Astrelis
Urban PPS hospital · Lexington, KY

UNIVERSITY OF KENTUCKY HOSPITAL

CCN 180067FAYETTE CountyGovernment - StateUrban (USDA RUCC)791 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Lexington, KY. It ran an operating loss of 13.0% in FY25 on $2767.0M of operating revenue. It held 218 days of cash on hand (85th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -8.0% in FY21 to -13.0% in FY25. Including nonoperating items, the all-in result was positive at 12.9%.

Operating margin · FY25
-13.0%
2.2 pts vs FY24
vs Urban PPS hospitals17th pctl of 1,475 (FY25)
Days cash on hand · FY25
218d
all sources
14.6 days vs FY24
vs Urban PPS hospitals85th pctl of 1,386 (FY25)
Total operating revenue · FY25
$2.77B
246.9 $M vs FY24
vs Urban PPS hospitals97th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+12.9%
3.7 pts vs FY24
vs Urban PPS hospitals71st pctl of 1,475 (FY25)
One point of operating margin at UNIVERSITY OF KENTUCKY HOSPITAL is about $27.7M per year (1% of FY25 total operating revenue).

Where UNIVERSITY OF KENTUCKY 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%UNIVERSITY OF -12.975344912603253%-20%0%+20%Urban PPS hospital median +1.3311360264910879%UNIVERSITY OF -12.975344912603253%
One urban pps hospitalUNIVERSITY OFUrban 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.

Operating margin
-13.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+12.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
218d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
6.22× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
79% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue2,291,7922,322,2202,460,590
Other operating revenue63,018197,828306,401
Total operating revenue2,354,8102,520,0482,766,991
Total operating expenses2,552,3452,791,1283,126,017
Operating income(197,535)(271,080)(359,027)
Operating margin %-8.4%-10.8%-13.0%
Grants & contributions2,494650250
Investment income78,082113,103125,616
Other non-operating, net688,213711,754695,228
Net income571,254554,427462,067
Net income %+18.3%+16.6%+12.9%
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 791-bed hospital at 84% occupancy 56% 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
84.0%
Verified fact2025
HCRIS WS S-3
Average daily census
666.60
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
791
Verified fact2025
HCRIS WS S-3
Annual discharges
46,487
Verified fact2025
HCRIS WS S-3
Average length of stay
5.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
56.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
10,815
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.334
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.064399
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-8.0%-8.8%-8.4%-10.8%-13.0%FY21FY22FY23FY24FY25
Days cash on hand
171 days188 days232 days203 days218 daysFY21FY22FY23FY24FY25

The county this hospital serves

FAYETTE County, KY
Median household income
$67.6K
vs $82.1K US · $59.7K rural median
Poverty rate
15.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.8%
vs 8.6% US · 8.4% rural median
Age 65+
14.4%
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: 6.9% of county personal income is Medicare/Medicaid medical benefits; 16.0% arrives as government transfers (BEA, 2022).

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