Astrelis
Critical Access Hospital · MI

Critical Access Hospital · CCN 231334

CCN 231334Rural (USDA RUCC)25 bedsLatest FY 2020
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in MI. It reported $16.5M of operating revenue. It held 97 days of cash on hand (31st percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin
Not available
vs Critical Access Hospitals
Days cash on hand · FY20
97d
all sources
vs Critical Access Hospitals31st pctl of 739 (FY20)
Total operating revenue · FY20
$16.5M
vs Critical Access Hospitals35th pctl of 756 (FY20)
Total margin · incl. nonoperating
Not available
vs Critical Access Hospitals
Benchmarked within its own FY20 pool (n=737); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at Critical Access Hospital · CCN 231334 is about $165K per year (1% of FY20 total operating revenue).

Where Critical Access Hospital sits among Critical Access Hospitals

Operating margin · FY20 pool · n = 737 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 -7.4%. Descriptive context only, not a ranking.

Benchmarked within its own FY20 pool (n=737); the Critical Access Hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Critical Access Hospital median -7.37449996363372%-20%0%+20%Critical Access Hospital median -7.37449996363372%
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
Not reported in this filing
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
Not reported in this filing
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
97d (FY20)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.35× (FY20)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-188% (FY20)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
32d (FY20)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+69.0% (FY20)
99th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+65.6% (FY20)
85th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY20
Patient revenue15,999
Other operating revenue523
Total operating revenue16,522
Cash operating expenses(33,286)
Operating EBIDA49,808
Operating EBIDA margin %+301.5%
Depreciation1,995
Interest49,101
Operating income(1,289)
Operating margin %-7.8%
Other non-operating, net(44,883)
Net income(46,172)
Net income %+162.8%
1 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY20 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital at 1% occupancy 99% 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
0.8%
Verified fact2020
HCRIS WS S-3
Average daily census
0.20
Verified fact2020
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2020
HCRIS WS S-3
Annual discharges
19
Verified fact2020
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2020
HCRIS WS S-3
Outpatient share of patient revenue
99.2%
Verified fact2020
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Verified fact2020
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 · single reporting year
Operating margin
Not available
Days cash on hand
97 daysFY20

The county this hospital serves

Location, MI
Median household income
$67.0K
vs $82.1K US · $59.7K rural median
Poverty rate
11.6%
vs 12.5% US · 14.3% rural median
Uninsured
5.6%
vs 8.6% US · 8.4% rural median
Age 65+
19.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.7% of county personal income is Medicare/Medicaid medical benefits; 26.2% arrives as government transfers (BEA, 2022).

What this hospital means to its county

economic contribution · FY20 cost report
Direct annual spending
$17.8M
total operating expense · reported
Jobs supported
90
67 direct (estimated from payroll) × 1.34 employment multiplier · estimate
Total economic output
$41.0M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
0.3%
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.

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