A hospital in Kodiak, AK. It ran an operating surplus of 7.6% in FY24 on $64.7M of operating revenue. It held 244 days of cash on hand (79th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 8.6% in FY20 to 7.6% in FY24, though it rose 3.3 points in the most recent year.
Operating margin · FY24
+7.6%
vs Critical Access Hospitals77th pctl of 1,340 (FY24)
Days cash on hand · FY24
244d
all sources
vs Critical Access Hospitals79th pctl of 1,325 (FY24)
Total operating revenue · FY24
$64.7M
vs Critical Access Hospitals81st pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+7.6%
vs Critical Access Hospitals61st 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 KODIAK ISLAND MEDICAL CTR is about $647K per year (1% of FY24 total operating revenue).
Where PROVIDENCE KODIAK ISLAND 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 KODIAKCritical 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
+41.0% (FY24)
74th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+58.2% (FY24)
60th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
59,550
61,570
64,101
Other operating revenue
543
307
602
Total operating revenue
60,093
61,877
64,703
Total operating expenses
59,928
59,199
59,797
Operating income
165
2,678
4,906
Operating margin %
+0.3%
+4.3%
+7.6%
Grants & contributions
43
(13)
(16)
Investment income
0
0
2
Other non-operating, net
111
59
(1)
Net income
319
2,724
4,891
Net income %
+0.5%
+4.4%
+7.6%
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 24-bed hospital at 18% occupancy where swing beds are 23% of the inpatient business and 68% 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
17.6%
Verified fact2024
HCRIS WS S-3
Average daily census
4.23
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
24
Verified fact2024
HCRIS WS S-3
Annual discharges
528
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.25
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
22.8%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
68.4%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.4M
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
14.8%
No Different Than the National Rate
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
KODIAK ISLAND BOROUGH, AK · nonmetro, urban 5–20K
Median household income
$83.7K
vs $82.1K US · $59.7K rural median
Poverty rate
7.7%
vs 12.5% US · 14.3% rural median
Uninsured
10.2%
vs 8.6% US · 8.4% rural median
Age 65+
12.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 20.2% arrives as government transfers (BEA, 2022).
What this hospital means to Kodiak Island Borough County
economic contribution · FY24 cost report
Direct annual spending
$59.8M
total operating expense · reported
Total economic output
$137.5M
× 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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