th pctl of 376 (FY24)
Total operating revenue · FY25
$36.6M
vs Rural PPS hospitals18th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY23
-64.7%
vs Rural PPS hospitals0th 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 COLUMBUS COMMUNITY HOSPITAL is about $366K per year (1% of FY25 total operating revenue).

Where COLUMBUS COMMUNITY HOSPITAL 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).
-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%COLUMBUS COMMUNITY -7.3119225436624%-20%0%+20%Rural PPS hospital median -0.8727424997636124%COLUMBUS COMMUNITY -7.3119225436624%
One rural pps hospitalCOLUMBUS COMMUNITYRural 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.

Operating margin
-7.3% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-64.7% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
22d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
10.27× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
87% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
74d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue31,32235,10234,737
Other operating revenue3,0102,5421,899
Total operating revenue34,33237,64536,635
Total operating expenses36,84239,30941,911
Operating income(2,510)(1,664)(5,276)
Operating margin %-7.3%-4.4%-14.4%
Grants & contributions6,3411,7561,990
Investment income91925
Other non-operating, net(31,955)(61,890)(58,392)
Net income(28,115)(61,779)(61,653)
Net income %-322.2%+274.9%+312.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22, FY24, FY25 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 40-bed hospital at 14% occupancy 89% 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
13.5%
Verified fact2025
HCRIS WS S-3
Average daily census
5.42
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
40
Verified fact2025
HCRIS WS S-3
Annual discharges
983
Verified fact2025
HCRIS WS S-3
Average length of stay
2.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
89.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
164.50
Verified fact2025
HCRIS WS S-3 Pt II
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
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.42
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.973248
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-3.5%-7.3%FY21FY22FY23FY24FY25
Days cash on hand
365 days67 days68 days28 days22 daysFY21FY22FY23FY24FY25

The county this hospital serves

COLORADO County, TX
Median household income
$68.6K
vs $82.1K US · $59.7K rural median
Poverty rate
10.7%
vs 12.5% US · 14.3% rural median
Uninsured
14.0%
vs 8.6% US · 8.4% rural median
Age 65+
22.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.6% of county personal income is Medicare/Medicaid medical benefits; 28.3% arrives as government transfers (BEA, 2022).

What this hospital means to Colorado County

economic contribution · FY25 cost report
Direct annual spending
$41.9M
total operating expense · reported
Total economic output
$96.4M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
2.2%
of all county jobs
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.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-23