Operating margin: +4.0% in FY2024, the 47th percentile of 408 psychiatric hospitals in the FY2024 pool. Days cash on hand: -1 days in FY2025, the 31st percentile of 413 psychiatric hospitals in the FY2025 pool. Total operating revenue: $-33.0M in FY2025, the 0th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): +4.0% in FY2024, the 39th percentile of 408 psychiatric hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY24. Margin and revenue are as filed for FY24. 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 Littleton, CO. It ran an operating surplus of 4.0% in FY24 on $-33.0M of operating revenue. It held -1 day of cash on hand in FY25, its most recent reported liquidity — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (31st percentile of 413 Psychiatric hospitals on liquidity, FY25 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.
Operating margin · FY24
+4.0%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals47th pctl of 408 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
-1d
all sources
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals31st pctl of 413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$-33.0M
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals0th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+4.0%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals39th pctl of 408 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at HIGHLANDS BEHAVIORAL HEALTH SYSTEM is about $-330K per year (1% of FY25 total operating revenue).
Where HIGHLANDS BEHAVIORAL HEALTH sits among Psychiatric hospitals
Operating margin · FY24 pool · n = 408 of 608 filed
Each point is one Psychiatric hospital in the national FY24 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 FY24 median is +5.8%. Descriptive context only, not a ranking.
One psychiatric hospitalHIGHLANDS BEHAVIORALPsychiatric 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.
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
19,545
22,794
(33,798)
Other operating revenue
573
757
754
Total operating revenue
20,118
23,551
(33,044)
Total operating expenses
22,169
22,598
23,984
Operating income
(2,051)
953
(57,028)
Operating margin %
-10.2%
+4.0%
—
Other non-operating, net
0
0
0
Net income
(2,051)
953
(57,028)
Net income %
-10.2%
+4.0%
—
— = 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 · Net patient A/R: 4,056K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY25 · Operating margin — Astrelis calculation unavailable (Withheld: this filing's total operating revenue is not positive, so the ratio is not computed)Filed inputs: Operating income -57,782K · Net patient revenue -33,798KFY25 · Total margin — Astrelis calculation unavailable (Withheld: this filing's total revenue is not positive, so the ratio is not computed)Filed inputs: Net income -57,028K · Net patient revenue -33,798K · Total other income 754KFY24 · Net patient A/R: 3,814K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R: 1,988K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY22 · Net patient A/R: 2,358K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY21 · Net patient A/R: 2,708K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Net patient A/R: 2,499K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY20 · Days cash on hand: -2 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY21 · Days cash on hand: -2 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY22 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -3 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY24 · Days cash on hand: -2 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)FY25 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
How it operates
quality & operational context · CMS public reporting
A 86-bed psychiatric hospital running at 76% occupancy, where the average stay runs 6.2 days, and operating cost runs $1,005 per patient day.
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
76.0%
Reported value2025
HCRIS WS S-3
Average daily census
65.39
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
86
Reported value2025
HCRIS WS S-3
Annual discharges
3,840
Reported value2025
HCRIS WS S-3
Average length of stay
6 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$1,005
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$6,246
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
DOUGLAS County, CO · metro, 1M+ population
Median household income
$145.7K
vs $82.1K US
Poverty rate
3.2%
vs 12.5% US
Uninsured
3.7%
vs 8.6% US
Age 65+
13.4%
vs 16.8% US
Fair or poor health
11.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 2.9% of county personal income is Medicare/Medicaid medical benefits; 8.1% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Douglas County
Illustrative estimate · FY24 cost report
Direct annual spending
$22.6M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$52.0M
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 not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY24 pool · n = 408.
Report coverage: Limited Facility Benchmark. 11 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.
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Astrelis Atlas, "Highlands Behavioral Health System", https://astrelis.co/hospitals/064024, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/064024.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
