A hospital in Howell, MI. It ran an operating surplus of 16.9% in FY25 on $243.5M of operating revenue. It held 1 day of cash on hand (25th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 7.2% in FY21 to 16.9% in FY25.
Operating margin · FY25
+16.9%
vs Urban PPS hospitals86th pctl of 1,475 (FY25)
Days cash on hand · FY25
1d
all sources
vs Urban PPS hospitals25th pctl of 1,386 (FY25)
Total operating revenue · FY25
$243.5M
vs Urban PPS hospitals46th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+19.2%
vs Urban PPS hospitals85th pctl of 1,475 (FY25)
One point of operating margin at TRINITY HEALTH LIVINGSTON HOSPITAL is about $2.4M per year (1% of FY25 total operating revenue).
Where TRINITY HEALTH LIVINGSTON 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 hospitalTRINITY HEALTHUrban 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
200,432
213,031
243,544
Total operating revenue
200,432
213,031
243,544
Total operating expenses
169,872
184,639
202,488
Operating income
30,560
28,392
41,056
Operating margin %
+15.2%
+13.3%
+16.9%
Grants & contributions
349
270
42
Other non-operating, net
5,405
6,022
6,839
Net income
36,314
34,684
47,937
Net income %
+17.6%
+15.8%
+19.1%
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 38-bed hospital at 77% occupancy 86% 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
76.7%
Verified fact2025
HCRIS WS S-3
Average daily census
29.24
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
38
Verified fact2025
HCRIS WS S-3
Annual discharges
3,622
Verified fact2025
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
86.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
689
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.341
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.918798
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
LIVINGSTON County, MI
Median household income
$101.3K
vs $82.1K US · $59.7K rural median
Poverty rate
4.9%
vs 12.5% US · 14.3% rural median
Uninsured
3.0%
vs 8.6% US · 8.4% rural median
Age 65+
19.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 4.6% of county personal income is Medicare/Medicaid medical benefits; 14.3% arrives as government transfers (BEA, 2022).
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