A skilled nursing facility in Fort Smith, AR. It ran an operating surplus of 13.7% in FY25 on $11.7M of operating revenue. Operating margin improved from 0.2% in FY20 to 13.7% in FY25. On care, it carries a 2-star CMS quality rating. Its potentially-preventable readmissions runs 10.1%. On the filed record it is comfortably profitable with lower measured quality. Source-reported context, not a recommendation.
Overall Five-Star
2
Verified fact2025
Source: CMS Care Compare
Total nursing HPRD
3.88
Verified fact2025
Source: CMS PBJ staffing
Operating margin · FY25
+13.7%
▲ 11.7 pts vs FY24
vs SNFs91st pctl of 12,481 (FY25)
Return to community
37.4%
Proxy2026
Source: CMS SNF QRP
Where LEGACY HEALTH AND sits among SNFs
Operating margin · FY25 pool · n = 12,481 of 13,901 filed
Each point is one SNF 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 SNF median is +1.0%. Descriptive context only, not a ranking.
One snfLEGACY HEALTHSNF median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this skilled nursing facility 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
+13.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+13.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash & investments ÷ daily operating expense
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 item
FY23
FY24
FY25
Patient revenue
10,939
9,715
11,695
Total operating revenue
10,939
9,715
11,695
Total operating expenses
9,337
9,517
10,094
Operating income
1,602
197
1,601
Operating margin %
+14.6%
+2.0%
+13.7%
Other non-operating, net
7
7
5
Net income
1,609
204
1,606
Net income %
+14.7%
+2.1%
+13.7%
HCRIS Worksheet G-3 (SNF) · $ thousands · FY20–FY25 · operating revenue reflects net patient revenue (the SNF form carries no other-operating split) · FY20–21 may include COVID-era relief funding in other income
A condensed balance sheet is not shown for this skilled nursing facility: 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
The metrics this skilled nursing facility 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.
Overall Five-Star
2
Verified fact2025
CMS Care Compare
Health inspection star
2
Verified fact2025
CMS Care Compare
Quality measure star
2
Verified fact2025
CMS Care Compare
Staffing star
4
Verified fact2025
CMS Care Compare
Total nursing HPRD
3.88
Verified fact2025
CMS PBJ staffing
RN HPRD
0.39
Verified fact2025
CMS PBJ staffing
Total nurse turnover
45.7%
Verified fact2025
CMS PBJ staffing
Return to community
37.4%
Proxy2026
CMS SNF QRP
Potentially-preventable readmissions
10.1%
Proxy2026
CMS SNF QRP
Occupancy
93.8%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
4.8%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
86.1%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
9.1%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility serves
Sebastian County, AR · metro, under 250K
Median household income
$56.5K
vs $82.1K US · $59.7K rural median
Poverty rate
16.3%
vs 12.5% US · 14.3% rural median
Uninsured
10.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.2% of county personal income is Medicare/Medicaid medical benefits; 26.9% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Delivered within 30 days of eligibility confirmation.