CCN 440152SHELBY CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)112 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, 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 Memphis, TN. It ran an operating loss of 73.3% in FY25 on $466.3M of operating revenue. It held 35 days of cash on hand (54th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -37.2% in FY21 to -73.3% in FY25. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.
Operating margin · FY25
-73.3%
▼ 9.4 pts vs FY24
vs Urban PPS hospitals1st pctl of 1,475 (FY25)
Days cash on hand · FY25
35d
all sources
▼ 4.2 days vs FY24
vs Urban PPS hospitals54th pctl of 1,386 (FY25)
Total operating revenue · FY25
$466.3M
▲ 3.4 $M vs FY24
vs Urban PPS hospitals67th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-0.6%
▼ 0.5 pts vs FY24
vs Urban PPS hospitals25th pctl of 1,475 (FY25)
One point of operating margin at REGIONAL ONE HEALTH is about $4.7M per year (1% of FY25 total operating revenue).
Where REGIONAL ONE 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.
One urban pps hospitalREGIONAL ONEUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
407,880
440,383
453,337
Other operating revenue
31,663
22,520
12,963
Total operating revenue
439,543
462,903
466,300
Total operating expenses
730,078
758,631
808,111
Operating income
(290,535)
(295,727)
(341,811)
Operating margin %
-66.1%
-63.9%
-73.3%
Grants & contributions
147,823
134,628
133,816
Investment income
3,040
5,004
9,342
Other non-operating, net
136,053
154,944
193,640
Net income
(3,619)
(1,151)
(5,013)
Net income %
-0.5%
-0.2%
-0.6%
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 112-bed hospital at 97% occupancy 44% 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
97.5%
Verified fact2025
HCRIS WS S-3
Average daily census
109.47
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
112
Verified fact2025
HCRIS WS S-3
Annual discharges
13,913
Verified fact2025
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
43.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,054
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.22
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.14
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.19566
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
SHELBY County, TN
Median household income
$62.3K
vs $82.1K US · $59.7K rural median
Poverty rate
17.5%
vs 12.5% US · 14.3% rural median
Uninsured
12.1%
vs 8.6% US · 8.4% rural median
Age 65+
14.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.7% of county personal income is Medicare/Medicaid medical benefits; 19.5% arrives as government transfers (BEA, 2022).
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