Astrelis
Urban PPS hospital · Chelsea, MI

CHELSEA HOSPITAL

CCN 230259WASHTENAW CountyVoluntary non-profit - PrivateUrban (USDA RUCC)57 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Chelsea, MI. It ran an operating loss of 3.5% in FY25 on $210.4M of operating revenue. It held 90 days of cash on hand (69th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -1.8% in FY21 to -3.5% in FY25, though it rose 1.2 points in the most recent year. Including nonoperating items, the all-in result was positive at 5.3%.

Operating margin · FY25
-3.5%
1.2 pts vs FY24
vs Urban PPS hospitals35th pctl of 1,475 (FY25)
Days cash on hand · FY25
90d
all sources
3.0 days vs FY24
vs Urban PPS hospitals69th pctl of 1,386 (FY25)
Total operating revenue · FY25
$210.4M
17.5 $M vs FY24
vs Urban PPS hospitals41st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.3%
1.5 pts vs FY24
vs Urban PPS hospitals46th pctl of 1,475 (FY25)
One point of operating margin at CHELSEA HOSPITAL is about $2.1M per year (1% of FY25 total operating revenue).

Where CHELSEA HOSPITAL 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%CHELSEA HOSPITAL -3.4811479021981317%-20%0%+20%Urban PPS hospital median +1.3311360264910879%CHELSEA HOSPITAL -3.4811479021981317%
One urban pps hospitalCHELSEA HOSPITALUrban 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
-3.5% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+5.3% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
90d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.49× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
80% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
43d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue187,836192,822210,356
Other operating revenue4,324
Total operating revenue192,159192,822210,356
Total operating expenses189,814201,860217,679
Operating income2,345(9,038)(7,323)
Operating margin %+1.2%-4.7%-3.5%
Grants & contributions8931,210578
Investment income2,201
Other non-operating, net3,16715,62818,557
Net income8,6067,80011,812
Net income %+4.3%+3.7%+5.1%
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

How it operates

quality & operational context · CMS public reporting

A 57-bed hospital at 68% occupancy 75% 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
68.2%
Verified fact2025
HCRIS WS S-3
Average daily census
38.96
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
57
Verified fact2025
HCRIS WS S-3
Annual discharges
4,072
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
75.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
883.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.529
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.84
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.107254
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-1.8%-1.8%+1.2%-4.7%-3.5%FY21FY22FY23FY24FY25
Days cash on hand
109 days86 days82 days93 days90 daysFY21FY22FY23FY24FY25

The county this hospital serves

WASHTENAW County, MI
Median household income
$87.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.8%
vs 12.5% US · 14.3% rural median
Uninsured
3.3%
vs 8.6% US · 8.4% rural median
Age 65+
15.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
13.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.6% of county personal income is Medicare/Medicaid medical benefits; 12.5% arrives as government transfers (BEA, 2022).

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