Astrelis
Urban PPS hospital · Houston, TX

AD HOSPITAL EAST, LLC

CCN 670102HARRIS CountyProprietaryUrban (USDA RUCC)36 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Days cash on hand is FY21, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Houston, TX. It ran an operating loss of 18.9% in FY24 on $54.2M of operating revenue. It held 2 days of cash on hand in FY21, its most recent reported liquidity (30th percentile among Urban PPS 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 15.9%. These figures come from filings spanning FY21–FY24: read each by its own year rather than as one current picture.

Operating margin · FY24
-18.9%
vs Urban PPS hospitals9th pctl of 2,562 (FY24)
Days cash on hand · FY21
2d
all sources
vs Urban PPS hospitals30th pctl of 2,354 (FY24)
Total operating revenue · FY24
$54.2M
vs Urban PPS hospitals11th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+15.9%
vs Urban PPS hospitals79th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at AD HOSPITAL EAST, LLC is about $542K per year (1% of FY24 total operating revenue).

Where AD HOSPITAL EAST, sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 of 2,681 filed

Each point is one Urban PPS 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 Urban PPS hospital median is +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%AD HOSPITAL -18.927054934757827%-20%0%+20%Urban PPS hospital median +2.027429837815152%AD HOSPITAL -18.927054934757827%
One urban pps hospitalAD HOSPITALUrban PPS 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.

Operating margin
-18.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+15.9% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
2d (FY21)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue24,684712,76654,441
Other operating revenue3,224128(227)
Total operating revenue27,908712,89454,213
Total operating expenses72,21360,46964,474
Operating income(44,304)652,425(10,261)
Operating margin %-158.8%+91.5%-18.9%
Other non-operating, net(5)(691,608)22,446
Net income(44,309)(39,183)12,185
Net income %-158.8%-184.1%+15.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21 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).
FY21, FY22 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).

How it operates

quality & operational context · CMS public reporting

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
30.5%
Verified fact2024
HCRIS WS S-3
Average daily census
11.01
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
36
Verified fact2024
HCRIS WS S-3
Annual discharges
894
Verified fact2024
HCRIS WS S-3
Average length of stay
4.5d
Verified fact2024
HCRIS WS S-3
Total FTEs
146.50
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
7.4%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$2.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.2
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.04724
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-54.0%+91.5%-18.9%FY20FY21FY22FY23FY24
Days cash on hand
2 daysFY20FY21FY22FY23FY24
FY24 days cash suppressed: out of display range.

The county this hospital serves

HARRIS County, TX · metro, 1M+ population
Median household income
$73.1K
vs $82.1K US · $59.7K rural median
Poverty rate
15.9%
vs 12.5% US · 14.3% rural median
Uninsured
21.2%
vs 8.6% US · 8.4% rural median
Age 65+
11.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.6% of county personal income is Medicare/Medicaid medical benefits; 12.9% arrives as government transfers (BEA, 2022).

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