Astrelis
Urban PPS hospital · Decatur, IL

DECATUR MEMORIAL HOSPITAL

CCN 140135MACON CountyVoluntary non-profit - OtherUrban (USDA RUCC)136 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Decatur, IL. It ran an operating loss of 8.7% in FY25 on $358.1M of operating revenue. It held 11 days of cash on hand (43rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -10.5% in FY20 to -8.7% in FY25.

Operating margin · FY25
-8.7%
2.7 pts vs FY24
vs Urban PPS hospitals24th pctl of 1,475 (FY25)
Days cash on hand · FY25
11d
all sources
1.2 days vs FY24
vs Urban PPS hospitals43rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$358.1M
37.1 $M vs FY24
vs Urban PPS hospitals59th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-5.9%
0.0 pts vs FY24
vs Urban PPS hospitals14th pctl of 1,475 (FY25)
One point of operating margin at DECATUR MEMORIAL HOSPITAL is about $3.6M per year (1% of FY25 total operating revenue).

Where DECATUR MEMORIAL HOSPITAL 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%DECATUR MEMORIAL -8.67570114391653%-20%0%+20%Urban PPS hospital median +1.3311360264910879%DECATUR MEMORIAL -8.67570114391653%
One urban pps hospitalDECATUR MEMORIALUrban 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
-8.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-5.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
11d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.27× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
22% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
43d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue272,728308,691335,935
Other operating revenue14,98012,23922,116
Total operating revenue287,708320,930358,051
Total operating expenses365,768357,434389,114
Operating income(78,061)(36,505)(31,063)
Operating margin %-27.1%-11.4%-8.7%
Investment income7,8648,1051,769
Other non-operating, net11,5658,3877,545
Net income(58,632)(20,013)(21,749)
Net income %-19.1%-5.9%-5.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 136-bed hospital at 59% occupancy 67% 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
59.4%
Verified fact2025
HCRIS WS S-3
Average daily census
81.00
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
136
Verified fact2025
HCRIS WS S-3
Annual discharges
8,368
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
66.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,557
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$8.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.276
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.073106
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-10.5%-6.2%-11.9%-27.1%-11.4%-8.7%FY20FY21FY22FY23FY24FY25
Days cash on hand
139 days146 days31 days8 days10 days11 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MACON County, IL · metro, under 250K
Median household income
$62.4K
vs $82.1K US · $59.7K rural median
Poverty rate
14.6%
vs 12.5% US · 14.3% rural median
Uninsured
4.1%
vs 8.6% US · 8.4% rural median
Age 65+
20.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.9% of county personal income is Medicare/Medicaid medical benefits; 24.6% arrives as government transfers (BEA, 2022).

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