Astrelis
Urban PPS hospital · Ayer, MA

NASHOBA VALLEY MEDICAL CENTER

CCN 220098MIDDLESEX CountyProprietaryUrban (USDA RUCC)51 bedsLatest FY 2024
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Ayer, MA. It ran an operating loss of 14.9% in FY24 on $38.3M of operating revenue. It held 13 days of cash on hand. Operating margin improved from -30.2% in FY20 to -14.9% in FY24, though it fell 4.5 points in the most recent year.

Operating margin · FY24
-14.9%
vs Urban PPS hospitals
Days cash on hand · FY24
13d
all sources
vs Urban PPS hospitals
Total operating revenue · FY24
$38.3M
vs Urban PPS hospitals
Total margin · incl. nonoperating · FY24
-7.1%
vs Urban PPS hospitals
One point of operating margin at NASHOBA VALLEY MEDICAL CENTER is about $383K per year (1% of FY24 total operating revenue).

Where NASHOBA VALLEY MEDICAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%NASHOBA VALLEY -14.899566964052799%-20%0%+20%Urban PPS hospital median +1.3311360264910879%NASHOBA VALLEY -14.899566964052799%
One urban pps hospitalNASHOBA VALLEYUrban 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.

Operating margin
-14.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-7.1% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
13d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue70,73166,08338,235
Other operating revenue38916099
Total operating revenue71,12166,24338,334
Total operating expenses72,15973,14344,046
Operating income(1,038)(6,900)(5,712)
Operating margin %-1.5%-10.4%-14.9%
Other non-operating, net8,8268,5482,793
Net income7,7881,648(2,919)
Net income %+9.7%+2.2%-7.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 51-bed hospital at 21% occupancy 74% 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
20.6%
Verified fact2024
HCRIS WS S-3
Average daily census
10.57
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
51
Verified fact2024
HCRIS WS S-3
Annual discharges
958
Verified fact2024
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
74.3%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
203.20
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.6%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-30.2%-7.9%-1.5%-10.4%-14.9%FY20FY21FY22FY23FY24
Days cash on hand
16 days24 days28 days34 days13 daysFY20FY21FY22FY23FY24

The county this hospital serves

MIDDLESEX County, MA
Median household income
$126.8K
vs $82.1K US · $59.7K rural median
Poverty rate
7.5%
vs 12.5% US · 14.3% rural median
Uninsured
2.4%
vs 8.6% US · 8.4% rural median
Age 65+
16.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.2% of county personal income is Medicare/Medicaid medical benefits; 9.9% arrives as government transfers (BEA, 2022).

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