A hospital in El Paso, TX. It ran an operating surplus of 2.9% in FY25 on $253.2M of operating revenue. It held 11 days of cash on hand (43rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 7.6% in FY21 to 2.9% in FY25.
Operating margin · FY25
+2.9%
▼ 2.9 pts vs FY24
vs Urban PPS hospitals55th pctl of 1,475 (FY25)
Days cash on hand · FY25
11d
all sources
▲ 0.3 days vs FY24
vs Urban PPS hospitals43rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$253.2M
▼ 6.8 $M vs FY24
vs Urban PPS hospitals47th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+3.1%
▼ 2.9 pts vs FY24
vs Urban PPS hospitals38th pctl of 1,475 (FY25)
One point of operating margin at SIERRA MEDICAL CENTER is about $2.5M per year (1% of FY25 total operating revenue).
Where SIERRA 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.
One urban pps hospitalSIERRA 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
249,906
258,380
252,006
Other operating revenue
1,656
1,591
1,206
Total operating revenue
251,561
259,971
253,213
Total operating expenses
231,185
244,695
245,777
Operating income
20,376
15,277
7,436
Operating margin %
+8.1%
+5.9%
+2.9%
Investment income
0
3
87
Other non-operating, net
335
322
432
Net income
20,711
15,602
7,955
Net income %
+8.2%
+6.0%
+3.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 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 246-bed hospital at 37% occupancy 35% 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
36.5%
Verified fact2025
HCRIS WS S-3
Average daily census
90.15
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
246
Verified fact2025
HCRIS WS S-3
Annual discharges
9,084
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
34.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
794.40
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.79
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.06
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.111757
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
EL PASO County, TX
Median household income
$58.9K
vs $82.1K US · $59.7K rural median
Poverty rate
18.9%
vs 12.5% US · 14.3% rural median
Uninsured
21.9%
vs 8.6% US · 8.4% rural median
Age 65+
12.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.6% of county personal income is Medicare/Medicaid medical benefits; 25.7% arrives as government transfers (BEA, 2022).
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