Astrelis
Urban PPS hospital · Longview, WA

PEACEHEALTH ST JOHN MEDICAL CENTER

CCN 500041COWLITZ CountyVoluntary non-profit - Church127 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Longview, WA. It ran an operating surplus of 2.1% in FY25 on $401.4M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -1.9% in FY21 to 2.1% in FY25.

Operating margin · FY25
+2.1%
0.3 pts vs FY24
vs Urban PPS hospitals53rd 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
$401.4M
31.4 $M vs FY24
vs Urban PPS hospitals63rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+4.1%
0.2 pts vs FY24
vs Urban PPS hospitals42nd pctl of 1,475 (FY25)
One point of operating margin at PEACEHEALTH ST JOHN MEDICAL CENTER is about $4.0M per year (1% of FY25 total operating revenue).

Where PEACEHEALTH ST JOHN 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%PEACEHEALTH ST +2.0915504500451614%-20%0%+20%Urban PPS hospital median +1.3311360264910879%PEACEHEALTH ST +2.0915504500451614%
One urban pps hospitalPEACEHEALTH STUrban 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
+2.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+4.1% (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 reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue334,972368,329399,180
Other operating revenue1,3451,6742,269
Total operating revenue336,317370,003401,449
Total operating expenses349,620363,224393,052
Operating income(13,302)6,7798,397
Operating margin %-4.0%+1.8%+2.1%
Grants & contributions458221471
Investment income333334
Other non-operating, net8,5797,5967,944
Net income(4,232)14,62916,846
Net income %-1.2%+3.9%+4.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
A condensed balance sheet is not shown for this hospital: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.

How it operates

quality & operational context · CMS public reporting

A 127-bed hospital at 60% occupancy 67% 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
60.0%
Verified fact2025
HCRIS WS S-3
Average daily census
76.35
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
127
Verified fact2025
HCRIS WS S-3
Annual discharges
7,302
Verified fact2025
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
67.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,248
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.09
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.87
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.925406
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-1.9%-5.0%-4.0%+1.8%+2.1%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 days0 daysFY21FY22FY23FY24FY25

The county this hospital serves

COWLITZ County, WA
Median household income
$72.9K
vs $82.1K US · $59.7K rural median
Poverty rate
13.0%
vs 12.5% US · 14.3% rural median
Uninsured
6.1%
vs 8.6% US · 8.4% rural median
Age 65+
19.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.6% of county personal income is Medicare/Medicaid medical benefits; 27.1% arrives as government transfers (BEA, 2022).

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