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. 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 NE. It ran an operating loss of 22.2% in FY23 on $5.8M of operating revenue. It held 56 days of cash on hand in FY24, its most recent reported liquidity (38th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -12.4% in FY20 to -22.2% in FY23.
Operating margin · FY23
-22.2%
▼ 12.1 pts vs FY22
vs Critical Access Hospitals12th pctl of 1,340 (FY24)
Days cash on hand · FY24
56d
all sources
▲ 43.9 days vs FY22
vs Critical Access Hospitals38th pctl of 1,325 (FY24)
Total operating revenue · FY23
$5.8M
▲ 0.7 $M vs FY22
vs Critical Access Hospitals2nd pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY23
-16.3%
▼ 12.0 pts vs FY22
vs Critical Access Hospitals4th 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 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 · 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 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
+49.6% (FY23)
88th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+33.3% (FY23)
18th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
4,233
4,581
5,374
Other operating revenue
479
570
435
Total operating revenue
4,712
5,151
5,809
Total operating expenses
4,768
5,668
7,097
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
12
Net income
1,199
(237)
(996)
Net income %
+20.1%
-4.4%
-16.3%
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 15-bed hospital 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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
1.6%
Verified fact2024
HCRIS WS S-3
Average daily census
0.24
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
15
Verified fact2024
HCRIS WS S-3
Annual discharges
8
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
2.55
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
91.5%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Who it serves
Total unreimbursed & uncompensated care
$1.3M
Verified fact2023
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
The county this hospital serves
Location, NE
Median household income
$77.0K
vs $82.1K US · $59.7K rural median
Poverty rate
9.5%
vs 12.5% US · 14.3% rural median
Uninsured
9.7%
vs 8.6% US · 8.4% rural median
Age 65+
15.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.5% of county personal income is Medicare/Medicaid medical benefits; 20.6% arrives as government transfers (BEA, 2022).
What this hospital means to its county
economic contribution · FY24 cost report
Direct annual spending
$1.7M
total operating expense · reported
Total economic output
$4.0M
× 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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