A hospital in Fargo, ND. It ran an operating loss of 2.2% in FY25 on $633.9M of operating revenue. It held 15 days of cash on hand (46th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 0.8% in FY21 to -2.2% in FY25. Including nonoperating items, the all-in result was positive at 0.4%.
Operating margin · FY25
-2.2%
▼ 0.6 pts vs FY24
vs Urban PPS hospitals39th pctl of 1,475 (FY25)
Days cash on hand · FY25
15d
all sources
▼ 3.3 days vs FY24
vs Urban PPS hospitals46th pctl of 1,386 (FY25)
Total operating revenue · FY25
$633.9M
▲ 49.6 $M vs FY24
vs Urban PPS hospitals77th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+0.4%
▲ 0.2 pts vs FY24
vs Urban PPS hospitals27th pctl of 1,475 (FY25)
One point of operating margin at ESSENTIA HEALTH is about $6.3M per year (1% of FY25 total operating revenue).
Where ESSENTIA HEALTH 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 hospitalESSENTIA HEALTHUrban 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
FY23
FY24
FY25
Patient revenue
537,912
582,079
633,086
Other operating revenue
(2,541)
2,220
785
Total operating revenue
535,371
584,299
633,871
Total operating expenses
566,173
593,265
647,556
Operating income
(30,802)
(8,966)
(13,685)
Operating margin %
-5.8%
-1.5%
-2.2%
Investment income
(142)
1
30
Other non-operating, net
14,763
10,291
16,276
Net income
(16,181)
1,326
2,621
Net income %
-2.9%
+0.2%
+0.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 84-bed hospital at 74% occupancy 75% 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
73.6%
Verified fact2025
HCRIS WS S-3
Average daily census
62.01
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
84
Verified fact2025
HCRIS WS S-3
Annual discharges
9,398
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
74.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,905
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.237
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
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)
0.766276
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
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).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
