Astrelis
Critical Access Hospital · Vivian, LA

NORTH CADDO MEDICAL CENTER

CCN 191304CADDO PARISHGovernment - Hospital District or AuthorityUrban (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, 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 Vivian, LA. It ran an operating loss of 44.6% in FY25 on $27.5M of operating revenue. It held 134 days of cash on hand in FY24, its most recent reported liquidity (57th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -14.0% in FY21 to -44.6% in FY25. Including nonoperating items, the all-in result was positive at 1.6%.

Operating margin · FY25
-44.6%
vs Critical Access Hospitals3rd pctl of 824 (FY25)
Days cash on hand · FY24
134d
all sources
vs Critical Access Hospitals57th pctl of 827 (FY25)
Total operating revenue · FY25
$27.5M
vs Critical Access Hospitals43rd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+1.6%
vs Critical Access Hospitals29th pctl of 824 (FY25)
One point of operating margin at NORTH CADDO MEDICAL CENTER is about $275K per year (1% of FY25 total operating revenue).

Where NORTH CADDO MEDICAL 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.

-20%-10%0%+10%+20%Critical Access Hospital median -0.24974129749702573%NORTH CADDO -44.64999890727101%-20%0%+20%Critical Access Hospital median -0.24974129749702573%NORTH CADDO -44.64999890727101%
One critical access hospitalNORTH CADDOCritical 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.

Operating margin
-44.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+1.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
134d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
4.46× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
55% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
138d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+19.3% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+46.6% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue24,08925,38527,200
Other operating revenue1076255
Total operating revenue24,09925,46127,454
Total operating expenses33,92835,50539,713
Operating income(9,830)(10,044)(12,258)
Operating margin %-40.8%-39.4%-44.6%
Grants & contributions285135
Investment income266599331
Other non-operating, net9,98913,33412,420
Net income4533,894628
Net income %+1.3%+9.9%+1.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital at 12% occupancy where swing beds are 48% of the inpatient business and 89% 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
11.8%
Verified fact2025
HCRIS WS S-3
Average daily census
2.97
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
267
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
2.72
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
47.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
89.5%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-14.0%-16.8%-40.8%-39.5%-44.6%FY21FY22FY23FY24FY25
Days cash on hand
295 days200 days197 days134 daysFY21FY22FY23FY24FY25
FY25 days cash suppressed: out of display range.

The county this hospital serves

CADDO PARISH, LA
Median household income
$50.1K
vs $82.1K US · $59.7K rural median
Poverty rate
22.3%
vs 12.5% US · 14.3% rural median
Uninsured
7.7%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.9% of county personal income is Medicare/Medicaid medical benefits; 25.7% arrives as government transfers (BEA, 2022).

What this hospital means to Caddo Parish County

economic contribution · FY25 cost report
Direct annual spending
$39.7M
total operating expense · reported
Total economic output
$91.3M
× 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.

CAH Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

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