A hospital in Dowagiac, MI. It ran an operating loss of 9.9% in FY25 on $16.3M of operating revenue. It held 2 days of cash on hand (15th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 3.2% in FY21 to -9.9% in FY25.
Operating margin · FY25
-9.9%
▼ 3.8 pts vs FY24
vs Critical Access Hospitals24th pctl of 824 (FY25)
Days cash on hand · FY25
2d
all sources
▲ 0.7 days vs FY24
vs Critical Access Hospitals15th pctl of 827 (FY25)
Total operating revenue · FY25
$16.3M
▼ 1.2 $M vs FY24
vs Critical Access Hospitals20th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
-9.2%
▼ 5.7 pts vs FY24
vs Critical Access Hospitals5th pctl of 824 (FY25)
One point of operating margin at ASCENSION BORGESS LEE HOSPITAL is about $163K per year (1% of FY25 total operating revenue).
Where ASCENSION BORGESS LEE sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalASCENSION BORGESSCritical 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 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
Medicare inpatient contribution margin
+21.7% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+53.5% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
18,203
17,317
15,927
Other operating revenue
184
138
362
Total operating revenue
18,387
17,455
16,289
Total operating expenses
21,814
18,511
17,899
Operating income
(3,426)
(1,056)
(1,610)
Operating margin %
-18.6%
-6.0%
-9.9%
Grants & contributions
(2)
(3)
(6)
Investment income
3
1
0
Other non-operating, net
431
440
111
Net income
(2,994)
(618)
(1,505)
Net income %
-15.9%
-3.5%
-9.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 7% occupancy where swing beds are 49% of the inpatient business and 85% 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
7.1%
Verified fact2025
HCRIS WS S-3
Average daily census
1.77
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
249
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.71
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
49.2%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
84.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
70.90
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
CASS County, MI
Median household income
$68.0K
vs $82.1K US · $59.7K rural median
Poverty rate
13.2%
vs 12.5% US · 14.3% rural median
Uninsured
6.3%
vs 8.6% US · 8.4% rural median
Age 65+
22.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.9% of county personal income is Medicare/Medicaid medical benefits; 21.7% arrives as government transfers (BEA, 2022).
What this hospital means to Cass County
economic contribution · FY25 cost report
Direct annual spending
$17.9M
total operating expense · reported
Total economic output
$41.2M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
0.8%
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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