CCN 230241ST. CLAIR CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)18 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in East China, MI. It ran an operating loss of 74.6% in FY25 on $17.3M of operating revenue. It held 43 days of cash on hand (56th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -20.8% in FY21 to -74.6% in FY25.
Operating margin · FY25
-74.6%
▲ 0.3 pts vs FY24
vs Urban PPS hospitals1st pctl of 1,475 (FY25)
Days cash on hand · FY25
43d
all sources
▲ 8.3 days vs FY24
vs Urban PPS hospitals56th pctl of 1,386 (FY25)
Total operating revenue · FY25
$17.3M
▼ 0.2 $M vs FY24
vs Urban PPS hospitals3rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-58.6%
▼ 1.3 pts vs FY24
vs Urban PPS hospitals0th pctl of 1,475 (FY25)
One point of operating margin at ASCENSION RIVER DISTRICT HOSPITAL is about $173K per year (1% of FY25 total operating revenue).
Where ASCENSION RIVER DISTRICT 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 hospitalASCENSION RIVERUrban 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
24,326
17,450
17,268
Total operating revenue
24,326
17,450
17,268
Total operating expenses
37,101
30,509
30,143
Operating income
(12,774)
(13,059)
(12,875)
Operating margin %
-52.5%
-74.8%
-74.6%
Grants & contributions
6
1
—
Investment income
(132)
532
606
Other non-operating, net
1,453
1,412
1,137
Net income
(11,447)
(11,114)
(11,132)
Net income %
-44.6%
-57.3%
-58.6%
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
FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 18-bed hospital at 17% 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
17.4%
Verified fact2025
HCRIS WS S-3
Average daily census
3.13
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
18
Verified fact2025
HCRIS WS S-3
Annual discharges
410
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
86.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
108.10
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.5%
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.; Results cannot be calculated for this reporting period.; 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
The number of cases/patients is too few to report.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
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
ST. CLAIR County, MI
Median household income
$69.3K
vs $82.1K US · $59.7K rural median
Poverty rate
11.0%
vs 12.5% US · 14.3% rural median
Uninsured
4.8%
vs 8.6% US · 8.4% rural median
Age 65+
19.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.1% of county personal income is Medicare/Medicaid medical benefits; 25.0% arrives as government transfers (BEA, 2022).
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