Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Wrangell, AK. It ran an operating surplus of 29.9% in FY25 on $21.8M of operating revenue. It held 0 days of cash on hand (0th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 7.4% in FY20 to 29.9% in FY25.
Operating margin · FY25
+29.9%
vs Critical Access Hospitals98th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
vs Critical Access Hospitals0th pctl of 827 (FY25)
Total operating revenue · FY25
$21.8M
vs Critical Access Hospitals32nd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+27.8%
vs Critical Access Hospitals95th pctl of 824 (FY25)
One point of operating margin at SEARHC WRANGELL MEDICAL CENTER & LTC is about $218K per year (1% of FY25 total operating revenue).
Where SEARHC WRANGELL MEDICAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalSEARHC WRANGELLCritical 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
+36.4% (FY25)
67th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+58.9% (FY25)
71st percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
14,304
19,081
21,688
Other operating revenue
38
170
128
Total operating revenue
14,342
19,251
21,816
Total operating expenses
14,354
14,229
15,294
Operating income
(12)
5,022
6,522
Operating margin %
-0.1%
+26.1%
+29.9%
Other non-operating, net
(258)
(256)
(458)
Net income
(270)
4,766
6,064
Net income %
-1.9%
+25.1%
+28.4%
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 8-bed hospital at 9% occupancy where swing beds are 71% of the inpatient business and 54% 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
8.7%
Verified fact2025
HCRIS WS S-3
Average daily census
0.70
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
8
Verified fact2025
HCRIS WS S-3
Annual discharges
84
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.73
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
71.2%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
53.7%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$13.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
WRANGELL CITY AND BOROUGH, AK · nonmetro, rural, remote
Median household income
$64.5K
vs $82.1K US · $59.7K rural median
Poverty rate
10.9%
vs 12.5% US · 14.3% rural median
Uninsured
17.2%
vs 8.6% US · 8.4% rural median
Age 65+
23.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.1% of county personal income is Medicare/Medicaid medical benefits; 35.9% arrives as government transfers (BEA, 2022).
What this hospital means to Wrangell City And Borough County
economic contribution · FY25 cost report
Direct annual spending
$15.3M
total operating expense · reported
Total economic output
$35.2M
× 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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