A hospital in NE. It ran an operating loss of 2.4% in FY21 on $6.2M of operating revenue. It held 100 days of cash on hand (34th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY21
-2.4%
vs Critical Access Hospitals48th pctl of 1,324 (FY21)
Days cash on hand · FY21
100d
all sources
vs Critical Access Hospitals34th pctl of 1,300 (FY21)
Total operating revenue · FY21
$6.2M
vs Critical Access Hospitals4th pctl of 1,340 (FY21)
Total margin · incl. nonoperating · FY21
-8.0%
vs Critical Access Hospitals4th pctl of 1,324 (FY21)
Benchmarked within its own FY21 pool (n=1,324); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at Critical Access Hospital · CCN 281321 is about $62K per year (1% of FY21 total operating revenue).
Where Critical Access Hospital sits among Critical Access Hospitals
Operating margin · FY21 pool · n = 1,324 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 -1.6%. Descriptive context only, not a ranking.
Benchmarked within its own FY21 pool (n=1,324); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalCritical AccessCritical 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
+10.1% (FY20)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+48.5% (FY20)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY21
Patient revenue
5,631
Other operating revenue
598
Total operating revenue
6,228
Cash operating expenses
5,984
Operating EBIDA
244
Operating EBIDA margin %
+3.9%
Depreciation
45
Interest
350
Operating income
(150)
Operating margin %
-2.4%
Other non-operating, net
(350)
Net income
(500)
Net income %
-8.5%
1 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY21 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 18-bed hospital at 1% occupancy where swing beds are 76% of the inpatient business and 95% 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
1.1%
Verified fact2021
HCRIS WS S-3
Average daily census
0.21
Verified fact2021
HCRIS WS S-3
Staffed beds (acute)
18
Verified fact2021
HCRIS WS S-3
Annual discharges
28
Verified fact2021
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2021
HCRIS WS S-3
Swing-bed average daily census
0.66
Verified fact2021
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
76.3%
Verified fact2021
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
94.7%
Verified fact2021
HCRIS WS G-2 L28
How the care measures up
As a Critical Access Hospital, this facility is exempt from most CMS public quality-measure programs. No public measures are reported for it. That is a program design fact, not a quality signal.
Trajectory
Cost-report basis · single reporting year
Operating margin
Days cash on hand
The county this hospital serves
Location, NE
Median household income
$57.3K
vs $82.1K US · $59.7K rural median
Poverty rate
13.7%
vs 12.5% US · 14.3% rural median
Uninsured
8.4%
vs 8.6% US · 8.4% rural median
Age 65+
24.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.6% of county personal income is Medicare/Medicaid medical benefits; 26.1% arrives as government transfers (BEA, 2022).
What this hospital means to its county
economic contribution · FY21 cost report
Direct annual spending
$6.4M
total operating expense · reported
Total economic output
$14.7M
× 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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