Astrelis
Critical Access Hospital · Nogales, AZ

HOLY CROSS HOSPITAL

CCN 031313SANTA CRUZ CountyProprietaryRural (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Nogales, AZ. It ran an operating surplus of 33.2% in FY25 on $44.4M of operating revenue. It held 1 day of cash on hand (13th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 8.2% in FY20 to 33.2% in FY25.

Operating margin · FY25
+33.2%
9.3 pts vs FY24
vs Critical Access Hospitals99th pctl of 824 (FY25)
Days cash on hand · FY25
1d
all sources
0.7 days vs FY24
vs Critical Access Hospitals13th pctl of 827 (FY25)
Total operating revenue · FY25
$44.4M
7.0 $M vs FY24
vs Critical Access Hospitals66th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+33.7%
9.2 pts vs FY24
vs Critical Access Hospitals98th pctl of 824 (FY25)
One point of operating margin at HOLY CROSS HOSPITAL is about $444K per year (1% of FY25 total operating revenue).

Where HOLY CROSS HOSPITAL 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.

-20%-10%0%+10%+20%Critical Access Hospital median -0.24974129749702573%HOLY CROSS +33.18011185168161%-20%0%+20%Critical Access Hospital median -0.24974129749702573%HOLY CROSS +33.18011185168161%
One critical access hospitalHOLY CROSSCritical 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.

Operating margin
+33.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+33.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.96× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
75% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
29d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+43.2% (FY24)
80th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+79.3% (FY24)
100th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue26,56437,11144,007
Other operating revenue309284374
Total operating revenue26,87437,39544,380
Total operating expenses23,39728,47529,655
Operating income3,4768,92014,725
Operating margin %+12.9%+23.9%+33.2%
Investment income24
Other non-operating, net239302325
Net income3,7159,22415,054
Net income %+13.7%+24.5%+33.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital at 17% occupancy where swing beds are 23% of the inpatient business and 80% 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
17.2%
Verified fact2025
HCRIS WS S-3
Average daily census
4.32
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
874
Verified fact2025
HCRIS WS S-3
Average length of stay
1.8d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.32
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
23.4%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.4%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.3M
Verified fact2024
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
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 · 6 reporting years
Operating margin
+8.2%+26.7%+30.3%+12.9%+23.9%+33.2%FY20FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 days1 dayFY20FY21FY22FY23FY24FY25

The county this hospital serves

SANTA CRUZ County, AZ · nonmetro, urban 5–20K, metro-adjacent
Median household income
$53.6K
vs $82.1K US · $59.7K rural median
Poverty rate
20.2%
vs 12.5% US · 14.3% rural median
Uninsured
14.5%
vs 8.6% US · 8.4% rural median
Age 65+
18.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.0% of county personal income is Medicare/Medicaid medical benefits; 29.2% arrives as government transfers (BEA, 2022).

What this hospital means to Santa Cruz County

economic contribution · FY25 cost report
Direct annual spending
$29.7M
total operating expense · reported
Total economic output
$68.2M
× 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.

CAH Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

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