Astrelis
Skilled nursing facility · Middletown, CT

MIDDLESEX HEALTH CARE CENTER

CCN 075106NEW HAVEN CountyLatest FY 2024
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Days cash on hand: 0 days in FY2024. Total operating revenue: $2.0M in FY2024. Operating margin: -124.7% in FY2024. Total margin (including nonoperating): -124.5% in FY2024. Figures as filed; not audited by Astrelis.

The read

A skilled nursing facility in Middletown, CT. It ran an operating loss of 124.7% in FY24 on $2.0M of operating revenue. It held 0 days of cash on hand. 5 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited.

Days cash on hand · FY24
0d
all sources
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Total operating revenue · FY24
$2.0M
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Operating margin · FY24
-124.7%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Total margin · incl. nonoperating · FY24
-124.5%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this skilled nursing facility 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
-124.7% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-124.5% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
0d (FY24)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
0.07× (FY24)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
-836% (FY24)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
187d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24 · 136 days
Patient revenue12,1096,4731,982
Total operating revenue12,1096,4731,982
Total operating expenses15,90313,3334,454
Operating income(3,794)(6,860)(2,472)
Operating margin %-31.3%-106.0%-124.7%
Other non-operating, net03602
Net income(3,794)(6,500)(2,471)
Net income %-31.3%-95.1%-124.5%
— = Not reported in source for that year.
HCRIS Worksheet G-3 (SNF) · $ thousands · FY20–FY24 · operating revenue reflects net patient revenue (the SNF form carries no other-operating split) · FY20–21 may include COVID-era relief funding in other income
Display states. FY24 · Operating margin: -124.7% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100% of net patient revenue — a valid filing can produce this; this year enters no peer pool)FY24 · Total margin: -124.5% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100% of total revenue — a valid filing can produce this; this year enters no peer pool)FY23 · Operating margin: -106.0% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100% of net patient revenue — a valid filing can produce this; the pool absorbs it)FY23 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (outside the 0–1,500-day expected range — a valid filing can produce this; the pool absorbs it)

How it operates

quality & operational context · CMS public reporting

The metrics this skilled nursing facility 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.

Occupancy
32.4%
Astrelis calculation2024
HCRIS WS S-1 (SNF cost report)
Medicare day share
1.1%
Astrelis calculation2024
HCRIS WS S-1 (SNF cost report)
Medicaid day share
96.5%
Astrelis calculation2024
HCRIS WS S-1 (SNF cost report)
Other payer day share
2.4%
Astrelis calculation2024
HCRIS WS S-1 (SNF cost report)

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-3.5%-16.7%-31.3%-106.0%-124.7%FY20FY21FY22FY23FY24
Days cash on hand
31 days2 days1 day-1 day0 daysFY20FY21FY22FY23FY24

The county this skilled nursing facility serves

NEW HAVEN County, CT
Median household income
Not available
vs $82.1K US · $59.7K rural median
Poverty rate
Not available
vs 12.5% US · 14.3% rural median
Uninsured
Not available
vs 8.6% US · 8.4% rural median
Age 65+
Not available
vs 16.8% US · 20.6% rural median
Fair or poor health
Not available
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.2% of county personal income is Medicare/Medicaid medical benefits; 15.1% arrives as government transfers (BEA, 2022).
Operating margin (as filed)FY24Astrelis calculation

-124.7% operating margin in FY24.

The Board Briefing

What changed, what matters, and what your board should ask — every figure sourced to the public record.

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Report coverage: Historical Facility Benchmark. 8 of 17 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.

SNF Performance Benchmark

Your facility against its matched peer cohort, every arithmetic benchmark difference dollarized against the cohort median.

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Middlesex Health Care Center", https://astrelis.co/providers/snf/075106, 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/providers/snf/075106.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.

build 2321a4fc37a7 · 2026-10-22 · dev