Financial anchor year: FY25. Margin and revenue are as filed for FY25. Days cash on hand is FY23, 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 Linville, NC. It ran an operating loss of 17.2% in FY25 on $7.7M of operating revenue. It held 6 days of cash on hand in FY23, its most recent reported liquidity (65th percentile of 416 Psychiatric hospitals on liquidity, FY23 pool). 2 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited.
Operating margin · FY25
-17.2%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Days cash on hand · FY23
6d
all sources
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals65th pctl of 416 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$7.7M
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Total margin · incl. nonoperating · FY25
-17.2%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
One point of operating margin at APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE is about $77K per year (1% of FY25 total operating revenue).
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.
Display states.FY25 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY24 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY23 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -5,884K · Net patient revenue 2,011KFY22 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -5,739K · Net patient revenue 2,988K
How it operates
quality & operational context · CMS public reporting
A 37-bed psychiatric hospital running at 44% occupancy, where the average stay runs 6.9 days, and operating cost runs $1,536 per patient day.
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
43.6%
Reported value2025
HCRIS WS S-3
Average daily census
16.17
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
37
Reported value2025
HCRIS WS S-3
Annual discharges
858
Reported value2025
HCRIS WS S-3
Average length of stay
7 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$1,536
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$10,535
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
1.4%
Reported value2025
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 · 4 reporting years
Operating margin
Days cash on hand
The county this hospital serves
AVERY County, NC
Median household income
$57.7K
vs $82.1K US
Poverty rate
11.0%
vs 12.5% US
Uninsured
14.1%
vs 8.6% US
Age 65+
23.0%
vs 16.8% US
Fair or poor health
19.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.9% of county personal income is Medicare/Medicaid medical benefits; 27.7% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Avery County
Illustrative estimate · FY25 cost report
Direct annual spending
$9.0M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$20.8M
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 not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Report coverage: Limited Facility Benchmark. 12 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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Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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