A hospital in Waverly, OH. It ran an operating surplus of 7.8% in FY24 on $32.6M of operating revenue. It held 9 days of cash on hand (18th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 6.2% in FY20 to 7.8% in FY24, though it fell 9.5 points in the most recent year.
Operating margin · FY24
+7.8%
▼ 9.5 pts vs FY23
vs Critical Access Hospitals78th pctl of 1,340 (FY24)
Days cash on hand · FY24
9d
all sources
▲ 0.6 days vs FY23
vs Critical Access Hospitals18th pctl of 1,325 (FY24)
Total operating revenue · FY24
$32.6M
▼ 0.5 $M vs FY23
vs Critical Access Hospitals54th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+7.8%
▼ 9.5 pts vs FY23
vs Critical Access Hospitals62nd 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 ADENA PIKE MEDICAL CENTER is about $326K per year (1% of FY24 total operating revenue).
Where ADENA PIKE MEDICAL 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.
One critical access hospitalADENA PIKECritical 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+51.5% (FY24)
91st percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+53.0% (FY24)
38th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
27,799
31,550
32,179
Other operating revenue
873
1,473
377
Total operating revenue
28,672
33,022
32,556
Total operating expenses
27,631
27,300
30,008
Operating income
1,041
5,722
2,549
Operating margin %
+3.6%
+17.3%
+7.8%
Other non-operating, net
40
1
0
Net income
1,081
5,723
2,549
Net income %
+3.8%
+17.3%
+7.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 15% occupancy where swing beds are 79% of the inpatient business and 70% 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
14.5%
Verified fact2024
HCRIS WS S-3
Average daily census
3.65
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
461
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
13.52
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
78.8%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
70.1%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.629
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
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
Days cash on hand
The county this hospital serves
PIKE County, OH · nonmetro, rural, remote
Median household income
$49.6K
vs $82.1K US · $59.7K rural median
Poverty rate
19.9%
vs 12.5% US · 14.3% rural median
Uninsured
5.6%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 18.8% of county personal income is Medicare/Medicaid medical benefits; 35.8% arrives as government transfers (BEA, 2022).
What this hospital means to Pike County
economic contribution · FY24 cost report
Direct annual spending
$30.0M
total operating expense · reported
Total economic output
$69.0M
× 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.
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
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.
