CCN 451310RUNNELS CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)16 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Ballinger, TX. It ran an operating surplus of 9.7% in FY25 on $33.5M of operating revenue. It held 214 days of cash on hand (71st percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+9.7%
vs Critical Access Hospitals79th pctl of 824 (FY25)
Days cash on hand · FY25
214d
all sources
vs Critical Access Hospitals71st pctl of 827 (FY25)
Total operating revenue · FY25
$33.5M
vs Critical Access Hospitals53rd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+14.5%
vs Critical Access Hospitals78th pctl of 824 (FY25)
One point of operating margin at BALLINGER MEMORIAL HOSPITAL is about $335K per year (1% of FY25 total operating revenue).
Where BALLINGER MEMORIAL HOSPITAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalBALLINGER MEMORIALCritical 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
+42.2% (FY25)
89th percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+61.3% (FY25)
83rd percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
18,467
31,672
33,197
Other operating revenue
771
173
334
Total operating revenue
19,238
31,845
33,531
Total operating expenses
22,254
27,523
30,294
Operating income
(3,017)
4,323
3,237
Operating margin %
-15.7%
+13.6%
+9.7%
Grants & contributions
1,269
1,376
1,480
Investment income
635
1,043
1,332
Other non-operating, net
4,079
(677)
1,201
Net income
2,966
6,065
7,250
Net income %
+11.8%
+18.1%
+19.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 16-bed hospital at 6% occupancy where swing beds are 89% of the inpatient business and 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
6.0%
Verified fact2025
HCRIS WS S-3
Average daily census
0.96
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
16
Verified fact2025
HCRIS WS S-3
Annual discharges
97
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
7.74
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
89.0%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
72.2%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.6M
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
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
RUNNELS County, TX · nonmetro, rural, metro-adjacent
Median household income
$63.5K
vs $82.1K US · $59.7K rural median
Poverty rate
10.4%
vs 12.5% US · 14.3% rural median
Uninsured
15.0%
vs 8.6% US · 8.4% rural median
Age 65+
20.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.6% of county personal income is Medicare/Medicaid medical benefits; 30.9% arrives as government transfers (BEA, 2022).
What this hospital means to Runnels County
economic contribution · FY25 cost report
Direct annual spending
$30.3M
total operating expense · reported
Total economic output
$69.7M
× 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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