A hospital in Pikeville, KY. It ran an operating surplus of 8.2% in FY25 on $846.5M of operating revenue. It held 145 days of cash on hand (77th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.1% in FY20 to 8.2% in FY25.
Operating margin · FY25
+8.2%
▲ 5.0 pts vs FY24
vs Urban PPS hospitals69th pctl of 1,475 (FY25)
Days cash on hand · FY25
145d
all sources
▲ 23.7 days vs FY24
vs Urban PPS hospitals77th pctl of 1,386 (FY25)
Total operating revenue · FY25
$846.5M
▲ 106.1 $M vs FY24
vs Urban PPS hospitals84th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+9.5%
▲ 4.9 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
One point of operating margin at PIKEVILLE MEDICAL CENTER is about $8.5M per year (1% of FY25 total operating revenue).
Where PIKEVILLE MEDICAL CENTER 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 hospitalPIKEVILLE MEDICALUrban 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
600,022
635,122
713,921
Other operating revenue
87,103
105,292
132,560
Total operating revenue
687,125
740,414
846,481
Total operating expenses
662,940
716,503
776,921
Operating income
24,185
23,911
69,560
Operating margin %
+3.5%
+3.2%
+8.2%
Grants & contributions
537
472
578
Investment income
7,279
9,849
11,260
Other non-operating, net
0
0
1
Net income
32,001
34,232
81,399
Net income %
+4.6%
+4.6%
+9.5%
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 263-bed hospital at 51% occupancy 63% 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
51.3%
Verified fact2025
HCRIS WS S-3
Average daily census
135.41
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
263
Verified fact2025
HCRIS WS S-3
Annual discharges
11,180
Verified fact2025
HCRIS WS S-3
Average length of stay
4.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
62.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,155
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$9.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.471
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.738889
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
PIKE County, KY
Median household income
$42.2K
vs $82.1K US · $59.7K rural median
Poverty rate
25.0%
vs 12.5% US · 14.3% rural median
Uninsured
5.0%
vs 8.6% US · 8.4% rural median
Age 65+
19.6%
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: 23.7% of county personal income is Medicare/Medicaid medical benefits; 44.9% arrives as government transfers (BEA, 2022).
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