1215 E Court St, Seguin, TX, 78155 · (830) 379-2411
Beds
117
FY 2025
Star rating
2 of 5
Patient survey: 5 of 5
Net patient revenue
$147.6M
FY 2025
Net income
$1.3M
Patient care margin -12.2%
Discharges
3,553
Occupancy 26.9%
Clinicians
306
From the hospital's yearly cost reports (fiscal years as the hospital reports them)
Locations are shown at the center of the ZIP code.
US dollars as reported. Patient care margin = net patient revenue minus operating expenses, before other income such as grants, donations and investments.
| Fiscal year | Net patient revenue | Operating expenses | Patient care margin | Net income | Discharges | Uncompensated care | Medicare days | Medicaid days |
|---|---|---|---|---|---|---|---|---|
| 2025 | $147.6M | $165.6M | -12.2% | $1.3M | 3,553 | $14.5M | 26.5% | 1.1% |
Official hospital quality measures with the national median across hospitals. For ratios, 1.00 means as many cases as expected.
| Death rate for COPD patients | 8.9% | US median 8.5% |
| Death rate for heart attack patients | 12.6% | US median 11.8% |
| Death rate for heart failure patients | 12.2% | US median 11% |
| Hospital-wide death rate within 30 days | 5.1% | US median 3.9% |
| Death rate for pneumonia patients | 15% | US median 15.2% |
| Death rate for stroke patients | 8.9% | US median 11.6% |
Medicare clinicians who list this hospital, by specialty
Inpatient stays by diagnosis related group (DRG), 2024
Official US government data: hospital records, ownership records, yearly cost reports and quality measures, linked by the hospital's CCN and NPI. Financials are for fiscal years as reported by the hospital.
Medicare clinicians who work here
| 2024 | $143.5M | $158.5M | -10.4% | -$940K | 3,611 | $15.7M | 27.6% | 0.9% |
| 2023 | $135.6M | $149.4M | -10.2% | $3.7M | 3,800 | $13.5M | 28.3% | 0.7% |
| 2022 | $128.8M | $136.5M | -5.9% | $8.8M | 3,648 | $13.0M | 28.1% | 0.7% |
| 2021 | $126.2M | $126.0M | 0.2% | $22.3M | 4,059 | $13.8M | 26.5% | 0.9% |
| 2020 | $102.7M | $114.4M | -11.4% | $5.5M | 3,482 | $12.7M | 30.8% | 1.2% |
| Readmission rate for COPD | 21.3% | US median 19.8% |
| Readmission rate after a heart attack | 13.9% | US median 14.4% |
| Readmission rate for heart failure | 21.7% | US median 21.3% |
| Readmission rate after hip or knee replacement | 5.3% | US median 5.8% |
| Readmission rate for pneumonia | 16.9% | US median 17.2% |
| Complications after hip or knee replacement | 4.3% | US median 4.1% |
| Serious complications (patient safety composite) | 0.88 | US median 0.96 |
| C. diff intestinal infections (ratio to expected) | 0.71 | US median 0.28 |
| Central line bloodstream infections (ratio to expected) | 0.84 | US median 0.48 |
| Catheter urinary tract infections (ratio to expected) | 2.33 | US median 0.40 |
| Doctors always communicated well | 85% | US median 79% |
| Nurses always communicated well | 86% | US median 80% |
| Patient survey summary star rating | 5 of 5 | US median 3 of 5 |
| Area around the room always quiet at night | 73% | US median 59% |
| Patients who rated the hospital 9 or 10 out of 10 | 84% | US median 72% |
| Room and bathroom always clean | 82% | US median 73% |
| Patients who would definitely recommend the hospital | 80% | US median 71% |
| Patients who left the emergency department before being seen | 2% | US median 1% |
| Median time in the emergency department before leaving (minutes) | 194 min | US median 148 min |
| Patients prescribed 2 or more opioids or opioids with benzodiazepines at discharge | 20% | US median 15% |
| Patients who got appropriate care for severe sepsis and septic shock | 71% | US median 65% |
| Healthcare workers given the flu vaccine | 78% | US median 79% |
| Stroke patients who got a brain scan within 45 minutes of arrival | 83% | US median 74% |
| 31 |
| $12,674.32 |
| $5,275.19 |
| $5,985.69 |
| DRG 193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 28 | $32,783.00 | $8,393.11 | $9,867.73 |
