Astrelis
Urban PPS hospital · London, OH

MADISON HEALTH

CCN 360189MADISON CountyVoluntary non-profit - PrivateUrban (USDA RUCC)32 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in London, OH. It ran an operating surplus of 14.0% in FY24 on $65.7M of operating revenue. It held 348 days of cash on hand (94th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 5.9% in FY20 to 14.0% in FY24, though it fell 2.1 points in the most recent year.

Operating margin · FY24
+14.0%
2.1 pts vs FY23
vs Urban PPS hospitals80th pctl of 2,562 (FY24)
Days cash on hand · FY24
348d
all sources
30.8 days vs FY23
vs Urban PPS hospitals94th pctl of 2,354 (FY24)
Total operating revenue · FY24
$65.7M
4.9 $M vs FY23
vs Urban PPS hospitals14th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+11.4%
0.9 pts vs FY23
vs Urban PPS hospitals68th 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 MADISON HEALTH is about $657K per year (1% of FY24 total operating revenue).

Where MADISON HEALTH 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%MADISON HEALTH +14.046621287599342%-20%0%+20%Urban PPS hospital median +2.027429837815152%MADISON HEALTH +14.046621287599342%
One urban pps hospitalMADISON HEALTHUrban 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
+14.0% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+11.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
348d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.84× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
54% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
42d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue60,97760,26065,208
Other operating revenue925566534
Total operating revenue61,90360,82565,743
Total operating expenses52,58551,01856,508
Operating income9,3189,8089,235
Operating margin %+15.1%+16.1%+14.0%
Investment income1,2061,0431,619
Other non-operating, net(2,442)(3,662)(3,574)
Net income8,0827,1897,280
Net income %+13.3%+12.4%+11.4%
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 32-bed hospital at 15% occupancy 88% 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
15.0%
Verified fact2024
HCRIS WS S-3
Average daily census
4.80
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
32
Verified fact2024
HCRIS WS S-3
Annual discharges
855
Verified fact2024
HCRIS WS S-3
Average length of stay
2.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
88.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
243.90
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.5%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.399
No Different than National Benchmark
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
0.83
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.998855
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+5.9%+15.4%+15.1%+16.1%+14.0%FY20FY21FY22FY23FY24
Days cash on hand
302 days344 days290 days317 days348 daysFY20FY21FY22FY23FY24

The county this hospital serves

MADISON County, OH · metro, 1M+ population
Median household income
$83.2K
vs $82.1K US · $59.7K rural median
Poverty rate
9.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.6%
vs 8.6% US · 8.4% rural median
Age 65+
16.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.0% of county personal income is Medicare/Medicaid medical benefits; 20.5% arrives as government transfers (BEA, 2022).

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