CCN 431322FALL RIVER CountyGovernment - Local25 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Hot Springs, SD. It ran an operating loss of 3.3% in FY24 on $31.0M of operating revenue. It held 238 days of cash on hand (78th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -12.3% in FY20 to -3.3% in FY24. Including nonoperating items, the all-in result was positive at 3.1%.
Operating margin · FY24
-3.3%
▼ 0.2 pts vs FY23
vs Critical Access Hospitals44th pctl of 1,340 (FY24)
Days cash on hand · FY24
238d
all sources
▲ 10.8 days vs FY23
vs Critical Access Hospitals78th pctl of 1,325 (FY24)
Total operating revenue · FY24
$31.0M
▲ 1.9 $M vs FY23
vs Critical Access Hospitals52nd pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+3.1%
▲ 0.5 pts vs FY23
vs Critical Access Hospitals42nd 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 FALL RIVER HOSPITAL - CAH is about $310K per year (1% of FY24 total operating revenue).
Where FALL RIVER HOSPITAL 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 hospitalFALL RIVERCritical 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
+27.4% (FY24)
47th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+44.4% (FY24)
17th 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
28,387
29,170
31,022
Other operating revenue
36
21
25
Total operating revenue
28,423
29,191
31,047
Total operating expenses
28,291
30,101
32,076
Operating income
132
(910)
(1,030)
Operating margin %
+0.5%
-3.1%
-3.3%
Grants & contributions
90
682
142
Investment income
125
471
913
Other non-operating, net
3,299
569
1,002
Net income
3,646
812
1,027
Net income %
+11.4%
+2.6%
+3.1%
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 5% occupancy where swing beds are 76% of the inpatient business and 69% 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
5.3%
Verified fact2024
HCRIS WS S-3
Average daily census
1.34
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
163
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
4.36
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
76.5%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
68.7%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.5M
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
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
547%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 91st percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
FALL RIVER County, SD
Median household income
$61.1K
vs $82.1K US · $59.7K rural median
Poverty rate
19.7%
vs 12.5% US · 14.3% rural median
Uninsured
15.0%
vs 8.6% US · 8.4% rural median
Age 65+
30.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 34.8% arrives as government transfers (BEA, 2022).
What this hospital means to Fall River County
economic contribution · FY24 cost report
Direct annual spending
$32.1M
total operating expense · reported
Total economic output
$73.8M
× 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
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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.
