A hospital in Goshen, IN. It ran an operating loss of 14.6% in FY24 on $261.7M of operating revenue. It held 4 days of cash on hand (35th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -7.8% in FY20 to -14.6% in FY24, though it rose 5.2 points in the most recent year.
Operating margin · FY24
-14.6%
▲ 5.2 pts vs FY23
vs Urban PPS hospitals13th pctl of 2,562 (FY24)
Days cash on hand · FY24
4d
all sources
▲ 2.9 days vs FY23
vs Urban PPS hospitals35th pctl of 2,354 (FY24)
Total operating revenue · FY24
$261.7M
▲ 19.6 $M vs FY23
vs Urban PPS hospitals49th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-5.2%
▼ 0.0 pts vs FY23
vs Urban PPS hospitals16th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at GOSHEN HOSPITAL is about $2.6M per year (1% of FY24 total operating revenue).
Where GOSHEN HOSPITAL sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalGOSHEN HOSPITALUrban 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
FY22
FY23
FY24
Patient revenue
248,412
244,124
263,161
Other operating revenue
1,040
(2,011)
(1,476)
Total operating revenue
249,452
242,113
261,685
Total operating expenses
305,155
290,055
299,905
Operating income
(55,703)
(47,942)
(38,220)
Operating margin %
-22.3%
-19.8%
-14.6%
Grants & contributions
135
2,193
2,306
Investment income
(44,792)
29,521
19,163
Other non-operating, net
4,538
1,892
1,908
Net income
(95,822)
(14,336)
(14,843)
Net income %
-45.8%
-5.2%
-5.2%
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 93-bed hospital at 41% occupancy 75% 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
41.1%
Verified fact2024
HCRIS WS S-3
Average daily census
38.33
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
93
Verified fact2024
HCRIS WS S-3
Annual discharges
5,319
Verified fact2024
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
74.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,027
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
25.3%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.488
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
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)
0.968436
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
ELKHART County, IN · metro, under 250K
Median household income
$65.6K
vs $82.1K US · $59.7K rural median
Poverty rate
12.5%
vs 12.5% US · 14.3% rural median
Uninsured
14.7%
vs 8.6% US · 8.4% rural median
Age 65+
15.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.0% of county personal income is Medicare/Medicaid medical benefits; 18.4% arrives as government transfers (BEA, 2022).
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