Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Operating margin: +4.5% in FY2025, the 48th percentile of 443 psychiatric hospitals in the FY2025 pool. Days cash on hand: 473 days in FY2025, the 97th percentile of 413 psychiatric hospitals in the FY2025 pool. Total operating revenue: $39.9M in FY2025, the 69th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): +18.3% in FY2025, the 73rd percentile of 443 psychiatric hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Logansport, IN. It ran an operating surplus of 4.5% in FY25 on $39.9M of operating revenue. It held 473 days of cash on hand (97th percentile of 413 Psychiatric hospitals on liquidity, FY25 pool). Operating margin declined from 5.8% in FY21 to 4.5% in FY25, though it rose 13.3 points in the most recent year.
Operating margin · FY25
+4.5%
Astrelis calculation · as-filed inputs
▲ 13.3 pts vs FY24
vs Psychiatric hospitals48th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
473d
all sources
Astrelis calculation · as-filed inputs
▼ 40 days vs FY24
vs Psychiatric hospitals97th pctl of 413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$39.9M
Astrelis calculation · as-filed inputs
▲ $12.0M vs FY24
vs Psychiatric hospitals69th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+18.3%
Astrelis calculation · as-filed inputs
▲ 3.3 pts vs FY24
vs Psychiatric hospitals73rd pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at FOUR COUNTY COUNSELING CENTER is about $399K per year (1% of FY25 total operating revenue).
Where FOUR COUNTY COUNSELING sits among Psychiatric hospitals
Operating margin · FY25 pool · n = 443 of 608 filed
Each point is one Psychiatric hospital in the national FY25 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 Psychiatric hospital FY25 median is +5.2%. Descriptive context only, not a ranking.
One psychiatric hospitalFOUR COUNTYPsychiatric 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.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
27,772
25,680
39,162
Other operating revenue
738
2,228
706
Total operating revenue
28,510
27,908
39,868
Total operating expenses
29,515
30,364
38,072
Operating income
(1,005)
(2,456)
1,796
Operating margin %
-3.5%
-8.8%
+4.5%
Investment income
903
1,820
2,082
Other non-operating, net
6,180
5,962
4,627
Net income
6,078
5,326
8,505
Net income %
+17.1%
+14.9%
+18.3%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 16-bed psychiatric hospital running at 36% occupancy, where the average stay runs 4.6 days, and operating cost runs $17,925 per patient day.
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
36.4%
Reported value2025
HCRIS WS S-3
Average daily census
5.82
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
16
Reported value2025
HCRIS WS S-3
Annual discharges
466
Reported value2025
HCRIS WS S-3
Average length of stay
5 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$17,925
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$81,699
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
92.6%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
CASS County, IN
Median household income
$56.5K
vs $82.1K US
Poverty rate
12.7%
vs 12.5% US
Uninsured
6.9%
vs 8.6% US
Age 65+
18.1%
vs 16.8% US
Fair or poor health
24.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.2% of county personal income is Medicare/Medicaid medical benefits; 32.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Cass County
Illustrative estimate · FY25 cost report
Direct annual spending
$10.6M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$24.4M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
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 not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 443.
Report coverage: Historical Facility Benchmark. 12 of 17 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
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Cite this page
release 2321a4fc37a7 · 2026-10-22
Astrelis Atlas, "Four County Counseling Center", https://astrelis.co/hospitals/154035, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/154035.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
