Astrelis
Rural PPS hospital · Bemidji, MN

SANFORD BEMIDJI MEDICAL CENTER

CCN 240100BELTRAMI CountyVoluntary non-profit - PrivateRural (USDA RUCC)96 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Bemidji, MN. It ran an operating loss of 3.2% in FY24 on $430.5M of operating revenue. It held 0 days of cash on hand (14th percentile among Rural PPS hospitals on liquidity). Operating margin improved from -15.1% in FY20 to -3.2% in FY24, though it fell 0.6 points in the most recent year.

Operating margin · FY24
-3.2%
0.6 pts vs FY23
vs Rural PPS hospitals42nd pctl of 387 (FY24)
Days cash on hand · FY24
0d
all sources
0.0 days vs FY23
vs Rural PPS hospitals14th pctl of 376 (FY24)
Total operating revenue · FY24
$430.5M
34.6 $M vs FY23
vs Rural PPS hospitals95th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
-1.2%
0.5 pts vs FY23
vs Rural PPS hospitals32nd pctl of 387 (FY24)
One point of operating margin at SANFORD BEMIDJI MEDICAL CENTER is about $4.3M per year (1% of FY24 total operating revenue).

Where SANFORD BEMIDJI MEDICAL sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%SANFORD BEMIDJI -3.190075115383891%-20%0%+20%Rural PPS hospital median -0.8727424997636124%SANFORD BEMIDJI -3.190075115383891%
One rural pps hospitalSANFORD BEMIDJIRural 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.

Operating margin
-3.2% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-1.2% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
5.31× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
81% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
49d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue312,586343,929375,298
Other operating revenue11151,98055,199
Total operating revenue312,697395,909430,498
Total operating expenses373,960406,105444,231
Operating income(61,264)(10,196)(13,733)
Operating margin %-19.6%-2.6%-3.2%
Grants & contributions7,3726,8258,661
Investment income192(1)9
Other non-operating, net40,831536(199)
Net income(12,869)(2,836)(5,262)
Net income %-3.6%-0.7%-1.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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
FY24 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 96-bed hospital at 46% occupancy 78% 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
46.3%
Verified fact2024
HCRIS WS S-3
Average daily census
43.90
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
96
Verified fact2024
HCRIS WS S-3
Annual discharges
5,732
Verified fact2024
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
77.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,667
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.5%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$16.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
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
0.91
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.019001
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-15.1%-6.1%-19.6%-2.6%-3.2%FY20FY21FY22FY23FY24
Days cash on hand
2 days1 day0 days0 days0 daysFY20FY21FY22FY23FY24

The county this hospital serves

BELTRAMI County, MN · nonmetro, urban 5–20K
Median household income
$67.3K
vs $82.1K US · $59.7K rural median
Poverty rate
16.0%
vs 12.5% US · 14.3% rural median
Uninsured
7.8%
vs 8.6% US · 8.4% rural median
Age 65+
17.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.0% of county personal income is Medicare/Medicaid medical benefits; 30.2% arrives as government transfers (BEA, 2022).

What this hospital means to Beltrami County

economic contribution · FY24 cost report
Direct annual spending
$444.2M
total operating expense · reported
Total economic output
$1.02B
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
8.0%
of all county jobs
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-24