Astrelis
Urban PPS hospital · Hyannis, MA

CAPE COD HOSPITAL

CCN 220012BARNSTABLE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)235 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Hyannis, MA. It ran an operating surplus of 6.5% in FY25 on $735.4M of operating revenue. It held 187 days of cash on hand (83rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.4% in FY20 to 6.5% in FY25.

Operating margin · FY25
+6.5%
2.8 pts vs FY24
vs Urban PPS hospitals65th pctl of 1,475 (FY25)
Days cash on hand · FY25
187d
all sources
2.7 days vs FY24
vs Urban PPS hospitals83rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$735.4M
38.1 $M vs FY24
vs Urban PPS hospitals81st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.5%
0.1 pts vs FY24
vs Urban PPS hospitals55th pctl of 1,475 (FY25)
One point of operating margin at CAPE COD HOSPITAL is about $7.4M per year (1% of FY25 total operating revenue).

Where CAPE COD 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%CAPE COD +6.468187772489305%-20%0%+20%Urban PPS hospital median +1.3311360264910879%CAPE COD +6.468187772489305%
One urban pps hospitalCAPE CODUrban 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
+6.5% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+7.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
187d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.09× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
78% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
38d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue689,149696,253734,910
Other operating revenue2,0271,022463
Total operating revenue691,176697,275735,373
Total operating expenses654,915671,849687,808
Operating income36,26125,42647,565
Operating margin %+5.2%+3.6%+6.5%
Grants & contributions5,7776,8135,976
Investment income29,05649,49327,743
Other non-operating, net(18,306)(25,977)(25,360)
Net income52,78855,75555,924
Net income %+7.5%+7.7%+7.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 235-bed hospital at 80% 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
80.2%
Verified fact2025
HCRIS WS S-3
Average daily census
189.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
235
Verified fact2025
HCRIS WS S-3
Annual discharges
16,970
Verified fact2025
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
64.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,769
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.6%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$20.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.291
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.5%
Worse Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.993316
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-3.4%+1.7%-0.9%+5.2%+3.6%+6.5%FY20FY21FY22FY23FY24FY25
Days cash on hand
305 days282 days192 days190 days185 days187 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

BARNSTABLE County, MA · metro, under 250K
Median household income
$94.5K
vs $82.1K US · $59.7K rural median
Poverty rate
7.4%
vs 12.5% US · 14.3% rural median
Uninsured
2.8%
vs 8.6% US · 8.4% rural median
Age 65+
32.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.3% of county personal income is Medicare/Medicaid medical benefits; 19.6% arrives as government transfers (BEA, 2022).

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