CCN 451392HAMILTON CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Hamilton, TX. It ran an operating loss of 9.7% in FY25 on $49.4M of operating revenue. It held 261 days of cash on hand (76th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 4.2%.
Operating margin · FY25
-9.7%
vs Critical Access Hospitals24th pctl of 824 (FY25)
Days cash on hand · FY25
261d
all sources
vs Critical Access Hospitals76th pctl of 827 (FY25)
Total operating revenue · FY25
$49.4M
vs Critical Access Hospitals71st pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+4.2%
vs Critical Access Hospitals39th pctl of 824 (FY25)
One point of operating margin at HAMILTON GENERAL HOSPITAL is about $494K per year (1% of FY25 total operating revenue).
Where HAMILTON GENERAL 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 hospitalHAMILTON GENERALCritical 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
-11.3% (FY25)
31st percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+42.2% (FY25)
43rd percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
40,358
45,415
46,136
Other operating revenue
589
637
3,221
Total operating revenue
40,948
46,052
49,357
Total operating expenses
51,221
52,694
54,148
Operating income
(10,273)
(6,641)
(4,791)
Operating margin %
-25.1%
-14.4%
-9.7%
Grants & contributions
1,380
1,258
1,199
Investment income
245
561
711
Other non-operating, net
12,556
7,098
7,760
Net income
3,908
2,276
4,879
Net income %
+7.1%
+4.1%
+8.3%
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 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
12.6%
Verified fact2025
HCRIS WS S-3
Average daily census
3.16
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
341
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
4.34
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
57.9%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
84.4%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$4.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.908
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HAMILTON County, TX · nonmetro, rural, metro-adjacent
Median household income
$55.3K
vs $82.1K US · $59.7K rural median
Poverty rate
18.4%
vs 12.5% US · 14.3% rural median
Uninsured
14.8%
vs 8.6% US · 8.4% rural median
Age 65+
25.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 24.9% arrives as government transfers (BEA, 2022).
What this hospital means to Hamilton County
economic contribution · FY25 cost report
Direct annual spending
$54.1M
total operating expense · reported
Total economic output
$124.5M
× 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.
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