Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY22, 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 Miles City, MT. It ran an operating loss of 6.0% in FY24 on $70.5M of operating revenue. It held 0 days of cash on hand in FY22, its most recent reported liquidity (7th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 2.8% in FY20 to -6.0% in FY24. Including nonoperating items, the all-in result was positive at 3.8%.
Operating margin · FY24
-6.0%
vs Critical Access Hospitals34th pctl of 1,340 (FY24)
Days cash on hand · FY22
0d
all sources
vs Critical Access Hospitals7th pctl of 1,325 (FY24)
Total operating revenue · FY24
$70.5M
vs Critical Access Hospitals84th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+3.8%
vs Critical Access Hospitals45th 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 HOLY ROSARY HOSPITAL is about $705K per year (1% of FY24 total operating revenue).
Where HOLY ROSARY HOSPITAL 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 hospitalHOLY ROSARYCritical 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
+42.5% (FY24)
77th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+66.6% (FY24)
87th 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
67,260
83,417
70,175
Other operating revenue
355
695
342
Total operating revenue
67,614
84,112
70,516
Total operating expenses
66,392
75,579
74,768
Operating income
1,222
8,533
(4,252)
Operating margin %
+1.8%
+10.1%
-6.0%
Investment income
207
328
(53)
Other non-operating, net
4,118
5,874
7,268
Net income
5,547
14,735
2,963
Net income %
+7.7%
+16.3%
+3.8%
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 20-bed hospital at 24% occupancy where swing beds are 51% of the inpatient business and 78% 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
24.0%
Verified fact2024
HCRIS WS S-3
Average daily census
4.81
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
20
Verified fact2024
HCRIS WS S-3
Annual discharges
687
Verified fact2024
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
5.03
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
51.1%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
77.8%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
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
112%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 3rd 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
FY24 days cash suppressed: out of display range.
The county this hospital serves
CUSTER County, MT · nonmetro, urban 5–20K
Median household income
$63.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.6%
vs 8.6% US · 8.4% rural median
Age 65+
20.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.6% of county personal income is Medicare/Medicaid medical benefits; 21.7% arrives as government transfers (BEA, 2022).
What this hospital means to Custer County
economic contribution · FY24 cost report
Direct annual spending
$74.8M
total operating expense · reported
Total economic output
$172.0M
× 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.
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