A hospital in Rolla, MO. It ran an operating surplus of 35.7% in FY24 on $326.7M of operating revenue. It held 379 days of cash on hand (94th percentile among Rural PPS hospitals on liquidity). Operating margin improved from 31.0% in FY20 to 35.7% in FY24, though it fell 1.0 points in the most recent year.
Operating margin · FY24
+35.7%
▼ 1.0 pts vs FY23
vs Rural PPS hospitals97th pctl of 387 (FY24)
Days cash on hand · FY24
379d
all sources
▼ 0.3 days vs FY23
vs Rural PPS hospitals94th pctl of 376 (FY24)
Total operating revenue · FY24
$326.7M
▲ 41.0 $M vs FY23
vs Rural PPS hospitals92nd pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+11.7%
▲ 1.0 pts vs FY23
vs Rural PPS hospitals76th pctl of 387 (FY24)
One point of operating margin at PHELPS COUNTY REGIONAL MEDICAL CENTER is about $3.3M per year (1% of FY24 total operating revenue).
Where PHELPS COUNTY REGIONAL 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.
One rural pps hospitalPHELPS COUNTYRural 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
FY22
FY23
FY24
Patient revenue
270,348
285,416
323,912
Other operating revenue
30
339
2,831
Total operating revenue
270,378
285,755
326,743
Total operating expenses
180,958
180,756
210,075
Operating income
89,420
104,999
116,668
Operating margin %
+33.1%
+36.7%
+35.7%
Grants & contributions
141
304
234
Investment income
(19,783)
16,082
13,507
Other non-operating, net
(52,274)
(87,308)
(88,214)
Net income
17,504
34,077
42,195
Net income %
+8.8%
+15.9%
+16.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 184-bed hospital at 33% occupancy 73% 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
32.7%
Verified fact2024
HCRIS WS S-3
Average daily census
59.22
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
184
Verified fact2024
HCRIS WS S-3
Annual discharges
5,824
Verified fact2024
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
72.5%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,133
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.9%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$14.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.31
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.893495
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
PHELPS County, MO · nonmetro, urban 20K+
Median household income
$55.4K
vs $82.1K US · $59.7K rural median
Poverty rate
17.2%
vs 12.5% US · 14.3% rural median
Uninsured
8.8%
vs 8.6% US · 8.4% rural median
Age 65+
16.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.5% of county personal income is Medicare/Medicaid medical benefits; 28.8% arrives as government transfers (BEA, 2022).
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.
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