A hospital in Buckhannon, WV. It ran an operating surplus of 5.8% in FY24 on $114.5M of operating revenue. It held 67 days of cash on hand (41st percentile among Critical Access Hospitals on liquidity). Operating margin declined from 10.8% in FY20 to 5.8% in FY24.
Operating margin · FY24
+5.8%
▼ 10.2 pts vs FY23
vs Critical Access Hospitals73rd pctl of 1,340 (FY24)
Days cash on hand · FY24
67d
all sources
▼ 40.4 days vs FY23
vs Critical Access Hospitals41st pctl of 1,325 (FY24)
Total operating revenue · FY24
$114.5M
▼ 0.4 $M vs FY23
vs Critical Access Hospitals95th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+14.8%
▼ 2.1 pts vs FY23
vs Critical Access Hospitals82nd pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at ST JOSEPH'S HOSPITAL OF BUCKHANNON, INC is about $1.1M per year (1% of FY24 total operating revenue).
Where ST JOSEPH'S HOSPITAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalST JOSEPH'SCritical Access 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
Medicare inpatient contribution margin
+14.9% (FY24)
26th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+65.0% (FY24)
82nd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
101,449
112,333
113,947
Other operating revenue
778
2,485
503
Total operating revenue
102,227
114,818
114,450
Total operating expenses
85,499
96,547
107,865
Operating income
16,728
18,271
6,585
Operating margin %
+16.4%
+15.9%
+5.8%
Investment income
(1,243)
1,648
2,768
Other non-operating, net
1,623
712
9,333
Net income
17,108
20,631
18,686
Net income %
+16.7%
+17.6%
+14.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 21-bed hospital at 35% occupancy 92% 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
34.8%
Verified fact2024
HCRIS WS S-3
Average daily census
7.33
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2024
HCRIS WS S-3
Annual discharges
1,259
Verified fact2024
HCRIS WS S-3
Average length of stay
2.1d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.25
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
14.5%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
92.0%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
UPSHUR County, WV · nonmetro, urban 5–20K
Median household income
$51.9K
vs $82.1K US · $59.7K rural median
Poverty rate
18.3%
vs 12.5% US · 14.3% rural median
Uninsured
7.3%
vs 8.6% US · 8.4% rural median
Age 65+
21.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.7% of county personal income is Medicare/Medicaid medical benefits; 32.7% arrives as government transfers (BEA, 2022).
What this hospital means to Upshur County
economic contribution · FY24 cost report
Direct annual spending
$107.9M
total operating expense · reported
Total economic output
$248.1M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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