Astrelis
Urban PPS hospital · San Antonio, TX

METHODIST HOSPITAL

CCN 450388BEXAR CountyProprietaryUrban (USDA RUCC)1370 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Days cash on hand is FY23, 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 San Antonio, TX. It ran an operating surplus of 20.3% in FY25 on $2803.0M of operating revenue. It held 0 days of cash on hand in FY23, its most recent reported liquidity (14th percentile among Urban PPS hospitals on liquidity).

Operating margin · FY25
+20.3%
1.3 pts vs FY24
vs Urban PPS hospitals90th pctl of 1,475 (FY25)
Days cash on hand · FY23
0d
all sources
0.0 days vs FY22
vs Urban PPS hospitals14th pctl of 1,386 (FY25)
Total operating revenue · FY25
$2.80B
136.3 $M vs FY24
vs Urban PPS hospitals98th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+20.5%
1.3 pts vs FY24
vs Urban PPS hospitals87th pctl of 1,475 (FY25)
One point of operating margin at METHODIST HOSPITAL is about $28.0M per year (1% of FY25 total operating revenue).

Where METHODIST HOSPITAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 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 +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%METHODIST HOSPITAL +20.310646048024143%-20%0%+20%Urban PPS hospital median +1.3311360264910879%METHODIST HOSPITAL +20.310646048024143%
One urban pps hospitalMETHODIST HOSPITALUrban 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
+20.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+20.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY23)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue2,417,2732,665,3962,801,596
Other operating revenue21,4151,2621,369
Total operating revenue2,438,6882,666,6582,802,965
Total operating expenses1,863,7412,090,2882,233,665
Operating income574,947576,370569,300
Operating margin %+23.6%+21.6%+20.3%
Grants & contributions(8)
Other non-operating, net8,4198,2787,801
Net income583,358584,648577,101
Net income %+23.8%+21.9%+20.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 1370-bed hospital at 80% occupancy 33% 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
80.3%
Verified fact2025
HCRIS WS S-3
Average daily census
1,082
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
1,370
Verified fact2025
HCRIS WS S-3
Annual discharges
110,498
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
32.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
7,960
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.227
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.8%
Worse Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.04
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.168991
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+20.2%+23.6%+23.6%+21.6%+20.3%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 daysFY21FY22FY23FY24FY25
FY25 days cash suppressed: out of display range.

The county this hospital serves

BEXAR County, TX
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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