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. Days cash on hand is FY21, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Manchester, KY. It ran an operating surplus of 6.1% in FY25 on $98.5M of operating revenue. It held 62 days of cash on hand in FY21, its most recent reported liquidity (63rd percentile among Rural PPS hospitals on liquidity). Operating margin improved from -16.9% in FY20 to 6.1% 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
+6.1%
▲ 3.3 pts vs FY24
vs Rural PPS hospitals71st pctl of 387 (FY24)
Days cash on hand · FY21
62d
all sources
▼ 37.8 days vs FY20
vs Rural PPS hospitals63rd pctl of 376 (FY24)
Total operating revenue · FY25
$98.5M
▲ 5.5 $M vs FY24
vs Rural PPS hospitals51st pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
+7.1%
▲ 3.3 pts vs FY24
vs Rural PPS hospitals64th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at AdventHealthManchester is about $985K per year (1% of FY25 total operating revenue).
Where AdventHealthManchester sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalAdventHealthManchesterRural 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
83,024
91,402
97,323
Other operating revenue
1,085
1,596
1,201
Total operating revenue
84,109
92,998
98,524
Total operating expenses
83,811
90,391
92,510
Operating income
298
2,607
6,014
Operating margin %
+0.4%
+2.8%
+6.1%
Grants & contributions
—
25
—
Investment income
6
11
11
Other non-operating, net
1,325
930
1,033
Net income
1,629
3,573
7,058
Net income %
+1.9%
+3.8%
+7.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 43-bed hospital at 37% occupancy 77% 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
36.6%
Verified fact2025
HCRIS WS S-3
Average daily census
15.77
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
43
Verified fact2025
HCRIS WS S-3
Annual discharges
1,713
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
76.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
497.90
Verified fact2025
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$2.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.385
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.314695
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
FY25 days cash suppressed: out of display range.
The county this hospital serves
CLAY County, KY · nonmetro, rural, remote
Median household income
$39.6K
vs $82.1K US · $59.7K rural median
Poverty rate
31.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.6%
vs 8.6% US · 8.4% rural median
Age 65+
15.7%
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: 33.2% of county personal income is Medicare/Medicaid medical benefits; 54.5% arrives as government transfers (BEA, 2022).
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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