Astrelis
Psychiatric hospital · Wausau, WI

NORTH CENTRAL HEALTH CARE

CCN 524017MARATHON CountyVoluntary non-profit - OtherUrban (USDA RUCC)16 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Operating margin: -37.2% in FY2025, the 8th percentile of 443 psychiatric hospitals in the FY2025 pool. Days cash on hand: 118 days in FY2025, the 88th percentile of 413 psychiatric hospitals in the FY2025 pool. Total operating revenue: $69.6M in FY2025, the 90th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): +8.8% in FY2025, the 54th percentile of 443 psychiatric hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.

The read

A hospital in Wausau, WI. It ran an operating loss of 37.2% in FY25 on $69.6M of operating revenue. It held 118 days of cash on hand (88th percentile of 413 Psychiatric hospitals on liquidity, FY25 pool). Operating margin improved from -55.5% in FY20 to -37.2% in FY25, though it fell 1.9 points in the most recent year. Including nonoperating items, the all-in result was positive at 8.8%.

Operating margin · FY25
-37.2%
Astrelis calculation · as-filed inputs
▼ 1.9 pts vs FY24
vs Psychiatric hospitals8th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
118d
all sources
Astrelis calculation · as-filed inputs
▼ 6 days vs FY24
vs Psychiatric hospitals88th pctl of 413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$69.6M
Astrelis calculation · as-filed inputs
▬ $0.0M vs FY24
vs Psychiatric hospitals90th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+8.8%
Astrelis calculation · as-filed inputs
▼ 1.2 pts vs FY24
vs Psychiatric hospitals54th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at NORTH CENTRAL HEALTH CARE is about $696K per year (1% of FY25 total operating revenue).

Where NORTH CENTRAL HEALTH sits among Psychiatric hospitals

Operating margin · FY25 pool · n = 443 of 608 filed

Each point is one Psychiatric hospital in the national FY25 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 Psychiatric hospital FY25 median is +5.2%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Psychiatric hospital median +5.2%NORTH CENTRAL -37.2%
One psychiatric hospitalNORTH CENTRALPsychiatric 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.

Operating margin
-37.2% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+8.8% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
118d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
0.46× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
33% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
75d (FY25)
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 itemFY23FY24FY25
Patient revenue63,67168,83268,832
Other operating revenue1,077769769
Total operating revenue64,74869,60169,601
Total operating expenses96,68894,17295,478
Operating income(31,940)(24,571)(25,877)
Operating margin %-49.3%-35.3%-37.2%
Grants & contributions26,29920,18820,188
Investment income247770770
Other non-operating, net9,30614,13614,136
Net income3,91210,5249,218
Net income %+3.9%+10.1%+8.8%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 16-bed psychiatric hospital running at 90% occupancy, where the average stay runs 5.2 days, and operating cost runs $18,217 per patient day.

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
89.7%
Reported value2025
HCRIS WS S-3
Average daily census
14.36
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
16
Reported value2025
HCRIS WS S-3
Annual discharges
1,013
Reported value2025
HCRIS WS S-3
Average length of stay
5 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$18,217
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$94,252
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-55.5%-52.5%-41.9%-49.3%-35.3%-37.2%FY20FY21FY22FY23FY24FY25
Days cash on hand
76 days19 days50 days61 days124 days118 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MARATHON County, WI · metro, under 250K
Median household income
$76.2K
vs $82.1K US
Poverty rate
8.9%
vs 12.5% US
Uninsured
6.0%
vs 8.6% US
Age 65+
18.6%
vs 16.8% US
Fair or poor health
18.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.5% of county personal income is Medicare/Medicaid medical benefits; 17.4% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Marathon County

Illustrative estimate · FY24 cost report
Direct annual spending
$94.2M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$216.6M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
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 not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation

-37.2% operating margin — 8th percentile of 443 peers (FY25 pool).

The Board Briefing

Operating margin declined 1.9 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

42.4 points below the cohort median — at current revenue, approximately $29.5M less operating income than the median rate.

(-37.2% facility vs 5.2% peer median) = 42.4 points below the median × $69.6M revenue ≈ $29.5M less operating income than the median rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 443.

Performance Benchmark Report: FY25 peer pool · n = 443 · conservative low band; acuity limits stated in the report.

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.

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "North Central Health Care", https://astrelis.co/hospitals/524017, 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/524017.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.

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