Astrelis
Urban PPS hospital · New York, NY

HARLEM HOSPITAL CENTER

CCN 330240NEW YORK CountyGovernment - LocalUrban (USDA RUCC)176 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in New York, NY. It ran an operating loss of 20.1% in FY25 on $574.1M of operating revenue. It held 1 day of cash on hand (25th percentile among Urban PPS hospitals on liquidity). Including nonoperating items, the all-in result was positive at 2.6%.

Operating margin · FY25
-20.1%
7.6 pts vs FY24
vs Urban PPS hospitals11th pctl of 1,475 (FY25)
Days cash on hand · FY25
1d
all sources
0.0 days vs FY24
vs Urban PPS hospitals25th pctl of 1,386 (FY25)
Total operating revenue · FY25
$574.1M
57.9 $M vs FY24
vs Urban PPS hospitals74th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.6%
4.7 pts vs FY24
vs Urban PPS hospitals36th pctl of 1,475 (FY25)
One point of operating margin at HARLEM HOSPITAL CENTER is about $5.7M per year (1% of FY25 total operating revenue).

Where HARLEM HOSPITAL 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%HARLEM HOSPITAL -20.105945817516158%-20%0%+20%Urban PPS hospital median +1.3311360264910879%HARLEM HOSPITAL -20.105945817516158%
One urban pps hospitalHARLEM 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
-20.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+2.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue519,635516,231574,086
Total operating revenue519,635516,231574,086
Total operating expenses638,769659,149689,511
Operating income(119,134)(142,918)(115,425)
Operating margin %-22.9%-27.7%-20.1%
Grants & contributions10,49240,93310,063
Investment income274247
Other non-operating, net73,75688,292123,471
Net income(34,886)(13,419)18,356
Net income %-5.8%-2.1%+2.6%
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

How it operates

quality & operational context · CMS public reporting

A 176-bed hospital at 83% occupancy 43% 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
82.9%
Verified fact2025
HCRIS WS S-3
Average daily census
146.34
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
176
Verified fact2025
HCRIS WS S-3
Annual discharges
9,206
Verified fact2025
HCRIS WS S-3
Average length of stay
5.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
43.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,402
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
28.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.258
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.01313
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-19.9%-21.4%-22.9%-27.7%-20.1%FY21FY22FY23FY24FY25
Days cash on hand
1 day1 day1 day0 days1 dayFY21FY22FY23FY24FY25

The county this hospital serves

NEW YORK County, NY
Median household income
$104.6K
vs $82.1K US · $59.7K rural median
Poverty rate
15.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.3%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.6% of county personal income is Medicare/Medicaid medical benefits; 8.0% arrives as government transfers (BEA, 2022).

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