A hospital in Granbury, TX. It ran an operating surplus of 45.9% in FY24 on $176.8M of operating revenue. It held 1 day of cash on hand (22nd percentile among Rural PPS hospitals on liquidity). Operating margin improved from 34.0% in FY20 to 45.9% in FY24.
Operating margin · FY24
+45.9%
▲ 3.4 pts vs FY23
vs Rural PPS hospitals98th pctl of 387 (FY24)
Days cash on hand · FY24
1d
all sources
▲ 1.0 days vs FY21
vs Rural PPS hospitals22nd pctl of 376 (FY24)
Total operating revenue · FY24
$176.8M
▲ 2.2 $M vs FY23
vs Rural PPS hospitals77th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+45.9%
▲ 2.3 pts vs FY23
vs Rural PPS hospitals99th pctl of 387 (FY24)
One point of operating margin at LAKE GRANBURY MEDICAL CENTER is about $1.8M per year (1% of FY24 total operating revenue).
Where LAKE GRANBURY 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.
One rural pps hospitalLAKE GRANBURYRural 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.
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 item
FY22
FY23
FY24
Patient revenue
181,573
173,538
175,277
Other operating revenue
5,165
1,101
1,526
Total operating revenue
186,738
174,640
176,803
Total operating expenses
111,737
100,442
95,730
Operating income
75,002
74,197
81,074
Operating margin %
+40.2%
+42.5%
+45.9%
Other non-operating, net
0
3,163
0
Net income
75,002
77,360
81,074
Net income %
+40.2%
+43.5%
+45.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 42-bed hospital at 58% occupancy 72% 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
57.9%
Verified fact2024
HCRIS WS S-3
Average daily census
24.39
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
42
Verified fact2024
HCRIS WS S-3
Annual discharges
3,096
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
71.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
574.70
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.2%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$7.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.356
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.99
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.922256
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HOOD County, TX · nonmetro, urban 20K+, metro-adjacent
Median household income
$86.8K
vs $82.1K US · $59.7K rural median
Poverty rate
8.2%
vs 12.5% US · 14.3% rural median
Uninsured
15.2%
vs 8.6% US · 8.4% rural median
Age 65+
25.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.1% of county personal income is Medicare/Medicaid medical benefits; 22.9% 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.
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