A hospital in Adrian, MI. It ran an operating surplus of 17.9% in FY24 on $148.2M of operating revenue. It held 129 days of cash on hand (75th percentile among Rural PPS hospitals on liquidity). Operating margin improved from 1.3% in FY20 to 17.9% in FY24.
Operating margin · FY24
+17.9%
▲ 11.8 pts vs FY23
vs Rural PPS hospitals91st pctl of 387 (FY24)
Days cash on hand · FY24
129d
all sources
▼ 4.6 days vs FY23
vs Rural PPS hospitals75th pctl of 376 (FY24)
Total operating revenue · FY24
$148.2M
▲ 16.6 $M vs FY23
vs Rural PPS hospitals69th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+11.9%
▲ 42.8 pts vs FY23
vs Rural PPS hospitals76th pctl of 387 (FY24)
One point of operating margin at PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL is about $1.5M per year (1% of FY24 total operating revenue).
Where PROMEDICA CHARLES AND 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.
One rural pps hospitalPROMEDICA CHARLESRural 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
FY22
FY23
FY24
Patient revenue
124,738
126,186
146,934
Other operating revenue
6,341
5,440
1,291
Total operating revenue
131,079
131,626
148,225
Total operating expenses
117,827
123,543
121,662
Operating income
13,253
8,083
26,563
Operating margin %
+10.1%
+6.1%
+17.9%
Other non-operating, net
3,018
(48,772)
(8,935)
Net income
16,271
(40,689)
17,628
Net income %
+12.1%
-49.1%
+12.7%
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 48-bed hospital at 49% occupancy 80% 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
49.1%
Verified fact2024
HCRIS WS S-3
Average daily census
23.65
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
48
Verified fact2024
HCRIS WS S-3
Annual discharges
2,936
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
79.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
441.80
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.8%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$7.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.91
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.019597
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
LENAWEE County, MI · nonmetro, urban 20K+, metro-adjacent
Median household income
$67.0K
vs $82.1K US · $59.7K rural median
Poverty rate
11.6%
vs 12.5% US · 14.3% rural median
Uninsured
5.6%
vs 8.6% US · 8.4% rural median
Age 65+
19.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.7% of county personal income is Medicare/Medicaid medical benefits; 26.2% arrives as government transfers (BEA, 2022).
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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