Rural Emergency Hospital · Friend, NE
FRIEND COMMUNITY HEALTHCARE SYSTEM
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, 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 Friend, NE. It ran an operating loss of 3.1% in FY25 on $5.3M of operating revenue. It held 29 days of cash on hand in FY24, its most recent reported liquidity. Operating margin improved from -8.6% in FY24 to -3.1% in FY25.
Operating margin · FY25
-3.1%
▲ 5.5 pts vs FY24
vs Rural Emergency Hospitals—
Days cash on hand · FY24
29d
all sources
vs Rural Emergency Hospitals—
Total operating revenue · FY25
$5.3M
▲ 1.3 $M vs FY24
vs Rural Emergency Hospitals—
Total margin · incl. nonoperating · FY25
-0.5%
▲ 1.3 pts vs FY24
vs Rural Emergency Hospitals—
One point of operating margin at FRIEND COMMUNITY HEALTHCARE SYSTEM is about $53K per year (1% of FY25 total operating revenue).
Where FRIEND COMMUNITY HEALTHCARE sits among Rural Emergency Hospitals
Operating margin · FY24 pool · n = 22 of 38 filedThe Rural Emergency Hospital FY24 pool is small (22 with comparable finance), so a distribution isn't statistically meaningful. The cohort median operating margin is -6.6%, and this hospital is at -3.1%, shown for context, not as a ranking.
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRatios 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
-3.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-0.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
29d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.72× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
8% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
44d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
| Line item | FY24 | FY25 |
|---|---|---|
| Patient revenue | 3,856 | 5,239 |
| Other operating revenue | 86 | 44 |
| Total operating revenue | 3,942 | 5,283 |
| Total operating expenses | 4,280 | 5,447 |
| Operating income | (338) | (164) |
| Operating margin % | -8.6% | -3.1% |
| Grants & contributions | 72 | 92 |
| Investment income | 3 | 0 |
| Other non-operating, net | 186 | 46 |
| Net income | (77) | (26) |
| Net income % | -1.8% | -0.5% |
2 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24–FY25
How it operates
quality & operational context · CMS public reportingThe 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
Outpatient share of patient revenue
100.0%
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS Care Compare
Trajectory
Cost-report basis · 2 reporting years
Operating margin
Days cash on hand
FY25 days cash suppressed: out of display range.
The county this hospital serves
SALINE County, NE
Median household income
$77.0K
vs $82.1K US
Poverty rate
9.5%
vs 12.5% US
Uninsured
9.7%
vs 8.6% US
Age 65+
15.5%
vs 16.8% US
Fair or poor health
18.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.5% of county personal income is Medicare/Medicaid medical benefits; 20.6% arrives as government transfers (BEA, 2022).
What this hospital means to Saline County
economic contribution · FY25 cost reportDirect annual spending
$5.4M
total operating expense · reported
Total economic output
$12.5M
× 2.30 output multiplier · upper-bound 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). 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.