Astrelis
Urban PPS hospital · West Chester, OH

WEST CHESTER HOSPITAL

CCN 360354BUTLER CountyVoluntary non-profit - PrivateUrban (USDA RUCC)136 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in West Chester, OH. It ran an operating loss of 13.1% in FY25 on $278.4M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 12.2% in FY21 to -13.1% in FY25.

Operating margin · FY25
-13.1%
12.0 pts vs FY24
vs Urban PPS hospitals17th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
0.0 days vs FY24
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$278.4M
4.7 $M vs FY24
vs Urban PPS hospitals50th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-11.7%
12.0 pts vs FY24
vs Urban PPS hospitals7th pctl of 1,475 (FY25)
One point of operating margin at WEST CHESTER HOSPITAL is about $2.8M per year (1% of FY25 total operating revenue).

Where WEST CHESTER 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%WEST CHESTER -13.080985997689323%-20%0%+20%Urban PPS hospital median +1.3311360264910879%WEST CHESTER -13.080985997689323%
One urban pps hospitalWEST CHESTERUrban 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
-13.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-11.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue318,710282,429278,100
Other operating revenue786685347
Total operating revenue319,495283,113278,447
Total operating expenses358,024286,163314,871
Operating income(38,529)(3,050)(36,424)
Operating margin %-12.1%-1.1%-13.1%
Grants & contributions3,234861319
Investment income34231
Other non-operating, net2,6383,0523,050
Net income(32,623)886(33,054)
Net income %-10.0%+0.3%-11.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 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 136-bed hospital at 82% occupancy 58% 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
81.6%
Verified fact2025
HCRIS WS S-3
Average daily census
111.25
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
136
Verified fact2025
HCRIS WS S-3
Annual discharges
11,046
Verified fact2025
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
58.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,143
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.257
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.830096
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+12.2%+0.2%-12.1%-1.1%-13.1%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 days0 daysFY21FY22FY23FY24FY25

The county this hospital serves

BUTLER County, OH
Median household income
$81.2K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.3%
vs 8.6% US · 8.4% rural median
Age 65+
15.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.8% of county personal income is Medicare/Medicaid medical benefits; 19.4% arrives as government transfers (BEA, 2022).

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