A hospital in Shelby, MI. It ran an operating surplus of 16.8% in FY25 on $48.3M of operating revenue. It held 814 days of cash on hand (97th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -11.9% in FY21 to 16.8% in FY25.
Operating margin · FY25
+16.8%
▲ 13.1 pts vs FY24
vs Critical Access Hospitals90th pctl of 824 (FY25)
Days cash on hand · FY25
814d
all sources
▲ 392.7 days vs FY24
vs Critical Access Hospitals97th pctl of 827 (FY25)
Total operating revenue · FY25
$48.3M
▲ 9.7 $M vs FY24
vs Critical Access Hospitals69th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+28.8%
▲ 3.2 pts vs FY24
vs Critical Access Hospitals96th pctl of 824 (FY25)
One point of operating margin at MERCY HEALTH LAKESHORE CAMPUS is about $483K per year (1% of FY25 total operating revenue).
Where MERCY HEALTH LAKESHORE 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 hospitalMERCY HEALTHCritical 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
-1.3% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+62.2% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
41,879
38,491
48,180
Other operating revenue
190
135
141
Total operating revenue
42,069
38,627
48,321
Total operating expenses
36,723
37,226
40,226
Operating income
5,346
1,401
8,095
Operating margin %
+12.7%
+3.6%
+16.8%
Grants & contributions
—
—
8,242
Other non-operating, net
8,884
9,418
518
Net income
14,230
10,819
16,855
Net income %
+27.9%
+22.5%
+29.5%
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 24-bed hospital at 14% occupancy 93% 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
13.7%
Verified fact2025
HCRIS WS S-3
Average daily census
3.30
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
24
Verified fact2025
HCRIS WS S-3
Annual discharges
442
Verified fact2025
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
92.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
200.70
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
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
OCEANA County, MI
Median household income
$63.6K
vs $82.1K US · $59.7K rural median
Poverty rate
13.3%
vs 12.5% US · 14.3% rural median
Uninsured
8.1%
vs 8.6% US · 8.4% rural median
Age 65+
21.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.8% of county personal income is Medicare/Medicaid medical benefits; 30.8% arrives as government transfers (BEA, 2022).
What this hospital means to Oceana County
economic contribution · FY25 cost report
Direct annual spending
$40.2M
total operating expense · reported
Total economic output
$92.5M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
3.1%
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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