A hospital in Luling, TX. It ran an operating surplus of 12.1% in FY25 on $35.7M of operating revenue. It held 1 day of cash on hand (12th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -1.6% in FY21 to 12.1% in FY25.
Operating margin · FY25
+12.1%
▼ 0.2 pts vs FY24
vs Critical Access Hospitals83rd pctl of 824 (FY25)
Days cash on hand · FY25
1d
all sources
▲ 0.2 days vs FY24
vs Critical Access Hospitals12th pctl of 827 (FY25)
Total operating revenue · FY25
$35.7M
▼ 2.4 $M vs FY24
vs Critical Access Hospitals56th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+15.0%
▲ 1.3 pts vs FY24
vs Critical Access Hospitals80th pctl of 824 (FY25)
One point of operating margin at ASCENSION SETON EDGAR B DAVIS is about $357K per year (1% of FY25 total operating revenue).
Where ASCENSION SETON EDGAR 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 hospitalASCENSION SETONCritical 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
+0.6% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+78.2% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
35,133
38,066
35,679
Total operating revenue
35,133
38,066
35,679
Total operating expenses
33,323
33,391
31,379
Operating income
1,809
4,676
4,300
Operating margin %
+5.1%
+12.3%
+12.1%
Other non-operating, net
884
617
1,230
Net income
2,693
5,293
5,530
Net income %
+7.5%
+13.7%
+15.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · 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
FY23, FY24, FY25 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 23-bed hospital at 22% occupancy where swing beds are 39% of the inpatient business and 81% 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
21.9%
Verified fact2025
HCRIS WS S-3
Average daily census
5.05
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
23
Verified fact2025
HCRIS WS S-3
Annual discharges
605
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
3.24
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
39.1%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.0%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
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
106%
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
CALDWELL County, TX
Median household income
$68.5K
vs $82.1K US · $59.7K rural median
Poverty rate
13.9%
vs 12.5% US · 14.3% rural median
Uninsured
25.1%
vs 8.6% US · 8.4% rural median
Age 65+
15.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.5% of county personal income is Medicare/Medicaid medical benefits; 25.8% arrives as government transfers (BEA, 2022).
What this hospital means to Caldwell County
economic contribution · FY25 cost report
Direct annual spending
$31.4M
total operating expense · reported
Total economic output
$72.2M
× 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
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
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.