CCN 451335COOKE CountyGovernment - Hospital District or Authority18 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Muenster, TX. It ran an operating loss of 29.9% in FY25 on $10.7M of operating revenue. It held 51 days of cash on hand (37th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -54.1% in FY21 to -29.9% in FY25. Including nonoperating items, the all-in result was positive at 1.7%.
Operating margin · FY25
-29.9%
▲ 9.0 pts vs FY24
vs Critical Access Hospitals7th pctl of 824 (FY25)
Days cash on hand · FY25
51d
all sources
▼ 0.8 days vs FY24
vs Critical Access Hospitals37th pctl of 827 (FY25)
Total operating revenue · FY25
$10.7M
▲ 0.6 $M vs FY24
vs Critical Access Hospitals9th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+1.7%
▲ 6.3 pts vs FY24
vs Critical Access Hospitals30th pctl of 824 (FY25)
One point of operating margin at MUENSTER MEMORIAL HOSPITAL is about $107K per year (1% of FY25 total operating revenue).
Where MUENSTER 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 hospitalMUENSTER 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
+25.5% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+24.2% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
9,261
9,738
10,301
Other operating revenue
408
428
446
Total operating revenue
9,669
10,166
10,746
Total operating expenses
13,702
14,124
13,963
Operating income
(4,033)
(3,958)
(3,216)
Operating margin %
-41.7%
-38.9%
-29.9%
Investment income
8
13
27
Other non-operating, net
3,835
3,313
3,426
Net income
(190)
(632)
237
Net income %
-1.4%
-4.7%
+1.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 18-bed hospital at 1% occupancy where swing beds are 98% of the inpatient business and 62% 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
1.1%
Verified fact2025
HCRIS WS S-3
Average daily census
0.21
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
18
Verified fact2025
HCRIS WS S-3
Annual discharges
24
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
9.05
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
97.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
62.4%
Verified fact2025
HCRIS WS G-2 L28
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 · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
COOKE County, TX
Median household income
$72.5K
vs $82.1K US · $59.7K rural median
Poverty rate
14.1%
vs 12.5% US · 14.3% rural median
Uninsured
16.0%
vs 8.6% US · 8.4% rural median
Age 65+
18.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.9% of county personal income is Medicare/Medicaid medical benefits; 20.3% arrives as government transfers (BEA, 2022).
What this hospital means to Cooke County
economic contribution · FY25 cost report
Direct annual spending
$14.0M
total operating expense · reported
Total economic output
$32.1M
× 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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