A hospital in Cortland, NY. It ran an operating surplus of 8.7% in FY25 on $150.4M of operating revenue. It held 59 days of cash on hand (62nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -19.9% in FY21 to 8.7% in FY25, though it fell 2.3 points in the most recent year.
Operating margin · FY25
+8.7%
vs Urban PPS hospitals71st pctl of 1,475 (FY25)
Days cash on hand · FY25
59d
all sources
vs Urban PPS hospitals62nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$150.4M
vs Urban PPS hospitals31st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+12.5%
vs Urban PPS hospitals71st pctl of 1,475 (FY25)
One point of operating margin at GUTHRIE CORTLAND REGIONAL MEDICAL CENTER is about $1.5M per year (1% of FY25 total operating revenue).
Where GUTHRIE CORTLAND REGIONAL 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 hospitalGUTHRIE CORTLANDUrban 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
112,458
140,624
150,366
Total operating revenue
112,458
140,624
150,366
Total operating expenses
121,749
125,140
137,223
Operating income
(9,291)
15,484
13,143
Operating margin %
-8.3%
+11.0%
+8.7%
Grants & contributions
298
156
269
Investment income
482
508
486
Other non-operating, net
(9)
2,046
5,766
Net income
(8,520)
18,194
19,664
Net income %
-7.5%
+12.7%
+12.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · 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
FY22, FY23, FY24 accounts receivable is not shown: patient receivables not separately identified on the filed balance sheet.
How it operates
quality & operational context · CMS public reporting
A 72-bed hospital at 44% occupancy 77% 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
44.1%
Verified fact2025
HCRIS WS S-3
Average daily census
31.80
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
72
Verified fact2025
HCRIS WS S-3
Annual discharges
3,861
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.96
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
2.9%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
76.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
601.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.922881
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
CORTLAND County, NY
Median household income
$67.5K
vs $82.1K US · $59.7K rural median
Poverty rate
12.8%
vs 12.5% US · 14.3% rural median
Uninsured
3.4%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.4% of county personal income is Medicare/Medicaid medical benefits; 25.0% arrives as government transfers (BEA, 2022).
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