A hospital in Butler, PA. It ran an operating surplus of 3.7% in FY25 on $299.2M of operating revenue. It held 178 days of cash on hand (82nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 7.4% in FY21 to 3.7% in FY25.
Operating margin · FY25
+3.7%
▼ 6.8 pts vs FY24
vs Urban PPS hospitals57th pctl of 1,475 (FY25)
Days cash on hand · FY25
178d
all sources
▲ 112.1 days vs FY24
vs Urban PPS hospitals82nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$299.2M
▼ 18.0 $M vs FY24
vs Urban PPS hospitals52nd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+8.4%
▼ 1.5 pts vs FY24
vs Urban PPS hospitals59th pctl of 1,475 (FY25)
One point of operating margin at INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA is about $3.0M per year (1% of FY25 total operating revenue).
Where INDEPENDENCE HEALTH SYSTEM 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 hospitalINDEPENDENCE 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
FY23
FY24
FY25
Patient revenue
278,807
293,282
293,205
Other operating revenue
23,830
23,930
5,995
Total operating revenue
302,637
317,212
299,200
Total operating expenses
299,865
283,634
288,006
Operating income
2,772
33,578
11,195
Operating margin %
+0.9%
+10.6%
+3.7%
Grants & contributions
4,424
1,153
20
Investment income
4,640
(2,994)
4,953
Other non-operating, net
(1,647)
106
10,392
Net income
10,189
31,843
26,560
Net income %
+3.3%
+10.1%
+8.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 238-bed hospital at 55% occupancy 61% 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
55.2%
Verified fact2025
HCRIS WS S-3
Average daily census
123.42
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
238
Verified fact2025
HCRIS WS S-3
Annual discharges
10,745
Verified fact2025
HCRIS WS S-3
Average length of stay
4.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
61.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,435
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.299
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
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)
1.249772
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
BUTLER County, PA
Median household income
$86.8K
vs $82.1K US · $59.7K rural median
Poverty rate
8.0%
vs 12.5% US · 14.3% rural median
Uninsured
3.2%
vs 8.6% US · 8.4% rural median
Age 65+
20.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
Not available
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.3% of county personal income is Medicare/Medicaid medical benefits; 17.4% arrives as government transfers (BEA, 2022).
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