Operating margin: -17.2% in FY2025, the 16th percentile of 443 psychiatric hospitals in the FY2025 pool. Total operating revenue: $7.7M in FY2025, the 15th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): -17.2% in FY2025, the 10th percentile of 443 psychiatric hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Linville, NC. It ran an operating loss of 17.2% in FY25 on $7.7M of operating revenue. Days cash on hand is an Astrelis calculation unavailable for its latest year (operating expenses less depreciation is blank or zero on this filing). 2 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.
Operating margin · FY25
-17.2%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals16th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand
Astrelis calculation unavailable
all sources
Total operating revenue · FY25
$7.7M
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals15th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
-17.2%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals10th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE is about $77K per year (1% of FY25 total operating revenue).
Where APPALACHIAN REGIONAL BEHAVIORAL sits among Psychiatric hospitals
Operating margin · FY25 pool · n = 443 of 608 filed
Each point is one Psychiatric hospital in the national FY25 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 FY25 median is +5.2%. Descriptive context only, not a ranking.
One psychiatric hospitalAPPALACHIAN REGIONALPsychiatric 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 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 · Net patient A/R: 880K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY25 · Days cash on hand — Astrelis calculation unavailable (operating expenses less depreciation is blank or zero on this filing)FY24 · Net patient A/R: 1,198K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY24 · Days cash on hand — Astrelis calculation unavailable (operating expenses less depreciation is blank or zero on this filing)FY23 · Net patient A/R: 1,952K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))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
16.12
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 →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 443.
Performance Benchmark Report: FY25 peer pool · n = 443 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 11 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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Astrelis Atlas, "Appalachian Regional Behavioral Healthcare", https://astrelis.co/hospitals/344034, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/344034.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
