Astrelis
Urban PPS hospital · Monroe, WA

EVERGREENHEALTH MONROE

CCN 500084SNOHOMISH CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)26 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Monroe, WA. It ran an operating surplus of 17.7% in FY24 on $76.1M of operating revenue. It held 167 days of cash on hand (81st percentile among Urban PPS hospitals on liquidity). Operating margin improved from -27.7% in FY20 to 17.7% in FY24.

Operating margin · FY24
+17.7%
17.0 pts vs FY23
vs Urban PPS hospitals86th pctl of 2,562 (FY24)
Days cash on hand · FY24
167d
all sources
94.4 days vs FY23
vs Urban PPS hospitals81st pctl of 2,354 (FY24)
Total operating revenue · FY24
$76.1M
16.3 $M vs FY23
vs Urban PPS hospitals16th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+23.3%
14.2 pts vs FY23
vs Urban PPS hospitals91st 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 EVERGREENHEALTH MONROE is about $761K per year (1% of FY24 total operating revenue).

Where EVERGREENHEALTH MONROE 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%EVERGREENHEALTH MONROE +17.699352209594547%-20%0%+20%Urban PPS hospital median +2.027429837815152%EVERGREENHEALTH MONROE +17.699352209594547%
One urban pps hospitalEVERGREENHEALTH MONROEUrban 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
+17.7% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+23.3% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
167d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.72× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
46% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
57d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue46,94456,91871,464
Other operating revenue7002,9134,656
Total operating revenue47,64459,83176,120
Total operating expenses51,83059,40862,648
Operating income(4,185)42213,473
Operating margin %-8.8%+0.7%+17.7%
Grants & contributions9015242
Investment income207204
Other non-operating, net5,0945,2135,330
Net income9995,99419,049
Net income %+1.9%+9.2%+23.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23 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 26-bed hospital at 40% occupancy 81% 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
40.4%
Verified fact2024
HCRIS WS S-3
Average daily census
10.53
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
26
Verified fact2024
HCRIS WS S-3
Annual discharges
1,000
Verified fact2024
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
80.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
210.30
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.8%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$8.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
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)
0.962244
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-27.7%-15.4%-8.8%+0.7%+17.7%FY20FY21FY22FY23FY24
Days cash on hand
86 days84 days65 days73 days167 daysFY20FY21FY22FY23FY24

The county this hospital serves

SNOHOMISH County, WA · metro, 1M+ population
Median household income
$108.0K
vs $82.1K US · $59.7K rural median
Poverty rate
7.9%
vs 12.5% US · 14.3% rural median
Uninsured
6.1%
vs 8.6% US · 8.4% rural median
Age 65+
14.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.1% of county personal income is Medicare/Medicaid medical benefits; 13.2% arrives as government transfers (BEA, 2022).

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