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 Prestonsburg, KY. It ran an operating surplus of 8.9% in FY25 on $148.2M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 6.9% in FY21 to 8.9% 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
+8.9%
▲ 4.6 pts vs FY24
vs Urban PPS hospitals72nd 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
$148.2M
▲ 17.5 $M vs FY24
vs Urban PPS hospitals30th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+16.2%
▲ 0.4 pts vs FY24
vs Urban PPS hospitals80th pctl of 1,475 (FY25)
One point of operating margin at HIGHLANDS ARH REGIONAL MEDICAL CENTER is about $1.5M per year (1% of FY25 total operating revenue).
Where HIGHLANDS ARH REGIONAL 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.
One urban pps hospitalHIGHLANDS ARHUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
96,487
94,734
110,638
Other operating revenue
31,198
35,983
37,584
Total operating revenue
127,685
130,716
148,221
Total operating expenses
127,971
125,032
135,023
Operating income
(286)
5,684
13,198
Operating margin %
-0.2%
+4.3%
+8.9%
Investment income
11,514
17,402
12,863
Other non-operating, net
517
368
105
Net income
11,745
23,454
26,166
Net income %
+8.4%
+15.8%
+16.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 51-bed hospital at 61% occupancy 71% 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
61.0%
Verified fact2025
HCRIS WS S-3
Average daily census
31.20
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
51
Verified fact2025
HCRIS WS S-3
Annual discharges
3,357
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
70.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
533
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)
0.522
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.05
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.903529
CMS-reported measure07/01/2022 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
FLOYD County, KY
Median household income
$41.6K
vs $82.1K US · $59.7K rural median
Poverty rate
26.6%
vs 12.5% US · 14.3% rural median
Uninsured
4.4%
vs 8.6% US · 8.4% rural median
Age 65+
19.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
Not available
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 27.8% of county personal income is Medicare/Medicaid medical benefits; 50.4% arrives as government transfers (BEA, 2022).
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