Astrelis
Urban PPS hospital · Mcalester, OK

MCALESTER REGIONAL HEALTH CENTER

CCN 370034PITTSBURG CountyGovernment - Hospital District or Authority59 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Mcalester, OK. It ran an operating loss of 32.6% in FY25 on $81.0M of operating revenue. It held 58 days of cash on hand (61st percentile among Urban PPS hospitals on liquidity). Operating margin declined from -13.3% in FY21 to -32.6% in FY25.

Operating margin · FY25
-32.6%
16.8 pts vs FY24
vs Urban PPS hospitals5th pctl of 1,475 (FY25)
Days cash on hand · FY25
58d
all sources
29.3 days vs FY24
vs Urban PPS hospitals61st pctl of 1,386 (FY25)
Total operating revenue · FY25
$81.0M
11.7 $M vs FY24
vs Urban PPS hospitals17th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-10.9%
2.9 pts vs FY24
vs Urban PPS hospitals8th pctl of 1,475 (FY25)
One point of operating margin at MCALESTER REGIONAL HEALTH CENTER is about $810K per year (1% of FY25 total operating revenue).

Where MCALESTER REGIONAL HEALTH 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%MCALESTER REGIONAL -32.63085547316999%-20%0%+20%Urban PPS hospital median +1.3311360264910879%MCALESTER REGIONAL -32.63085547316999%
One urban pps hospitalMCALESTER REGIONALUrban 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
-32.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-10.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
58d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.98× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
25% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
49d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue71,68676,46380,038
Other operating revenue15,87916,2671,004
Total operating revenue87,56592,73081,042
Total operating expenses104,213107,418107,486
Operating income(16,648)(14,688)(26,445)
Operating margin %-19.0%-15.8%-32.6%
Grants & contributions877878352
Investment income6821,155974
Other non-operating, net4,2604,68513,966
Net income(10,829)(7,970)(11,153)
Net income %-11.6%-8.0%-11.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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 59-bed hospital at 43% occupancy 74% 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
42.8%
Verified fact2025
HCRIS WS S-3
Average daily census
25.30
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
59
Verified fact2025
HCRIS WS S-3
Annual discharges
2,585
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
73.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
603.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.691
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
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.10684
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-13.3%-14.0%-19.0%-15.8%-32.6%FY21FY22FY23FY24FY25
Days cash on hand
194 days141 days108 days87 days58 daysFY21FY22FY23FY24FY25

The county this hospital serves

PITTSBURG County, OK
Median household income
$54.8K
vs $82.1K US · $59.7K rural median
Poverty rate
18.2%
vs 12.5% US · 14.3% rural median
Uninsured
15.0%
vs 8.6% US · 8.4% rural median
Age 65+
19.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.0% of county personal income is Medicare/Medicaid medical benefits; 33.2% arrives as government transfers (BEA, 2022).

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