Astrelis
Urban PPS hospital · Russellville, KY

The Medical Center at Russellville

CCN 180066LOGAN CountyProprietary31 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Russellville, KY. It ran an operating loss of 6.4% in FY25 on $21.4M of operating revenue. It held 49 days of cash on hand (59th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -4.0% in FY21 to -6.4% in FY25, though it rose 12.8 points in the most recent year.

Operating margin · FY25
-6.4%
vs Urban PPS hospitals28th pctl of 1,475 (FY25)
Days cash on hand · FY25
49d
all sources
vs Urban PPS hospitals59th pctl of 1,386 (FY25)
Total operating revenue · FY25
$21.4M
vs Urban PPS hospitals4th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-5.6%
vs Urban PPS hospitals15th pctl of 1,475 (FY25)
One point of operating margin at The Medical Center at Russellville is about $214K per year (1% of FY25 total operating revenue).

Where The Medical Center 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%The Medical -6.4032123702462656%-20%0%+20%Urban PPS hospital median +1.3311360264910879%The Medical -6.4032123702462656%
One urban pps hospitalThe MedicalUrban 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
-6.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-5.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
49d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue22,08929,04917,789
Other operating revenue1752003,578
Total operating revenue22,26429,24921,367
Total operating expenses22,05334,87822,736
Operating income211(5,629)(1,368)
Operating margin %+0.9%-19.2%-6.4%
Grants & contributions1
Other non-operating, net48107154
Net income259(5,522)(1,213)
Net income %+1.2%-18.8%-5.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 31-bed hospital at 15% occupancy 85% 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
14.9%
Verified fact2025
HCRIS WS S-3
Average daily census
4.63
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
31
Verified fact2025
HCRIS WS S-3
Annual discharges
329
Verified fact2025
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.53
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
10.4%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
85.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
95.60
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.712
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.92
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.976533
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-4.0%-11.2%+0.9%-19.2%-6.4%FY21FY22FY23FY24FY25
Days cash on hand
0 days47 days7 days49 daysFY21FY22FY23FY24FY25

The county this hospital serves

LOGAN County, KY
Median household income
$61.5K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
8.3%
vs 8.6% US · 8.4% rural median
Age 65+
18.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
Not available
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.3% of county personal income is Medicare/Medicaid medical benefits; 30.9% arrives as government transfers (BEA, 2022).

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