A hospital in Riverton, WY. It ran an operating loss of 5.6% in FY24 on $68.9M of operating revenue. It held 1 day of cash on hand (21st percentile among Rural PPS hospitals on liquidity). Operating margin declined from 3.9% in FY20 to -5.6% in FY24, though it rose 15.3 points in the most recent year.
Operating margin · FY24
-5.6%
▲ 15.3 pts vs FY23
vs Rural PPS hospitals34th pctl of 387 (FY24)
Days cash on hand · FY24
1d
all sources
▼ 4.7 days vs FY23
vs Rural PPS hospitals21st pctl of 376 (FY24)
Total operating revenue · FY24
$68.9M
▼ 4.9 $M vs FY23
vs Rural PPS hospitals39th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
-5.4%
▲ 15.5 pts vs FY23
vs Rural PPS hospitals22nd pctl of 387 (FY24)
One point of operating margin at SAGEWEST HEALTH CARE is about $689K per year (1% of FY24 total operating revenue).
Where SAGEWEST HEALTH CARE sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural PPS 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
One rural pps hospitalSAGEWEST HEALTHRural PPS 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
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
68,323
73,329
68,697
Other operating revenue
691
535
235
Total operating revenue
69,013
73,864
68,932
Total operating expenses
72,251
89,334
72,809
Operating income
(3,238)
(15,470)
(3,877)
Operating margin %
-4.7%
-20.9%
-5.6%
Investment income
2
—
—
Other non-operating, net
84
45
148
Net income
(3,152)
(15,425)
(3,729)
Net income %
-4.6%
-20.9%
-5.4%
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 121-bed hospital at 11% occupancy 66% 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
10.7%
Verified fact2024
HCRIS WS S-3
Average daily census
13.01
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
121
Verified fact2024
HCRIS WS S-3
Annual discharges
1,848
Verified fact2024
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
65.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
207.80
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.8%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$6.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.929
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.959238
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
FREMONT County, WY · nonmetro, urban 5–20K
Median household income
$64.6K
vs $82.1K US · $59.7K rural median
Poverty rate
12.4%
vs 12.5% US · 14.3% rural median
Uninsured
18.6%
vs 8.6% US · 8.4% rural median
Age 65+
19.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.7% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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