Astrelis
Critical Access Hospital · TN

Critical Access Hospital · CCN 441311

CCN 441311Latest FY 2023
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in TN. It ran an operating surplus of 25.0% in FY23 on $7.9M of operating revenue. It held 0 days of cash on hand (7th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 34.2% in FY21 to 25.0% in FY23.

Operating margin · FY23
+25.0%
0.1 pts vs FY22
vs Critical Access Hospitals98th pctl of 1,330 (FY23)
Days cash on hand · FY23
0d
all sources
0.0 days vs FY22
vs Critical Access Hospitals7th pctl of 1,312 (FY23)
Total operating revenue · FY23
$7.9M
3.4 $M vs FY22
vs Critical Access Hospitals6th pctl of 1,349 (FY23)
Total margin · incl. nonoperating · FY23
+25.0%
0.1 pts vs FY22
vs Critical Access Hospitals97th pctl of 1,330 (FY23)
Benchmarked within its own FY23 pool (n=1,330); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at Critical Access Hospital · CCN 441311 is about $79K per year (1% of FY23 total operating revenue).

Where Critical Access Hospital sits among Critical Access Hospitals

Operating margin · FY23 pool · n = 1,330 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 -3.1%. Descriptive context only, not a ranking.

Benchmarked within its own FY23 pool (n=1,330); the Critical Access Hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Critical Access Hospital median -3.116821427059263%Critical Access +25.01483492203775%-20%0%+20%Critical Access Hospital median -3.116821427059263%Critical Access +25.01483492203775%
One critical access hospitalCritical AccessCritical 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.

Operating margin
+25.0% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+25.0% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY23)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.67× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-68% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
61d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY21FY22FY23
Patient revenue11,94411,2857,921
Other operating revenue(388)25
Total operating revenue11,55711,3107,921
Total operating expenses7,6028,4875,939
Operating income3,9552,8231,981
Operating margin %+34.2%+25.0%+25.0%
Net income3,9552,8231,981
Net income %+34.2%+25.0%+25.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY23 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22 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

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
Outpatient share of patient revenue
100.0%
Verified fact2023
HCRIS WS G-2 L28
How the care measures up
As a Critical Access Hospital, this facility is exempt from most CMS public quality-measure programs. No public measures are reported for it. That is a program design fact, not a quality signal.

Trajectory

Cost-report basis · 3 reporting years
Operating margin
+34.2%+25.0%+25.0%FY21FY22FY23
Days cash on hand
0 days0 days0 daysFY21FY22FY23

The county this hospital serves

Location, TN
Median household income
$82.0K
vs $82.1K US · $59.7K rural median
Poverty rate
8.1%
vs 12.5% US · 14.3% rural median
Uninsured
9.5%
vs 8.6% US · 8.4% rural median
Age 65+
15.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.9% of county personal income is Medicare/Medicaid medical benefits; 19.6% arrives as government transfers (BEA, 2022).

What this hospital means to its county

economic contribution · FY23 cost report
Direct annual spending
$5.9M
total operating expense · reported
Jobs supported
52
38 direct (estimated from payroll) × 1.34 employment multiplier · estimate
Total economic output
$13.7M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
0.4%
of all county jobs
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.

CAH Performance Benchmark$2,500Founding Edition

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.

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