Financial anchor year: FY23. Margin and revenue are as filed for FY23. 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 TX. It ran an operating loss of 48.5% in FY23 on $7.4M of operating revenue. It held -2 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (2nd percentile of 1,319 Critical Access Hospitals on liquidity, FY23 pool). Operating margin declined from -28.3% in FY21 to -48.5% in FY23.
Operating margin · FY23
-48.5%
Astrelis calculation · as-filed inputs
▼ 14.9 pts vs FY22
vs Critical Access Hospitals3rd pctl of 1,330 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
-2d
all sources
Astrelis calculation · as-filed inputs
▼ 11 days vs FY22
vs Critical Access Hospitals2nd pctl of 1,319 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$7.4M
Astrelis calculation · as-filed inputs
▼ $0.7M vs FY22
vs Critical Access Hospitals5th pctl of 1,349 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-32.4%
Astrelis calculation · as-filed inputs
▲ 0.9 pts vs FY22
vs Critical Access Hospitals1st pctl of 1,331 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at Critical Access Hospital · CCN 451360 is about $74K 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 1,399 filed
Each point is one Critical Access Hospital in the national FY23 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 FY23 median is -3.1%. Descriptive context only, not a ranking.
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 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 ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
Medicare inpatient contribution margin
+24.2% (FY22)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+30.7% (FY22)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
7,236
7,510
7,327
Other operating revenue
5
561
42
Total operating revenue
7,241
8,070
7,369
Total operating expenses
9,289
10,783
10,942
Operating income
(2,047)
(2,712)
(3,574)
Operating margin %
-28.3%
-33.6%
-48.5%
Grants & contributions
—
—
375
Investment income
0
2
—
Other non-operating, net
547
14
519
Net income
(1,500)
(2,696)
(2,680)
Net income %
-19.3%
-33.3%
-32.4%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY23 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY23 · Days cash on hand: -2 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reporting
A 10-bed hospital running at 6% occupancy, where 93% 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
5.9%
Reported value2023
HCRIS WS S-3
Average daily census
0.59
Reported value2023
HCRIS WS S-3
Staffed beds (acute)
10
Reported value2023
HCRIS WS S-3
Annual discharges
76
Reported value2023
HCRIS WS S-3
Average length of stay
3 days
Reported value2023
HCRIS WS S-3
Cost per patient day
$52,606
Astrelis calculation2023
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$143,975
Astrelis calculation2023
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
0.03
Reported value2023
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
4.6%
Reported value2023
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
92.6%
Reported value2023
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
Days cash on hand
FY23 days cash on hand is an Astrelis calculation outside expected range: charted at the boundary arrow, shown at its actual value in the tiles, and included in peer statistics.
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
$10.9M
total operating expense · Reported value, not a local-capture estimate
Employment
88
65 direct jobs (estimated from payroll) × 1.34 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$25.2M
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
3.3%
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 →
Medicare inpatient contribution marginFY22Astrelis calculation from reported HCRIS inputs
+24.2% (FY22).
The Board Briefing
Operating margin declined 14.9 points vs FY22 — the briefing traces why, line by line.
CAH Performance Benchmark: FY23 peer pool · n = 1,330 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 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.
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