Astrelis
Psychiatric hospital · Lexington, KY

EASTERN STATE HOSPITAL

CCN 184004FAYETTE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)195 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 41.3% in FY25 on $48.2M of operating revenue. It held 154 days of cash on hand (90th percentile among Psychiatric hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
-41.3%
vs Psychiatric hospitals7th pctl of 437 (FY24)
Days cash on hand · FY25
154d
all sources
vs Psychiatric hospitals90th pctl of 376 (FY24)
Total operating revenue · FY25
$48.2M
vs Psychiatric hospitals82nd pctl of 509 (FY24)
Total margin · incl. nonoperating · FY25
-7.0%
vs Psychiatric hospitals19th pctl of 434 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=437).
One point of operating margin at EASTERN STATE HOSPITAL is about $482K per year (1% of FY25 total operating revenue).

Where EASTERN STATE HOSPITAL sits among Psychiatric hospitals

Operating margin · FY24 pool · n = 437 of 610 filed

Each point is one Psychiatric 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 Psychiatric hospital median is +4.8%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=437).
-20%-10%0%+10%+20%Psychiatric hospital median +4.788257940327237%EASTERN STATE -41.33193112589375%-20%0%+20%Psychiatric hospital median +4.788257940327237%EASTERN STATE -41.33193112589375%
One psychiatric hospitalEASTERN STATEPsychiatric 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
-41.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-7.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
154d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
100% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue52,41156,56748,210
Total operating revenue52,41156,56748,210
Total operating expenses63,85165,72168,136
Operating income(11,440)(9,154)(19,926)
Operating margin %-21.8%-16.2%-41.3%
Grants & contributions15,58815,45318,573
Other non-operating, net(3,155)(3,088)(3,328)
Net income9933,211(4,681)
Net income %+1.5%+4.7%-7.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, 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

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
83.3%
Verified fact2025
HCRIS WS S-3
Average daily census
162.82
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
195
Verified fact2025
HCRIS WS S-3
Annual discharges
3,373
Verified fact2025
HCRIS WS S-3
Average length of stay
17.6d
Verified fact2025
HCRIS WS S-3
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-21.8%-16.2%-41.3%FY21FY22FY23FY24FY25
Days cash on hand
95 days96 days137 days164 days154 daysFY21FY22FY23FY24FY25

The county this hospital serves

FAYETTE County, KY
Median household income
$67.6K
vs $82.1K US
Poverty rate
15.7%
vs 12.5% US
Uninsured
6.8%
vs 8.6% US
Age 65+
14.4%
vs 16.8% US
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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