Astrelis
Critical Access Hospital · Manistique, MI

SCHOOLCRAFT MEMORIAL HOSPITAL

CCN 231303SCHOOLCRAFT CountyGovernment - LocalRural (USDA RUCC)12 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Manistique, MI. It ran an operating surplus of 3.0% in FY24 on $68.1M of operating revenue. It held 47 days of cash on hand (35th percentile of 1,325 Critical Access Hospitals on liquidity, FY24 pool). Operating margin improved from -21.0% in FY20 to 3.0% in FY24.

Operating margin · FY24
+3.0%
Astrelis calculation · as-filed inputs
▲ 6.2 pts vs FY23
vs Critical Access Hospitals66th pctl of 1,340 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
47d
all sources
Astrelis calculation · as-filed inputs
▼ 5 days vs FY23
vs Critical Access Hospitals35th pctl of 1,325 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$68.1M
Astrelis calculation · as-filed inputs
▲ $13.6M vs FY23
vs Critical Access Hospitals82nd pctl of 1,356 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+8.4%
Astrelis calculation · as-filed inputs
▲ 5.2 pts vs FY23
vs Critical Access Hospitals64th pctl of 1,341 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at SCHOOLCRAFT MEMORIAL HOSPITAL is about $681K per year (1% of FY24 total operating revenue).

Where SCHOOLCRAFT MEMORIAL HOSPITAL sits among Critical Access Hospitals

Operating margin · FY24 pool · n = 1,340 of 1,399 filed

Each point is one Critical Access Hospital in the national FY24 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 FY24 median is -1.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -1.8%SCHOOLCRAFT MEMORIAL +3.0%-20%0%+20%Critical Access Hospital median -1.8%SCHOOLCRAFT MEMORIAL +3.0%
One critical access hospitalSCHOOLCRAFT MEMORIALCritical 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.

Operating margin
+3.0% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+8.4% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
47d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
2.84× (FY24)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
19% (FY24)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
49d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
0.0% (FY24)
12th percentile of 476 CAHs (FY24 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+75.6% (FY24)
98th percentile of 476 CAHs (FY24 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY22FY23FY24
Patient revenue44,70153,97760,909
Other operating revenue6245417,186
Total operating revenue45,32454,51868,095
Total operating expenses49,64656,23766,042
Operating income(4,321)(1,719)2,053
Operating margin %-9.5%-3.2%+3.0%
Grants & contributions245394492
Investment income279682473
Other non-operating, net2,9712,4863,024
Net income(826)1,8436,042
Net income %-1.7%+3.2%+8.4%
— = Not reported in source for that year.
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 12-bed hospital running at 20% occupancy, where swing beds are 23% of the inpatient business, and 96% of patient revenue is outpatient.

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
20.3%
Reported value2024
HCRIS WS S-3
Average daily census
2.45
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
12
Reported value2024
HCRIS WS S-3
Annual discharges
290
Reported value2024
HCRIS WS S-3
Average length of stay
3 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$73,956
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$227,732
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.73
Reported value2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
23.0%
Reported value2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
95.6%
Reported value2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.5M
Reported value2023
HCRIS WS S-10 line 31
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
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Note 1: Results cannot be calculated for this reporting period.

Pricing

Pilot · FY24
Commercial rates vs Medicare
386%
Medicare baseline100%
Commercial negotiated rates386% · beyond chart bound
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
-21.0%-7.8%-9.5%-3.2%+3.0%FY20FY21FY22FY23FY24
Days cash on hand
118 days78 days47 days52 days47 daysFY20FY21FY22FY23FY24

The county this hospital serves

SCHOOLCRAFT County, MI · nonmetro, rural, remote
Median household income
$57.7K
vs $82.1K US · $59.7K rural median
Poverty rate
14.8%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
28.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 18.7% of county personal income is Medicare/Medicaid medical benefits; 41.2% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Schoolcraft County

Illustrative estimate · FY24 cost report
Direct annual spending
$66.0M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$151.9M
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

0.0% — 12th percentile of 476 matched CAH peers (FY24).

The Board Briefing

Operating margin improved 6.2 points vs FY23 — the briefing traces why, line by line.

Reserve The Board Briefing →
CAH Performance Benchmark

4.8 points above the cohort median — at current revenue, approximately $3.3M more operating income than the median rate.

(3.0% facility vs -1.8% peer median) = 4.8 points above the median × $68.1M revenue ≈ $3.3M more operating income than the median rate
Reserve CAH Performance Benchmark →
Commercial Pricing Study

Commercial rates run ≈ 3.86× the Medicare OPPS-equivalent on the measured basket (median across classified payers).

Request Commercial Pricing Study →
How we calculated this

Peer pool matched on: bed-size band · rural status · state (progressively widened to national at a 20-peer floor).

Medicare inpatient contribution margin: FY24 pool · n = 476.

View the formula in the methodology →

CAH Performance Benchmark: FY24 peer pool · n = 1,340 · conservative low band; acuity limits stated in the report.

Basis: 91 services in the basket · 8 classified commercial payers (80% 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 97%).

Report coverage: Limited Facility Benchmark. 15 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
Reservation: invoice after coverage confirmation. No payment is collected on this site.
Download financial summary (CSV)

CAH Performance Benchmark

Contribution margin by department, Medicare take-back exposure, and capture gaps against matched peers, from your own filed cost report.

$2,500Founding Edition · within 30 days of coverage confirmation
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Commercial Pricing Study

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files.

$10,000Scoped after rate-file validation
Rate file verified · captured July 2026
Request: scoped and quoted before any invoice. No payment is collected on this site. We validate your hospital's rate file before taking payment.

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