A hospital in Buffalo, NY. It ran an operating loss of 4.0% in FY24 on $1735.1M of operating revenue. It held 19 days of cash on hand (48th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -15.1% in FY20 to -4.0% in FY24. Including nonoperating items, the all-in result was positive at 6.4%.
Operating margin · FY24
-4.0%
▲ 3.6 pts vs FY23
vs Urban PPS hospitals32nd pctl of 2,562 (FY24)
Days cash on hand · FY24
19d
all sources
▲ 15.9 days vs FY23
vs Urban PPS hospitals48th pctl of 2,354 (FY24)
Total operating revenue · FY24
$1.74B
▲ 207.0 $M vs FY23
vs Urban PPS hospitals96th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+6.4%
▲ 7.3 pts vs FY23
vs Urban PPS hospitals53rd pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at KALEIDA HEALTH is about $17.4M per year (1% of FY24 total operating revenue).
Where KALEIDA HEALTH sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalKALEIDA HEALTHUrban 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
FY22
FY23
FY24
Patient revenue
1,383,532
1,528,060
1,735,090
Other operating revenue
516
—
—
Total operating revenue
1,384,047
1,528,060
1,735,090
Total operating expenses
1,505,348
1,645,097
1,805,028
Operating income
(121,300)
(117,037)
(69,937)
Operating margin %
-8.8%
-7.7%
-4.0%
Grants & contributions
20,771
6,999
50,482
Investment income
2,015
(4,010)
(4,332)
Other non-operating, net
4,873
99,880
147,785
Net income
(93,641)
(14,168)
123,998
Net income %
-6.6%
-0.9%
+6.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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
How it operates
quality & operational context · CMS public reporting
A 758-bed hospital at 80% occupancy 41% 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
79.6%
Verified fact2024
HCRIS WS S-3
Average daily census
604.84
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
758
Verified fact2024
HCRIS WS S-3
Annual discharges
47,321
Verified fact2024
HCRIS WS S-3
Average length of stay
4.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
41.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
7,454
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.3%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$74.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.522
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.443979
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
ERIE County, NY · metro, 1M+ population
Median household income
$71.2K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
2.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.7% of county personal income is Medicare/Medicaid medical benefits; 22.4% arrives as government transfers (BEA, 2022).
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