Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Grand Island, NE. It ran an operating loss of 2.1% in FY25 on $151.4M of operating revenue. It held 280 days of cash on hand (90th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.1% in FY21 to -2.1% in FY25. Including nonoperating items, the all-in result was positive at 21.1%. These figures come from filings spanning FY22–FY25: read each by its own year rather than as one current picture.
Operating margin · FY25
-2.1%
▲ 4.7 pts vs FY24
vs Urban PPS hospitals39th pctl of 1,475 (FY25)
Days cash on hand · FY25
280d
all sources
▲ 70.8 days vs FY24
vs Urban PPS hospitals90th pctl of 1,386 (FY25)
Total operating revenue · FY25
$151.4M
▲ 15.2 $M vs FY24
vs Urban PPS hospitals31st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+21.1%
▲ 4.1 pts vs FY24
vs Urban PPS hospitals88th pctl of 1,475 (FY25)
One point of operating margin at CHI HEALTH ST. FRANCIS is about $1.5M per year (1% of FY25 total operating revenue).
Where CHI HEALTH ST. 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 hospitalCHI HEALTHUrban 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
116,489
119,745
140,791
Other operating revenue
3,398
16,487
10,598
Total operating revenue
119,887
136,233
151,389
Total operating expenses
145,368
145,461
154,548
Operating income
(25,481)
(9,228)
(3,159)
Operating margin %
-21.3%
-6.8%
-2.1%
Grants & contributions
216
131
189
Investment income
11,236
36,987
36,048
Other non-operating, net
19,021
1,890
8,326
Net income
4,992
29,780
41,404
Net income %
+3.3%
+17.0%
+21.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 115-bed hospital at 36% occupancy 47% 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
35.8%
Verified fact2025
HCRIS WS S-3
Average daily census
41.28
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
115
Verified fact2025
HCRIS WS S-3
Annual discharges
4,455
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
47.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
486.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
26.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.266
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
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)
0.862957
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
HALL County, NE
Median household income
$67.5K
vs $82.1K US · $59.7K rural median
Poverty rate
11.8%
vs 12.5% US · 14.3% rural median
Uninsured
12.4%
vs 8.6% US · 8.4% rural median
Age 65+
15.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.6% of county personal income is Medicare/Medicaid medical benefits; 18.9% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
