A hospital in Pittsfield, MA. It ran an operating loss of 23.3% in FY25 on $571.3M of operating revenue. It held 322 days of cash on hand (92nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from -19.9% in FY20 to -23.3% in FY25. Including nonoperating items, the all-in result was positive at 14.3%.
Operating margin · FY25
-23.3%
▼ 10.3 pts vs FY24
vs Urban PPS hospitals9th pctl of 1,475 (FY25)
Days cash on hand · FY25
322d
all sources
▲ 7.9 days vs FY24
vs Urban PPS hospitals92nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$571.3M
▼ 12.2 $M vs FY24
vs Urban PPS hospitals74th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+14.3%
▼ 3.6 pts vs FY24
vs Urban PPS hospitals75th pctl of 1,475 (FY25)
One point of operating margin at BERKSHIRE MEDICAL CENTER is about $5.7M per year (1% of FY25 total operating revenue).
Where BERKSHIRE 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.
One urban pps hospitalBERKSHIRE 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
549,039
583,453
571,189
Other operating revenue
139
42
72
Total operating revenue
549,179
583,495
571,261
Total operating expenses
654,429
659,346
704,526
Operating income
(105,250)
(75,851)
(133,265)
Operating margin %
-19.2%
-13.0%
-23.3%
Grants & contributions
28,273
25,554
58,318
Investment income
9,768
22,373
31,593
Other non-operating, net
104,633
171,588
161,293
Net income
37,424
143,664
117,939
Net income %
+5.4%
+17.9%
+14.3%
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 218-bed hospital at 60% 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
59.5%
Verified fact2025
HCRIS WS S-3
Average daily census
130.09
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
218
Verified fact2025
HCRIS WS S-3
Annual discharges
10,741
Verified fact2025
HCRIS WS S-3
Average length of stay
4.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
75.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,622
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.8%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$21.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.273
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.112009
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
BERKSHIRE County, MA · metro, under 250K
Median household income
$72.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.0%
vs 12.5% US · 14.3% rural median
Uninsured
2.1%
vs 8.6% US · 8.4% rural median
Age 65+
24.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.1% of county personal income is Medicare/Medicaid medical benefits; 26.6% arrives as government transfers (BEA, 2022).
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