Astrelis
Rural PPS hospital · Big Rapids, MI

COREWELL HEALTH BIG RAPIDS HOSPITAL

CCN 230093MECOSTA CountyVoluntary non-profit - PrivateRural (USDA RUCC)45 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Big Rapids, MI. It ran an operating surplus of 8.9% in FY25 on $109.1M of operating revenue. It held 3 days of cash on hand (27th percentile among Rural PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
+8.9%
vs Rural PPS hospitals77th pctl of 387 (FY24)
Days cash on hand · FY25
3d
all sources
vs Rural PPS hospitals27th pctl of 376 (FY24)
Total operating revenue · FY25
$109.1M
vs Rural PPS hospitals56th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
+10.2%
vs Rural PPS hospitals73rd 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 COREWELL HEALTH BIG RAPIDS HOSPITAL is about $1.1M per year (1% of FY25 total operating revenue).

Where COREWELL HEALTH BIG 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).
-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%COREWELL HEALTH +8.893394070764977%-20%0%+20%Rural PPS hospital median -0.8727424997636124%COREWELL HEALTH +8.893394070764977%
One rural pps hospitalCOREWELL HEALTHRural 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
+8.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+10.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
3d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.57× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
81% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
32d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue43,816102,516109,006
Other operating revenue201854
Total operating revenue43,836102,534109,060
Total operating expenses41,20694,14799,361
Operating income2,6308,3869,699
Operating margin %+6.0%+8.2%+8.9%
Grants & contributions84149246
Investment income2714777
Other non-operating, net3497211,244
Net income3,3349,30311,266
Net income %+7.5%+9.0%+10.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 45-bed hospital at 30% occupancy 84% 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
30.1%
Verified fact2025
HCRIS WS S-3
Average daily census
13.57
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
45
Verified fact2025
HCRIS WS S-3
Annual discharges
2,299
Verified fact2025
HCRIS WS S-3
Average length of stay
2.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
83.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
420.60
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$2.2M
Verified fact2024
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
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
Medicare spending per beneficiary
0.86
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.967903
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+2.3%+12.5%+7.3%+6.0%+8.2%+8.9%FY20FY21FY22FY23FY24FY25
Days cash on hand
194 days114 days148 days304 days2 days3 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MECOSTA County, MI · nonmetro, urban 5–20K, metro-adjacent
Median household income
$57.8K
vs $82.1K US · $59.7K rural median
Poverty rate
19.2%
vs 12.5% US · 14.3% rural median
Uninsured
7.8%
vs 8.6% US · 8.4% rural median
Age 65+
20.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 30.3% arrives as government transfers (BEA, 2022).

What this hospital means to Mecosta County

economic contribution · FY25 cost report
Direct annual spending
$99.4M
total operating expense · reported
Total economic output
$228.5M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
3.3%
of all county jobs
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.

Rural PPS 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.

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