A hospital in Grand Forks, ND. It ran an operating loss of 4.7% in FY24 on $624.1M of operating revenue. It held 236 days of cash on hand (88th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -9.2% in FY20 to -4.7% in FY24. Including nonoperating items, the all-in result was positive at 7.8%.
Operating margin · FY24
-4.7%
▲ 0.1 pts vs FY23
vs Urban PPS hospitals30th pctl of 2,562 (FY24)
Days cash on hand · FY24
236d
all sources
▼ 49.7 days vs FY23
vs Urban PPS hospitals88th pctl of 2,354 (FY24)
Total operating revenue · FY24
$624.1M
▲ 16.0 $M vs FY23
vs Urban PPS hospitals79th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+7.8%
▼ 0.7 pts vs FY23
vs Urban PPS hospitals57th 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 ALTRU HOSPITAL is about $6.2M per year (1% of FY24 total operating revenue).
Where ALTRU HOSPITAL 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 hospitalALTRU HOSPITALUrban 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
563,637
606,229
622,024
Other operating revenue
1,699
1,943
2,099
Total operating revenue
565,337
608,171
624,123
Total operating expenses
611,237
637,308
653,149
Operating income
(45,901)
(29,137)
(29,027)
Operating margin %
-8.1%
-4.8%
-4.7%
Investment income
(32,794)
31,330
34,138
Other non-operating, net
46,945
57,350
50,107
Net income
(31,750)
59,543
55,218
Net income %
-5.5%
+8.5%
+7.8%
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 186-bed hospital at 72% occupancy 71% 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
72.2%
Verified fact2024
HCRIS WS S-3
Average daily census
134.61
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
186
Verified fact2024
HCRIS WS S-3
Annual discharges
10,840
Verified fact2024
HCRIS WS S-3
Average length of stay
4.5d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
71.2%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
2,679
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$2.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.406
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.912233
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
GRAND FORKS County, ND · metro, under 250K
Median household income
$68.5K
vs $82.1K US · $59.7K rural median
Poverty rate
13.9%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
14.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.2% of county personal income is Medicare/Medicaid medical benefits; 15.4% arrives as government transfers (BEA, 2022).
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