A hospital in Hinton, WV. It ran an operating surplus of 9.5% in FY25 on $26.6M of operating revenue. It held 0 days of cash on hand (10th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 16.9% in FY21 to 9.5% in FY25, though it rose 10.3 points in the most recent year.
Operating margin · FY25
+9.5%
vs Critical Access Hospitals78th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
vs Critical Access Hospitals10th pctl of 827 (FY25)
Total operating revenue · FY25
$26.6M
vs Critical Access Hospitals41st pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+11.6%
vs Critical Access Hospitals70th pctl of 824 (FY25)
One point of operating margin at SUMMERS COUNTY ARH HOSPITAL is about $266K per year (1% of FY25 total operating revenue).
Where SUMMERS COUNTY ARH 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 hospitalSUMMERS COUNTYCritical 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.
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
-4.9% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+59.8% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
18,280
17,373
20,232
Other operating revenue
3,438
4,621
6,370
Total operating revenue
21,718
21,995
26,602
Total operating expenses
22,291
22,172
24,076
Operating income
(573)
(178)
2,526
Operating margin %
-2.6%
-0.8%
+9.5%
Grants & contributions
—
—
9
Investment income
276
330
256
Other non-operating, net
479
405
368
Net income
182
557
3,159
Net income %
+0.8%
+2.5%
+11.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21 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
A 25-bed hospital at 6% occupancy where swing beds are 84% of the inpatient business and 76% 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
6.4%
Verified fact2025
HCRIS WS S-3
Average daily census
1.60
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
174
Verified fact2025
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
8.52
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
84.2%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
75.9%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
0.705
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
551%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
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
Summers County, WV
Median household income
$42.5K
vs $82.1K US · $59.7K rural median
Poverty rate
19.2%
vs 12.5% US · 14.3% rural median
Uninsured
4.4%
vs 8.6% US · 8.4% rural median
Age 65+
26.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 22.1% of county personal income is Medicare/Medicaid medical benefits; 44.8% arrives as government transfers (BEA, 2022).
What this hospital means to Summers County
economic contribution · FY25 cost report
Direct annual spending
$24.1M
total operating expense · reported
Total economic output
$55.4M
× 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.
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