Astrelis
Urban PPS hospital · Butler, MO

BATES COUNTY MEMORIAL HOSPITAL

CCN 260034BATES CountyGovernment - LocalUrban (USDA RUCC)40 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Butler, MO. It ran an operating loss of 10.3% in FY24 on $44.2M of operating revenue. It held 173 days of cash on hand (82nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -13.2% in FY20 to -10.3% in FY24, though it fell 2.3 points in the most recent year.

Operating margin · FY24
-10.3%
2.3 pts vs FY23
vs Urban PPS hospitals18th pctl of 2,562 (FY24)
Days cash on hand · FY24
173d
all sources
23.6 days vs FY23
vs Urban PPS hospitals82nd pctl of 2,354 (FY24)
Total operating revenue · FY24
$44.2M
1.0 $M vs FY23
vs Urban PPS hospitals9th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-6.4%
3.7 pts vs FY23
vs Urban PPS hospitals14th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at BATES COUNTY MEMORIAL HOSPITAL is about $442K per year (1% of FY24 total operating revenue).

Where BATES COUNTY MEMORIAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%BATES COUNTY -10.330066718498559%-20%0%+20%Urban PPS hospital median +2.027429837815152%BATES COUNTY -10.330066718498559%
One urban pps hospitalBATES COUNTYUrban 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
-10.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-6.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
173d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.46× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
87% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
36d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue42,12343,00143,741
Other operating revenue101212504
Total operating revenue42,22343,21344,246
Total operating expenses43,27046,67448,816
Operating income(1,047)(3,461)(4,571)
Operating margin %-2.5%-8.0%-10.3%
Grants & contributions67215
Investment income(3,396)1,598893
Other non-operating, net611647754
Net income(3,160)(1,201)(2,924)
Net income %-7.9%-2.6%-6.4%
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 40-bed hospital at 7% occupancy 95% 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
6.7%
Verified fact2024
HCRIS WS S-3
Average daily census
2.67
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
40
Verified fact2024
HCRIS WS S-3
Annual discharges
294
Verified fact2024
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.03
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
1.1%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
94.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
261.60
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
29.9%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$2.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.982824
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-13.2%+6.0%-2.5%-8.0%-10.3%FY20FY21FY22FY23FY24
Days cash on hand
304 days287 days224 days196 days173 daysFY20FY21FY22FY23FY24

The county this hospital serves

BATES County, MO · metro, 1M+ population
Median household income
$57.9K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
10.8%
vs 8.6% US · 8.4% rural median
Age 65+
19.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.2% of county personal income is Medicare/Medicaid medical benefits; 27.4% arrives as government transfers (BEA, 2022).

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