Astrelis
Rural PPS hospital · East Liverpool, OH

EAST LIVERPOOL CITY HOSPITAL

CCN 360096Columbiana CountyVoluntary non-profit - PrivateRural (USDA RUCC)94 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in East Liverpool, OH. It ran an operating surplus of 14.1% in FY24 on $84.1M of operating revenue. It held 35 days of cash on hand (54th percentile among Rural PPS hospitals on liquidity). Operating margin improved from -2.6% in FY20 to 14.1% in FY24, though it fell 2.4 points in the most recent year.

Operating margin · FY24
+14.1%
vs Rural PPS hospitals86th pctl of 387 (FY24)
Days cash on hand · FY24
35d
all sources
vs Rural PPS hospitals54th pctl of 376 (FY24)
Total operating revenue · FY24
$84.1M
vs Rural PPS hospitals46th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+14.4%
vs Rural PPS hospitals81st pctl of 387 (FY24)
One point of operating margin at EAST LIVERPOOL CITY HOSPITAL is about $841K per year (1% of FY24 total operating revenue).

Where EAST LIVERPOOL CITY sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%EAST LIVERPOOL +14.11395918600242%-20%0%+20%Rural PPS hospital median -0.8727424997636124%EAST LIVERPOOL +14.11395918600242%
One rural pps hospitalEAST LIVERPOOLRural 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
+14.1% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+14.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
35d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
18.29× (FY22)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
93% (FY22)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
40d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue72,12277,94483,290
Other operating revenue55,607833
Total operating revenue72,12783,55084,123
Total operating expenses65,73969,74472,250
Operating income6,38813,80611,873
Operating margin %+8.9%+16.5%+14.1%
Investment income1,730
Other non-operating, net2,263239248
Net income10,38114,04512,121
Net income %+13.6%+16.8%+14.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 94-bed hospital at 32% occupancy 55% 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
32.2%
Verified fact2024
HCRIS WS S-3
Average daily census
30.31
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
94
Verified fact2024
HCRIS WS S-3
Annual discharges
3,717
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
54.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
450.70
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.5%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$1.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.892
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.896872
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-2.6%+14.9%+8.9%+16.5%+14.1%FY20FY21FY22FY23FY24
Days cash on hand
68 days82 days69 days64 days35 daysFY20FY21FY22FY23FY24

The county this hospital serves

COLUMBIANA County, OH · nonmetro, urban 20K+, metro-adjacent
Median household income
$58.5K
vs $82.1K US · $59.7K rural median
Poverty rate
13.9%
vs 12.5% US · 14.3% rural median
Uninsured
6.9%
vs 8.6% US · 8.4% rural median
Age 65+
21.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.3% of county personal income is Medicare/Medicaid medical benefits; 31.9% arrives as government transfers (BEA, 2022).

What this hospital means to Columbiana County

economic contribution · FY24 cost report
Direct annual spending
$72.3M
total operating expense · reported
Total economic output
$166.2M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
1.6%
of all county jobs
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

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