CCN 451307Government - Hospital District or Authority14 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Iraan, TX. It ran an operating loss of 95.2% in FY23 on $4.6M of operating revenue. It held 913 days of cash on hand in FY24, its most recent reported liquidity (99th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -96.7% in FY20 to -95.2% in FY23, though it fell 35.5 points in the most recent year. Including nonoperating items, the all-in result was positive at 11.4%.
Operating margin · FY23
-95.2%
vs Critical Access Hospitals0th pctl of 1,340 (FY24)
Days cash on hand · FY24
913d
all sources
vs Critical Access Hospitals99th pctl of 1,325 (FY24)
Total operating revenue · FY24
$4.6M
vs Critical Access Hospitals1st pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY23
+11.4%
vs Critical Access Hospitals74th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at IRAAN GENERAL HOSPITAL is about $46K per year (1% of FY24 total operating revenue).
Where IRAAN GENERAL HOSPITAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalIRAAN GENERALCritical Access 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
Medicare inpatient contribution margin
-6.9% (FY24)
38th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+11.6% (FY24)
14th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
5,212
4,447
4,598
Other operating revenue
30
32
31
Total operating revenue
5,242
4,479
4,629
Total operating expenses
8,369
8,741
9,881
Operating income
(3,126)
(4,262)
(5,252)
Operating margin %
-59.6%
-95.2%
-113.5%
Grants & contributions
0
0
0
Investment income
313
995
1,413
Other non-operating, net
5,782
4,397
5,416
Net income
2,969
1,130
1,577
Net income %
+26.2%
+11.4%
+13.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY24 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 14-bed hospital at 1% occupancy where swing beds are 78% of the inpatient business and 90% 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
1.2%
Verified fact2024
HCRIS WS S-3
Average daily census
0.16
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
14
Verified fact2024
HCRIS WS S-3
Annual discharges
16
Verified fact2024
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.57
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
78.0%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
90.5%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
517%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
PECOS County, TX
Median household income
$67.7K
vs $82.1K US · $59.7K rural median
Poverty rate
27.4%
vs 12.5% US · 14.3% rural median
Uninsured
14.7%
vs 8.6% US · 8.4% rural median
Age 65+
13.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
30.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.9% of county personal income is Medicare/Medicaid medical benefits; 25.5% arrives as government transfers (BEA, 2022).
What this hospital means to Pecos County
economic contribution · FY24 cost report
Direct annual spending
$9.9M
total operating expense · reported
Total economic output
$22.7M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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Commercial Pricing Study$10,000CAH only, subject to data validation
Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.
