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 (11th percentile of 1,324 Critical Access Hospitals on liquidity, FY22 pool). 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%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals27th pctl of 1,324 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY22
1d
all sources
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals11th pctl of 1,324 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY22
$8.7M
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals8th pctl of 1,344 (FY22 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY21
+9.7%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals37th pctl of 1,324 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
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 · FY21 pool · n = 1,324 of 1,399 filed

Each point is one Critical Access Hospital in the national FY21 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 FY21 median is -1.6%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -1.6%Critical Access -10.4%-20%0%+20%Critical Access Hospital median -1.6%Critical Access -10.4%
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 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.

Operating margin
-10.4% (FY21)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+9.7% (FY21)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
1d (FY22)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
0.35× (FY22)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
-170% (FY22)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
18d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
+25.4% (FY22)
38th percentile of 21 CAHs (FY22 pool). 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 (FY22 pool). 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 %-10.4%
Grants & contributions(2)(2)
Other non-operating, net4,482148
Net income2,391(9,141)
Net income %+9.7%
2 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY22 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states. FY22 · Operating and total margin Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -9,392K · Net patient revenue 8,596K

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital running at 10% occupancy, where 81% of patient revenue is outpatient.

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
9.8%
Reported value2022
HCRIS WS S-3
Average daily census
2.47
Reported value2022
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2022
HCRIS WS S-3
Annual discharges
170
Reported value2022
HCRIS WS S-3
Average length of stay
2 days
Reported value2022
HCRIS WS S-3
Cost per patient day
$43,554
Astrelis calculation2022
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$105,809
Astrelis calculation2022
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.35
Reported value2022
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
12.3%
Reported value2022
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.2%
Reported value2022
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Reported value2022
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

State context

Indiana
County-level statistics: linkage not established— this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.

Illustrative advocacy scenario: what this hospital means to its county

Illustrative estimate · FY22 cost report
Direct annual spending
$18.0M
total operating expense · Reported value, not a local-capture estimate
Employment
114
85 direct jobs (estimated from payroll) × 1.34 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$41.4M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.6%
of all county jobs · Reported value
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 a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Medicare inpatient contribution marginFY22Astrelis calculation from reported HCRIS inputs

+25.4% — 38th percentile of 21 matched CAH peers (FY22).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

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CAH Performance Benchmark

8.8 points below the cohort median — at current revenue, approximately $766K less operating income than the median rate.

(-10.4% facility vs -1.6% peer median) = 8.8 points below the median × $8.7M revenue ≈ $766K less operating income than the median rate
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Commercial Pricing Study

Charge markup ratio 2.45× (gross charges ÷ total operating cost, HCRIS as filed) — the study prices your actual negotiated-rate file against it.

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How we calculated this

Peer pool matched on: bed-size band · rural status · state (progressively widened to national at a 20-peer floor).

Medicare inpatient contribution margin: FY22 pool · n = 21.

View the formula in the methodology →

CAH Performance Benchmark: FY21 peer pool · n = 1,324 · conservative low band; acuity limits stated in the report.

Report coverage: Limited Facility Benchmark. 15 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.

CAH Performance Benchmark

Contribution margin by department, Medicare take-back exposure, and capture gaps against matched peers, from your own filed cost report.

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Commercial Pricing Study

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files.

$10,000Scoped after rate-file validation
Rate file unverified · validated before payment
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