Astrelis
Urban PPS hospital · Holyoke, MA

HOLYOKE MEDICAL CENTER

CCN 220024HAMPDEN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)183 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Holyoke, MA. It ran an operating loss of 15.1% in FY25 on $247.3M of operating revenue. It held 23 days of cash on hand (50th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -25.1% in FY20 to -15.1% in FY25.

Operating margin · FY25
-15.1%
2.6 pts vs FY24
vs Urban PPS hospitals14th pctl of 1,475 (FY25)
Days cash on hand · FY25
23d
all sources
8.4 days vs FY24
vs Urban PPS hospitals50th pctl of 1,386 (FY25)
Total operating revenue · FY25
$247.3M
29.5 $M vs FY24
vs Urban PPS hospitals46th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-5.7%
6.5 pts vs FY24
vs Urban PPS hospitals15th pctl of 1,475 (FY25)
One point of operating margin at HOLYOKE MEDICAL CENTER is about $2.5M per year (1% of FY25 total operating revenue).

Where HOLYOKE MEDICAL CENTER 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%HOLYOKE MEDICAL -15.114252411734814%-20%0%+20%Urban PPS hospital median +1.3311360264910879%HOLYOKE MEDICAL -15.114252411734814%
One urban pps hospitalHOLYOKE MEDICALUrban 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
-15.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-5.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
23d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.23× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
43% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
57d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue191,938217,848247,313
Other operating revenue211530
Total operating revenue191,958217,863247,343
Total operating expenses238,114256,544284,727
Operating income(46,156)(38,681)(37,384)
Operating margin %-24.0%-17.8%-15.1%
Grants & contributions419529
Investment income6541,222277
Other non-operating, net42,44739,35721,723
Net income(3,014)1,993(15,355)
Net income %-1.3%+0.8%-5.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY23, FY24, 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 183-bed hospital at 54% occupancy 75% 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
53.5%
Verified fact2025
HCRIS WS S-3
Average daily census
98.22
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
183
Verified fact2025
HCRIS WS S-3
Annual discharges
7,416
Verified fact2025
HCRIS WS S-3
Average length of stay
4.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
75.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,462
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.2%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$3.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.508
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.2%
No Different 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)
1.052253
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-25.1%-24.4%-17.8%-24.0%-17.8%-15.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
55 days35 days35 days29 days31 days23 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

HAMPDEN County, MA · metro, 250K–1M
Median household income
$70.5K
vs $82.1K US · $59.7K rural median
Poverty rate
15.7%
vs 12.5% US · 14.3% rural median
Uninsured
3.1%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.9% of county personal income is Medicare/Medicaid medical benefits; 31.4% arrives as government transfers (BEA, 2022).

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