Astrelis
Critical Access Hospital · Litchfield, IL

ST FRANCIS HOSPITAL

CCN 141350MONTGOMERY CountyVoluntary non-profit - Church25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Litchfield, IL. It ran an operating surplus of 14.0% in FY25 on $59.5M of operating revenue. It held 1,047 days of cash on hand (99th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 17.1% in FY21 to 14.0% in FY25.

Operating margin · FY25
+14.0%
0.7 pts vs FY24
vs Critical Access Hospitals86th pctl of 824 (FY25)
Days cash on hand · FY25
1,047d
all sources
140.0 days vs FY24
vs Critical Access Hospitals99th pctl of 827 (FY25)
Total operating revenue · FY25
$59.5M
1.0 $M vs FY24
vs Critical Access Hospitals78th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+22.2%
0.0 pts vs FY24
vs Critical Access Hospitals91st pctl of 824 (FY25)
One point of operating margin at ST FRANCIS HOSPITAL is about $595K per year (1% of FY25 total operating revenue).

Where ST FRANCIS HOSPITAL sits among Critical Access Hospitals

Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -0.24974129749702573%ST FRANCIS +14.009313428821194%-20%0%+20%Critical Access Hospital median -0.24974129749702573%ST FRANCIS +14.009313428821194%
One critical access hospitalST FRANCISCritical 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
+14.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+22.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1047d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.63× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
90% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
45d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+35.6% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+66.7% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue61,61260,45258,956
Other operating revenue62937528
Total operating revenue62,24160,48959,484
Total operating expenses50,92051,60251,151
Operating income11,3218,8878,333
Operating margin %+18.2%+14.7%+14.0%
Grants & contributions1176515
Investment income7542,9546,150
Other non-operating, net5,3032,287162
Net income17,49514,19314,660
Net income %+25.6%+21.6%+22.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · 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 36% of the inpatient business and 92% 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
19.6%
Verified fact2025
HCRIS WS S-3
Average daily census
4.92
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
730
Verified fact2025
HCRIS WS S-3
Average length of stay
2.5d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
2.74
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
35.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
92.1%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Pricing

Pilot · FY25
Commercial rates vs Medicare
608%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
Hospital price files + Medicare rates

Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+17.1%+15.8%+18.2%+14.7%+14.0%FY21FY22FY23FY24FY25
Days cash on hand
803 days751 days803 days907 days1,047 daysFY21FY22FY23FY24FY25

The county this hospital serves

MONTGOMERY County, IL
Median household income
$61.9K
vs $82.1K US · $59.7K rural median
Poverty rate
13.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.5%
vs 8.6% US · 8.4% rural median
Age 65+
21.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.1% of county personal income is Medicare/Medicaid medical benefits; 31.8% arrives as government transfers (BEA, 2022).

What this hospital means to Montgomery County

economic contribution · FY25 cost report
Direct annual spending
$51.2M
total operating expense · reported
Total economic output
$117.6M
× 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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