CCN 260195POLK CountyGovernment - Hospital District or Authority44 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Bolivar, MO. It ran an operating loss of 12.7% in FY25 on $246.6M of operating revenue. It held 180 days of cash on hand (82nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -16.2% in FY21 to -12.7% in FY25, though it fell 1.8 points in the most recent year. Including nonoperating items, the all-in result was positive at 1.9%.
Operating margin · FY25
-12.7%
vs Urban PPS hospitals18th pctl of 1,475 (FY25)
Days cash on hand · FY25
180d
all sources
vs Urban PPS hospitals82nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$246.6M
vs Urban PPS hospitals46th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+1.9%
vs Urban PPS hospitals34th pctl of 1,475 (FY25)
One point of operating margin at CITIZENS MEMORIAL HOSPITAL is about $2.5M per year (1% of FY25 total operating revenue).
Where CITIZENS MEMORIAL 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 hospitalCITIZENS MEMORIALUrban 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
178,318
199,383
218,821
Other operating revenue
7,086
9,695
27,780
Total operating revenue
185,404
209,078
246,602
Total operating expenses
212,733
231,968
277,932
Operating income
(27,328)
(22,890)
(31,331)
Operating margin %
-14.7%
-10.9%
-12.7%
Grants & contributions
7
9
593
Investment income
649
2,564
4,831
Other non-operating, net
26,220
19,848
31,302
Net income
(452)
(469)
5,395
Net income %
-0.2%
-0.2%
+1.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 44-bed hospital at 37% occupancy 89% 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
37.3%
Verified fact2025
HCRIS WS S-3
Average daily census
16.46
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
44
Verified fact2025
HCRIS WS S-3
Annual discharges
2,514
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.06
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
0.4%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
88.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,342
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.413
No Different than 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
0.91
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.95425
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
POLK County, MO
Median household income
$56.7K
vs $82.1K US · $59.7K rural median
Poverty rate
17.9%
vs 12.5% US · 14.3% rural median
Uninsured
14.5%
vs 8.6% US · 8.4% rural median
Age 65+
18.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.1% of county personal income is Medicare/Medicaid medical benefits; 29.5% arrives as government transfers (BEA, 2022).
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