Astrelis
Dialysis facility · San Antonio, TX

USRC GATEWAY DIALYSIS

CCN 452851Latest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A dialysis facility in San Antonio, TX. It ran an operating loss of 9.8% in FY24 on $2.3M of operating revenue. It held 355 days of cash on hand (92nd percentile among dialysis facilities on liquidity). Operating margin declined from 23.9% in FY20 to -9.8% in FY24.

Operating margin · FY24
-9.8%
vs dialysis facilities16th pctl of 7,741
Days cash on hand · FY24
355d
all sources
vs dialysis facilities92nd pctl
Total operating revenue · FY24
$2.3M
vs dialysis facilities34th pctl
Total margin · incl. nonoperating · FY24
-9.8%
vs dialysis facilities16th pctl

Where USRC GATEWAY DIALYSIS sits among dialysis facilities

Operating margin · FY24 pool · n = 7,741 of 7,741 filed

Each point is one dialysis facility 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 dialysis facility median is +11.9%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%dialysis facility median +11.9%USRC GATEWAY -9.76%-20%0%+20%dialysis facility median +11.9%USRC GATEWAY -9.76%
One dialysis facilityUSRC GATEWAYdialysis facility median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this dialysis facility 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
-9.8% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-9.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
355d (FY24)
Cash & investments ÷ daily operating expense
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 revenue2,5302,3912,286
Total operating revenue2,5302,3912,286
Total operating expenses1,8362,6162,510
Operating income694(226)(223)
Operating margin %+27.4%-9.5%-9.8%
Other non-operating, net000
Net income694(226)(223)
Net income %+27.4%-9.5%-9.8%
HCRIS CMS-265 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding

How it operates

quality & operational context · CMS public reporting

The metrics this dialysis facility 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.

Quality star
4
Proxy2026
CMS Dialysis Compare
Total treatments
8,194
Verified fact2024
HCRIS CMS-265
Cost per treatment ($)
306.27
Verified fact2024
HCRIS CMS-265
Net revenue per treatment ($)
279.03
Verified fact2024
HCRIS CMS-265
Dialysis stations
25
Verified fact2026
CMS Dialysis Facility Compare
Modalities offered
2
Verified fact2026
CMS Dialysis Facility Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+23.9%+21.1%+27.4%-9.4%-9.8%FY20FY21FY22FY23FY24
Days cash on hand
355 daysFY20FY21FY22FY23FY24

The county this dialysis facility serves

Location, TX · metro, 1M+ population
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).
build aa21187 · 2026-07-28