CCN 451370FANNIN CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)25 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Bonham, TX. It ran an operating loss of 9.6% in FY24 on $13.8M of operating revenue. It held 15 days of cash on hand (22nd percentile among Critical Access Hospitals on liquidity). Operating margin improved from -25.3% in FY20 to -9.6% in FY24, though it fell 4.3 points in the most recent year.
Operating margin · FY24
-9.6%
vs Critical Access Hospitals27th pctl of 1,340 (FY24)
Days cash on hand · FY24
15d
all sources
vs Critical Access Hospitals22nd pctl of 1,325 (FY24)
Total operating revenue · FY24
$13.8M
vs Critical Access Hospitals17th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-1.4%
vs Critical Access Hospitals25th 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 TMC- BONHAM HOSPITAL is about $138K per year (1% of FY24 total operating revenue).
Where TMC- BONHAM 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 hospitalTMC- BONHAMCritical 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
+36.6% (FY24)
83rd percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+20.3% (FY24)
11th percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
21,070
21,390
13,848
Other operating revenue
2
—
2
Total operating revenue
21,071
21,390
13,850
Total operating expenses
21,933
22,531
15,178
Operating income
(862)
(1,141)
(1,328)
Operating margin %
-4.1%
-5.3%
-9.6%
Other non-operating, net
711
1,052
1,125
Net income
(151)
(89)
(203)
Net income %
-0.7%
-0.4%
-1.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 17% occupancy where swing beds are 72% of the inpatient business and 63% 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
17.0%
Verified fact2024
HCRIS WS S-3
Average daily census
4.27
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
415
Verified fact2024
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
11.14
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
72.3%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
63.2%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.164
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
488%
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
FANNIN County, TX · nonmetro, urban 5–20K, metro-adjacent
Median household income
$68.4K
vs $82.1K US · $59.7K rural median
Poverty rate
14.2%
vs 12.5% US · 14.3% rural median
Uninsured
14.8%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.1% of county personal income is Medicare/Medicaid medical benefits; 30.5% arrives as government transfers (BEA, 2022).
What this hospital means to Fannin County
economic contribution · FY24 cost report
Direct annual spending
$15.2M
total operating expense · reported
Total economic output
$34.9M
× 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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