Astrelis
Urban PPS hospital · Silver Spring, MD

HOLY CROSS HOSPITAL

CCN 210004MONTGOMERY CountyVoluntary non-profit - ChurchUrban (USDA RUCC)300 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Silver Spring, MD. It ran an operating surplus of 8.5% in FY25 on $579.9M of operating revenue. It held 111 days of cash on hand (72nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 3.8% in FY21 to 8.5% in FY25.

Operating margin · FY25
+8.5%
vs Urban PPS hospitals70th pctl of 1,475 (FY25)
Days cash on hand · FY25
111d
all sources
vs Urban PPS hospitals72nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$579.9M
vs Urban PPS hospitals75th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+12.9%
vs Urban PPS hospitals71st pctl of 1,475 (FY25)
One point of operating margin at HOLY CROSS HOSPITAL is about $5.8M per year (1% of FY25 total operating revenue).

Where HOLY CROSS HOSPITAL 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%HOLY CROSS +8.493711497601266%-20%0%+20%Urban PPS hospital median +1.3311360264910879%HOLY CROSS +8.493711497601266%
One urban pps hospitalHOLY CROSSUrban 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
+8.5% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+12.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
111d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.38× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
24% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
67d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue516,025531,658579,701
Other operating revenue175394230
Total operating revenue516,199532,051579,931
Total operating expenses602,331506,409530,674
Operating income(86,132)25,64349,258
Operating margin %-16.7%+4.8%+8.5%
Grants & contributions58
Investment income17,78523,03921,408
Other non-operating, net114,6636,7467,795
Net income46,32155,43678,461
Net income %+7.1%+9.9%+12.9%
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 300-bed hospital at 72% occupancy 32% 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
72.1%
Verified fact2025
HCRIS WS S-3
Average daily census
216.78
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
300
Verified fact2025
HCRIS WS S-3
Annual discharges
20,479
Verified fact2025
HCRIS WS S-3
Average length of stay
3.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
31.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,371
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.459
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Results are not available for this reporting period.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.002139
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+3.8%+7.4%-16.7%+4.8%+8.5%FY21FY22FY23FY24FY25
Days cash on hand
320 days160 days74 days106 days111 daysFY21FY22FY23FY24FY25

The county this hospital serves

MONTGOMERY County, MD
Median household income
$128.7K
vs $82.1K US · $59.7K rural median
Poverty rate
7.1%
vs 12.5% US · 14.3% rural median
Uninsured
6.8%
vs 8.6% US · 8.4% rural median
Age 65+
16.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.0% of county personal income is Medicare/Medicaid medical benefits; 9.4% arrives as government transfers (BEA, 2022).

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