A hospital in Harlan, KY. It ran an operating surplus of 40.2% in FY25 on $123.2M of operating revenue. It held 0 days of cash on hand (16th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 28.5% in FY21 to 40.2% in FY25.
Operating margin · FY25
+40.2%
▲ 18.9 pts vs FY24
vs Urban PPS hospitals98th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▬ 0.0 days vs FY24
vs Urban PPS hospitals16th pctl of 1,386 (FY25)
Total operating revenue · FY25
$123.2M
▲ 10.6 $M vs FY24
vs Urban PPS hospitals25th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+40.2%
▲ 18.4 pts vs FY24
vs Urban PPS hospitals98th pctl of 1,475 (FY25)
One point of operating margin at HARLAN ARH HOSPITAL is about $1.2M per year (1% of FY25 total operating revenue).
Where HARLAN ARH HOSPITAL 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 hospitalHARLAN 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.
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
69,920
74,524
79,562
Other operating revenue
25,420
38,049
43,655
Total operating revenue
95,340
112,573
123,217
Total operating expenses
86,749
88,557
73,626
Operating income
8,591
24,016
49,591
Operating margin %
+9.0%
+21.3%
+40.2%
Investment income
496
438
(247)
Other non-operating, net
334
193
60
Net income
9,421
24,647
49,404
Net income %
+9.8%
+21.8%
+40.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 49-bed hospital at 30% occupancy 76% 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
30.1%
Verified fact2025
HCRIS WS S-3
Average daily census
14.81
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
49
Verified fact2025
HCRIS WS S-3
Annual discharges
2,080
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
76.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
394.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
23.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.606
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.5%
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)
0.965175
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
HARLAN County, KY
Median household income
$37.2K
vs $82.1K US · $59.7K rural median
Poverty rate
27.2%
vs 12.5% US · 14.3% rural median
Uninsured
4.7%
vs 8.6% US · 8.4% rural median
Age 65+
19.2%
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: 32.2% of county personal income is Medicare/Medicaid medical benefits; 58.6% arrives as government transfers (BEA, 2022).
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