A hospital in Billings, MT. It ran an operating loss of 11.4% in FY24 on $1003.7M of operating revenue. It held 157 days of cash on hand (80th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 17.6% in FY21 to -11.4% in FY24.
Operating margin · FY24
-11.4%
vs Urban PPS hospitals17th pctl of 2,562 (FY24)
Days cash on hand · FY24
157d
all sources
vs Urban PPS hospitals80th pctl of 2,354 (FY24)
Total operating revenue · FY24
$1.00B
vs Urban PPS hospitals89th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-6.2%
vs Urban PPS hospitals14th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at BILLINGS CLINIC is about $10.0M per year (1% of FY24 total operating revenue).
Where BILLINGS CLINIC sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalBILLINGS CLINICUrban 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
FY22
FY23
FY24
Patient revenue
854,158
477,136
923,542
Other operating revenue
4,380
35,772
80,169
Total operating revenue
858,538
512,908
1,003,711
Total operating expenses
922,587
512,319
1,117,669
Operating income
(64,049)
589
(113,958)
Operating margin %
-7.5%
+0.1%
-11.4%
Investment income
—
—
48,354
Other non-operating, net
17,529
0
0
Net income
(46,520)
589
(65,604)
Net income %
-5.3%
+0.1%
-6.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 273-bed hospital at 71% occupancy 61% 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
70.6%
Verified fact2024
HCRIS WS S-3
Average daily census
197.35
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
273
Verified fact2024
HCRIS WS S-3
Annual discharges
15,752
Verified fact2024
HCRIS WS S-3
Average length of stay
4.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
60.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
4,087
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.3%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$8.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.207
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.865369
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
The county this hospital serves
YELLOWSTONE County, MT · metro, under 250K
Median household income
$74.4K
vs $82.1K US · $59.7K rural median
Poverty rate
10.2%
vs 12.5% US · 14.3% rural median
Uninsured
6.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 16.7% arrives as government transfers (BEA, 2022).
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