A hospital in San Andreas, CA. It ran an operating loss of 2.5% in FY24 on $86.8M of operating revenue. It held 50 days of cash on hand (36th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY24
-2.5%
vs Critical Access Hospitals47th pctl of 1,340 (FY24)
Days cash on hand · FY24
50d
all sources
vs Critical Access Hospitals36th pctl of 1,325 (FY24)
Total operating revenue · FY24
$86.8M
vs Critical Access Hospitals90th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-0.5%
vs Critical Access Hospitals28th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at MARK TWAIN MEDICAL CENTER is about $868K per year (1% of FY24 total operating revenue).
Where MARK TWAIN MEDICAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 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 -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalMARK TWAINCritical 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
+58.8% (FY24)
97th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+55.8% (FY24)
49th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
69,301
80,660
86,814
Other operating revenue
28
404
—
Total operating revenue
69,329
81,063
86,814
Total operating expenses
80,253
81,137
88,944
Operating income
(10,925)
(73)
(2,130)
Operating margin %
-15.8%
-0.1%
-2.5%
Grants & contributions
179
(18)
225
Investment income
29
83
102
Other non-operating, net
3,371
1,800
1,340
Net income
(7,346)
1,792
(463)
Net income %
-10.1%
+2.2%
-0.5%
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 25-bed hospital at 30% occupancy 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
29.9%
Verified fact2024
HCRIS WS S-3
Average daily census
7.50
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
667
Verified fact2024
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.01
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
0.1%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
71.8%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$5.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
CALAVERAS County, CA · nonmetro, urban 5–20K, metro-adjacent
Median household income
$79.9K
vs $82.1K US · $59.7K rural median
Poverty rate
13.4%
vs 12.5% US · 14.3% rural median
Uninsured
5.3%
vs 8.6% US · 8.4% rural median
Age 65+
28.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.7% of county personal income is Medicare/Medicaid medical benefits; 28.5% arrives as government transfers (BEA, 2022).
What this hospital means to Calaveras County
economic contribution · FY24 cost report
Direct annual spending
$88.9M
total operating expense · reported
Total economic output
$204.6M
× 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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