Astrelis
Critical Access Hospital · Ruleville, MS

NORTH SUNFLOWER MEDICAL CENTER CAH

CCN 251318SUNFLOWER CountyGovernment - LocalRural (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Ruleville, MS. It ran an operating loss of 9.6% in FY25 on $80.7M of operating revenue. It held 27 days of cash on hand (26th percentile of 822 Critical Access Hospitals on liquidity, FY25 pool). Operating margin improved from -15.5% in FY20 to -9.6% in FY25.

Operating margin · FY25
-9.6%
Astrelis calculation · as-filed inputs
▲ 3.1 pts vs FY24
vs Critical Access Hospitals25th pctl of 824 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
27d
all sources
Astrelis calculation · as-filed inputs
▼ 15 days vs FY24
vs Critical Access Hospitals26th 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
$80.7M
Astrelis calculation · as-filed inputs
▲ $4.1M vs FY24
vs Critical Access Hospitals87th 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 · FY25
-5.4%
Astrelis calculation · as-filed inputs
▲ 2.8 pts vs FY24
vs Critical Access Hospitals10th pctl of 824 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at NORTH SUNFLOWER MEDICAL CENTER CAH is about $807K per year (1% of FY25 total operating revenue).

Where NORTH SUNFLOWER MEDICAL sits among Critical Access Hospitals

Operating margin · FY25 pool · n = 824 of 1,399 filed

Each point is one Critical Access Hospital in the national FY25 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 FY25 median is -0.2%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -0.2%NORTH SUNFLOWER -9.6%-20%0%+20%Critical Access Hospital median -0.2%NORTH SUNFLOWER -9.6%
One critical access hospitalNORTH SUNFLOWERCritical 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
-9.6% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-5.4% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
27d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
1.69× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
-61% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
79d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
+46.2% (FY25)
91st percentile of 21 CAHs (FY25 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+59.9% (FY25)
81st percentile of 21 CAHs (FY25 pool). Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue73,56076,51780,659
Other operating revenue675118
Total operating revenue73,62776,56880,677
Total operating expenses82,14886,31088,421
Operating income(8,521)(9,742)(7,744)
Operating margin %-11.6%-12.7%-9.6%
Grants & contributions601,1621,563
Investment income1606868
Other non-operating, net2,0861,8001,471
Net income(6,215)(6,712)(4,642)
Net income %-8.0%-8.3%-5.4%
— = 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

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital running at 16% occupancy, where swing beds are 77% of the inpatient business, and 77% 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
15.6%
Reported value2025
HCRIS WS S-3
Average daily census
3.91
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
25
Reported value2025
HCRIS WS S-3
Annual discharges
223
Reported value2025
HCRIS WS S-3
Average length of stay
6 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$62,137
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$396,506
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
13.32
Reported value2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
77.3%
Reported value2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
76.5%
Reported value2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.8M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.66
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Pricing

Pilot · FY25
Commercial rates vs Medicare
131%
Medicare baseline100%
Commercial negotiated rates131%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. Chart bound 300%; values beyond it are clipped at the bar edge and shown at their actual figure.
Hospital price files + Medicare rates

Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-15.5%-4.4%-7.1%-11.6%-12.7%-9.6%FY20FY21FY22FY23FY24FY25
Days cash on hand
129 days114 days99 days55 days42 days27 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

SUNFLOWER County, MS · nonmetro, urban 5–20K
Median household income
$40.3K
vs $82.1K US · $59.7K rural median
Poverty rate
29.9%
vs 12.5% US · 14.3% rural median
Uninsured
11.4%
vs 8.6% US · 8.4% rural median
Age 65+
14.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
32.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.1% of county personal income is Medicare/Medicaid medical benefits; 37.2% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Sunflower County

Illustrative estimate · FY25 cost report
Direct annual spending
$88.4M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$203.4M
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 marginFY25Astrelis calculation from reported HCRIS inputs

+46.2% — 91th percentile of 21 matched CAH peers (FY25).

The Board Briefing

Operating margin improved 3.1 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
CAH Performance Benchmark

9.4 points below the cohort median — at current revenue, approximately $7.6M less operating income than the median rate.

(-9.6% facility vs -0.2% peer median) = 9.4 points below the median × $80.7M revenue ≈ $7.6M less operating income than the median rate
Reserve CAH Performance Benchmark →
Commercial Pricing Study

Commercial rates run ≈ 1.31× the Medicare OPPS-equivalent on the measured basket (median across classified payers).

Request Commercial Pricing Study →
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: FY25 pool · n = 21.

View the formula in the methodology →

CAH Performance Benchmark: FY25 peer pool · n = 824 · conservative low band; acuity limits stated in the report.

Basis: 89 services in the basket · 4 classified commercial payers (78% of commercial volume classified) · pricing files captured 2026-07-19 · numerator: negotiated commercial allowed amounts (classified payers) · denominator: Medicare OPPS-equivalent for the same services · weighting: volume-weighted line-level outpatient service basket (CY2026 OPPS equivalent) (weight coverage 96%).

Report coverage: Limited Facility Benchmark. 15 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.

The Board Briefing

Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.

$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
Download financial summary (CSV)

CAH Performance Benchmark

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

$2,500Founding Edition · within 30 days of coverage confirmation
Reservation: invoice after coverage confirmation. No payment is collected on this site. Full refund if the published scope cannot be delivered.

Commercial Pricing Study

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

$10,000Scoped after rate-file validation
Rate file verified · captured July 2026
Request: scoped and quoted before any invoice. No payment is collected on this site. We validate your hospital's rate file before taking payment.

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