Operating margin: +13.1% in FY2025, the 82nd percentile of 375 rural pps hospitals in the FY2025 pool. Days cash on hand: 4 days in FY2025, the 30th percentile of 371 rural pps hospitals in the FY2025 pool. Total operating revenue: $130.4M in FY2025, the 61st percentile of 380 rural pps hospitals in the FY2025 pool. Total margin (including nonoperating): +13.6% in FY2025, the 78th percentile of 375 rural pps hospitals in the FY2025 pool. Figures 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 Madison, IN. It ran an operating surplus of 13.1% in FY25 on $130.4M of operating revenue. It held 4 days of cash on hand (30th percentile of 371 Rural PPS hospitals on liquidity, FY25 pool). Operating margin improved from 10.6% in FY20 to 13.1% 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
+13.1%
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals82nd pctl of 375 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
4d
all sources
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals30th pctl of 371 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$130.4M
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals61st pctl of 380 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+13.6%
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals78th pctl of 375 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at NORTON-KING'S DAUGHTERS' HEALTH is about $1.3M per year (1% of FY25 total operating revenue).
Where NORTON-KING'S DAUGHTERS' HEALTH sits among Rural PPS hospitals
Operating margin · FY25 pool · n = 375 of 411 filed
Each point is one Rural PPS hospital in the national FY25 distribution for Rural PPS hospitals, this hospital's comparison cohort, 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 Rural PPS hospital FY25 median is -1.1%. Descriptive context only, not a ranking.
One rural pps hospitalNORTON-KING'S DAUGHTERS'Rural 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
137,560
139,053
129,592
Other operating revenue
16,742
13,227
767
Total operating revenue
154,303
152,280
130,360
Total operating expenses
163,412
187,262
113,291
Operating income
(9,109)
(34,982)
17,068
Operating margin %
-5.9%
-23.0%
+13.1%
Grants & contributions
376
1,174
632
Investment income
3,015
2,958
56
Other non-operating, net
329
346
5
Net income
(5,389)
(30,504)
17,762
Net income %
-3.4%
-19.5%
+13.6%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Net patient A/R: 14,645K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY24 · Net patient A/R: 10,247K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R: 11,446K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY22 · Net patient A/R: 21,529K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: 14,771K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Net patient A/R: 10,759K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))
How it operates
quality & operational context · CMS public reporting
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
31.2%
Reported value2025
HCRIS WS S-3
Average daily census
17.14
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
55
Reported value2025
HCRIS WS S-3
Annual discharges
2,235
Reported value2025
HCRIS WS S-3
Average length of stay
3 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$18,109
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$50,690
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Total FTEs
475.90
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
27.9%
Reported value2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$3.7M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.601
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.954453
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
JEFFERSON County, IN · nonmetro, urban 5–20K, metro-adjacent
Median household income
$60.0K
vs $82.1K US · $59.7K rural median
Poverty rate
11.2%
vs 12.5% US · 14.3% rural median
Uninsured
8.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.2% of county personal income is Medicare/Medicaid medical benefits; 28.9% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Jefferson County
Illustrative estimate · FY24 cost report
Direct annual spending
$187.3M
total operating expense · Reported value, not a local-capture estimate
Labor income
$77.5M
$65.1M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$430.7M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
5.4%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 375.
Performance Benchmark Report: FY25 peer pool · n = 375 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Norton-King's Daughters' Health", https://astrelis.co/hospitals/150069, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/150069.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
