Astrelis
Urban PPS hospital · Fort Smith, AR

MERCY HOSPITAL FORT SMITH

CCN 040062SEBASTIAN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)213 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Fort Smith, AR. It ran an operating surplus of 13.2% in FY25 on $526.8M of operating revenue. It held 16 days of cash on hand (46th percentile among Urban PPS hospitals on liquidity).

Operating margin · FY25
+13.2%
4.3 pts vs FY24
vs Urban PPS hospitals79th pctl of 1,475 (FY25)
Days cash on hand · FY25
16d
all sources
6.0 days vs FY24
vs Urban PPS hospitals46th pctl of 1,386 (FY25)
Total operating revenue · FY25
$526.8M
22.5 $M vs FY24
vs Urban PPS hospitals71st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+14.4%
3.3 pts vs FY24
vs Urban PPS hospitals76th pctl of 1,475 (FY25)
One point of operating margin at MERCY HOSPITAL FORT SMITH is about $5.3M per year (1% of FY25 total operating revenue).

Where MERCY HOSPITAL FORT sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%MERCY HOSPITAL +13.195909006271483%-20%0%+20%Urban PPS hospital median +1.3311360264910879%MERCY HOSPITAL +13.195909006271483%
One urban pps hospitalMERCY HOSPITALUrban PPS hospital median

The money

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

Ratios tell you how this hospital 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
+13.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+14.4% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
16d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.69× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
88% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
49d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue447,074495,308525,954
Other operating revenue4,5119,031891
Total operating revenue451,585504,339526,845
Total operating expenses385,280416,184457,323
Operating income66,30588,15569,522
Operating margin %+14.7%+17.5%+13.2%
Grants & contributions1,6748953,135
Investment income4,711
Other non-operating, net3,2531,010(150)
Net income71,23290,06077,218
Net income %+15.6%+17.8%+14.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 213-bed hospital at 74% occupancy 62% of patient revenue is outpatient.

The metrics this hospital 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.

Scale and flow
Occupancy
74.4%
Verified fact2025
HCRIS WS S-3
Average daily census
158.92
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
213
Verified fact2025
HCRIS WS S-3
Annual discharges
24,647
Verified fact2025
HCRIS WS S-3
Average length of stay
2.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
62.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,800
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.185
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.07
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.691921
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+13.7%+11.8%+14.7%+17.5%+13.2%FY21FY22FY23FY24FY25
Days cash on hand
10 days10 days10 days10 days16 daysFY21FY22FY23FY24FY25

The county this hospital serves

SEBASTIAN County, AR
Median household income
$56.5K
vs $82.1K US · $59.7K rural median
Poverty rate
16.3%
vs 12.5% US · 14.3% rural median
Uninsured
10.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.2% of county personal income is Medicare/Medicaid medical benefits; 26.9% arrives as government transfers (BEA, 2022).

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