A hospital in Marathon, FL. It ran an operating surplus of 23.9% in FY25 on $72.7M of operating revenue. It held 0 days of cash on hand (5th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+23.9%
vs Critical Access Hospitals96th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
vs Critical Access Hospitals5th pctl of 827 (FY25)
Total operating revenue · FY25
$72.7M
vs Critical Access Hospitals83rd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+27.9%
vs Critical Access Hospitals95th pctl of 824 (FY25)
One point of operating margin at FISHERMEN'S COMMUNITY HOSPITAL is about $727K per year (1% of FY25 total operating revenue).
Where FISHERMEN'S COMMUNITY 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.
One critical access hospitalFISHERMEN'S COMMUNITYCritical 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
+13.1% (FY25)
29th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+66.9% (FY25)
91st percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
47,685
63,173
72,561
Other operating revenue
100
2,617
166
Total operating revenue
47,784
65,790
72,727
Total operating expenses
36,496
48,999
55,380
Operating income
11,288
16,790
17,347
Operating margin %
+23.6%
+25.5%
+23.9%
Grants & contributions
20
75
419
Investment income
6
10
19
Other non-operating, net
2,378
669
3,633
Net income
13,692
17,544
21,418
Net income %
+27.3%
+26.4%
+27.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 8-bed hospital at 4% occupancy 99% 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
4.0%
Verified fact2025
HCRIS WS S-3
Average daily census
0.32
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
8
Verified fact2025
HCRIS WS S-3
Annual discharges
61
Verified fact2025
HCRIS WS S-3
Average length of stay
1.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
99.0%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$5.5M
Verified fact2023
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
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
MONROE County, FL · nonmetro, urban 20K+, metro-adjacent
Median household income
$82.4K
vs $82.1K US · $59.7K rural median
Poverty rate
10.4%
vs 12.5% US · 14.3% rural median
Uninsured
14.9%
vs 8.6% US · 8.4% rural median
Age 65+
24.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.4% of county personal income is Medicare/Medicaid medical benefits; 10.1% arrives as government transfers (BEA, 2022).
What this hospital means to Monroe County
economic contribution · FY25 cost report
Direct annual spending
$55.4M
total operating expense · reported
Total economic output
$127.4M
× 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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