| DRG 378 GASTROINTESTINAL HEMORRHAGE WITH CC | 26 | $24,658.73 | $6,987.69 | $7,294.77 |
| DRG 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 26 | $45,351.04 | $13,341.23 | $15,801.33 |
| DRG 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 25 | $45,346.76 | $13,764.04 | $15,768.13 |
| DRG 189 PULMONARY EDEMA AND RESPIRATORY FAILURE | 23 | $35,650.48 | $7,942.17 | $9,973.97 |
| DRG 683 RENAL FAILURE WITH CC | 22 | $15,609.05 | $5,962.00 | $6,629.69 |
| DRG 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 22 | $47,547.82 | $10,613.14 | $12,667.88 |
| DRG 689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 20 | $17,500.30 | $7,157.65 | $8,838.11 |
| DRG 470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 19 | $36,774.68 | $12,581.32 | $14,289.25 |
| DRG 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 17 | $29,502.29 | $7,012.06 | $8,466.56 |
| DRG 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 15 | $34,994.00 | $10,084.93 | $12,400.10 |
| DRG 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 14 | $23,063.71 | $6,391.71 | $7,474.08 |
Hospital outpatient services by payment group (APC), 2024
| Service group | Services | Patients | Medicare pays per service | All hospitals |
|---|---|---|---|---|
| APC 8011 Comprehensive Observation Services | 363 | 327 | $1,842.16 | $2,090.36 |
| APC 5491 Level 1 Intraocular Procedures | 331 | 203 | $1,572.09 | $1,751.67 |
| APC 5115 Level 5 Musculoskeletal Procedures | 109 | 104 | $9,684.21 | $10,771.69 |
| APC 5374 Level 4 Urology and Related Services | 75 | 55 | $2,377.93 | $2,629.24 |
| APC 5373 Level 3 Urology and Related Services | 66 | 63 | $1,365.41 | $1,516.28 |
| APC 5191 Level 1 Endovascular Procedures | 65 | 64 | $2,029.87 | $2,207.96 |
| APC 5183 Level 3 Vascular Procedures | 63 | 46 | $2,168.59 | $2,405.01 |
| APC 5375 Level 5 Urology and Related Services | 56 | 55 | $3,513.27 | $3,917.51 |
| APC 5113 Level 3 Musculoskeletal Procedures | 51 | 44 | $1,965.61 | $2,373.24 |
| APC 5361 Level 1 Laparoscopy and Related Services | 49 | 48 | $3,826.11 | $4,357.80 |
| APC 5112 Level 2 Musculoskeletal Procedures | 44 | 43 | $1,085.88 | $1,196.16 |
| APC 5072 Level 2 Excision/ Biopsy/ Incision and Drainage | 42 | 37 | $1,093.95 | $1,219.56 |
Official US government data on Original Medicare hospital stays and outpatient services; groups with fewer than 11 cases are not published. Payments are those drug and device companies must report.
Guadalupe Regional Medical Center is a government-owned short-term acute care hospital in Seguin, TX with 117 beds and a 2-star overall rating.
Guadalupe Regional Medical Center in Seguin, TX has 117 beds (fiscal year 2025 cost report); 153 beds are certified for Medicare. It discharged 3,553 inpatients that year, with 26.9% of its beds in use on average.
In fiscal year 2025 (ending 2025-09-30), Guadalupe Regional Medical Center reported net patient revenue of $147.6M and operating expenses of $165.6M, a margin on patient care of -12.2%. After other income and expenses its net income was $1.3M (0.8% of revenue), so it made a profit that year.
Guadalupe Regional Medical Center is not part of a multi-hospital health system in the official ownership records. It is a government-owned hospital (Government (local)).
Guadalupe Regional Medical Center has an overall rating of 2 out of 5 stars in the official hospital quality ratings. Patients rate it 5 out of 5 stars in the patient survey.
Yes, Guadalupe Regional Medical Center provides emergency services.
306 Medicare clinicians list Guadalupe Regional Medical Center as a hospital they work at, most often in Nurse Practitioner, Family Practice, Physician Assistant.
In 2024, Guadalupe Regional Medical Center had 580 Medicare inpatient stays in 27 diagnosis groups. The most common was DRG 291 (heart failure and shock with mcc) with 87 stays; Medicare paid $8,568.74 per stay on average, compared with $10,022.34 across all hospitals.