A hospital in Jackson, KY. It ran an operating surplus of 16.1% in FY25 on $31.5M of operating revenue. Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+16.1%
vs Critical Access Hospitals89th pctl of 824 (FY25)
Days cash on hand
Not available
all sources
vs Critical Access Hospitals—
Total operating revenue · FY25
$31.5M
vs Critical Access Hospitals49th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+16.8%
vs Critical Access Hospitals84th pctl of 824 (FY25)
One point of operating margin at KENTUCKY RIVER MEDICAL CENTER is about $315K per year (1% of FY25 total operating revenue).
Where KENTUCKY RIVER MEDICAL 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.
One critical access hospitalKENTUCKY RIVERCritical 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.
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 19-bed hospital at 53% occupancy 64% 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
52.7%
Verified fact2025
HCRIS WS S-3
Average daily census
10.06
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
19
Verified fact2025
HCRIS WS S-3
Annual discharges
1,043
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.56
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
13.4%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
64.2%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Results are not available for this reporting period.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot
Commercial rates vs Medicare
414%
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 · single reporting year
Operating margin
Days cash on hand
FY25 days cash suppressed: out of display range.
The county this hospital serves
Breathitt County, KY
Median household income
$41.1K
vs $82.1K US · $59.7K rural median
Poverty rate
28.2%
vs 12.5% US · 14.3% rural median
Uninsured
2.7%
vs 8.6% US · 8.4% rural median
Age 65+
18.3%
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: 34.5% of county personal income is Medicare/Medicaid medical benefits; 56.1% arrives as government transfers (BEA, 2022).
What this hospital means to Breathitt County
economic contribution · FY25 cost report
Direct annual spending
$26.4M
total operating expense · reported
Total economic output
$60.7M
× 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.
The Board Briefing$1,000
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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.
