Astrelis
Critical Access Hospital · IN

Critical Access Hospital · CCN 151335

CCN 151335Rural (USDA RUCC)25 bedsLatest FY 2022
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY21. Margin and revenue are as filed for FY21. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY22, 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 IN. It ran an operating loss of 10.4% in FY21 on $8.7M of operating revenue. It held 1 day of cash on hand in FY22, its most recent reported liquidity (10th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 9.7%.

Operating margin · FY21
-10.4%
vs Critical Access Hospitals28th pctl of 1,328 (FY22)
Days cash on hand · FY22
1d
all sources
vs Critical Access Hospitals10th pctl of 1,307 (FY22)
Total operating revenue · FY22
$8.7M
vs Critical Access Hospitals8th pctl of 1,344 (FY22)
Total margin · incl. nonoperating · FY21
+9.7%
vs Critical Access Hospitals74th pctl of 1,328 (FY22)
Benchmarked within its own FY22 pool (n=1,328); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at Critical Access Hospital · CCN 151335 is about $87K per year (1% of FY22 total operating revenue).

Where Critical Access Hospital sits among Critical Access Hospitals

Operating margin · FY22 pool · n = 1,328 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 -2.8%. Descriptive context only, not a ranking.

Benchmarked within its own FY22 pool (n=1,328); the Critical Access Hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Critical Access Hospital median -2.847136596148287%Critical Access -10.35002030969813%-20%0%+20%Critical Access Hospital median -2.847136596148287%Critical Access -10.35002030969813%
One critical access hospitalCritical AccessCritical 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
-10.4% (FY21)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+9.7% (FY21)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY22)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.35× (FY22)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-170% (FY22)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
18d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+25.4% (FY22)
38th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+53.2% (FY22)
14th percentile of 21 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY21FY22
Patient revenue20,1438,596
Other operating revenue45105
Total operating revenue20,1878,701
Total operating expenses22,27717,988
Operating income(2,089)(9,287)
Operating margin %-10.3%-106.7%
Grants & contributions(2)(2)
Other non-operating, net4,482148
Net income2,391(9,141)
Net income %+9.7%-103.3%
2 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY22 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital at 10% occupancy 81% 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
9.8%
Verified fact2022
HCRIS WS S-3
Average daily census
2.47
Verified fact2022
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2022
HCRIS WS S-3
Annual discharges
170
Verified fact2022
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2022
HCRIS WS S-3
Swing-bed average daily census
0.35
Verified fact2022
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
12.3%
Verified fact2022
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.2%
Verified fact2022
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Verified fact2022
HCRIS WS S-10 line 31
How the care measures up
As a Critical Access Hospital, this facility is exempt from most CMS public quality-measure programs. No public measures are reported for it. That is a program design fact, not a quality signal.

Trajectory

Cost-report basis · 2 reporting years
Operating margin
-10.4%FY21FY22
Days cash on hand
0 days1 dayFY21FY22

The county this hospital serves

Location, IN
Median household income
$65.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.3%
vs 12.5% US · 14.3% rural median
Uninsured
6.4%
vs 8.6% US · 8.4% rural median
Age 65+
20.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.8% of county personal income is Medicare/Medicaid medical benefits; 28.3% arrives as government transfers (BEA, 2022).

What this hospital means to its county

economic contribution · FY22 cost report
Direct annual spending
$18.0M
total operating expense · reported
Jobs supported
114
85 direct (estimated from payroll) × 1.34 employment multiplier · estimate
Total economic output
$41.4M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
0.6%
of all county jobs
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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