A hospital in Tompkinsville, KY. It ran an operating loss of 14.3% in FY25 on $20.8M of operating revenue. It held 291 days of cash on hand (90th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -24.3% in FY21 to -14.3% in FY25, though it fell 6.5 points in the most recent year.
Operating margin · FY25
-14.3%
▼ 6.5 pts vs FY24
vs Urban PPS hospitals15th pctl of 1,475 (FY25)
Days cash on hand · FY25
291d
all sources
▼ 67.6 days vs FY24
vs Urban PPS hospitals90th pctl of 1,386 (FY25)
Total operating revenue · FY25
$20.8M
▼ 0.2 $M vs FY24
vs Urban PPS hospitals3rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-5.0%
▼ 6.2 pts vs FY24
vs Urban PPS hospitals16th pctl of 1,475 (FY25)
One point of operating margin at MONROE COUNTY MEDICAL CENTER is about $208K per year (1% of FY25 total operating revenue).
Where MONROE COUNTY MEDICAL 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 hospitalMONROE COUNTYUrban 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
17,726
19,587
19,407
Other operating revenue
760
1,426
1,393
Total operating revenue
18,486
21,013
20,800
Total operating expenses
21,833
22,664
23,776
Operating income
(3,347)
(1,651)
(2,976)
Operating margin %
-18.1%
-7.9%
-14.3%
Grants & contributions
828
698
551
Investment income
341
876
933
Other non-operating, net
1,719
361
359
Net income
(459)
284
(1,133)
Net income %
-2.1%
+1.2%
-5.0%
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 49-bed hospital at 22% 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
22.2%
Verified fact2025
HCRIS WS S-3
Average daily census
10.92
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
49
Verified fact2025
HCRIS WS S-3
Annual discharges
1,062
Verified fact2025
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.69
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
6.0%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
70.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
190.10
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.92
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
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
MONROE County, KY
Median household income
$49.4K
vs $82.1K US · $59.7K rural median
Poverty rate
22.2%
vs 12.5% US · 14.3% rural median
Uninsured
5.5%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
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: 22.6% of county personal income is Medicare/Medicaid medical benefits; 38.4% arrives as government transfers (BEA, 2022).
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