Astrelis
Psychiatric hospital · Flagstaff, AZ

THE GUIDANCE CENTER

CCN 034023COCONINO CountyVoluntary non-profit - PrivateUrban (USDA RUCC)16 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Flagstaff, AZ. It ran an operating loss of 4.7% in FY24 on $18.9M of operating revenue. It held 66 days of cash on hand (83rd percentile among Psychiatric hospitals on liquidity). Operating margin declined from -1.2% in FY20 to -4.7% in FY24. Including nonoperating items, the all-in result was positive at 2.6%.

Operating margin · FY24
-4.7%
10.7 pts vs FY23
vs Psychiatric hospitals30th pctl of 437 (FY24)
Days cash on hand · FY24
66d
all sources
7.2 days vs FY23
vs Psychiatric hospitals83rd pctl of 376 (FY24)
Total operating revenue · FY24
$18.9M
1.2 $M vs FY23
vs Psychiatric hospitals41st pctl of 509 (FY24)
Total margin · incl. nonoperating · FY24
+2.6%
5.2 pts vs FY23
vs Psychiatric hospitals35th pctl of 434 (FY24)
One point of operating margin at THE GUIDANCE CENTER is about $189K per year (1% of FY24 total operating revenue).

Where THE GUIDANCE CENTER sits among Psychiatric hospitals

Operating margin · FY24 pool · n = 437 of 610 filed

Each point is one Psychiatric 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 Psychiatric hospital median is +4.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Psychiatric hospital median +4.788257940327237%THE GUIDANCE -4.7186750210536905%-20%0%+20%Psychiatric hospital median +4.788257940327237%THE GUIDANCE -4.7186750210536905%
One psychiatric hospitalTHE GUIDANCEPsychiatric 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
-4.7% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+2.6% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
66d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.78× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
79% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
45d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue24,62320,04318,880
Other operating revenue1756
Total operating revenue24,64020,09818,880
Total operating expenses22,46818,89719,771
Operating income2,1731,201(891)
Operating margin %+8.8%+6.0%-4.7%
Grants & contributions1,4477871,003
Investment income217335
Other non-operating, net(1,334)(2,556)75
Net income2,288(551)522
Net income %+9.2%-3.0%+2.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 16-bed hospital at 77% occupancy 56% 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
77.5%
Verified fact2024
HCRIS WS S-3
Average daily census
12.43
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
16
Verified fact2024
HCRIS WS S-3
Annual discharges
656
Verified fact2024
HCRIS WS S-3
Average length of stay
6.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
56.1%
Verified fact2024
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-1.2%+3.9%+8.8%+6.0%-4.7%FY20FY21FY22FY23FY24
Days cash on hand
78 days100 days114 days73 days66 daysFY20FY21FY22FY23FY24

The county this hospital serves

COCONINO County, AZ · metro, under 250K
Median household income
$69.7K
vs $82.1K US
Poverty rate
17.7%
vs 12.5% US
Uninsured
10.9%
vs 8.6% US
Age 65+
14.0%
vs 16.8% US
Fair or poor health
18.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.3% of county personal income is Medicare/Medicaid medical benefits; 21.6% arrives as government transfers (BEA, 2022).
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