A hospital in Kalamazoo, MI. It ran an operating loss of 15.6% in FY25 on $431.1M of operating revenue. It held 12 days of cash on hand (44th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -6.0% in FY21 to -15.6% in FY25, though it rose 13.4 points in the most recent year.
Operating margin · FY25
-15.6%
▲ 13.4 pts vs FY24
vs Urban PPS hospitals14th pctl of 1,475 (FY25)
Days cash on hand · FY25
12d
all sources
▼ 21.4 days vs FY24
vs Urban PPS hospitals44th pctl of 1,386 (FY25)
Total operating revenue · FY25
$431.1M
▲ 55.6 $M vs FY24
vs Urban PPS hospitals65th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-9.0%
▲ 19.6 pts vs FY24
vs Urban PPS hospitals10th pctl of 1,475 (FY25)
One point of operating margin at BORGESS MEDICAL CENTER is about $4.3M per year (1% of FY25 total operating revenue).
Where BORGESS MEDICAL CENTER 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 hospitalBORGESS MEDICALUrban 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
373,568
360,343
431,136
Other operating revenue
35,474
15,220
9
Total operating revenue
409,042
375,563
431,144
Total operating expenses
509,526
484,466
498,239
Operating income
(100,484)
(108,903)
(67,095)
Operating margin %
-24.6%
-29.0%
-15.6%
Grants & contributions
174
169
293
Investment income
(2,447)
(2,170)
(100)
Other non-operating, net
4,340
3,111
25,772
Net income
(98,417)
(107,793)
(41,130)
Net income %
-23.9%
-28.6%
-9.0%
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 217-bed hospital at 50% occupancy 48% 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
49.6%
Verified fact2025
HCRIS WS S-3
Average daily census
107.93
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
217
Verified fact2025
HCRIS WS S-3
Annual discharges
11,019
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
48.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,681
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
This measure was calculated using partial performance period data due to a CMS-approved exception.
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
Kalamazoo County, MI
Median household income
$70.5K
vs $82.1K US · $59.7K rural median
Poverty rate
13.3%
vs 12.5% US · 14.3% rural median
Uninsured
5.0%
vs 8.6% US · 8.4% rural median
Age 65+
15.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.0% of county personal income is Medicare/Medicaid medical benefits; 17.9% arrives as government transfers (BEA, 2022).
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