Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Llano, TX. It ran an operating loss of 45.5% in FY24 on $5.8M of operating revenue. It held 0 days of cash on hand (10th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -29.7% in FY21 to -45.5% in FY24.
Operating margin · FY24
-45.5%
vs Critical Access Hospitals3rd pctl of 1,340 (FY24)
Days cash on hand · FY24
0d
all sources
vs Critical Access Hospitals10th pctl of 1,325 (FY24)
Total operating revenue · FY24
$5.8M
vs Critical Access Hospitals2nd pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-11.9%
vs Critical Access Hospitals6th 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 MID COAST MEDICAL CENTER - CENTRAL is about $58K per year (1% of FY24 total operating revenue).
Where MID COAST MEDICAL 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 hospitalMID COASTCritical 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
+69.3% (FY24)
97th percentile of 35 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+1.8% (FY24)
3rd 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
5,723
7,112
5,747
Other operating revenue
573
211
97
Total operating revenue
6,296
7,322
5,844
Total operating expenses
7,800
8,768
8,502
Operating income
(1,504)
(1,446)
(2,658)
Operating margin %
-23.9%
-19.7%
-45.5%
Grants & contributions
306
652
260
Investment income
0
6
0
Other non-operating, net
2,094
1,349
1,497
Net income
896
561
(901)
Net income %
+10.3%
+6.0%
-11.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–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
FY21, FY22, 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 1% occupancy where swing beds are 83% of the inpatient business and 90% 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
1.5%
Verified fact2024
HCRIS WS S-3
Average daily census
0.37
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
47
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.81
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
83.0%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
89.9%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.8M
Verified fact2023
HCRIS WS S-10 line 31
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 · 4 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LLANO County, TX · nonmetro, urban 5–20K
Median household income
$65.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
15.3%
vs 8.6% US · 8.4% rural median
Age 65+
36.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.3% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).
What this hospital means to Llano County
economic contribution · FY24 cost report
Direct annual spending
$8.5M
total operating expense · reported
Total economic output
$19.6M
× 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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