Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Independence, LA. It ran an operating loss of 75.4% in FY23 on $28.7M of operating revenue. It held -13 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (1st percentile of 1,319 Critical Access Hospitals on liquidity, FY23 pool). Operating margin declined from -57.5% in FY21 to -75.4% in FY23.
Operating margin · FY23
-75.4%
Astrelis calculation · as-filed inputs
▼ 16.1 pts vs FY22
vs Critical Access Hospitals1st pctl of 1,330 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
-13d
all sources
Astrelis calculation · as-filed inputs
▲ 18 days vs FY22
vs Critical Access Hospitals1st pctl of 1,319 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$28.7M
Astrelis calculation · as-filed inputs
▼ $3.2M vs FY22
vs Critical Access Hospitals53rd pctl of 1,349 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-75.4%
Astrelis calculation · as-filed inputs
▼ 16.1 pts vs FY22
vs Critical Access Hospitals0th pctl of 1,331 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at LALLIE KEMP MEDICAL CENTER is about $287K per year (1% of FY23 total operating revenue).
Where LALLIE KEMP MEDICAL sits among Critical Access Hospitals
Operating margin · FY23 pool · n = 1,330 of 1,399 filed
Each point is one Critical Access Hospital in the national FY23 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 FY23 median is -3.1%. Descriptive context only, not a ranking.
One critical access hospitalLALLIE KEMPCritical 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 ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
-694.2% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
-553.1% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
29,772
31,944
28,743
Total operating revenue
29,772
31,944
28,743
Total operating expenses
46,903
50,883
50,407
Operating income
(17,130)
(18,938)
(21,664)
Operating margin %
-57.5%
-59.3%
-75.4%
Other non-operating, net
800
0
0
Net income
(16,330)
(18,938)
(21,664)
Net income %
-53.4%
-59.3%
-75.4%
— = Not reported in source for that year.
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
Display states.FY25 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -52,804KFY25 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY24 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -53,272KFY24 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY23 · Days cash on hand: -13 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY22 · Days cash on hand: -30 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reporting
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
11.6%
Reported value2025
HCRIS WS S-3
Average daily census
2.32
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
20
Reported value2025
HCRIS WS S-3
Annual discharges
218
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$62,490
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$242,219
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 2)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Note 1: Results are not available for this reporting period.Note 2: The number of cases/patients is too few to report.
Pricing
Pilot · FY25
Commercial rates vs Medicare
225%
Medicare baseline100%
Commercial negotiated rates225%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. Chart bound 300%; values beyond it are clipped at the bar edge and shown at their actual figure.
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
TANGIPAHOA PARISH, LA
Median household income
$57.3K
vs $82.1K US · $59.7K rural median
Poverty rate
19.4%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
15.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.0% of county personal income is Medicare/Medicaid medical benefits; 30.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Tangipahoa Parish County
Illustrative estimate · FY25 cost report
Direct annual spending
$52.8M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$121.4M
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 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 →
Medicare inpatient contribution marginFY24Astrelis calculation from reported HCRIS inputs
-694.2% (FY24).
The Board Briefing
Operating margin declined 16.1 points vs FY22 — the briefing traces why, line by line.
CAH Performance Benchmark: FY23 peer pool · n = 1,330 · conservative low band; acuity limits stated in the report.
Basis: 90 services in the basket · 11 classified commercial payers (91% of commercial volume classified) · pricing files captured 2026-07-19 · numerator: negotiated commercial allowed amounts (classified payers) · denominator: Medicare OPPS-equivalent for the same services · weighting: volume-weighted line-level outpatient service basket (CY2026 OPPS equivalent) (weight coverage 96%).
Report coverage: Limited Facility Benchmark. 11 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.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
$1,000delivered within 2 business days of invoice
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