CCN 501338KING CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)25 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Snoqualmie, WA. It ran an operating loss of 5.5% in FY24 on $55.0M of operating revenue. It held 267 days of cash on hand (82nd percentile among Critical Access Hospitals on liquidity). Operating margin improved from -23.1% in FY20 to -5.5% in FY24, though it fell 0.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 4.3%.
Operating margin · FY24
-5.5%
▼ 0.6 pts vs FY23
vs Critical Access Hospitals36th pctl of 1,340 (FY24)
Days cash on hand · FY24
267d
all sources
▲ 116.0 days vs FY23
vs Critical Access Hospitals82nd pctl of 1,325 (FY24)
Total operating revenue · FY24
$55.0M
▲ 3.8 $M vs FY23
vs Critical Access Hospitals76th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+4.3%
▼ 0.6 pts vs FY23
vs Critical Access Hospitals47th 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 SNOQUALMIE VALLEY HOSPITAL is about $550K per year (1% of FY24 total operating revenue).
Where SNOQUALMIE VALLEY 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 hospitalSNOQUALMIE VALLEYCritical 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
+48.7% (FY24)
85th percentile of 117 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+47.7% (FY24)
17th percentile of 116 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
47,266
50,708
53,459
Other operating revenue
1,642
493
1,512
Total operating revenue
48,908
51,201
54,971
Total operating expenses
51,446
53,721
58,021
Operating income
(2,537)
(2,520)
(3,049)
Operating margin %
-5.2%
-4.9%
-5.5%
Grants & contributions
4,325
4,620
4,630
Investment income
(317)
540
855
Other non-operating, net
199
100
163
Net income
1,670
2,740
2,599
Net income %
+3.1%
+4.9%
+4.3%
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 6% occupancy where swing beds are 92% of the inpatient business and 63% 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
5.9%
Verified fact2024
HCRIS WS S-3
Average daily census
1.48
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
190
Verified fact2024
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
17.60
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
92.2%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
63.1%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
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
272%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 35th 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
KING County, WA · metro, 1M+ population
Median household income
$122.1K
vs $82.1K US · $59.7K rural median
Poverty rate
8.4%
vs 12.5% US · 14.3% rural median
Uninsured
5.2%
vs 8.6% US · 8.4% rural median
Age 65+
13.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
12.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.1% of county personal income is Medicare/Medicaid medical benefits; 7.8% arrives as government transfers (BEA, 2022).
What this hospital means to King County
economic contribution · FY24 cost report
Direct annual spending
$58.0M
total operating expense · reported
Total economic output
$133.4M
× 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.
