Astrelis
Urban PPS hospital · Lexington, KY

SAINT JOSEPH EAST

CCN 180143FAYETTE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)80 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Lexington, KY. It ran an operating surplus of 7.1% in FY25 on $203.7M of operating revenue. It held 376 days of cash on hand (95th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 5.9% in FY21 to 7.1% in FY25, though it fell 5.2 points in the most recent year.

Operating margin · FY25
+7.1%
5.2 pts vs FY24
vs Urban PPS hospitals67th pctl of 1,475 (FY25)
Days cash on hand · FY25
376d
all sources
111.4 days vs FY24
vs Urban PPS hospitals95th pctl of 1,386 (FY25)
Total operating revenue · FY25
$203.7M
20.1 $M vs FY24
vs Urban PPS hospitals40th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.8%
4.9 pts vs FY24
vs Urban PPS hospitals56th pctl of 1,475 (FY25)
One point of operating margin at SAINT JOSEPH EAST is about $2.0M per year (1% of FY25 total operating revenue).

Where SAINT JOSEPH EAST 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%SAINT JOSEPH +7.13849069666386%-20%0%+20%Urban PPS hospital median +1.3311360264910879%SAINT JOSEPH +7.13849069666386%
One urban pps hospitalSAINT JOSEPHUrban 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
+7.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+7.8% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
376d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
12.27× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
84% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
40d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue209,478219,462200,624
Other operating revenue4,0604,2563,039
Total operating revenue213,538223,718203,664
Total operating expenses204,045196,214189,125
Operating income9,49327,50414,539
Operating margin %+4.4%+12.3%+7.1%
Grants & contributions6541214
Other non-operating, net4,4641,0131,274
Net income14,02228,55816,027
Net income %+6.4%+12.7%+7.8%
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 80-bed hospital at 41% occupancy 73% 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
40.6%
Verified fact2025
HCRIS WS S-3
Average daily census
32.60
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
80
Verified fact2025
HCRIS WS S-3
Annual discharges
5,411
Verified fact2025
HCRIS WS S-3
Average length of stay
2.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
73.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
499.60
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
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
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.881864
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+5.9%+3.3%+4.4%+12.3%+7.1%FY21FY22FY23FY24FY25
Days cash on hand
486 days573 days140 days265 days376 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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