Astrelis
Psychiatric hospital · Katonah, NY

FOUR WINDS

CCN 334002WESTCHESTER CountyProprietaryUrban (USDA RUCC)175 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Katonah, NY. It ran an operating loss of 14.4% in FY24 on $56.6M of operating revenue. It held 42 days of cash on hand (78th percentile among Psychiatric hospitals on liquidity). Operating margin declined from -5.6% in FY20 to -14.4% in FY24, though it rose 6.7 points in the most recent year.

Operating margin · FY24
-14.4%
6.7 pts vs FY23
vs Psychiatric hospitals17th pctl of 437 (FY24)
Days cash on hand · FY24
42d
all sources
21.0 days vs FY23
vs Psychiatric hospitals78th pctl of 376 (FY24)
Total operating revenue · FY24
$56.6M
2.7 $M vs FY23
vs Psychiatric hospitals86th pctl of 509 (FY24)
Total margin · incl. nonoperating · FY24
-3.7%
3.8 pts vs FY23
vs Psychiatric hospitals24th pctl of 434 (FY24)
One point of operating margin at FOUR WINDS is about $566K per year (1% of FY24 total operating revenue).

Where FOUR WINDS sits among Psychiatric hospitals

Operating margin · FY24 pool · n = 437 of 610 filed

Each point is one Psychiatric 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 Psychiatric hospital median is +4.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Psychiatric hospital median +4.788257940327237%FOUR WINDS -14.42220465673922%-20%0%+20%Psychiatric hospital median +4.788257940327237%FOUR WINDS -14.42220465673922%
One psychiatric hospitalFOUR WINDSPsychiatric 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
-14.4% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-3.7% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
42d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.22× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
3% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
46d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue51,65353,83056,550
Other operating revenue1
Total operating revenue51,65453,83056,550
Total operating expenses60,83365,19864,706
Operating income(9,180)(11,368)(8,156)
Operating margin %-17.8%-21.1%-14.4%
Investment income1112851
Other non-operating, net4,27911,3175,825
Net income(4,890)77(2,280)
Net income %-8.7%+0.1%-3.7%
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 175-bed hospital at 80% occupancy 2% 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
80.3%
Verified fact2024
HCRIS WS S-3
Average daily census
140.91
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
175
Verified fact2024
HCRIS WS S-3
Annual discharges
2,628
Verified fact2024
HCRIS WS S-3
Average length of stay
19.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
1.9%
Verified fact2024
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-5.6%-5.1%-17.8%-21.1%-14.4%FY20FY21FY22FY23FY24
Days cash on hand
64 days58 days21 days21 days42 daysFY20FY21FY22FY23FY24

The county this hospital serves

WESTCHESTER County, NY
Median household income
$118.4K
vs $82.1K US
Poverty rate
8.9%
vs 12.5% US
Uninsured
5.0%
vs 8.6% US
Age 65+
17.7%
vs 16.8% US
Fair or poor health
13.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.9% of county personal income is Medicare/Medicaid medical benefits; 9.9% arrives as government transfers (BEA, 2022).
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