Financial anchor year: FY25. Margin and revenue are as filed for FY25. Days cash on hand is FY21, 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 Escanaba, MI. It ran an operating surplus of 8.3% in FY25 on $138.9M of operating revenue. It held 3 days of cash on hand in FY21, its most recent reported liquidity (16th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -27.5% in FY20 to 8.3% in FY25. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.
Operating margin · FY25
+8.3%
vs Critical Access Hospitals77th pctl of 824 (FY25)
Days cash on hand · FY21
3d
all sources
vs Critical Access Hospitals16th pctl of 827 (FY25)
Total operating revenue · FY25
$138.9M
vs Critical Access Hospitals97th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+8.0%
vs Critical Access Hospitals57th pctl of 824 (FY25)
One point of operating margin at OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP is about $1.4M per year (1% of FY25 total operating revenue).
Where OSF ST FRANCIS sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalOSF STCritical Access 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
Medicare inpatient contribution margin
+17.6% (FY25)
33rd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+59.9% (FY25)
67th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
114,119
123,038
136,566
Other operating revenue
2,263
2,742
2,285
Total operating revenue
116,382
125,780
138,851
Total operating expenses
104,619
118,896
127,341
Operating income
11,764
6,884
11,510
Operating margin %
+10.1%
+5.5%
+8.3%
Grants & contributions
—
1,198
482
Investment income
0
268
183
Other non-operating, net
1,258
1,094
(867)
Net income
13,022
9,444
11,308
Net income %
+11.1%
+7.4%
+8.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY23, FY24, 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 25-bed hospital at 46% occupancy 88% 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
46.0%
Verified fact2025
HCRIS WS S-3
Average daily census
11.54
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
1,436
Verified fact2025
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
2.05
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
15.1%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
88.0%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$9.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.738
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
FY25 days cash suppressed: out of display range.
The county this hospital serves
DELTA County, MI · nonmetro, urban 20K+
Median household income
$54.8K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
25.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.8% of county personal income is Medicare/Medicaid medical benefits; 34.2% arrives as government transfers (BEA, 2022).
What this hospital means to Delta County
economic contribution · FY25 cost report
Direct annual spending
$127.3M
total operating expense · reported
Total economic output
$292.9M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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