A hospital in O Fallon, IL. It ran an operating surplus of 6.4% in FY25 on $337.0M of operating revenue. It held 2 days of cash on hand (30th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 0.7% in FY21 to 6.4% in FY25.
Operating margin · FY25
+6.4%
▲ 6.3 pts vs FY24
vs Urban PPS hospitals65th pctl of 1,475 (FY25)
Days cash on hand · FY25
2d
all sources
▲ 0.5 days vs FY24
vs Urban PPS hospitals30th pctl of 1,386 (FY25)
Total operating revenue · FY25
$337.0M
▲ 31.2 $M vs FY24
vs Urban PPS hospitals56th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+6.6%
▲ 6.1 pts vs FY24
vs Urban PPS hospitals52nd pctl of 1,475 (FY25)
One point of operating margin at HSHS ST ELIZABETH'S HOSPITAL is about $3.4M per year (1% of FY25 total operating revenue).
Where HSHS ST ELIZABETH'S sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalHSHS STUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
296,184
305,234
336,965
Other operating revenue
1,923
498
—
Total operating revenue
298,107
305,733
336,965
Total operating expenses
305,756
305,156
315,243
Operating income
(7,649)
577
21,722
Operating margin %
-2.6%
+0.2%
+6.4%
Investment income
—
—
1,005
Other non-operating, net
1,069
1,034
(316)
Net income
(6,580)
1,611
22,411
Net income %
-2.2%
+0.5%
+6.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 124-bed hospital at 83% occupancy 58% 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
83.3%
Verified fact2025
HCRIS WS S-3
Average daily census
103.61
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
124
Verified fact2025
HCRIS WS S-3
Annual discharges
10,719
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
57.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
931.50
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.335
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.9758
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
ST. CLAIR County, IL
Median household income
$70.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
5.4%
vs 8.6% US · 8.4% rural median
Age 65+
16.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.1% of county personal income is Medicare/Medicaid medical benefits; 24.7% arrives as government transfers (BEA, 2022).
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