CCN 450465MATAGORDA CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)39 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Bay City, TX. It ran an operating loss of 51.7% in FY25 on $46.3M of operating revenue. It held 222 days of cash on hand (86th percentile among Rural PPS hospitals on liquidity). Operating margin declined from -42.6% in FY20 to -51.7% in FY25. Including nonoperating items, the all-in result was positive at 1.4%.
Operating margin · FY25
-51.7%
▼ 10.1 pts vs FY24
vs Rural PPS hospitals2nd pctl of 387 (FY24)
Days cash on hand · FY25
222d
all sources
▼ 30.6 days vs FY24
vs Rural PPS hospitals86th pctl of 376 (FY24)
Total operating revenue · FY25
$46.3M
▼ 1.5 $M vs FY24
vs Rural PPS hospitals25th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
+1.4%
▲ 2.0 pts vs FY24
vs Rural PPS hospitals42nd 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 MATAGORDA REGIONAL MEDICAL CENTER is about $463K per year (1% of FY25 total operating revenue).
Where MATAGORDA REGIONAL MEDICAL 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).
One rural pps hospitalMATAGORDA REGIONALRural 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
FY23
FY24
FY25
Patient revenue
43,547
43,332
42,212
Other operating revenue
4,251
4,514
4,103
Total operating revenue
47,798
47,846
46,315
Total operating expenses
67,480
67,795
70,282
Operating income
(19,682)
(19,949)
(23,967)
Operating margin %
-41.2%
-41.7%
-51.7%
Other non-operating, net
20,237
19,546
24,962
Net income
555
(403)
995
Net income %
+0.8%
-0.6%
+1.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 39-bed hospital at 21% occupancy 78% 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
21.4%
Verified fact2025
HCRIS WS S-3
Average daily census
8.37
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
39
Verified fact2025
HCRIS WS S-3
Annual discharges
1,940
Verified fact2025
HCRIS WS S-3
Average length of stay
1.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
78.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
306.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.3%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
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)
0.937614
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
MATAGORDA County, TX · nonmetro, urban 5–20K, metro-adjacent
Median household income
$55.2K
vs $82.1K US · $59.7K rural median
Poverty rate
21.8%
vs 12.5% US · 14.3% rural median
Uninsured
17.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.5% of county personal income is Medicare/Medicaid medical benefits; 28.4% arrives as government transfers (BEA, 2022).
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.
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
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.
