Astrelis
Critical Access Hospital · Torrington, WY

COMMUNITY HOSPITAL

CCN 531307GOSHEN CountyVoluntary non-profit - Private25 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Torrington, WY. It ran an operating loss of 5.4% in FY24 on $43.3M of operating revenue. It held 0 days of cash on hand (4th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -9.5% in FY20 to -5.4% in FY24, though it fell 1.7 points in the most recent year.

Operating margin · FY24
-5.4%
1.7 pts vs FY23
vs Critical Access Hospitals36th pctl of 1,340 (FY24)
Days cash on hand · FY24
0d
all sources
0.0 days vs FY23
vs Critical Access Hospitals4th pctl of 1,325 (FY24)
Total operating revenue · FY24
$43.3M
2.7 $M vs FY23
vs Critical Access Hospitals67th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-4.6%
4.3 pts vs FY23
vs Critical Access Hospitals16th 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 COMMUNITY HOSPITAL is about $433K per year (1% of FY24 total operating revenue).

Where COMMUNITY 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.
-20%-10%0%+10%+20%Critical Access Hospital median -1.8424776517003405%COMMUNITY HOSPITAL -5.398720347762685%-20%0%+20%Critical Access Hospital median -1.8424776517003405%COMMUNITY HOSPITAL -5.398720347762685%
One critical access hospitalCOMMUNITY HOSPITALCritical 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.

Operating margin
-5.4% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-4.6% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.44× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
79% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
52d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+31.0% (FY24)
55th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+60.9% (FY24)
71st percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY22FY23FY24
Patient revenue35,73840,60843,301
Other operating revenue355139
Total operating revenue35,77340,65943,340
Total operating expenses38,41842,17045,680
Operating income(2,645)(1,511)(2,340)
Operating margin %-7.4%-3.7%-5.4%
Other non-operating, net6741,400338
Net income(1,971)(111)(2,002)
Net income %-5.4%-0.3%-4.6%
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 20% occupancy where swing beds are 41% of the inpatient business and 81% 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
20.1%
Verified fact2024
HCRIS WS S-3
Average daily census
5.04
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2024
HCRIS WS S-3
Annual discharges
653
Verified fact2024
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
3.50
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
41.0%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.9%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.0M
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
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-9.5%-4.8%-7.4%-3.7%-5.4%FY20FY21FY22FY23FY24
Days cash on hand
0 days0 days0 days0 days0 daysFY20FY21FY22FY23FY24

The county this hospital serves

GOSHEN County, WY
Median household income
$64.9K
vs $82.1K US · $59.7K rural median
Poverty rate
12.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.5%
vs 8.6% US · 8.4% rural median
Age 65+
23.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.2% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).

What this hospital means to Goshen County

economic contribution · FY24 cost report
Direct annual spending
$45.7M
total operating expense · reported
Total economic output
$105.1M
× 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.

CAH Performance Benchmark$2,500Founding Edition

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.

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