Astrelis
Urban PPS hospital · Mishawaka, IN

SAINT JOSEPH REGIONAL MEDICAL CENTER

CCN 150012St. Joseph CountyVoluntary non-profit - PrivateUrban (USDA RUCC)213 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. Days cash on hand is FY23, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Mishawaka, IN. It ran an operating surplus of 3.6% in FY25 on $413.4M of operating revenue. It held 20 days of cash on hand in FY23, its most recent reported liquidity (48th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 2.4% in FY21 to 3.6% in FY25.

Operating margin · FY25
+3.6%
6.1 pts vs FY24
vs Urban PPS hospitals57th pctl of 1,475 (FY25)
Days cash on hand · FY23
20d
all sources
10.8 days vs FY22
vs Urban PPS hospitals48th pctl of 1,386 (FY25)
Total operating revenue · FY25
$413.4M
39.6 $M vs FY24
vs Urban PPS hospitals63rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+4.0%
6.4 pts vs FY24
vs Urban PPS hospitals41st pctl of 1,475 (FY25)
One point of operating margin at SAINT JOSEPH REGIONAL MEDICAL CENTER is about $4.1M per year (1% of FY25 total operating revenue).

Where SAINT JOSEPH REGIONAL 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%SAINT JOSEPH +3.6135165396273066%-20%0%+20%Urban PPS hospital median +1.3311360264910879%SAINT JOSEPH +3.6135165396273066%
One urban pps hospitalSAINT JOSEPHUrban 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.

Operating margin
+3.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+4.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
20d (FY23)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.25× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
6% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue355,100370,264409,460
Other operating revenue6,6713,5913,969
Total operating revenue361,771373,855413,428
Total operating expenses380,434383,199398,489
Operating income(18,663)(9,344)14,939
Operating margin %-5.2%-2.5%+3.6%
Other non-operating, net3041961,605
Net income(18,359)(9,148)16,544
Net income %-5.1%-2.4%+4.0%
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 213-bed hospital at 51% occupancy 57% 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
50.5%
Verified fact2025
HCRIS WS S-3
Average daily census
107.91
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
213
Verified fact2025
HCRIS WS S-3
Annual discharges
11,826
Verified fact2025
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
56.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,386
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.255
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.116386
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+2.4%-10.7%-5.2%-2.5%+3.6%FY21FY22FY23FY24FY25
Days cash on hand
14 days9 days20 daysFY21FY22FY23FY24FY25
FY25 days cash suppressed: out of display range.

The county this hospital serves

St. Joseph County, IN
Median household income
$64.9K
vs $82.1K US · $59.7K rural median
Poverty rate
14.6%
vs 12.5% US · 14.3% rural median
Uninsured
7.3%
vs 8.6% US · 8.4% rural median
Age 65+
16.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.7% of county personal income is Medicare/Medicaid medical benefits; 21.3% arrives as government transfers (BEA, 2022).

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