Financial anchor year: FY23. Margin and revenue are as filed for FY23. Days cash on hand is FY24, 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 North Platte, NE. It ran an operating surplus of 3.8% in FY23 on $290.6M of operating revenue. It held 0 days of cash on hand in FY24, its most recent reported liquidity (0th percentile among Rural PPS hospitals on liquidity). Operating margin declined from 6.5% in FY20 to 3.8% in FY23.
Operating margin · FY23
+3.8%
▼ 0.9 pts vs FY22
vs Rural PPS hospitals64th pctl of 387 (FY24)
Days cash on hand · FY24
0d
all sources
▼ 59.7 days vs FY23
vs Rural PPS hospitals0th pctl of 376 (FY24)
Total operating revenue · FY23
$290.6M
▲ 19.7 $M vs FY22
vs Rural PPS hospitals90th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY23
+16.1%
▲ 24.0 pts vs FY22
vs Rural PPS hospitals86th pctl of 387 (FY24)
One point of operating margin at GREAT PLAINS HEALTH is about $2.9M per year (1% of FY23 total operating revenue).
Where GREAT PLAINS HEALTH sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural PPS 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
One rural pps hospitalGREAT PLAINSRural PPS 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
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
263,406
268,848
287,745
Other operating revenue
2,067
2,072
2,852
Total operating revenue
265,472
270,920
290,598
Total operating expenses
240,343
258,368
279,639
Operating income
25,129
12,552
10,958
Operating margin %
+9.5%
+4.6%
+3.8%
Investment income
32,183
(32,717)
41,913
Other non-operating, net
5,502
1,359
957
Net income
62,814
(18,806)
53,828
Net income %
+20.7%
-7.9%
+16.1%
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
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
42.6%
Verified fact2024
HCRIS WS S-3
Average daily census
27.33
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
64
Verified fact2024
HCRIS WS S-3
Annual discharges
4,280
Verified fact2024
HCRIS WS S-3
Average length of stay
2.3d
Verified fact2024
HCRIS WS S-3
Total FTEs
1,044
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$13.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.133
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.818131
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LINCOLN County, NE · nonmetro, urban 20K+
Median household income
$64.3K
vs $82.1K US · $59.7K rural median
Poverty rate
12.8%
vs 12.5% US · 14.3% rural median
Uninsured
7.8%
vs 8.6% US · 8.4% rural median
Age 65+
20.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.0% of county personal income is Medicare/Medicaid medical benefits; 22.3% arrives as government transfers (BEA, 2022).
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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