A hospital in Franklin, NE. It ran an operating loss of 14.0% in FY25 on $5.7M of operating revenue. It held 199 days of cash on hand (68th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -9.3% in FY21 to -14.0% in FY25, though it rose 1.5 points in the most recent year.
Operating margin · FY25
-14.0%
▲ 1.5 pts vs FY24
vs Critical Access Hospitals18th pctl of 824 (FY25)
Days cash on hand · FY25
199d
all sources
▼ 29.6 days vs FY24
vs Critical Access Hospitals68th pctl of 827 (FY25)
Total operating revenue · FY25
$5.7M
▲ 0.3 $M vs FY24
vs Critical Access Hospitals2nd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
-7.3%
▼ 0.0 pts vs FY24
vs Critical Access Hospitals7th pctl of 824 (FY25)
One point of operating margin at FRANKLIN COUNTY MEMORIAL HOSPITAL is about $57K per year (1% of FY25 total operating revenue).
Where FRANKLIN COUNTY MEMORIAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalFRANKLIN COUNTYCritical 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
-12.0% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+53.0% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
6,131
5,420
5,678
Other operating revenue
22
37
39
Total operating revenue
6,152
5,457
5,717
Total operating expenses
6,604
6,300
6,516
Operating income
(452)
(843)
(799)
Operating margin %
-7.3%
-15.4%
-14.0%
Grants & contributions
777
337
254
Investment income
27
31
23
Other non-operating, net
41
46
77
Net income
393
(429)
(445)
Net income %
+5.6%
-7.3%
-7.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 14-bed hospital at 1% occupancy where swing beds are 60% of the inpatient business and 97% 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
0.6%
Verified fact2025
HCRIS WS S-3
Average daily census
0.08
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
14
Verified fact2025
HCRIS WS S-3
Annual discharges
12
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.12
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
60.3%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
97.2%
Verified fact2025
HCRIS WS G-2 L28
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
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
424%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
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
FRANKLIN County, NE
Median household income
$57.7K
vs $82.1K US · $59.7K rural median
Poverty rate
14.1%
vs 12.5% US · 14.3% rural median
Uninsured
6.7%
vs 8.6% US · 8.4% rural median
Age 65+
27.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.4% of county personal income is Medicare/Medicaid medical benefits; 28.6% arrives as government transfers (BEA, 2022).
What this hospital means to Franklin County
economic contribution · FY25 cost report
Direct annual spending
$6.5M
total operating expense · reported
Total economic output
$15.0M
× 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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