Astrelis
Urban PPS hospital · San Angelo, TX

SHANNON MEDICAL CENTER

CCN 450571TOM GREEN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)334 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in San Angelo, TX. It ran an operating surplus of 16.1% in FY25 on $740.4M of operating revenue. It held 633 days of cash on hand (98th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 11.0% in FY20 to 16.1% in FY25.

Operating margin · FY25
+16.1%
1.7 pts vs FY24
vs Urban PPS hospitals85th pctl of 1,475 (FY25)
Days cash on hand · FY25
633d
all sources
70.1 days vs FY24
vs Urban PPS hospitals98th pctl of 1,386 (FY25)
Total operating revenue · FY25
$740.4M
4.6 $M vs FY24
vs Urban PPS hospitals81st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+16.8%
1.2 pts vs FY24
vs Urban PPS hospitals81st pctl of 1,475 (FY25)
One point of operating margin at SHANNON MEDICAL CENTER is about $7.4M per year (1% of FY25 total operating revenue).

Where SHANNON MEDICAL CENTER 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%SHANNON MEDICAL +16.1227694233981%-20%0%+20%Urban PPS hospital median +1.3311360264910879%SHANNON MEDICAL +16.1227694233981%
One urban pps hospitalSHANNON MEDICALUrban 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
+16.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+16.8% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
633d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
15.98× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
92% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
30d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue642,628733,703725,544
Other operating revenue6,2822,07514,819
Total operating revenue648,910735,778740,364
Total operating expenses559,503629,534620,996
Operating income89,407106,244119,367
Operating margin %+13.8%+14.4%+16.1%
Grants & contributions(58)(4)7
Investment income2,3165,358566
Other non-operating, net4,5534,7595,469
Net income96,218116,357125,409
Net income %+14.7%+15.6%+16.8%
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 334-bed hospital at 64% occupancy 65% 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
63.9%
Verified fact2025
HCRIS WS S-3
Average daily census
214.06
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
334
Verified fact2025
HCRIS WS S-3
Annual discharges
18,436
Verified fact2025
HCRIS WS S-3
Average length of stay
4.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
64.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,420
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$32.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.517
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.5%
No Different 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)
1.018587
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+11.0%+9.5%+13.2%+13.8%+14.4%+16.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
570 days453 days489 days530 days563 days633 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

TOM GREEN County, TX · metro, under 250K
Median household income
$66.3K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
14.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.2% of county personal income is Medicare/Medicaid medical benefits; 21.2% arrives as government transfers (BEA, 2022).

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