Astrelis
Rural Emergency Hospital · San Augustine, TX

CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE

CCN 670783Voluntary non-profit - PrivateLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in San Augustine, TX. It ran an operating surplus of 39.7% in FY25 on $13.7M of operating revenue. It held 24 days of cash on hand. Operating margin improved from 21.6% in FY24 to 39.7% in FY25.

Operating margin · FY25
+39.7%
18.2 pts vs FY24
vs Rural Emergency Hospitals
Days cash on hand · FY25
24d
all sources
5.5 days vs FY24
vs Rural Emergency Hospitals
Total operating revenue · FY25
$13.7M
2.4 $M vs FY24
vs Rural Emergency Hospitals
Total margin · incl. nonoperating · FY25
+41.0%
18.6 pts vs FY24
vs Rural Emergency Hospitals
One point of operating margin at CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE is about $137K per year (1% of FY25 total operating revenue).

Where CHI ST LUKES sits among Rural Emergency Hospitals

Operating margin · FY24 pool · n = 22 of 38 filed

The Rural Emergency Hospital FY24 pool is small (22 with comparable finance), so a distribution isn't statistically meaningful. The cohort median operating margin is -6.6%, and this hospital is at +39.7%, shown for context, not as a ranking.

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
+39.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+41.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
24d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.22× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-159% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
20d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY24FY25
Patient revenue11,26513,725
Other operating revenue3119
Total operating revenue11,29713,744
Total operating expenses8,8618,283
Operating income2,4365,461
Operating margin %+21.6%+39.7%
Grants & contributions195
Investment income16
Other non-operating, net107111
Net income2,5595,767
Net income %+22.4%+41.0%
2 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24–FY25
FY24, FY25 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

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
Outpatient share of patient revenue
100.0%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 2 reporting years
Operating margin
+21.6%+39.7%FY24FY25
Days cash on hand
18 days24 daysFY24FY25

The county this hospital serves

Location, TX
Median household income
$46.3K
vs $82.1K US
Poverty rate
27.5%
vs 12.5% US
Uninsured
20.0%
vs 8.6% US
Age 65+
27.1%
vs 16.8% US
Fair or poor health
30.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 24.1% of county personal income is Medicare/Medicaid medical benefits; 41.0% arrives as government transfers (BEA, 2022).

What this hospital means to its county

economic contribution · FY25 cost report
Direct annual spending
$8.3M
total operating expense · reported
Total economic output
$19.1M
× 2.30 output multiplier · upper-bound 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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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