Astrelis
Rural PPS hospital · Opelousas, LA

OPELOUSAS GENERAL HEALTH SYSTEM

CCN 190017ST. LANDRY PARISHGovernment - Hospital District or AuthorityRural (USDA RUCC)119 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Opelousas, LA. It ran an operating loss of 11.2% in FY25 on $178.1M of operating revenue. It held 35 days of cash on hand (55th percentile among Rural PPS hospitals on liquidity). Operating margin improved from -25.7% in FY21 to -11.2% in FY25.

Operating margin · FY25
-11.2%
7.1 pts vs FY24
vs Rural PPS hospitals23rd pctl of 387 (FY24)
Days cash on hand · FY25
35d
all sources
33.2 days vs FY24
vs Rural PPS hospitals55th pctl of 376 (FY24)
Total operating revenue · FY25
$178.1M
20.3 $M vs FY24
vs Rural PPS hospitals77th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-3.1%
1.3 pts vs FY24
vs Rural PPS hospitals27th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at OPELOUSAS GENERAL HEALTH SYSTEM is about $1.8M per year (1% of FY25 total operating revenue).

Where OPELOUSAS GENERAL HEALTH sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%OPELOUSAS GENERAL -11.168698576324793%-20%0%+20%Rural PPS hospital median -0.8727424997636124%OPELOUSAS GENERAL -11.168698576324793%
One rural pps hospitalOPELOUSAS GENERALRural 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
-11.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-3.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
35d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.55× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
55% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
61d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue168,502157,764178,076
Other operating revenue(9)
Total operating revenue168,502157,764178,067
Total operating expenses189,935186,586197,955
Operating income(21,433)(28,822)(19,888)
Operating margin %-12.7%-18.3%-11.2%
Investment income178713717
Other non-operating, net15,97220,15613,170
Net income(5,283)(7,953)(6,001)
Net income %-2.9%-4.5%-3.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 119-bed hospital at 27% occupancy 76% 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
27.0%
Verified fact2025
HCRIS WS S-3
Average daily census
32.26
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
119
Verified fact2025
HCRIS WS S-3
Annual discharges
7,452
Verified fact2025
HCRIS WS S-3
Average length of stay
1.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
76.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
894.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.162
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
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)
0.96009
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-25.7%-18.1%-12.7%-18.3%-11.2%FY21FY22FY23FY24FY25
Days cash on hand
98 days65 days47 days69 days35 daysFY21FY22FY23FY24FY25

The county this hospital serves

ST. LANDRY PARISH, LA
Median household income
$45.6K
vs $82.1K US · $59.7K rural median
Poverty rate
24.0%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
16.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
30.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 19.1% of county personal income is Medicare/Medicaid medical benefits; 36.9% arrives as government transfers (BEA, 2022).

What this hospital means to St. Landry Parish County

economic contribution · FY25 cost report
Direct annual spending
$198.0M
total operating expense · reported
Total economic output
$455.3M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
3.8%
of all county jobs
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

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.

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