Financial anchor year: FY24. Margin and revenue are as filed for FY24. Days cash on hand is FY25, 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 Bismarck, ND. It ran an operating loss of 36.1% in FY24 on $253.9M of operating revenue. It held 0 days of cash on hand in FY25, its most recent reported liquidity (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -40.3% in FY21 to -36.1% in FY24, though it fell 1.9 points in the most recent year.
Operating margin · FY24
-36.1%
vs Urban PPS hospitals4th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY24
$253.9M
vs Urban PPS hospitals47th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY24
-30.5%
vs Urban PPS hospitals2nd pctl of 1,475 (FY25)
One point of operating margin at CHI ST ALEXIUS HEALTH is about $2.5M per year (1% of FY24 total operating revenue).
Where CHI ST ALEXIUS 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 STUrban 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.
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
249,130
231,431
220,547
Other operating revenue
5,986
6,717
33,346
Total operating revenue
255,117
238,148
253,893
Total operating expenses
320,585
319,564
345,545
Operating income
(65,468)
(81,416)
(91,652)
Operating margin %
-25.7%
-34.2%
-36.1%
Grants & contributions
184
—
673
Investment income
53
69
—
Other non-operating, net
13,893
10,477
10,243
Net income
(51,338)
(70,870)
(80,736)
Net income %
-19.1%
-28.5%
-30.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22 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
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
53.7%
Verified fact2025
HCRIS WS S-3
Average daily census
76.53
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
142
Verified fact2025
HCRIS WS S-3
Annual discharges
6,142
Verified fact2025
HCRIS WS S-3
Average length of stay
4.5d
Verified fact2025
HCRIS WS S-3
Total FTEs
945.60
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.62
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.168261
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
BURLEIGH County, ND
Median household income
$84.9K
vs $82.1K US · $59.7K rural median
Poverty rate
8.2%
vs 12.5% US · 14.3% rural median
Uninsured
4.7%
vs 8.6% US · 8.4% rural median
Age 65+
17.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.7% of county personal income is Medicare/Medicaid medical benefits; 13.9% arrives as government transfers (BEA, 2022).
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