A hospital in Elkin, NC. It ran an operating loss of 21.0% in FY25 on $113.9M of operating revenue. It held 269 days of cash on hand (90th percentile among Rural PPS hospitals on liquidity). Operating margin declined from -10.9% in FY20 to -21.0% in FY25, though it rose 10.4 points in the most recent year.
Operating margin · FY25
-21.0%
▲ 10.4 pts vs FY24
vs Rural PPS hospitals12th pctl of 387 (FY24)
Days cash on hand · FY25
269d
all sources
▼ 74.4 days vs FY24
vs Rural PPS hospitals90th pctl of 376 (FY24)
Total operating revenue · FY25
$113.9M
▼ 5.5 $M vs FY24
vs Rural PPS hospitals58th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-8.2%
▼ 1.0 pts vs FY24
vs Rural PPS hospitals16th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at HUGH CHATHAM MEMORIAL HOSPITAL is about $1.1M per year (1% of FY25 total operating revenue).
Where HUGH CHATHAM MEMORIAL sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalHUGH CHATHAMRural 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
112,302
117,785
111,614
Other operating revenue
323
1,650
2,328
Total operating revenue
112,625
119,435
113,942
Total operating expenses
140,524
157,013
137,898
Operating income
(27,899)
(37,579)
(23,956)
Operating margin %
-24.8%
-31.5%
-21.0%
Grants & contributions
500
(300)
1,625
Investment income
20,315
25,345
9,891
Other non-operating, net
1,890
1,944
1,962
Net income
(5,194)
(10,590)
(10,478)
Net income %
-3.8%
-7.2%
-8.2%
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 81-bed hospital at 28% occupancy 83% 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
28.3%
Verified fact2025
HCRIS WS S-3
Average daily census
22.98
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
81
Verified fact2025
HCRIS WS S-3
Annual discharges
2,242
Verified fact2025
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
82.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
666.50
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.2%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$7.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.878
No Different than 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
1.04
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.967128
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
SURRY County, NC · nonmetro, urban 5–20K, metro-adjacent
Median household income
$56.1K
vs $82.1K US · $59.7K rural median
Poverty rate
16.7%
vs 12.5% US · 14.3% rural median
Uninsured
11.9%
vs 8.6% US · 8.4% rural median
Age 65+
20.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.6% of county personal income is Medicare/Medicaid medical benefits; 29.1% arrives as government transfers (BEA, 2022).
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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