Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Montrose, PA. It ran an operating loss of 23.1% in FY24 on $20.1M of operating revenue. It held 25 days of cash on hand (27th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 7.7% in FY20 to -23.1% in FY24.
Operating margin · FY24
-23.1%
▼ 3.5 pts vs FY23
vs Critical Access Hospitals11th pctl of 1,340 (FY24)
Days cash on hand · FY24
25d
all sources
▼ 1.1 days vs FY23
vs Critical Access Hospitals27th pctl of 1,325 (FY24)
Total operating revenue · FY24
$20.1M
▬ 0.0 $M vs FY23
vs Critical Access Hospitals31st pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-21.4%
▼ 3.3 pts vs FY23
vs Critical Access Hospitals2nd 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 ENDLESS MOUNTAINS HEALTH SYSTEMS is about $201K per year (1% of FY24 total operating revenue).
Where ENDLESS MOUNTAINS HEALTH 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 hospitalENDLESS MOUNTAINSCritical 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
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
20,081
20,081
20,081
Other operating revenue
23
23
23
Total operating revenue
20,104
20,104
20,104
Total operating expenses
21,769
24,054
24,753
Operating income
(1,665)
(3,950)
(4,649)
Operating margin %
-8.3%
-19.6%
-23.1%
Investment income
2
2
2
Other non-operating, net
119
119
118
Net income
(1,544)
(3,829)
(4,529)
Net income %
-7.6%
-18.9%
-22.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 15% occupancy where swing beds are 24% of the inpatient business and 85% 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
14.6%
Verified fact2024
HCRIS WS S-3
Average daily census
3.64
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
355
Verified fact2024
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.13
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
23.7%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
85.0%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.6%
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
SUSQUEHANNA County, PA
Median household income
$66.9K
vs $82.1K US · $59.7K rural median
Poverty rate
10.9%
vs 12.5% US · 14.3% rural median
Uninsured
6.8%
vs 8.6% US · 8.4% rural median
Age 65+
24.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
Not available
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.4% of county personal income is Medicare/Medicaid medical benefits; 24.3% arrives as government transfers (BEA, 2022).
What this hospital means to Susquehanna County
economic contribution · FY24 cost report
Direct annual spending
$24.8M
total operating expense · reported
Total economic output
$56.9M
× 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.
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