A skilled nursing facility in San Marcos, TX. It ran an operating surplus of 18.0% in FY25 on $12.7M of operating revenue. It held 1 day of cash on hand (22nd percentile among SNFs on liquidity). Operating margin improved from 14.7% in FY20 to 18.0% in FY25. On care, it carries a 2-star CMS quality rating. Its potentially-preventable readmissions runs 9.5%. On the filed record it is comfortably profitable with lower measured quality. Source-reported context, not a recommendation.
Overall Five-Star
2
Verified fact2025
Source: CMS Care Compare
Days cash on hand · FY25
1d
all sources
▼ 0.8 days vs FY24
vs SNFs22nd pctl of 10,767 (FY25)
Operating margin · FY25
+18.0%
▲ 3.4 pts vs FY24
vs SNFs96th pctl of 12,481 (FY25)
Return to community
53.2%
Proxy2026
Source: CMS SNF QRP
Where San Marcos Rehabilitation sits among SNFs
Operating margin · FY25 pool · n = 12,481 of 13,901 filed
Each point is one SNF 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 SNF median is +1.0%. Descriptive context only, not a ranking.
One snfSan MarcosSNF median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this skilled nursing 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
+18.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+18.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
9.14× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
69% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
11,731
11,406
12,714
Total operating revenue
11,731
11,406
12,714
Total operating expenses
9,790
9,739
10,428
Operating income
1,941
1,667
2,286
Operating margin %
+16.5%
+14.6%
+18.0%
Other non-operating, net
4
1
4
Net income
1,945
1,668
2,290
Net income %
+16.6%
+14.6%
+18.0%
HCRIS Worksheet G-3 (SNF) · $ thousands · FY20–FY25 · operating revenue reflects net patient revenue (the SNF form carries no other-operating split) · FY20–21 may include COVID-era relief funding in other income
How it operates
quality & operational context · CMS public reporting
The metrics this skilled nursing 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.
Overall Five-Star
2
Verified fact2025
CMS Care Compare
Health inspection star
1
Verified fact2025
CMS Care Compare
Quality measure star
5
Verified fact2025
CMS Care Compare
Total nurse turnover
53.4%
Verified fact2025
CMS PBJ staffing
Return to community
53.2%
Proxy2026
CMS SNF QRP
Potentially-preventable readmissions
9.5%
Proxy2026
CMS SNF QRP
Occupancy
79.4%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
18.0%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
65.8%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
16.2%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility serves
Hays County, TX
Median household income
$85.8K
vs $82.1K US · $59.7K rural median
Poverty rate
12.0%
vs 12.5% US · 14.3% rural median
Uninsured
11.9%
vs 8.6% US · 8.4% rural median
Age 65+
11.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 4.3% of county personal income is Medicare/Medicaid medical benefits; 12.4% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Delivered within 30 days of eligibility confirmation.
