CCN 190184CALDWELL PARISHGovernment - Hospital District or AuthorityRural (USDA RUCC)40 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Columbia, LA. It ran an operating loss of 28.2% in FY25 on $17.6M of operating revenue. It held 110 days of cash on hand (73rd percentile among Rural PPS hospitals on liquidity). Operating margin declined from -13.0% in FY21 to -28.2% in FY25, though it rose 35.8 points in the most recent year.
Operating margin · FY25
-28.2%
▲ 35.8 pts vs FY24
vs Rural PPS hospitals7th pctl of 387 (FY24)
Days cash on hand · FY25
110d
all sources
▼ 137.6 days vs FY24
vs Rural PPS hospitals73rd pctl of 376 (FY24)
Total operating revenue · FY25
$17.6M
▲ 5.7 $M vs FY24
vs Rural PPS hospitals6th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-4.9%
▼ 0.1 pts vs FY24
vs Rural PPS hospitals22nd pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at CITIZENS MEDICAL CENTER is about $176K per year (1% of FY25 total operating revenue).
Where CITIZENS MEDICAL CENTER sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural PPS 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalCITIZENS MEDICALRural PPS 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
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
12,471
11,825
16,270
Other operating revenue
396
94
1,377
Total operating revenue
12,867
11,918
17,647
Total operating expenses
18,699
19,540
22,616
Operating income
(5,832)
(7,621)
(4,969)
Operating margin %
-45.3%
-63.9%
-28.2%
Investment income
175
548
373
Other non-operating, net
6,933
6,169
3,531
Net income
1,276
(904)
(1,065)
Net income %
+6.4%
-4.9%
-4.9%
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 40-bed hospital at 11% occupancy 83% 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
10.9%
Verified fact2025
HCRIS WS S-3
Average daily census
4.38
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
40
Verified fact2025
HCRIS WS S-3
Annual discharges
399
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
82.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
139.60
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.0%
Verified fact2025
HCRIS WS S-3 Pt V
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
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.988156
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
CALDWELL PARISH, LA
Median household income
$45.0K
vs $82.1K US · $59.7K rural median
Poverty rate
25.4%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
18.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 22.8% of county personal income is Medicare/Medicaid medical benefits; 41.6% arrives as government transfers (BEA, 2022).
What this hospital means to Caldwell Parish County
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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