CCN 501311ADAMS CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)12 bedsLatest FY 2024
Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 500779 — see the current profile. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Ritzville, WA. It ran an operating loss of 50.2% in FY24 on $13.3M of operating revenue. It held 12 days of cash on hand. Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY24
-50.2%
▲ 21.1 pts vs FY23
vs Critical Access Hospitals—
Days cash on hand · FY24
12d
all sources
▼ 14.5 days vs FY23
vs Critical Access Hospitals—
Total operating revenue · FY24
$13.3M
▲ 3.1 $M vs FY23
vs Critical Access Hospitals—
Total margin · incl. nonoperating · FY24
-19.1%
▲ 28.3 pts vs FY23
vs Critical Access Hospitals—
One point of operating margin at EAST ADAMS RURAL HOSPITAL is about $133K per year (1% of FY24 total operating revenue).
Where EAST ADAMS RURAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.
One critical access hospitalEAST ADAMSCritical 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
+43.4% (FY24)
78th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+27.3% (FY24)
13th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
9,294
10,177
13,289
Total operating revenue
9,294
10,177
13,289
Total operating expenses
13,622
17,439
19,963
Operating income
(4,328)
(7,261)
(6,674)
Operating margin %
-46.6%
-71.3%
-50.2%
Grants & contributions
1,235
1,317
1,393
Investment income
32
57
2
Other non-operating, net
1,595
276
2,073
Net income
(1,466)
(5,611)
(3,206)
Net income %
-12.1%
-47.4%
-19.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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
How it operates
quality & operational context · CMS public reporting
A 12-bed hospital at 3% occupancy where swing beds are 90% of the inpatient business and 89% 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
3.0%
Verified fact2024
HCRIS WS S-3
Average daily census
0.36
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
12
Verified fact2024
HCRIS WS S-3
Annual discharges
43
Verified fact2024
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
3.25
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
90.0%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
89.3%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.4M
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
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
146%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 0th 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
ADAMS County, WA · nonmetro, urban 5–20K, metro-adjacent
Median household income
$65.0K
vs $82.1K US · $59.7K rural median
Poverty rate
20.5%
vs 12.5% US · 14.3% rural median
Uninsured
15.9%
vs 8.6% US · 8.4% rural median
Age 65+
11.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.4% of county personal income is Medicare/Medicaid medical benefits; 24.1% arrives as government transfers (BEA, 2022).
What this hospital means to Adams County
economic contribution · FY24 cost report
Direct annual spending
$20.0M
total operating expense · reported
Total economic output
$45.9M
× 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.
The Board Briefing$1,000
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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.
