Operating margin: -82.1% in FY2025, the 4th percentile of 443 psychiatric hospitals in the FY2025 pool. Total operating revenue: $62.2M in FY2025, the 87th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): -82.0% in FY2025, the 2nd percentile of 443 psychiatric hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Farmington, MO. It ran an operating loss of 82.1% in FY25 on $62.2M of operating revenue. Days cash on hand is an Astrelis calculation unavailable for its latest year (the balance sheet (Worksheet G) is not filed on this cost report). Operating margin declined from -18.2% in FY21 to -82.1% in FY25.
Operating margin · FY25
-82.1%
Astrelis calculation · as-filed inputs
▼ 20.2 pts vs FY24
vs Psychiatric hospitals4th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand
Astrelis calculation unavailable
all sources
Total operating revenue · FY25
$62.2M
Astrelis calculation · as-filed inputs
▼ $2.8M vs FY24
vs Psychiatric hospitals87th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
-82.0%
Astrelis calculation · as-filed inputs
▼ 20.2 pts vs FY24
vs Psychiatric hospitals2nd pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at SOUTHEAST MISSOURI MENTAL HLTH CTR is about $622K per year (1% of FY25 total operating revenue).
Where SOUTHEAST MISSOURI MENTAL sits among Psychiatric hospitals
Operating margin · FY25 pool · n = 443 of 608 filed
Each point is one Psychiatric hospital in the national FY25 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 Psychiatric hospital FY25 median is +5.2%. Descriptive context only, not a ranking.
One psychiatric hospitalSOUTHEAST MISSOURIPsychiatric 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
68,580
64,958
62,135
Other operating revenue
37
19
17
Total operating revenue
68,617
64,977
62,152
Total operating expenses
98,018
105,170
113,166
Operating income
(29,401)
(40,194)
(51,013)
Operating margin %
-42.8%
-61.9%
-82.1%
Other non-operating, net
39
20
19
Net income
(29,362)
(40,174)
(50,995)
Net income %
-42.8%
-61.8%
-82.0%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Balance sheet: Not reported in source — the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this hospital. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
Display states.FY25 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY24 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY23 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY22 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY21 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)
How it operates
quality & operational context · CMS public reporting
A 94-bed psychiatric hospital running at 100% occupancy, where the average stay runs 2460.3 days, and operating cost runs $3,285 per patient day.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
100.4%
Reported value2025
HCRIS WS S-3
Average daily census
94.37
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
94
Reported value2025
HCRIS WS S-3
Annual discharges
14
Reported value2025
HCRIS WS S-3
Average length of stay
2,460 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$3,285
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$8,083,258
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
0.0%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
ST. FRANCOIS County, MO
Median household income
$54.8K
vs $82.1K US
Poverty rate
17.0%
vs 12.5% US
Uninsured
11.8%
vs 8.6% US
Age 65+
16.9%
vs 16.8% US
Fair or poor health
23.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.5% of county personal income is Medicare/Medicaid medical benefits; 33.8% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to St. Francois County
Illustrative estimate · FY25 cost report
Direct annual spending
$113.2M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$260.3M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 443.
Performance Benchmark Report: FY25 peer pool · n = 443 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 11 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Southeast Missouri Mental Hlth Ctr", https://astrelis.co/hospitals/264005, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/264005.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
