A hospital in AR. It ran an operating loss of 56.4% in FY23 on $5.1M of operating revenue. It held 180 days of cash on hand (70th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -10.4% in FY20 to -56.4% in FY23. Including nonoperating items, the all-in result was positive at 15.6%.
Operating margin · FY23
-56.4%
vs Critical Access Hospitals2nd pctl of 1,330 (FY23)
Days cash on hand · FY23
180d
all sources
vs Critical Access Hospitals70th pctl of 1,312 (FY23)
Total operating revenue · FY23
$5.1M
vs Critical Access Hospitals2nd pctl of 1,349 (FY23)
Total margin · incl. nonoperating · FY23
+15.6%
vs Critical Access Hospitals87th pctl of 1,330 (FY23)
Benchmarked within its own FY23 pool (n=1,330); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at Critical Access Hospital · CCN 041304 is about $51K per year (1% of FY23 total operating revenue).
Where Critical Access Hospital sits among Critical Access Hospitals
Operating margin · FY23 pool · n = 1,330 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 -3.1%. Descriptive context only, not a ranking.
Benchmarked within its own FY23 pool (n=1,330); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalCritical AccessCritical 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
-22.7% (FY23)
13th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+34.4% (FY23)
19th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
4,879
8,064
4,992
Other operating revenue
890
663
78
Total operating revenue
5,768
8,727
5,070
Total operating expenses
8,181
8,940
7,929
Operating income
(2,413)
(213)
(2,858)
Operating margin %
-41.8%
-2.4%
-56.4%
Other non-operating, net
0
0
4,328
Net income
(2,413)
(213)
1,470
Net income %
-41.8%
-2.4%
+15.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY23 · 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
FY20, FY21 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 22-bed hospital at 3% occupancy where swing beds are 35% of the inpatient business and 94% 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
2.7%
Verified fact2023
HCRIS WS S-3
Average daily census
0.59
Verified fact2023
HCRIS WS S-3
Staffed beds (acute)
22
Verified fact2023
HCRIS WS S-3
Annual discharges
48
Verified fact2023
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2023
HCRIS WS S-3
Swing-bed average daily census
0.32
Verified fact2023
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
35.4%
Verified fact2023
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
94.1%
Verified fact2023
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
As a Critical Access Hospital, this facility is exempt from most CMS public quality-measure programs. No public measures are reported for it. That is a program design fact, not a quality signal.
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this hospital serves
Location, AR
Median household income
$55.2K
vs $82.1K US · $59.7K rural median
Poverty rate
16.3%
vs 12.5% US · 14.3% rural median
Uninsured
13.4%
vs 8.6% US · 8.4% rural median
Age 65+
23.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.5% of county personal income is Medicare/Medicaid medical benefits; 31.0% arrives as government transfers (BEA, 2022).
What this hospital means to its county
economic contribution · FY23 cost report
Direct annual spending
$7.9M
total operating expense · reported
Jobs supported
114
85 direct (estimated from payroll) × 1.34 employment multiplier · estimate
Total economic output
$18.2M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
0.8%
of all county jobs
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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