A hospital in Hannibal, MO. It ran an operating loss of 9.6% in FY25 on $278.5M of operating revenue. It held 103 days of cash on hand (71st percentile among Urban PPS hospitals on liquidity). Operating margin declined from -6.8% in FY20 to -9.6% in FY25.
Operating margin · FY25
-9.6%
▼ 2.8 pts vs FY24
vs Urban PPS hospitals22nd pctl of 1,475 (FY25)
Days cash on hand · FY25
103d
all sources
▲ 29.1 days vs FY24
vs Urban PPS hospitals71st pctl of 1,386 (FY25)
Total operating revenue · FY25
$278.5M
▲ 3.1 $M vs FY24
vs Urban PPS hospitals50th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-0.7%
▼ 0.5 pts vs FY24
vs Urban PPS hospitals25th pctl of 1,475 (FY25)
One point of operating margin at HANNIBAL REGIONAL HOSPITAL is about $2.8M per year (1% of FY25 total operating revenue).
Where HANNIBAL REGIONAL HOSPITAL 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 hospitalHANNIBAL 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
245,129
274,326
277,436
Other operating revenue
1,081
1,097
1,061
Total operating revenue
246,210
275,422
278,497
Total operating expenses
260,973
293,918
305,134
Operating income
(14,763)
(18,495)
(26,636)
Operating margin %
-6.0%
-6.7%
-9.6%
Grants & contributions
1,411
2,509
1,514
Investment income
3,134
1,717
2,653
Other non-operating, net
6,756
13,765
20,361
Net income
(3,462)
(504)
(2,108)
Net income %
-1.3%
-0.2%
-0.7%
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 73-bed hospital at 61% occupancy 70% 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
61.3%
Verified fact2025
HCRIS WS S-3
Average daily census
44.88
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
73
Verified fact2025
HCRIS WS S-3
Annual discharges
5,095
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
69.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,399
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$14.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.421
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.7%
Worse 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)
1.163223
CMS-reported measure07/01/2022 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
MARION County, MO
Median household income
$63.9K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
7.9%
vs 8.6% US · 8.4% rural median
Age 65+
18.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.3% of county personal income is Medicare/Medicaid medical benefits; 31.2% arrives as government transfers (BEA, 2022).
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