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.

Operating margin
Astrelis calculation unavailable
Days cash on hand
Astrelis calculation unavailable
all sources
Total operating revenue
Not reported in source
Total margin · incl. nonoperating
Astrelis calculation unavailable

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
Not reported in source
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
Not reported in source
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
Not reported in source
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
0.35× (FY20)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
-188% (FY20)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
23d (FY20)
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY20 · 268 days
Patient revenue15,999
Other operating revenue522
Total operating revenue16,521
Cash operating expenses14,901
Operating EBIDA1,620
Operating EBIDA margin %+9.8%
Depreciation1,995
Interest914
Operating income(1,289)
Other non-operating, net(44,883)
Net income(46,172)
1 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states. FY20 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,811K · Net patient revenue 15,999K

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital running at 1% occupancy, where 99% 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
0.8%
Reported value2020
HCRIS WS S-3
Average daily census
0.20
Reported value2020
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2020
HCRIS WS S-3
Annual discharges
19
Reported value2020
HCRIS WS S-3
Average length of stay
3 days
Reported value2020
HCRIS WS S-3
Cost per patient day
$336,042
Astrelis calculation2020
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$937,379
Astrelis calculation2020
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
99.2%
Reported value2020
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Reported value2020
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
71 daysFY20

State context

Michigan
County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.

Illustrative advocacy scenario: what this hospital means to its county

Illustrative estimate · FY20 cost report
Direct annual spending
$17.8M
total operating expense · Reported value, not a local-capture estimate
Employment
90
67 direct jobs (estimated from payroll) × 1.34 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$41.0M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.3%
of all county jobs · Reported value
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 →
OccupancyFY20Astrelis calculation

Occupancy: 0.8% (2020).

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

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CAH Performance Benchmark

A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.

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Report coverage: Limited Facility Benchmark. 9 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.

CAH Performance Benchmark

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

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Commercial Pricing Study

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

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Critical Access Hospital · Ccn 231334", https://astrelis.co/hospitals/231334, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Machine-readable twin of this page: astrelis.co/hospitals/231334.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.

build 2321a4fc37a7 · 2026-10-22 · dev