A hospital in Pearsall, TX. It ran an operating loss of 12.1% in FY24 on $26.6M of operating revenue. It held 209 days of cash on hand (74th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -36.6% in FY20 to -12.1% in FY24, though it fell 8.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 1.9%.
Operating margin · FY24
-12.1%
vs Critical Access Hospitals23rd pctl of 1,340 (FY24)
Days cash on hand · FY24
209d
all sources
vs Critical Access Hospitals74th pctl of 1,325 (FY24)
Total operating revenue · FY24
$26.6M
vs Critical Access Hospitals44th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+1.9%
vs Critical Access Hospitals36th 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 FRIO REGIONAL HOSPITAL is about $266K per year (1% of FY24 total operating revenue).
Where FRIO REGIONAL 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 hospitalFRIO 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
-4.6% (FY24)
43rd percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+58.2% (FY24)
86th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
19,982
25,409
26,596
Other operating revenue
22
29
24
Total operating revenue
20,004
25,438
26,620
Total operating expenses
25,006
26,331
29,833
Operating income
(5,002)
(893)
(3,213)
Operating margin %
-25.0%
-3.5%
-12.1%
Grants & contributions
244
872
1,396
Investment income
87
290
411
Other non-operating, net
4,452
3,638
1,986
Net income
(219)
3,907
580
Net income %
-0.9%
+12.9%
+1.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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 22-bed hospital at 13% occupancy where swing beds are 58% of the inpatient business and 84% 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
13.5%
Verified fact2024
HCRIS WS S-3
Average daily census
2.98
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
22
Verified fact2024
HCRIS WS S-3
Annual discharges
416
Verified fact2024
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
4.09
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
57.9%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
84.3%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$4.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
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
489%
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
FRIO County, TX
Median household income
$60.1K
vs $82.1K US · $59.7K rural median
Poverty rate
19.6%
vs 12.5% US · 14.3% rural median
Uninsured
15.5%
vs 8.6% US · 8.4% rural median
Age 65+
12.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
31.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 18.4% of county personal income is Medicare/Medicaid medical benefits; 32.9% arrives as government transfers (BEA, 2022).
What this hospital means to Frio County
economic contribution · FY24 cost report
Direct annual spending
$29.8M
total operating expense · reported
Total economic output
$68.6M
× 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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