A hospital in Irvine, KY. It ran an operating surplus of 13.4% in FY24 on $33.2M of operating revenue. Operating margin improved from -5.9% in FY20 to 13.4% in FY24.
Operating margin · FY24
+13.4%
vs Critical Access Hospitals88th pctl of 1,340 (FY24)
Days cash on hand
Not available
all sources
vs Critical Access Hospitals—
Total operating revenue · FY24
$33.2M
vs Critical Access Hospitals55th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+13.5%
vs Critical Access Hospitals80th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at MARCUM AND WALLACE MEMORIAL HOSPITAL is about $332K per year (1% of FY24 total operating revenue).
Where MARCUM AND WALLACE sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalMARCUM ANDCritical Access 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.
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
Medicare inpatient contribution margin
+15.0% (FY24)
27th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+66.7% (FY24)
88th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
21,711
16,831
30,584
Other operating revenue
3,106
2,292
2,572
Total operating revenue
24,817
19,123
33,157
Total operating expenses
28,148
26,458
28,713
Operating income
(3,331)
(7,334)
4,443
Operating margin %
-13.4%
-38.4%
+13.4%
Investment income
0
0
0
Other non-operating, net
2,114
71
57
Net income
(1,217)
(7,263)
4,500
Net income %
-4.5%
-37.8%
+13.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY23, FY24 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 25-bed hospital at 14% occupancy where swing beds are 57% of the inpatient business and 83% 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
14.0%
Verified fact2024
HCRIS WS S-3
Average daily census
3.51
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
618
Verified fact2024
HCRIS WS S-3
Average length of stay
2.1d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
4.58
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
56.6%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
82.7%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
FY24 days cash suppressed: out of display range.
The county this hospital serves
ESTILL County, KY · nonmetro, rural, metro-adjacent
Median household income
$43.9K
vs $82.1K US · $59.7K rural median
Poverty rate
22.0%
vs 12.5% US · 14.3% rural median
Uninsured
6.2%
vs 8.6% US · 8.4% rural median
Age 65+
19.4%
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: 22.3% of county personal income is Medicare/Medicaid medical benefits; 42.6% arrives as government transfers (BEA, 2022).
What this hospital means to Estill County
economic contribution · FY24 cost report
Direct annual spending
$28.7M
total operating expense · reported
Total economic output
$66.0M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
Commercial Pricing Study$10,000CAH only, subject to data validation
Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.
