A hospital in Nome, AK. It ran an operating surplus of 6.2% in FY25 on $265.5M of operating revenue. It held 466 days of cash on hand (93rd percentile among Critical Access Hospitals on liquidity). Operating margin improved from 0.4% in FY20 to 6.2% in FY25.
Operating margin · FY25
+6.2%
vs Critical Access Hospitals70th pctl of 824 (FY25)
Days cash on hand · FY25
466d
all sources
vs Critical Access Hospitals93rd pctl of 827 (FY25)
Total operating revenue · FY25
$265.5M
vs Critical Access Hospitals100th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+13.6%
vs Critical Access Hospitals76th pctl of 824 (FY25)
One point of operating margin at NORTON SOUND REGIONAL HOSPITAL is about $2.7M per year (1% of FY25 total operating revenue).
Where NORTON SOUND REGIONAL 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 hospitalNORTON SOUNDCritical 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
+70.4% (FY25)
99th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+74.0% (FY25)
99th 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
153,800
163,368
181,292
Other operating revenue
75,675
58,305
84,158
Total operating revenue
229,475
221,673
265,450
Total operating expenses
210,795
217,191
248,952
Operating income
18,680
4,481
16,498
Operating margin %
+8.1%
+2.0%
+6.2%
Grants & contributions
43,028
45,779
41,654
Investment income
8,457
17,237
13,037
Other non-operating, net
(23,352)
(22,963)
(27,515)
Net income
46,813
44,534
43,674
Net income %
+18.2%
+17.0%
+14.9%
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 18-bed hospital at 41% occupancy where swing beds are 31% of the inpatient business and 72% 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
40.8%
Verified fact2025
HCRIS WS S-3
Average daily census
7.37
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
18
Verified fact2025
HCRIS WS S-3
Annual discharges
744
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
3.39
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
31.5%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
72.3%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$51.8M
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
15.1%
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
NOME County, AK
Median household income
$76.6K
vs $82.1K US · $59.7K rural median
Poverty rate
21.1%
vs 12.5% US · 14.3% rural median
Uninsured
15.0%
vs 8.6% US · 8.4% rural median
Age 65+
8.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 18.1% of county personal income is Medicare/Medicaid medical benefits; 33.0% arrives as government transfers (BEA, 2022).
What this hospital means to Nome County
economic contribution · FY25 cost report
Direct annual spending
$249.0M
total operating expense · reported
Total economic output
$572.6M
× 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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