A hospital in Springfield, MO. It ran an operating loss of 5.7% in FY25 on $1782.7M of operating revenue. It held 210 days of cash on hand (84th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -4.7% in FY20 to -5.7% in FY25. Including nonoperating items, the all-in result was positive at 0.9%.
Operating margin · FY25
-5.7%
▼ 8.0 pts vs FY24
vs Urban PPS hospitals30th pctl of 1,475 (FY25)
Days cash on hand · FY25
210d
all sources
▼ 1.5 days vs FY24
vs Urban PPS hospitals84th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.78B
▼ 30.3 $M vs FY24
vs Urban PPS hospitals94th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+0.9%
▼ 7.7 pts vs FY24
vs Urban PPS hospitals30th pctl of 1,475 (FY25)
One point of operating margin at COX MEDICAL CENTERS is about $17.8M per year (1% of FY25 total operating revenue).
Where COX MEDICAL CENTERS 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 hospitalCOX MEDICALUrban 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
1,545,443
1,690,856
1,762,536
Other operating revenue
4,506
122,159
20,149
Total operating revenue
1,549,949
1,813,016
1,782,685
Total operating expenses
1,614,686
1,770,653
1,883,875
Operating income
(64,737)
42,363
(101,190)
Operating margin %
-4.2%
+2.3%
-5.7%
Grants & contributions
4,951
7,331
(220)
Investment income
22,537
43,365
46,626
Other non-operating, net
134,373
73,694
72,140
Net income
97,124
166,753
17,356
Net income %
+5.7%
+8.6%
+0.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 657-bed hospital at 58% 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
58.3%
Verified fact2025
HCRIS WS S-3
Average daily census
384.04
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
657
Verified fact2025
HCRIS WS S-3
Annual discharges
32,655
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
69.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
7,924
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.5%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$37.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.431
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.203119
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
GREENE County, MO · metro, 250K–1M
Median household income
$57.5K
vs $82.1K US · $59.7K rural median
Poverty rate
14.4%
vs 12.5% US · 14.3% rural median
Uninsured
11.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.0% of county personal income is Medicare/Medicaid medical benefits; 21.4% arrives as government transfers (BEA, 2022).
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