Astrelis
Critical Access Hospital · Delhi, NY

O'CONNOR HOSPITAL

CCN 331305DELAWARE CountyVoluntary non-profit - PrivateRural (USDA RUCC)16 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Delhi, NY. It ran an operating surplus of 4.3% in FY24 on $24.6M of operating revenue. It held 320 days of cash on hand (87th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -27.6% in FY20 to 4.3% in FY24, though it fell 0.7 points in the most recent year.

Operating margin · FY24
+4.3%
vs Critical Access Hospitals69th pctl of 1,340 (FY24)
Days cash on hand · FY24
320d
all sources
vs Critical Access Hospitals87th pctl of 1,325 (FY24)
Total operating revenue · FY24
$24.6M
vs Critical Access Hospitals39th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+14.8%
vs Critical Access Hospitals83rd 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 O'CONNOR HOSPITAL is about $246K per year (1% of FY24 total operating revenue).

Where O'CONNOR 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.
-20%-10%0%+10%+20%Critical Access Hospital median -1.8424776517003405%O'CONNOR HOSPITAL +4.286818237279863%-20%0%+20%Critical Access Hospital median -1.8424776517003405%O'CONNOR HOSPITAL +4.286818237279863%
One critical access hospitalO'CONNOR HOSPITALCritical 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.

Operating margin
+4.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+14.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
320d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.51× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
38% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
38d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+30.1% (FY24)
53rd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+64.8% (FY24)
81st percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY22FY23FY24
Patient revenue19,92121,21424,587
Other operating revenue1,540
Total operating revenue19,92122,75424,587
Total operating expenses22,38521,60823,533
Operating income(2,464)1,1461,054
Operating margin %-12.4%+5.0%+4.3%
Grants & contributions1,676781,160
Investment income20104503
Other non-operating, net1,2652281,441
Net income4971,5564,158
Net income %+2.2%+6.7%+15.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 16-bed hospital at 11% occupancy where swing beds are 80% of the inpatient business and 89% 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
11.0%
Verified fact2024
HCRIS WS S-3
Average daily census
1.76
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
16
Verified fact2024
HCRIS WS S-3
Annual discharges
185
Verified fact2024
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
6.84
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
79.5%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
88.5%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-27.6%-3.8%-12.4%+5.0%+4.3%FY20FY21FY22FY23FY24
Days cash on hand
411 days556 days456 days339 days320 daysFY20FY21FY22FY23FY24

The county this hospital serves

DELAWARE County, NY · nonmetro, rural, metro-adjacent
Median household income
$60.2K
vs $82.1K US · $59.7K rural median
Poverty rate
14.9%
vs 12.5% US · 14.3% rural median
Uninsured
4.6%
vs 8.6% US · 8.4% rural median
Age 65+
25.7%
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: 13.9% of county personal income is Medicare/Medicaid medical benefits; 30.0% arrives as government transfers (BEA, 2022).

What this hospital means to Delaware County

economic contribution · FY24 cost report
Direct annual spending
$23.5M
total operating expense · reported
Total economic output
$54.1M
× 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.

CAH Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

build aa21187 · 2026-07-23