Astrelis
Hospice · San Antonio, TX

RIVER CITY HOSPICE OF TEXAS, L.L.C.

CCN 671716Bexar CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Average daily census: 19 in FY2025. Hospice Care Index: 10 in FY2025. Operating margin: +6.0% in FY2025, the 63rd percentile of 3,640 hospices in the FY2025 pool. Total days of care: 8,350 days in FY2025. Days cash on hand: 5 days in FY2025, the 22nd percentile of 2,937 hospices in the FY2025 pool. Total operating revenue: $1.4M in FY2025, the 21st percentile of 3,645 hospices in the FY2025 pool. Total margin (including nonoperating): +7.9% in FY2025, the 50th percentile of 3,641 hospices in the FY2025 pool. Figures as filed; not audited by Astrelis.

The read

A hospice in San Antonio, TX. It ran an operating surplus of 6.0% in FY25 on $1.4M of operating revenue. It held 5 days of cash on hand (22nd percentile of 2,937 hospices on liquidity, FY25 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited. It carries an average daily census of 19.

Average daily census
19
Reported value2025
Source: CMS Hospice
Hospice Care Index
10
Reported value2025
Source: CMS Hospice Quality
Operating margin · FY25
+6.0%
Astrelis calculation · as-filed inputs
vs hospices63rd pctl of 3,640 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total days of care
8,350 days
Reported value2025
Source: HCRIS CMS-1984

Where RIVER CITY HOSPICE sits among hospices

Operating margin · FY25 pool · n = 3,640 of 3,944 filed

Each point is one hospice in the national FY25 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 hospice FY25 median is -0.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%hospice median -0.8%RIVER CITY +6.0%
One hospiceRIVER CITYhospice median

The money

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

Ratios tell you how this hospice 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.

Operating margin
+6.0% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+7.9% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
5d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
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 itemFY22FY24FY25
Patient revenue1321,1861,436
Total operating revenue1321,1861,436
Total operating expenses1999171,351
Operating income(68)26986
Operating margin %-51.3%+22.7%+6.0%
Other non-operating, net9030
Net income(58)269116
Net income %-41.5%+22.7%+7.9%
— = Not reported in source for that year.
HCRIS CMS-1984 cost report · $ thousands · FY20–FY25 · patient-service operating basis; non-patient revenue (contributions, investment) is non-operating · FY20–21 may include COVID-era relief funding

How it operates

quality & operational context · CMS public reporting

The metrics this hospice 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.

Hospice Care Index
10
Reported value2025
CMS Hospice Quality
Average daily census
19
Reported value2025
CMS Hospice
Routine home care mix
99.2%
Reported value2025
HCRIS CMS-1984
General inpatient mix
0.6%
Reported value2025
HCRIS CMS-1984
Total days of care
8,350 days
Reported value2025
HCRIS CMS-1984
Continuous home care mix
0.0%
Reported value2025
HCRIS CMS-1984
Respite mix
0.2%
Reported value2025
HCRIS CMS-1984

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+5.6%-8.3%-51.3%+22.7%+6.0%FY20FY21FY22FY24FY25
Days cash on hand
370 days307 days117 days10 days5 daysFY20FY21FY22FY24FY25

The county this hospice serves

Bexar County, 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).
Operating margin vs its peer poolFY25Astrelis calculation

6.0% operating margin — 63rd percentile of 3,640 peers (FY25 pool).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

Reserve The Board Briefing →
Performance Benchmark Report

($172 facility vs $184 peer median per patient day) = $12 below the median × 8,350 patient days ≈ $100K less revenue than the median rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 3,640.

Performance Benchmark Report: FY25 peer pool · n = 3,640 · conservative low band; acuity limits stated in the report.

Report coverage: Limited Facility Benchmark. 11 of 12 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.

Hospice Performance Benchmark

Per-patient-day economics and care-level mix against matched peers. Directional; acuity limits stated.

$2,500Founding Edition · built to order, first edition · invoice after coverage confirmation · within 30 days
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "River City Hospice Of Texas, L.L.C.", https://astrelis.co/providers/hospice/671716, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Machine-readable twin of this page: astrelis.co/providers/hospice/671716.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.

build 2321a4fc37a7 · 2026-10-22 · dev