Astrelis
Critical Access Hospital · MI

Critical Access Hospital · CCN 231317

CCN 231317Urban (USDA RUCC)12 bedsLatest FY 2023
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in MI. It ran an operating loss of 19.5% in FY23 on $11.3M of operating revenue. It held 1 day of cash on hand (13th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -5.6% in FY20 to -19.5% in FY23.

Operating margin · FY23
-19.5%
vs Critical Access Hospitals15th pctl of 1,330 (FY23)
Days cash on hand · FY23
1d
all sources
vs Critical Access Hospitals13th pctl of 1,312 (FY23)
Total operating revenue · FY23
$11.3M
vs Critical Access Hospitals14th pctl of 1,349 (FY23)
Total margin · incl. nonoperating · FY23
-21.0%
vs Critical Access Hospitals2nd pctl of 1,330 (FY23)
Benchmarked within its own FY23 pool (n=1,330); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at Critical Access Hospital · CCN 231317 is about $113K per year (1% of FY23 total operating revenue).

Where Critical Access Hospital sits among Critical Access Hospitals

Operating margin · FY23 pool · n = 1,330 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 -3.1%. Descriptive context only, not a ranking.

Benchmarked within its own FY23 pool (n=1,330); the Critical Access Hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Critical Access Hospital median -3.116821427059263%Critical Access -19.46318801667491%-20%0%+20%Critical Access Hospital median -3.116821427059263%Critical Access -19.46318801667491%
One critical access hospitalCritical AccessCritical 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.

Operating margin
-19.5% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-21.0% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY23)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.36× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-126% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
29d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY21FY22FY23
Patient revenue15,69516,36111,319
Other operating revenue60153
Total operating revenue15,75616,37611,322
Total operating expenses15,65915,45213,526
Operating income96925(2,204)
Operating margin %+0.6%+5.6%-19.5%
Grants & contributions182247238
Investment income4280192
Other non-operating, net4391,058(571)
Net income7212,510(2,345)
Net income %+4.4%+14.0%-21.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY23 · FY20–21 may include COVID-era relief funding in nonoperating income
FY23 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 12-bed hospital 87% 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
Staffed beds (acute)
12
Verified fact2023
HCRIS WS S-3
Outpatient share of patient revenue
87.4%
Verified fact2023
HCRIS WS G-2 L28
Total FTEs
65
Verified fact2023
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.7%
Verified fact2023
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$2.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
As a Critical Access Hospital, this facility is exempt from most CMS public quality-measure programs. No public measures are reported for it. That is a program design fact, not a quality signal.

Trajectory

Cost-report basis · 4 reporting years
Operating margin
-5.6%+0.6%+5.6%-19.5%FY20FY21FY22FY23
Days cash on hand
3 days478 days490 days1 dayFY20FY21FY22FY23

The county this hospital serves

Location, MI
Median household income
$64.9K
vs $82.1K US · $59.7K rural median
Poverty rate
12.0%
vs 12.5% US · 14.3% rural median
Uninsured
8.6%
vs 8.6% US · 8.4% rural median
Age 65+
17.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.5% of county personal income is Medicare/Medicaid medical benefits; 28.7% arrives as government transfers (BEA, 2022).

What this hospital means to its county

economic contribution · FY23 cost report
Direct annual spending
$13.5M
total operating expense · reported
Jobs supported
87
65 direct (reported FTEs) × 1.34 employment multiplier · estimate
Total economic output
$31.1M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
0.4%
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.

CAH 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.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

build aa21187 · 2026-07-23