Astrelis
Critical Access Hospital · Massena, NY

SLHS MASSENA, INC

CCN 331322St. Lawrence CountyVoluntary non-profit - PrivateRural (USDA RUCC)25 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Massena, NY. It ran an operating surplus of 0.1% in FY24 on $72.5M of operating revenue. It held 75 days of cash on hand (44th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY24
+0.1%
vs Critical Access Hospitals56th pctl of 1,340 (FY24)
Days cash on hand · FY24
75d
all sources
vs Critical Access Hospitals44th pctl of 1,325 (FY24)
Total operating revenue · FY24
$72.5M
vs Critical Access Hospitals84th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+6.2%
vs Critical Access Hospitals54th 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 SLHS MASSENA, INC is about $725K per year (1% of FY24 total operating revenue).

Where SLHS MASSENA, INC 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%SLHS MASSENA, +0.149709687389615%-20%0%+20%Critical Access Hospital median -1.8424776517003405%SLHS MASSENA, +0.149709687389615%
One critical access hospitalSLHS MASSENA,Critical 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
+0.1% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.2% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
75d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.43× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
56% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
37d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+14.9% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+59.1% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY24
Patient revenue72,474
Total operating revenue72,474
Total operating expenses72,365
Operating income109
Operating margin %+0.2%
Grants & contributions533
Investment income8
Other non-operating, net4,137
Net income4,787
Net income %+6.2%
1 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone

How it operates

quality & operational context · CMS public reporting

A 25-bed hospital at 41% occupancy 90% 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
40.9%
Verified fact2024
HCRIS WS S-3
Average daily census
9.60
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
1,105
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.96
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
16.9%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
90.5%
Verified fact2024
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · single reporting year
Operating margin
+0.1%FY24
Days cash on hand
75 daysFY24

The county this hospital serves

St. Lawrence County, NY
Median household income
$61.9K
vs $82.1K US · $59.7K rural median
Poverty rate
17.4%
vs 12.5% US · 14.3% rural median
Uninsured
5.9%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.5% of county personal income is Medicare/Medicaid medical benefits; 29.5% arrives as government transfers (BEA, 2022).

What this hospital means to St. Lawrence County

economic contribution · FY24 cost report
Direct annual spending
$72.4M
total operating expense · reported
Total economic output
$166.4M
× 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.

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