Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A skilled nursing facility in Merkel, TX. It ran an operating loss of 39.6% in FY24 on $0.3M of operating revenue. It held 90 days of cash on hand in FY25, its most recent reported liquidity (86th percentile among SNFs on liquidity). Only a single comparable reporting year is available, so trend context is limited. On care, it carries a 1-star CMS quality rating. On the filed record it is running at an operating loss with lower measured quality. Source-reported context, not a recommendation.
Overall Five-Star
1
Verified fact2025
Source: CMS Care Compare
Total nursing HPRD
3.18
Verified fact2025
Source: CMS PBJ staffing
Operating margin · FY24
-39.6%
vs SNFs3rd pctl of 12,481 (FY25)
Days cash on hand · FY25
90d
all sources
vs SNFs86th pctl of 10,767 (FY25)
Where Merkel Nursing Center 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 snfMerkel NursingSNF 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
-39.6% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-20.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
90d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
0.47× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-118% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
3,170
1,942
300
Total operating revenue
3,170
1,942
300
Total operating expenses
3,054
2,712
2,416
Operating income
116
(770)
(2,116)
Operating margin %
+3.7%
-39.6%
-705.3%
Other non-operating, net
75
0
1,703
Net income
191
(770)
(413)
Net income %
+5.9%
-39.6%
-20.6%
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
1
Verified fact2025
CMS Care Compare
Health inspection star
1
Verified fact2025
CMS Care Compare
Quality measure star
1
Verified fact2025
CMS Care Compare
Staffing star
2
Verified fact2025
CMS Care Compare
Total nursing HPRD
3.18
Verified fact2025
CMS PBJ staffing
RN HPRD
0.48
Verified fact2025
CMS PBJ staffing
Total nurse turnover
64.9%
Verified fact2025
CMS PBJ staffing
Occupancy
3.1%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
98.0%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
0.8%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
1.2%
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
Taylor County, TX · metro, under 250K
Median household income
$66.4K
vs $82.1K US · $59.7K rural median
Poverty rate
13.5%
vs 12.5% US · 14.3% rural median
Uninsured
14.5%
vs 8.6% US · 8.4% rural median
Age 65+
14.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.4% of county personal income is Medicare/Medicaid medical benefits; 23.4% 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.
