Operating margin: -22.2% in FY2023, the 12th percentile of 1,303 critical access hospitals in the FY2023 pool. Days cash on hand: -4 days in FY2023, the 2nd percentile of 1,289 critical access hospitals in the FY2023 pool. Total operating revenue: $5.8M in FY2023, the 2nd percentile of 1,319 critical access hospitals in the FY2023 pool. Total margin (including nonoperating): -16.3% in FY2023, the 4th percentile of 1,303 critical access hospitals in the FY2023 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in NE. It ran an operating loss of 22.2% in FY23 on $5.8M of operating revenue. It held -4 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (2nd percentile of 1,289 Critical Access Hospitals on liquidity, FY23 pool). Operating margin declined from -12.4% in FY20 to -22.2% in FY23.
Operating margin · FY23
-22.2%
Astrelis calculation · as-filed inputs
▼ 12.2 pts vs FY22
vs Critical Access Hospitals12th pctl of 1,303 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
-4d
all sources
Astrelis calculation · as-filed inputs
▼ 16 days vs FY22
vs Critical Access Hospitals2nd pctl of 1,289 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$5.8M
Astrelis calculation · as-filed inputs
▲ $0.7M vs FY22
vs Critical Access Hospitals2nd pctl of 1,319 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-16.3%
Astrelis calculation · as-filed inputs
▼ 12.0 pts vs FY22
vs Critical Access Hospitals4th pctl of 1,303 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at Critical Access Hospital · CCN 281330 is about $58K per year (1% of FY23 total operating revenue).
Where Critical Access Hospital sits among Critical Access Hospitals
Operating margin · FY23 pool · n = 1,303 of 1,404 filed
Each point is one Critical Access Hospital in the national FY23 distribution for Critical Access Hospitals, this hospital's comparison cohort, 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 FY23 median is -3.1%. Descriptive context only, not a ranking.
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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
4,233
4,581
5,374
Other operating revenue
478
570
435
Total operating revenue
4,712
5,151
5,809
Cash operating expenses
4,405
5,193
6,465
Operating EBIDA
307
(42)
(656)
Operating EBIDA margin %
+6.5%
-0.8%
-11.3%
Depreciation
270
378
520
Interest
93
97
112
Operating income
(56)
(517)
(1,288)
Operating margin %
-1.2%
-10.0%
-22.2%
Grants & contributions
396
201
280
Investment income
—
1
—
Other non-operating, net
859
78
11
Net income
1,199
(237)
(997)
Net income %
+20.1%
-4.4%
-16.3%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY24 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -1,731KFY24 · Total margin: -7817.3% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100% of total revenue — a valid filing can produce this; this year enters no peer pool)FY22 · Net patient A/R: 2,615K — Astrelis calculation (allowance filed positive, added as filed: Worksheet G line 6 (allowances for uncollectible accounts) is filed as a positive amount on this cost report, where an allowance normally reduces receivables; under amendment B to ruling 11 it adds as filed and the value publishes flagged. Days in net patient A/R is computed from this value)FY23 · Days cash on hand: -4 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)
How it operates
quality & operational context · CMS public reporting
A 15-bed hospital running at 2% occupancy, where swing beds are 91% of the inpatient business.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
1.6%
Reported value2024
HCRIS WS S-3
Average daily census
0.24
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
15
Reported value2024
HCRIS WS S-3
Annual discharges
8
Reported value2024
HCRIS WS S-3
Average length of stay
3 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$72,113
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$216,339
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
2.53
Reported value2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
91.5%
Reported value2024
HCRIS WS S-3 (acute + swing days)
Who it serves
Total unreimbursed & uncompensated care
$1.3M
Reported value2023
HCRIS WS S-10 line 31
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 · 5 reporting years
Operating margin
Days cash on hand
State context
Nebraska
County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Illustrative advocacy scenario: what this hospital means to its county
Illustrative estimate · FY24 cost report
Direct annual spending
$1.7M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$4.0M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY23Astrelis calculation
Operating margin vs its peer pool: FY23 pool · n = 1,303.
CAH Performance Benchmark: FY23 peer pool · n = 1,303 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "Critical Access Hospital · Ccn 281330", https://astrelis.co/hospitals/281330, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/281330.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
