A hospital in Seward, AK. It ran an operating surplus of 8.1% in FY24 on $28.8M of operating revenue. It held 14 days of cash on hand (21st percentile among Critical Access Hospitals on liquidity). Operating margin declined from 15.5% in FY20 to 8.1% in FY24.
Operating margin · FY24
+8.1%
▼ 7.6 pts vs FY23
vs Critical Access Hospitals79th pctl of 1,340 (FY24)
Days cash on hand · FY24
14d
all sources
▲ 1.1 days vs FY23
vs Critical Access Hospitals21st pctl of 1,325 (FY24)
Total operating revenue · FY24
$28.8M
▼ 1.0 $M vs FY23
vs Critical Access Hospitals48th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+8.0%
▼ 6.8 pts vs FY23
vs Critical Access Hospitals63rd pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at PROVIDENCE SEWARD HOSPITAL is about $288K per year (1% of FY24 total operating revenue).
Where PROVIDENCE SEWARD HOSPITAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalPROVIDENCE SEWARDCritical Access 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
Medicare inpatient contribution margin
-20.6% (FY24)
14th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+55.7% (FY24)
60th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
29,525
29,674
28,642
Other operating revenue
538
185
205
Total operating revenue
30,063
29,859
28,847
Total operating expenses
24,351
25,188
26,517
Operating income
5,712
4,671
2,330
Operating margin %
+19.0%
+15.6%
+8.1%
Grants & contributions
11
(137)
142
Investment income
17
49
18
Other non-operating, net
(63)
(181)
(163)
Net income
5,677
4,402
2,327
Net income %
+18.9%
+14.9%
+8.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 6-bed hospital at 8% occupancy where swing beds are 47% of the inpatient business and 48% 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
7.8%
Verified fact2024
HCRIS WS S-3
Average daily census
0.47
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
6
Verified fact2024
HCRIS WS S-3
Annual discharges
63
Verified fact2024
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.42
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
46.9%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
48.4%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 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
KENAI PENINSULA County, AK · nonmetro, urban 5–20K
Median household income
$77.7K
vs $82.1K US · $59.7K rural median
Poverty rate
11.6%
vs 12.5% US · 14.3% rural median
Uninsured
11.7%
vs 8.6% US · 8.4% rural median
Age 65+
19.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.7% of county personal income is Medicare/Medicaid medical benefits; 26.4% arrives as government transfers (BEA, 2022).
What this hospital means to Kenai Peninsula County
economic contribution · FY24 cost report
Direct annual spending
$26.5M
total operating expense · reported
Total economic output
$61.0M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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