A hospital in Fargo, ND. It ran an operating surplus of 6.1% in FY24 on $2057.7M of operating revenue. It held 1 day of cash on hand (28th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 8.1% in FY20 to 6.1% in FY24.
Operating margin · FY24
+6.1%
▼ 1.8 pts vs FY23
vs Urban PPS hospitals62nd pctl of 2,562 (FY24)
Days cash on hand · FY24
1d
all sources
▼ 0.1 days vs FY23
vs Urban PPS hospitals28th pctl of 2,354 (FY24)
Total operating revenue · FY24
$2.06B
▲ 144.4 $M vs FY23
vs Urban PPS hospitals97th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+6.1%
▼ 2.2 pts vs FY23
vs Urban PPS hospitals51st 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 SANFORD MEDICAL CENTER FARGO is about $20.6M per year (1% of FY24 total operating revenue).
Where SANFORD MEDICAL CENTER 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 hospitalSANFORD MEDICALUrban 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
1,510,715
1,585,071
1,642,724
Other operating revenue
266,400
328,216
414,946
Total operating revenue
1,777,115
1,913,287
2,057,669
Total operating expenses
1,713,856
1,761,517
1,931,613
Operating income
63,259
151,770
126,056
Operating margin %
+3.6%
+7.9%
+6.1%
Grants & contributions
4,494
2,876
3,041
Other non-operating, net
(5,185)
3,119
(3,988)
Net income
62,568
157,765
125,109
Net income %
+3.5%
+8.2%
+6.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 384-bed hospital at 72% occupancy 69% 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
72.0%
Verified fact2024
HCRIS WS S-3
Average daily census
268.45
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
384
Verified fact2024
HCRIS WS S-3
Annual discharges
24,646
Verified fact2024
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
68.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
6,847
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.1%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$46.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.255
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.04
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.072519
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
CASS County, ND · metro, under 250K
Median household income
$75.0K
vs $82.1K US · $59.7K rural median
Poverty rate
10.3%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
12.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.2% of county personal income is Medicare/Medicaid medical benefits; 11.4% arrives as government transfers (BEA, 2022).
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