Astrelis
Critical Access Hospital · Two Harbors, MN

LAKE VIEW MEMORIAL HOSPITAL

CCN 241308LAKE CountyVoluntary non-profit - PrivateRural (USDA RUCC)16 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Two Harbors, MN. It ran an operating surplus of 1.1% in FY24 on $-22.0M of operating revenue. It held 200 days of cash on hand in FY25, its most recent reported liquidity (68th percentile of 822 Critical Access Hospitals on liquidity, FY25 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited.

Operating margin · FY24
+1.1%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals59th pctl of 1,340 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
200d
all sources
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals68th pctl of 822 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$-22.0M
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals0th pctl of 833 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+11.0%
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals73rd pctl of 1,341 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at LAKE VIEW MEMORIAL HOSPITAL is about $-220K per year (1% of FY25 total operating revenue).

Where LAKE VIEW MEMORIAL sits among Critical Access Hospitals

Operating margin · FY24 pool · n = 1,340 of 1,399 filed

Each point is one Critical Access Hospital in the national FY24 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 FY24 median is -1.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -1.8%LAKE VIEW +1.1%-20%0%+20%Critical Access Hospital median -1.8%LAKE VIEW +1.1%
One critical access hospitalLAKE VIEWCritical 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 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
+1.1% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+11.0% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
200d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
8.02× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
93% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
-126d (FY25) — outside expected range; shown at the chart boundary and included in peer statistics
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
-286.3% (FY24)
0th percentile of 117 CAHs (FY24 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue22,65611,540(22,004)
Other operating revenue3063
Total operating revenue22,68611,603(22,004)
Total operating expenses22,51811,47122,390
Operating income168131(44,394)
Operating margin %+0.7%+1.1%
Grants & contributions166(16)
Investment income1,901992
Other non-operating, net837294(1,635)
Net income2,9221,423(46,045)
Net income %+11.5%+11.0%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–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
Display states. FY25 · 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 -44,394K · Net patient revenue -22,004K

How it operates

quality & operational context · CMS public reporting

A 16-bed hospital running at 13% occupancy, where swing beds are 67% of the inpatient business.

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
12.8%
Reported value2025
HCRIS WS S-3
Average daily census
2.05
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
16
Reported value2025
HCRIS WS S-3
Annual discharges
201
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$29,933
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$111,393
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
4.26
Reported value2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
67.5%
Reported value2025
HCRIS WS S-3 (acute + swing days)
Who it serves
Total unreimbursed & uncompensated care
$1.7M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Note 1: Results cannot be calculated for this reporting period.

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+15.4%+13.6%+5.0%+0.7%+1.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
164 days277 days133 days123 days235 days200 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

LAKE County, MN · nonmetro, rural, metro-adjacent
Median household income
$75.6K
vs $82.1K US · $59.7K rural median
Poverty rate
8.3%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
27.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.2% of county personal income is Medicare/Medicaid medical benefits; 31.1% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Lake County

Illustrative estimate · FY25 cost report
Direct annual spending
$22.4M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$51.5M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
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 →
Medicare inpatient contribution marginFY24Astrelis calculation from reported HCRIS inputs

-286.3% — 0th percentile of 117 matched CAH peers (FY24).

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 benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.

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How we calculated this

Peer pool matched on: bed-size band · rural status · state (progressively widened to national at a 20-peer floor).

Medicare inpatient contribution margin: FY24 pool · n = 117.

View the formula in the methodology →

Report coverage: Limited Facility Benchmark. 14 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.

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