CCN 451329UPTON CountyGovernment - Hospital District or Authority15 bedsLatest FY 2025
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 FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, 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 Rankin, TX. It ran an operating loss of 82.2% in FY23 on $10.5M of operating revenue. It held 1,297 days of cash on hand in FY25, its most recent reported liquidity (100th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 53.7%.
Operating margin · FY23
-82.2%
vs Critical Access Hospitals0th pctl of 824 (FY25)
Days cash on hand · FY25
1,297d
all sources
vs Critical Access Hospitals100th pctl of 827 (FY25)
Total operating revenue · FY25
$10.5M
vs Critical Access Hospitals8th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY23
+53.7%
vs Critical Access Hospitals100th pctl of 824 (FY25)
One point of operating margin at RANKIN HOSPITAL MEDICAL CLINIC is about $105K per year (1% of FY25 total operating revenue).
Where RANKIN HOSPITAL MEDICAL 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 hospitalRANKIN HOSPITALCritical 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
+13.1% (FY25)
67th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
-2.4% (FY25)
5th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
9,578
9,182
10,509
Other operating revenue
23
21
36
Total operating revenue
9,601
9,202
10,545
Total operating expenses
17,494
18,891
21,416
Operating income
(7,893)
(9,689)
(10,871)
Operating margin %
-82.2%
-105.3%
-103.1%
Grants & contributions
543
1,436
726
Investment income
926
1,757
2,357
Other non-operating, net
27,716
34,800
35,318
Net income
21,292
28,304
27,530
Net income %
+54.9%
+60.0%
+56.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY22, FY24, FY25 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 15-bed hospital at 1% occupancy where swing beds are 89% of the inpatient business and 88% 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
0.9%
Verified fact2025
HCRIS WS S-3
Average daily census
0.14
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
15
Verified fact2025
HCRIS WS S-3
Annual discharges
15
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.20
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
89.3%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
87.8%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.4M
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
Results are not available for this reporting period.
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
UPTON County, TX
Median household income
$52.3K
vs $82.1K US · $59.7K rural median
Poverty rate
17.1%
vs 12.5% US · 14.3% rural median
Uninsured
14.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
29.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 17.6% arrives as government transfers (BEA, 2022).
What this hospital means to Upton County
economic contribution · FY25 cost report
Direct annual spending
$21.4M
total operating expense · reported
Total economic output
$49.3M
× 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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