Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 041335 — see the current profile. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Days cash on hand is FY23, 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 hospital in Hope, AR. It ran an operating surplus of 19.4% in FY25 on $21.3M of operating revenue. It held -0 days of cash on hand in FY23, its most recent reported liquidity — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (8th percentile of 390 Rural PPS hospitals on liquidity, FY23 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited.
Operating margin · FY25
+19.4%
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals95th pctl of 202 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
-0d
all sources
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals8th pctl of 390 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$21.3M
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals10th pctl of 207 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+19.4%
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals93rd pctl of 202 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at SOUTHWEST ARKANSAS REGIONAL MEDICAL CENTER LLC is about $213K per year (1% of FY25 total operating revenue).
Where SOUTHWEST ARKANSAS REGIONAL sits among Rural PPS hospitals
Operating margin · FY25 pool · n = 202 of 410 filed
Each point is one Rural PPS hospital 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 Rural PPS hospital FY25 median is -3.6%. Descriptive context only, not a ranking.
One rural pps hospitalSOUTHWEST ARKANSASRural 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 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
10,572
6,210
20,947
Other operating revenue
665
583
357
Total operating revenue
11,237
6,793
21,304
Total operating expenses
16,434
13,847
17,162
Operating income
(5,197)
(7,054)
4,141
Operating margin %
-46.2%
—
+19.4%
Grants & contributions
864
—
—
Investment income
—
13
—
Other non-operating, net
80
167
0
Net income
(4,253)
(6,874)
4,141
Net income %
-34.9%
—
+19.4%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY24 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -7,637K · Net patient revenue 6,210KFY24 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY23 · Days cash on hand: -0 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reporting
A 28-bed hospital running at 10% occupancy, where 86% of patient revenue is outpatient.
The metrics this hospital 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.
Scale and flow
Occupancy
10.1%
Reported value2025
HCRIS WS S-3
Average daily census
2.83
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
28
Reported value2025
HCRIS WS S-3
Annual discharges
304
Reported value2025
HCRIS WS S-3
Average length of stay
3 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$18,757
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$56,455
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
86.1%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
80.60
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
12.0%
Reported value2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.9M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
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
1.17
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 2)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Results cannot be calculated for this reporting period.Note 2: The number of cases/patients is too few to report.
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HEMPSTEAD County, AR · nonmetro, urban 5–20K, metro-adjacent
Median household income
$47.7K
vs $82.1K US · $59.7K rural median
Poverty rate
19.0%
vs 12.5% US · 14.3% rural median
Uninsured
10.1%
vs 8.6% US · 8.4% rural median
Age 65+
18.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.4% of county personal income is Medicare/Medicaid medical benefits; 34.7% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Hempstead County
Illustrative estimate · FY25 cost report
Direct annual spending
$17.2M
total operating expense · Reported value, not a local-capture estimate
Labor income
$8.0M
$6.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$39.5M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
1.1%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 202.
Report coverage: Historical Facility Benchmark. 15 of 17 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
$1,000delivered within 2 business days of invoice
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