A hospital in Palestine, TX. It ran an operating surplus of 9.1% in FY24 on $107.8M of operating revenue. It held 0 days of cash on hand (18th percentile among Rural PPS hospitals on liquidity). Operating margin improved from 1.6% in FY20 to 9.1% in FY24.
Operating margin · FY24
+9.1%
▲ 24.5 pts vs FY23
vs Rural PPS hospitals78th pctl of 387 (FY24)
Days cash on hand · FY24
0d
all sources
▼ 34.2 days vs FY23
vs Rural PPS hospitals18th pctl of 376 (FY24)
Total operating revenue · FY24
$107.8M
▲ 17.2 $M vs FY23
vs Rural PPS hospitals55th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+9.3%
▲ 23.6 pts vs FY23
vs Rural PPS hospitals70th pctl of 387 (FY24)
One point of operating margin at PALESTINE REGIONAL MEDICAL CENTER is about $1.1M per year (1% of FY24 total operating revenue).
Where PALESTINE 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.
One rural pps hospitalPALESTINE 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.
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
90,740
90,585
107,909
Other operating revenue
132
5
(145)
Total operating revenue
90,872
90,590
107,764
Total operating expenses
88,234
104,556
97,967
Operating income
2,638
(13,966)
9,797
Operating margin %
+2.9%
-15.4%
+9.1%
Grants & contributions
—
544
—
Investment income
120
27
12
Other non-operating, net
126
306
261
Net income
2,884
(13,089)
10,070
Net income %
+3.2%
-14.3%
+9.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 68-bed hospital at 87% occupancy 49% 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
87.4%
Verified fact2024
HCRIS WS S-3
Average daily census
59.58
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
68
Verified fact2024
HCRIS WS S-3
Annual discharges
2,569
Verified fact2024
HCRIS WS S-3
Average length of stay
8.5d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
48.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
496.10
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.046994
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
ANDERSON County, TX · nonmetro, urban 5–20K
Median household income
$58.8K
vs $82.1K US · $59.7K rural median
Poverty rate
17.1%
vs 12.5% US · 14.3% rural median
Uninsured
18.3%
vs 8.6% US · 8.4% rural median
Age 65+
15.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.0% of county personal income is Medicare/Medicaid medical benefits; 28.2% 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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