A hospital in Seneca, KS. It ran an operating loss of 10.7% in FY25 on $25.5M of operating revenue. It held 281 days of cash on hand (79th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -8.1% in FY21 to -10.7% in FY25, though it rose 1.7 points in the most recent year. Including nonoperating items, the all-in result was positive at 8.5%.
Operating margin · FY25
-10.7%
vs Critical Access Hospitals22nd pctl of 824 (FY25)
Days cash on hand · FY25
281d
all sources
vs Critical Access Hospitals79th pctl of 827 (FY25)
Total operating revenue · FY25
$25.5M
vs Critical Access Hospitals38th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+8.5%
vs Critical Access Hospitals59th pctl of 824 (FY25)
One point of operating margin at NEMAHA VALLEY COMMUNITY HOSPITAL is about $255K per year (1% of FY25 total operating revenue).
Where NEMAHA VALLEY COMMUNITY sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalNEMAHA VALLEYCritical 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+38.7% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+54.3% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
19,773
21,961
25,497
Other operating revenue
15
26
11
Total operating revenue
19,788
21,987
25,508
Total operating expenses
21,906
24,705
28,239
Operating income
(2,118)
(2,719)
(2,731)
Operating margin %
-10.7%
-12.4%
-10.7%
Grants & contributions
2,558
1,590
2,240
Investment income
145
455
510
Other non-operating, net
1,968
1,934
2,594
Net income
2,553
1,260
2,613
Net income %
+10.4%
+4.9%
+8.5%
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 18-bed hospital at 15% occupancy where swing beds are 48% of the inpatient business and 82% 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
15.1%
Verified fact2025
HCRIS WS S-3
Average daily census
2.73
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
18
Verified fact2025
HCRIS WS S-3
Annual discharges
416
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
2.52
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
48.0%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
82.4%
Verified fact2025
HCRIS WS G-2 L28
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
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
309%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
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
Days cash on hand
The county this hospital serves
NEMAHA County, KS
Median household income
$77.4K
vs $82.1K US · $59.7K rural median
Poverty rate
7.7%
vs 12.5% US · 14.3% rural median
Uninsured
5.0%
vs 8.6% US · 8.4% rural median
Age 65+
19.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 8.2% of county personal income is Medicare/Medicaid medical benefits; 17.5% arrives as government transfers (BEA, 2022).
What this hospital means to Nemaha County
economic contribution · FY25 cost report
Direct annual spending
$28.2M
total operating expense · reported
Total economic output
$64.9M
× 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.
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