Astrelis
Critical Access Hospital · Bremen, IN

COMMUNITY HOSPITAL OF BREMEN INC

CCN 151300MARSHALL CountyVoluntary non-profit - PrivateRural (USDA RUCC)24 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY23, 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 Bremen, IN. It ran an operating surplus of 5.6% in FY24 on $30.7M of operating revenue. It held 40 days of cash on hand in FY23, its most recent reported liquidity (33rd percentile among Critical Access Hospitals on liquidity). Operating margin improved from -7.2% in FY20 to 5.6% in FY24.

Operating margin · FY24
+5.6%
6.7 pts vs FY23
vs Critical Access Hospitals72nd pctl of 1,340 (FY24)
Days cash on hand · FY23
40d
all sources
8.0 days vs FY22
vs Critical Access Hospitals33rd pctl of 1,325 (FY24)
Total operating revenue · FY24
$30.7M
4.2 $M vs FY23
vs Critical Access Hospitals51st pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+6.3%
6.6 pts vs FY23
vs Critical Access Hospitals55th 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 COMMUNITY HOSPITAL OF BREMEN INC is about $307K per year (1% of FY24 total operating revenue).

Where COMMUNITY HOSPITAL OF 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.
-20%-10%0%+10%+20%Critical Access Hospital median -1.8424776517003405%COMMUNITY HOSPITAL +5.5961189627947645%-20%0%+20%Critical Access Hospital median -1.8424776517003405%COMMUNITY HOSPITAL +5.5961189627947645%
One critical access hospitalCOMMUNITY HOSPITALCritical 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.

Operating margin
+5.6% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.3% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
40d (FY23)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.26× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
49% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
61d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+32.2% (FY24)
59th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+46.0% (FY24)
35th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY22FY23FY24
Patient revenue22,64826,25230,465
Other operating revenue761169187
Total operating revenue23,40926,42130,652
Total operating expenses25,49726,70028,936
Operating income(2,089)(279)1,715
Operating margin %-8.9%-1.1%+5.6%
Investment income715094
Other non-operating, net118140129
Net income(1,900)(89)1,938
Net income %-8.1%-0.3%+6.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 24-bed hospital at 11% occupancy where swing beds are 59% of the inpatient business and 80% 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
11.0%
Verified fact2024
HCRIS WS S-3
Average daily census
2.65
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
24
Verified fact2024
HCRIS WS S-3
Annual discharges
335
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
3.85
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
59.3%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.1%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.2M
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
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Pricing

Pilot · FY24
Commercial rates vs Medicare
330%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 47th percentile among CAHs.
Hospital price files + Medicare rates

Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-7.2%-1.3%-8.9%-1.1%+5.6%FY20FY21FY22FY23FY24
Days cash on hand
82 days31 days32 days40 daysFY20FY21FY22FY23FY24
FY24 days cash suppressed: out of display range.

The county this hospital serves

MARSHALL County, IN · nonmetro, urban 5–20K, metro-adjacent
Median household income
$68.0K
vs $82.1K US · $59.7K rural median
Poverty rate
10.9%
vs 12.5% US · 14.3% rural median
Uninsured
13.0%
vs 8.6% US · 8.4% rural median
Age 65+
18.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 22.1% arrives as government transfers (BEA, 2022).

What this hospital means to Marshall County

economic contribution · FY24 cost report
Direct annual spending
$28.9M
total operating expense · reported
Total economic output
$66.6M
× 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.

CAH Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

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