CCN 454064Tom Green CountyProprietaryUrban (USDA RUCC)80 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Operating margin: -5.5% in FY2023, the 28th percentile of 415 psychiatric hospitals in the FY2023 pool. Days cash on hand: -5 days in FY2023, the 8th percentile of 405 psychiatric hospitals in the FY2023 pool. Total operating revenue: $13.5M in FY2023, the 28th percentile of 477 psychiatric hospitals in the FY2023 pool. Total margin (including nonoperating): -5.5% in FY2023, the 20th percentile of 415 psychiatric hospitals in the FY2023 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in San Angelo, TX. It ran an operating loss of 5.5% in FY23 on $13.5M of operating revenue. It held -5 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (8th percentile of 405 Psychiatric hospitals on liquidity, FY23 pool). Operating margin improved from 13.1% in FY20 to 46.1% in FY24.
Operating margin · FY23
-5.5%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals28th pctl of 415 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
-5d
all sources
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals8th pctl of 405 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$13.5M
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals28th pctl of 477 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-5.5%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals20th pctl of 415 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at RIVER CREST HOSP is about $135K per year (1% of FY23 total operating revenue).
Where RIVER CREST HOSP sits among Psychiatric hospitals
Operating margin · FY23 pool · n = 415 of 608 filed
Each point is one Psychiatric hospital in the national FY23 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 Psychiatric hospital FY23 median is +4.0%. Descriptive context only, not a ranking.
One psychiatric hospitalRIVER CRESTPsychiatric 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24 · 260 days
Patient revenue
13,312
13,483
9,127
Other operating revenue
42
5
11
Total operating revenue
13,354
13,488
9,138
Total operating expenses
13,366
14,234
4,923
Operating income
(12)
(746)
4,215
Operating margin %
-0.1%
-5.5%
+46.1%
Other non-operating, net
0
0
0
Net income
(12)
(746)
4,215
Net income %
-0.1%
-5.5%
+46.1%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY24 · Net patient A/R: -5,492K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R: -5,492K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY22 · Net patient A/R: -3,929K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: -3,881K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Net patient A/R: -3,232K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY21 · Days cash on hand: 0 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY22 · Days cash on hand: -3 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -5 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: -10 days — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (outside the 0–1,500-day expected range — a valid filing can produce this; this year enters no peer pool)
How it operates
quality & operational context · CMS public reporting
A 80-bed psychiatric hospital running at 44% occupancy, where the average stay runs 5.8 days, and operating cost runs $540 per patient day.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
43.8%
Reported value2024
HCRIS WS S-3
Average daily census
35.03
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
80
Reported value2024
HCRIS WS S-3
Annual discharges
1,572
Reported value2024
HCRIS WS S-3
Average length of stay
6 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$540
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$3,132
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
7.0%
Reported value2024
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
TOM GREEN County, TX · metro, under 250K
Median household income
$66.3K
vs $82.1K US
Poverty rate
11.7%
vs 12.5% US
Uninsured
14.5%
vs 8.6% US
Age 65+
16.5%
vs 16.8% US
Fair or poor health
22.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.2% of county personal income is Medicare/Medicaid medical benefits; 21.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Tom Green County
Illustrative estimate · FY24 cost report
Direct annual spending
$4.9M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$11.3M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY23Astrelis calculation
Operating margin vs its peer pool: FY23 pool · n = 415.
Performance Benchmark Report: FY23 peer pool · n = 415 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 12 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
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Astrelis Atlas, "River Crest Hosp", https://astrelis.co/hospitals/454064, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/454064.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
