Days cash on hand: 154 days in FY2021, the 48th percentile of 1,306 critical access hospitals in the FY2021 pool. Total operating revenue: $1.0M in FY2021, the 0th percentile of 1,323 critical access hospitals in the FY2021 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY21. Margin and revenue are as filed for FY21. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, 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 TX. It reported $1.0M of operating revenue. It held 154 days of cash on hand (48th percentile of 1,306 Critical Access Hospitals on liquidity, FY21 pool). Only a single comparable reporting year is available, so trend context is limited.
Operating margin
Astrelis calculation unavailable
Days cash on hand · FY21
154d
all sources
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals48th pctl of 1,306 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY21
$1.0M
Astrelis calculation · as-filed inputs
vs Critical Access Hospitals0th pctl of 1,323 (FY21 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating
Astrelis calculation unavailable
One point of operating margin at Critical Access Hospital · CCN 451345 is about $10K per year (1% of FY21 total operating revenue).
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.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY20
FY21
FY23 · 394 days
Patient revenue
1,010
1,049
1,746
Other operating revenue
0
0
0
Total operating revenue
1,010
1,049
1,746
Total operating expenses
4,652
4,611
6,383
Operating income
(3,642)
(3,562)
(4,638)
Grants & contributions
—
1
—
Investment income
2
2
—
Other non-operating, net
656
1,832
3,378
Net income
(2,984)
(1,727)
(1,260)
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY23 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.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 -4,638K · Net patient revenue 1,746KFY21 · 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 -3,562K · Net patient revenue 1,049KFY20 · 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 -3,642K · Net patient revenue 1,010K
How it operates
quality & operational context · CMS public reporting
A 2-bed hospital running at 1% occupancy, where 100% of patient revenue is outpatient.
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
0.5%
Reported value2023
HCRIS WS S-3
Average daily census
0.01
Reported value2023
HCRIS WS S-3
Staffed beds (acute)
2
Reported value2023
HCRIS WS S-3
Annual discharges
1
Reported value2023
HCRIS WS S-3
Average length of stay
4 days
Reported value2023
HCRIS WS S-3
Cost per patient day
$1,595,844
Astrelis calculation2023
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$6,383,377
Astrelis calculation2023
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
99.6%
Reported value2023
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.9M
Reported value2023
HCRIS WS S-10 line 31
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
Days cash on hand
State context
Texas
County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Illustrative advocacy scenario: what this hospital means to its county
Illustrative estimate · FY23 cost report
Direct annual spending
$6.4M
total operating expense · Reported value, not a local-capture estimate
Employment
78
58 direct jobs (estimated from payroll) × 1.34 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$14.7M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
5.2%
of all county jobs · Reported value
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 a critical access hospital, the NCRHW study population. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
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.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
Astrelis Atlas, "Critical Access Hospital · Ccn 451345", https://astrelis.co/hospitals/451345, 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/451345.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.
