CCN 451301REAGAN CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)7 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Big Lake, TX. It reported $12.0M of operating revenue. It held 162 days of cash on hand (62nd percentile of 822 Critical Access Hospitals on liquidity, FY25 pool). Only a single comparable reporting year is available, so trend context is limited.
Operating margin
Astrelis calculation unavailable
Days cash on hand · FY25
162d
all sources
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals62nd pctl of 822 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$12.0M
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals10th pctl of 833 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating
Astrelis calculation unavailable
One point of operating margin at REAGAN MEMORIAL HOSPITAL is about $120K per year (1% of FY25 total operating revenue).
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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
-65.8% (FY25)
10th percentile of 21 CAHs (FY25 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+44.5% (FY25)
52nd percentile of 21 CAHs (FY25 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
7,874
8,316
9,424
Other operating revenue
2,097
1,554
2,527
Total operating revenue
9,970
9,870
11,950
Total operating expenses
17,695
19,160
19,327
Operating income
(7,724)
(9,290)
(7,377)
Grants & contributions
7,355
7,624
8,745
Investment income
238
249
424
Other non-operating, net
1,137
2,658
1,989
Net income
1,006
1,241
3,781
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -9,903K · Net patient revenue 9,424KFY24 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -10,844K · Net patient revenue 8,316KFY23 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -9,821K · Net patient revenue 7,874KFY22 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -8,382K · Net patient revenue 7,087KFY21 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -9,197K · Net patient revenue 5,324KFY20 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -11,482K · Net patient revenue 5,572K
How it operates
quality & operational context · CMS public reporting
A 7-bed hospital running at 1% occupancy, where swing beds are 86% of the inpatient business, and 83% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
1.1%
Reported value2025
HCRIS WS S-3
Average daily census
0.08
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
7
Reported value2025
HCRIS WS S-3
Annual discharges
9
Reported value2025
HCRIS WS S-3
Average length of stay
3 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$690,250
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$2,147,444
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.49
Reported value2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
86.5%
Reported value2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
82.8%
Reported value2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.4M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 2)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Note 1: Results cannot be calculated for this reporting period.Note 2: The number of cases/patients is too few to report.
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
REAGAN County, TX · nonmetro, rural, metro-adjacent
Median household income
$70.3K
vs $82.1K US · $59.7K rural median
Poverty rate
11.1%
vs 12.5% US · 14.3% rural median
Uninsured
17.0%
vs 8.6% US · 8.4% rural median
Age 65+
9.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.6% of county personal income is Medicare/Medicaid medical benefits; 16.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Reagan County
Illustrative estimate · FY25 cost report
Direct annual spending
$19.3M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$44.5M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Medicare inpatient contribution marginFY25Astrelis calculation from reported HCRIS inputs
-65.8% — 10th percentile of 21 matched CAH peers (FY25).
The Board Briefing
What changed, what matters, and what your board should ask — every figure sourced to the public record.
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Report coverage: Limited Facility Benchmark. 13 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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