Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Harrodsburg, KY. It ran an operating surplus of 22.4% in FY25 on $47.5M of operating revenue. It held 0 days of cash on hand (12th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 14.5% in FY20 to 22.4% in FY25, though it fell 1.9 points in the most recent year.
Operating margin · FY25
+22.4%
▼ 1.9 pts vs FY24
vs Critical Access Hospitals95th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
▼ 0.0 days vs FY24
vs Critical Access Hospitals12th pctl of 827 (FY25)
Total operating revenue · FY25
$47.5M
▲ 3.9 $M vs FY24
vs Critical Access Hospitals68th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+17.3%
▼ 3.4 pts vs FY24
vs Critical Access Hospitals85th pctl of 824 (FY25)
One point of operating margin at THE JAMES B. HAGGIN MEMORIAL HOSPITAL is about $475K per year (1% of FY25 total operating revenue).
Where THE JAMES B. sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalTHE JAMESCritical 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
-3.1% (FY25)
12th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+55.6% (FY25)
47th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
35,536
43,629
47,494
Other operating revenue
(2,769)
2
4
Total operating revenue
32,767
43,631
47,498
Total operating expenses
30,657
33,023
36,849
Operating income
2,110
10,608
10,649
Operating margin %
+6.4%
+24.3%
+22.4%
Grants & contributions
271
253
290
Investment income
10
(2)
(93)
Other non-operating, net
2,171
(2,245)
(3,145)
Net income
4,562
8,614
7,701
Net income %
+13.0%
+20.7%
+17.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, FY24, 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 25-bed hospital at 5% occupancy where swing beds are 87% of the inpatient business and 89% 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
5.3%
Verified fact2025
HCRIS WS S-3
Average daily census
1.34
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
147
Verified fact2025
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
8.84
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
86.9%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
89.2%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$4.1M
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
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
MERCER County, KY · nonmetro, urban 5–20K, metro-adjacent
Median household income
$63.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.4%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
19.2%
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: 12.2% of county personal income is Medicare/Medicaid medical benefits; 28.3% arrives as government transfers (BEA, 2022).
What this hospital means to Mercer County
economic contribution · FY25 cost report
Direct annual spending
$36.8M
total operating expense · reported
Total economic output
$84.8M
× 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.
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