Astrelis
Urban PPS hospital · Melrose, MA

MELROSEWAKEFIELD HEALTHCARE

CCN 220070MIDDLESEX CountyVoluntary non-profit - PrivateUrban (USDA RUCC)138 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Melrose, MA. It ran an operating loss of 5.4% in FY25 on $271.1M of operating revenue. It held 25 days of cash on hand (51st percentile among Urban PPS hospitals on liquidity). Operating margin declined from 2.8% in FY20 to -5.4% in FY25, though it rose 5.9 points in the most recent year.

Operating margin · FY25
-5.4%
vs Urban PPS hospitals30th pctl of 1,475 (FY25)
Days cash on hand · FY25
25d
all sources
vs Urban PPS hospitals51st pctl of 1,386 (FY25)
Total operating revenue · FY25
$271.1M
vs Urban PPS hospitals49th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-0.1%
vs Urban PPS hospitals26th pctl of 1,475 (FY25)
One point of operating margin at MELROSEWAKEFIELD HEALTHCARE is about $2.7M per year (1% of FY25 total operating revenue).

Where MELROSEWAKEFIELD HEALTHCARE 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%MELROSEWAKEFIELD HEALTHCARE -5.397834566677289%-20%0%+20%Urban PPS hospital median +1.3311360264910879%MELROSEWAKEFIELD HEALTHCARE -5.397834566677289%
One urban pps hospitalMELROSEWAKEFIELD HEALTHCAREUrban 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
-5.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-0.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
25d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.89× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
63% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
45d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue241,153234,323259,417
Other operating revenue85,51917,94811,716
Total operating revenue326,672252,272271,133
Total operating expenses286,457280,706285,768
Operating income40,215(28,434)(14,635)
Operating margin %+12.3%-11.3%-5.4%
Grants & contributions143,9286,504
Investment income4,57483843
Other non-operating, net7,8818,1897,824
Net income52,684(15,479)(264)
Net income %+15.5%-5.8%-0.1%
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 138-bed hospital at 55% occupancy 65% 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
55.1%
Verified fact2025
HCRIS WS S-3
Average daily census
76.26
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
138
Verified fact2025
HCRIS WS S-3
Annual discharges
8,781
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
65.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,219
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$15.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.331
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.359623
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+2.8%-4.9%-85.1%+12.3%-11.3%-5.4%FY20FY21FY22FY23FY24FY25
Days cash on hand
433 days434 days175 days80 days4 days25 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MIDDLESEX County, MA · metro, 1M+ population
Median household income
$126.8K
vs $82.1K US · $59.7K rural median
Poverty rate
7.5%
vs 12.5% US · 14.3% rural median
Uninsured
2.4%
vs 8.6% US · 8.4% rural median
Age 65+
16.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.2% of county personal income is Medicare/Medicaid medical benefits; 9.9% arrives as government transfers (BEA, 2022).

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