A hospital in Sedalia, MO. It ran an operating surplus of 5.8% in FY25 on $183.7M of operating revenue. It held 14 days of cash on hand (45th percentile among Urban PPS hospitals on liquidity). Including nonoperating items, the all-in result was negative at 4.1%.
Operating margin · FY25
+5.8%
▼ 0.6 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
Days cash on hand · FY25
14d
all sources
▼ 10.3 days vs FY24
vs Urban PPS hospitals45th pctl of 1,386 (FY25)
Total operating revenue · FY25
$183.7M
▲ 13.4 $M vs FY24
vs Urban PPS hospitals37th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-4.1%
▼ 3.3 pts vs FY24
vs Urban PPS hospitals18th pctl of 1,475 (FY25)
One point of operating margin at BOTHWELL REGIONAL HEALTH CENTER is about $1.8M per year (1% of FY25 total operating revenue).
Where BOTHWELL REGIONAL HEALTH 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.
One urban pps hospitalBOTHWELL REGIONALUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
155,985
168,146
177,910
Other operating revenue
1,920
2,146
5,783
Total operating revenue
157,905
170,292
183,693
Total operating expenses
158,021
159,411
172,993
Operating income
(116)
10,881
10,700
Operating margin %
-0.1%
+6.4%
+5.8%
Grants & contributions
81
163
399
Investment income
126
233
248
Other non-operating, net
(6,263)
(12,733)
(18,983)
Net income
(6,172)
(1,456)
(7,636)
Net income %
-4.1%
-0.9%
-4.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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 61-bed hospital at 37% 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
37.5%
Verified fact2025
HCRIS WS S-3
Average daily census
22.93
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
61
Verified fact2025
HCRIS WS S-3
Annual discharges
2,742
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.92
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
7.7%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
84.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
794.30
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.9
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.924038
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
PETTIS County, MO
Median household income
$60.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.4%
vs 12.5% US · 14.3% rural median
Uninsured
11.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.7% of county personal income is Medicare/Medicaid medical benefits; 28.5% arrives as government transfers (BEA, 2022).
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