CCN 261314GASCONADE CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)24 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Hermann, MO. It ran an operating loss of 9.0% in FY24 on $19.3M of operating revenue. It held 52 days of cash on hand (37th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -20.0% in FY20 to -9.0% in FY24. Including nonoperating items, the all-in result was positive at 0.4%.
Operating margin · FY24
-9.0%
▲ 12.2 pts vs FY23
vs Critical Access Hospitals29th pctl of 1,340 (FY24)
Days cash on hand · FY24
52d
all sources
▲ 1.8 days vs FY23
vs Critical Access Hospitals37th pctl of 1,325 (FY24)
Total operating revenue · FY24
$19.3M
▲ 1.9 $M vs FY23
vs Critical Access Hospitals29th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+0.4%
▲ 8.8 pts vs FY23
vs Critical Access Hospitals31st pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at HERMANN AREA DISTRICT HOSPITAL is about $193K per year (1% of FY24 total operating revenue).
Where HERMANN AREA DISTRICT sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 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 -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalHERMANN AREACritical 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
+31.0% (FY24)
55th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+51.6% (FY24)
34th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
17,280
17,366
19,187
Other operating revenue
137
71
142
Total operating revenue
17,417
17,436
19,328
Total operating expenses
21,158
21,147
21,074
Operating income
(3,741)
(3,710)
(1,745)
Operating margin %
-21.5%
-21.3%
-9.0%
Grants & contributions
1,577
1,660
1,711
Investment income
15
16
12
Other non-operating, net
528
379
96
Net income
(1,621)
(1,655)
74
Net income %
-8.3%
-8.5%
+0.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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 4% occupancy where swing beds are 89% 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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
4.0%
Verified fact2024
HCRIS WS S-3
Average daily census
0.97
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
24
Verified fact2024
HCRIS WS S-3
Annual discharges
118
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
8.25
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
89.5%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
77.0%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
254%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 34th percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
GASCONADE County, MO · nonmetro, rural, metro-adjacent
Median household income
$65.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.3%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
22.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.5% of county personal income is Medicare/Medicaid medical benefits; 30.7% arrives as government transfers (BEA, 2022).
What this hospital means to Gasconade County
economic contribution · FY24 cost report
Direct annual spending
$21.1M
total operating expense · reported
Total economic output
$48.5M
× 2.30 output multiplier · estimate, upper bound for rural
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.
The Board Briefing$1,000
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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.
