Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Ganado, AZ. It ran an operating loss of 75.3% in FY24 on $95.4M of operating revenue. It held 298 days of cash on hand in FY25, its most recent reported liquidity (80th percentile of 822 Critical Access Hospitals on liquidity, FY25 pool). 4 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited. Including nonoperating items, the all-in result was positive at 4.6%.
Operating margin · FY24
-75.3%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals0th pctl of 1,340 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
298d
all sources
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals80th pctl of 822 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$95.4M
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals91st pctl of 833 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+4.6%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals48th pctl of 1,341 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at SAGE MEMORIAL HOSPITAL is about $954K per year (1% of FY25 total operating revenue).
Where SAGE MEMORIAL HOSPITAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 of 1,399 filed
Each point is one Critical Access Hospital in the national FY24 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 FY24 median is -1.8%. Descriptive context only, not a ranking.
One critical access hospitalSAGE MEMORIALCritical 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
+24.2% (FY25)
40th percentile of 476 CAHs (FY25 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+21.5% (FY25)
4th percentile of 476 CAHs (FY25 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
39,983
35,711
44,905
Other operating revenue
30
42
50,495
Total operating revenue
40,012
35,753
95,400
Total operating expenses
48,241
62,690
95,907
Operating income
(8,228)
(26,937)
(506)
Operating margin %
-20.6%
-75.3%
—
Grants & contributions
—
—
829
Investment income
1,688
7
2,973
Other non-operating, net
22,953
29,945
2,253
Net income
16,413
3,015
5,549
Net income %
+25.4%
+4.6%
—
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -51,002K · Net patient revenue 44,905KFY24 · Days cash on hand: -25 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY22 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY21 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -20,572K · Net patient revenue 16,334K
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital running at 32% occupancy, where 73% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
32.4%
Reported value2025
HCRIS WS S-3
Average daily census
8.12
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2025
HCRIS WS S-3
Annual discharges
681
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$32,467
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$140,832
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.40
Reported value2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
4.7%
Reported value2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
73.2%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
1.876
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.7%
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
APACHE County, AZ
Median household income
$40.3K
vs $82.1K US · $59.7K rural median
Poverty rate
31.2%
vs 12.5% US · 14.3% rural median
Uninsured
20.4%
vs 8.6% US · 8.4% rural median
Age 65+
16.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
31.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 35.6% of county personal income is Medicare/Medicaid medical benefits; 52.9% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Apache County
Illustrative estimate · FY25 cost report
Direct annual spending
$95.9M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$220.6M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Medicare inpatient contribution marginFY25Astrelis calculation from reported HCRIS inputs
+24.2% — 40th percentile of 476 matched CAH peers (FY25).
The Board Briefing
What changed, what matters, and what your board should ask — every figure sourced to the public record.
CAH Performance Benchmark: FY24 peer pool · n = 1,340 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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