CCN 451330MEDINA CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Hondo, TX. It ran an operating loss of 4.6% in FY25 on $42.6M of operating revenue. It held 600 days of cash on hand (95th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -23.3% in FY20 to -4.6% in FY25. Including nonoperating items, the all-in result was positive at 23.9%.
Operating margin · FY25
-4.6%
▲ 2.7 pts vs FY24
vs Critical Access Hospitals36th pctl of 824 (FY25)
Days cash on hand · FY25
600d
all sources
▲ 35.9 days vs FY24
vs Critical Access Hospitals95th pctl of 827 (FY25)
Total operating revenue · FY25
$42.6M
▲ 5.1 $M vs FY24
vs Critical Access Hospitals64th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+23.9%
▼ 0.3 pts vs FY24
vs Critical Access Hospitals93rd pctl of 824 (FY25)
One point of operating margin at MEDINA REGIONAL HOSPITAL is about $426K per year (1% of FY25 total operating revenue).
Where MEDINA REGIONAL 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 hospitalMEDINA REGIONALCritical 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
-30.9% (FY25)
4th percentile of 117 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+68.8% (FY25)
89th percentile of 116 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
33,257
37,508
42,580
Other operating revenue
27
26
33
Total operating revenue
33,284
37,533
42,613
Total operating expenses
38,324
40,259
44,577
Operating income
(5,041)
(2,726)
(1,964)
Operating margin %
-15.1%
-7.3%
-4.6%
Grants & contributions
4,925
5,832
6,577
Investment income
1,675
2,209
2,243
Other non-operating, net
9,639
7,333
7,119
Net income
11,198
12,648
13,975
Net income %
+22.6%
+23.9%
+23.9%
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 25-bed hospital at 13% occupancy where swing beds are 60% of the inpatient business and 89% 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
12.9%
Verified fact2025
HCRIS WS S-3
Average daily census
3.24
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
385
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
4.94
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
60.4%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
89.3%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$4.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.915
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
297%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 48th percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
MEDINA County, TX · metro, 1M+ population
Median household income
$73.5K
vs $82.1K US · $59.7K rural median
Poverty rate
11.3%
vs 12.5% US · 14.3% rural median
Uninsured
12.7%
vs 8.6% US · 8.4% rural median
Age 65+
17.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 11.3% of county personal income is Medicare/Medicaid medical benefits; 24.7% arrives as government transfers (BEA, 2022).
What this hospital means to Medina County
economic contribution · FY25 cost report
Direct annual spending
$44.6M
total operating expense · reported
Total economic output
$102.5M
× 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.
The Board Briefing$1,000
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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.
