Astrelis
Critical Access Hospital · Martin, KY

ARH OUR LADY OF THE WAY

CCN 181305FLOYD CountyVoluntary non-profit - Private25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Martin, KY. It ran an operating surplus of 31.3% in FY25 on $34.5M of operating revenue. It held 0 days of cash on hand (11th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
+31.3%
vs Critical Access Hospitals98th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
vs Critical Access Hospitals11th pctl of 827 (FY25)
Total operating revenue · FY25
$34.5M
vs Critical Access Hospitals54th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+36.1%
vs Critical Access Hospitals99th pctl of 824 (FY25)
One point of operating margin at ARH OUR LADY OF THE WAY is about $345K per year (1% of FY25 total operating revenue).

Where ARH OUR LADY sits among Critical Access Hospitals

Operating margin · FY25 pool · n = 824 of 1,404 filed

Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -0.24974129749702573%ARH OUR +31.348339983437473%-20%0%+20%Critical Access Hospital median -0.24974129749702573%ARH OUR +31.348339983437473%
One critical access hospitalARH OURCritical Access 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
+31.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+36.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.83× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
31% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
41d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+8.9% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+65.5% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue20,81722,74225,736
Other operating revenue10,3687,7518,800
Total operating revenue31,18630,49334,536
Total operating expenses22,00822,44223,709
Operating income9,1788,05110,826
Operating margin %+29.4%+26.4%+31.3%
Investment income1,6033,1062,546
Other non-operating, net55523
Net income10,83611,20913,375
Net income %+33.0%+33.3%+36.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital at 11% occupancy where swing beds are 78% of the inpatient business and 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
11.1%
Verified fact2025
HCRIS WS S-3
Average daily census
2.79
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
341
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
9.70
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
77.7%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
75.8%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
1.776
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Pricing

Pilot · FY25
Commercial rates vs Medicare
397%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
Hospital price files + Medicare rates

Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+5.0%+29.4%+26.4%+31.3%FY21FY22FY23FY24FY25
Days cash on hand
98 days0 days0 days0 days0 daysFY21FY22FY23FY24FY25

The county this hospital serves

FLOYD County, KY
Median household income
$41.6K
vs $82.1K US · $59.7K rural median
Poverty rate
26.6%
vs 12.5% US · 14.3% rural median
Uninsured
4.4%
vs 8.6% US · 8.4% rural median
Age 65+
19.4%
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: 27.8% of county personal income is Medicare/Medicaid medical benefits; 50.4% arrives as government transfers (BEA, 2022).

What this hospital means to Floyd County

economic contribution · FY25 cost report
Direct annual spending
$23.7M
total operating expense · reported
Total economic output
$54.5M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

CAH Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

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