Operating margin: -1.0% in FY2024, the 52nd percentile of 1,307 critical access hospitals in the FY2024 pool. Days cash on hand: 9 days in FY2024, the 19th percentile of 1,289 critical access hospitals in the FY2024 pool. Total operating revenue: $6.8M in FY2024, the 2nd percentile of 1,320 critical access hospitals in the FY2024 pool. Total margin (including nonoperating): -1.0% in FY2024, the 26th percentile of 1,307 critical access hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in IA. It ran an operating loss of 1.0% in FY24 on $6.8M of operating revenue. It held 9 days of cash on hand (19th percentile of 1,289 Critical Access Hospitals on liquidity, FY24 pool). Operating margin declined from 32.2% in FY21 to -1.0% in FY24, though it rose 12.4 points in the most recent year.
Operating margin · FY24
-1.0%
Astrelis calculation · as-filed inputs
▲ 12.4 pts vs FY23
vs Critical Access Hospitals52nd pctl of 1,307 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
9d
all sources
Astrelis calculation · as-filed inputs
▲ 1 days vs FY23
vs Critical Access Hospitals19th pctl of 1,289 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$6.8M
Astrelis calculation · as-filed inputs
▼ $0.9M vs FY23
vs Critical Access Hospitals2nd pctl of 1,320 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-1.0%
Astrelis calculation · as-filed inputs
▲ 15.3 pts vs FY23
vs Critical Access Hospitals26th pctl of 1,307 (FY24 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 161300 is about $68K per year (1% of FY24 total operating revenue).
Where Critical Access Hospital sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,307 of 1,404 filed
Each point is one Critical Access Hospital in the national FY24 distribution for Critical Access 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 Critical Access Hospital FY24 median is -1.8%. Descriptive context only, not a ranking.
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.
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
FY22
FY23
FY24
Patient revenue
7,563
7,553
5,466
Other operating revenue
155
115
1,297
Total operating revenue
7,718
7,668
6,763
Total operating expenses
9,105
8,695
6,830
Operating income
(1,387)
(1,027)
(67)
Operating margin %
-18.0%
-13.4%
-1.0%
Other non-operating, net
(29)
(222)
2
Net income
(1,416)
(1,249)
(65)
Net income %
-18.4%
-16.3%
-1.0%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY24 · Net patient A/R: 1,352K — Astrelis calculation (allowance filed positive, added as filed: Worksheet G line 6 (allowances for uncollectible accounts) is filed as a positive amount on this cost report, where an allowance normally reduces receivables; under amendment B to ruling 11 it adds as filed and the value publishes flagged. Days in net patient A/R is computed from this value)FY22 · Days cash on hand: -40 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
How it operates
quality & operational context · CMS public reporting
A 14-bed hospital running at 1% occupancy, where swing beds are 70% of the inpatient business, and 95% 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
0.8%
Reported value2024
HCRIS WS S-3
Average daily census
0.12
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
14
Reported value2024
HCRIS WS S-3
Annual discharges
16
Reported value2024
HCRIS WS S-3
Average length of stay
3 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$158,830
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$426,856
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.27
Reported value2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
69.7%
Reported value2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
94.6%
Reported value2024
HCRIS WS G-2 L28
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 · 4 reporting years
Operating margin
Days cash on hand
State context
Iowa
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 · FY24 cost report
Direct annual spending
$6.8M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$15.7M
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 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 →
Operating margin vs its peer poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 1,307.
CAH Performance Benchmark: FY24 peer pool · n = 1,307 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 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.
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Astrelis Atlas, "Critical Access Hospital · Ccn 161300", https://astrelis.co/hospitals/161300, 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/161300.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.
