Financial anchor year: FY23. Margin and revenue are as filed for FY23. Days cash on hand is FY25, 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 San Antonio, TX. It ran an operating surplus of 40.8% in FY23 on $0.0M of operating revenue. It held -3,802 days of cash on hand in FY25, its most recent reported liquidity — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (0th percentile of 1,446 Urban PPS hospitals on liquidity, FY25 pool). 2 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited. Including nonoperating items, the all-in result was negative at 54.9%.
Operating margin · FY23
+40.8%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals98th pctl of 2,560 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
-3,802d
all sources
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals0th pctl of 1,446 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$0.0M
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals0th pctl of 1,503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-54.9%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals1st pctl of 2,564 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at TEXAS CENTER FOR INFECTIOUS DISEASE is about $0K per year (1% of FY25 total operating revenue).
Where TEXAS CENTER FOR sits among Urban PPS hospitals
Operating margin · FY23 pool · n = 2,560 of 2,643 filed
Each point is one Urban PPS hospital in the national FY23 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 FY23 median is +0.4%. Descriptive context only, not a ranking.
One urban pps hospitalTEXAS CENTERUrban 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 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
FY23
FY24
FY25
Patient revenue
14,323
17,966
18,035
Other operating revenue
—
(17,966)
(18,035)
Total operating revenue
14,323
0
0
Total operating expenses
8,476
10,151
10,979
Operating income
5,847
(10,151)
(10,979)
Operating margin %
+40.8%
—
—
Other non-operating, net
(13,703)
0
0
Net income
(7,856)
(10,151)
(10,979)
Net income %
-54.9%
—
—
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · 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
Display states.FY25 · Operating margin — Astrelis calculation unavailable (operating income was not reported on this filing)Filed inputs: Operating income 7,056K · Net patient revenue 18,035KFY25 · Days cash on hand: -3,802 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY24 · Operating margin — Astrelis calculation unavailable (operating income was not reported on this filing)Filed inputs: Operating income 7,815K · Net patient revenue 17,966KFY24 · Days cash on hand: -3,796 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY23 · Net patient A/R — Not reported in source (gross accounts receivable was not filed on Worksheet G, so no net figure exists to derive)FY23 · Days cash on hand: -4,073 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY22 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income 1,063K · Net patient revenue 13,865KFY22 · Days cash on hand: -2,239 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY21 · Days cash on hand: -500 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reporting
A 50-bed hospital running at 71% occupancy, where 0% of patient revenue is outpatient.
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
70.8%
Reported value2025
HCRIS WS S-3
Average daily census
35.52
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
50
Reported value2025
HCRIS WS S-3
Annual discharges
70
Reported value2025
HCRIS WS S-3
Average length of stay
185 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$849
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$156,847
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
0.0%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
150.80
Reported value2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 1)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 1)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
FY25 days cash on hand is an Astrelis calculation outside expected range: charted at the boundary arrow, shown at its actual value in the tiles, and included in peer statistics.
The county this hospital serves
Bexar County, TX
Median household income
$70.6K
vs $82.1K US · $59.7K rural median
Poverty rate
14.7%
vs 12.5% US · 14.3% rural median
Uninsured
15.9%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Bexar County
Illustrative estimate · FY25 cost report
Direct annual spending
$11.0M
total operating expense · Reported value, not a local-capture estimate
Labor income
$12.7M
$10.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$25.3M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.0%
of all county jobs · Reported value
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
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY23 pool · n = 2,560.
Report coverage: Limited Facility Benchmark. 13 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.
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