Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Sylvania, GA. It ran an operating surplus of 13.1% in FY24 on $17.1M of operating revenue. It held 49 days of cash on hand (36th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -14.8% in FY20 to 13.1% in FY24.
Operating margin · FY24
+13.1%
▲ 4.3 pts vs FY23
vs Critical Access Hospitals88th pctl of 1,340 (FY24)
Days cash on hand · FY24
49d
all sources
▲ 29.0 days vs FY23
vs Critical Access Hospitals36th pctl of 1,325 (FY24)
Total operating revenue · FY24
$17.1M
▲ 1.5 $M vs FY23
vs Critical Access Hospitals25th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+18.1%
▼ 0.4 pts vs FY23
vs Critical Access Hospitals88th 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 OPTIM MEDICAL CENTER - SCREVEN is about $171K per year (1% of FY24 total operating revenue).
Where OPTIM MEDICAL CENTER 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 hospitalOPTIM MEDICALCritical 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
+52.4% (FY24)
93rd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+66.1% (FY24)
86th 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
12,632
15,615
17,145
Other operating revenue
—
2
0
Total operating revenue
12,632
15,617
17,145
Total operating expenses
14,428
14,251
14,901
Operating income
(1,796)
1,366
2,243
Operating margin %
-14.2%
+8.7%
+13.1%
Investment income
14
4
8
Other non-operating, net
1,644
1,851
1,039
Net income
(138)
3,221
3,290
Net income %
-1.0%
+18.4%
+18.1%
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
FY20 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 25-bed hospital at 2% occupancy where swing beds are 90% of the inpatient business and 79% 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
2.3%
Verified fact2024
HCRIS WS S-3
Average daily census
0.58
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
61
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
4.93
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
89.6%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
79.4%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
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
SCREVEN County, GA · nonmetro, rural, metro-adjacent
Median household income
$53.0K
vs $82.1K US · $59.7K rural median
Poverty rate
18.1%
vs 12.5% US · 14.3% rural median
Uninsured
11.5%
vs 8.6% US · 8.4% rural median
Age 65+
20.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 15.7% of county personal income is Medicare/Medicaid medical benefits; 35.6% arrives as government transfers (BEA, 2022).
What this hospital means to Screven County
economic contribution · FY24 cost report
Direct annual spending
$14.9M
total operating expense · reported
Total economic output
$34.3M
× 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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