Financial anchor year: FY24. Margin and revenue are as filed for FY24. Days cash on hand is FY22, 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 surplus of 19.9% in FY24 on $1121.8M of operating revenue. It held 12 days of cash on hand in FY22, its most recent reported liquidity (43rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.3% in FY20 to 19.9% in FY24.
Operating margin · FY24
+19.9%
▲ 28.5 pts vs FY23
vs Urban PPS hospitals89th pctl of 2,562 (FY24)
Days cash on hand · FY22
12d
all sources
vs Urban PPS hospitals43rd pctl of 2,354 (FY24)
Total operating revenue · FY24
$1.12B
▲ 362.2 $M vs FY23
vs Urban PPS hospitals90th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+20.1%
▲ 7.8 pts vs FY23
vs Urban PPS hospitals87th 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 BISMARCK is about $11.2M 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
717,295
759,249
938,276
Other operating revenue
124,421
361
183,547
Total operating revenue
841,717
759,610
1,121,822
Total operating expenses
755,365
824,583
898,111
Operating income
86,352
(64,973)
223,711
Operating margin %
+10.3%
-8.6%
+19.9%
Other non-operating, net
2,069
180,740
1,771
Net income
88,421
115,767
225,482
Net income %
+10.5%
+12.3%
+20.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22, FY23, FY24 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
A 212-bed hospital at 72% occupancy 73% 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
71.8%
Verified fact2024
HCRIS WS S-3
Average daily census
152.04
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
212
Verified fact2024
HCRIS WS S-3
Annual discharges
12,423
Verified fact2024
HCRIS WS S-3
Average length of stay
4.5d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
73.0%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
2,994
Verified fact2024
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$11.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.265
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.9%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.061031
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 · metro, under 250K
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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