Astrelis
Urban PPS hospital · Rochester, NY

UNITY HOSPITAL

CCN 330226MONROE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)266 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Rochester, NY. It ran an operating loss of 9.5% in FY24 on $673.3M of operating revenue. It held 20 days of cash on hand (49th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -14.1% in FY20 to -9.5% in FY24.

Operating margin · FY24
-9.5%
8.6 pts vs FY23
vs Urban PPS hospitals20th pctl of 2,562 (FY24)
Days cash on hand · FY24
20d
all sources
1.5 days vs FY23
vs Urban PPS hospitals49th pctl of 2,354 (FY24)
Total operating revenue · FY24
$673.3M
50.1 $M vs FY23
vs Urban PPS hospitals81st pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-1.6%
2.7 pts vs FY23
vs Urban PPS hospitals23rd 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 UNITY HOSPITAL is about $6.7M per year (1% of FY24 total operating revenue).

Where UNITY HOSPITAL 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.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%UNITY HOSPITAL -9.541856058749639%-20%0%+20%Urban PPS hospital median +2.027429837815152%UNITY HOSPITAL -9.541856058749639%
One urban pps hospitalUNITY HOSPITALUrban 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
-9.5% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-1.6% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
20d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.43× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
15% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
26d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue571,459623,237673,339
Total operating revenue571,459623,237673,339
Total operating expenses673,115736,439737,588
Operating income(101,656)(113,202)(64,249)
Operating margin %-17.8%-18.2%-9.5%
Grants & contributions9,75911,6656,222
Investment income8043,8175,785
Other non-operating, net65,631105,46540,509
Net income(25,462)7,745(11,733)
Net income %-3.9%+1.0%-1.6%
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 266-bed hospital at 101% occupancy 60% 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
101.3%
Verified fact2024
HCRIS WS S-3
Average daily census
270.20
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
266
Verified fact2024
HCRIS WS S-3
Annual discharges
16,140
Verified fact2024
HCRIS WS S-3
Average length of stay
6.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
59.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
3,576
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.3%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$12.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.225
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
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.056019
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-14.1%-9.6%-17.8%-18.2%-9.5%FY20FY21FY22FY23FY24
Days cash on hand
121 days101 days31 days22 days20 daysFY20FY21FY22FY23FY24

The county this hospital serves

MONROE County, NY · metro, 1M+ population
Median household income
$74.4K
vs $82.1K US · $59.7K rural median
Poverty rate
13.1%
vs 12.5% US · 14.3% rural median
Uninsured
3.1%
vs 8.6% US · 8.4% rural median
Age 65+
18.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 22.5% arrives as government transfers (BEA, 2022).

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