CCN 671300YOUNG CountyGovernment - Hospital District or Authority25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Graham, TX. It ran an operating loss of 21.2% in FY25 on $22.4M of operating revenue. It held 74 days of cash on hand (43rd percentile among Critical Access 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 7.8%.
Operating margin · FY25
-21.2%
vs Critical Access Hospitals11th pctl of 824 (FY25)
Days cash on hand · FY25
74d
all sources
vs Critical Access Hospitals43rd pctl of 827 (FY25)
Total operating revenue · FY25
$22.4M
vs Critical Access Hospitals32nd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+7.8%
vs Critical Access Hospitals56th pctl of 824 (FY25)
One point of operating margin at GRAHAM REGIONAL MEDICAL CENTER is about $224K per year (1% of FY25 total operating revenue).
Where GRAHAM REGIONAL MEDICAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalGRAHAM REGIONALCritical 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
-15.9% (FY25)
7th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+51.9% (FY25)
35th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
3,104
21,111
21,799
Other operating revenue
—
41
565
Total operating revenue
3,104
21,152
22,364
Total operating expenses
4,480
26,876
27,095
Operating income
(1,375)
(5,724)
(4,730)
Operating margin %
-44.3%
-27.1%
-21.2%
Grants & contributions
361
765
263
Investment income
90
441
250
Other non-operating, net
1,744
5,056
6,497
Net income
820
538
2,280
Net income %
+15.5%
+2.0%
+7.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY23–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 11% occupancy where swing beds are 35% of the inpatient business and 93% 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
10.8%
Verified fact2025
HCRIS WS S-3
Average daily census
2.70
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
196
Verified fact2025
HCRIS WS S-3
Average length of stay
5.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.42
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
34.5%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
92.6%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.5M
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
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
270%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 39th percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 3 reporting years
Operating margin
Days cash on hand
The county this hospital serves
YOUNG County, TX
Median household income
$63.7K
vs $82.1K US · $59.7K rural median
Poverty rate
16.7%
vs 12.5% US · 14.3% rural median
Uninsured
20.2%
vs 8.6% US · 8.4% rural median
Age 65+
21.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.3% of county personal income is Medicare/Medicaid medical benefits; 24.6% arrives as government transfers (BEA, 2022).
What this hospital means to Young County
economic contribution · FY25 cost report
Direct annual spending
$27.1M
total operating expense · reported
Total economic output
$62.3M
× 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.
The Board Briefing$1,000
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Commercial Pricing Study$10,000CAH only, subject to data validation
Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.
