Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. 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 Williston, ND. It ran an operating loss of 10.1% in FY24 on $90.7M of operating revenue. It held 0 days of cash on hand in FY25, its most recent reported liquidity (0th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -6.3% in FY21 to -10.1% in FY24. These figures come from filings spanning FY22–FY25: read each by its own year rather than as one current picture.
Operating margin · FY24
-10.1%
vs Critical Access Hospitals24th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
vs Critical Access Hospitals0th pctl of 827 (FY25)
Total operating revenue · FY24
$90.7M
vs Critical Access Hospitals90th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY24
-8.3%
vs Critical Access Hospitals6th pctl of 824 (FY25)
One point of operating margin at CHI ST ALEXIUS HEALTH WILLISTON is about $907K per year (1% of FY24 total operating revenue).
Where CHI ST ALEXIUS sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalCHI STCritical Access 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
Medicare inpatient contribution margin
-170.6% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
-305.3% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
86,534
85,165
83,029
Other operating revenue
1,030
4,981
7,678
Total operating revenue
87,564
90,146
90,707
Total operating expenses
94,909
97,273
99,853
Operating income
(7,345)
(7,127)
(9,146)
Operating margin %
-8.4%
-7.9%
-10.1%
Grants & contributions
1,401
—
258
Investment income
30
—
921
Other non-operating, net
2,725
0
327
Net income
(3,189)
(7,127)
(7,640)
Net income %
-3.5%
-7.9%
-8.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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
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
44.3%
Verified fact2025
HCRIS WS S-3
Average daily census
11.11
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
1,613
Verified fact2025
HCRIS WS S-3
Average length of stay
2.5d
Verified fact2025
HCRIS WS S-3
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
242%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
WILLIAMS County, ND
Median household income
$90.2K
vs $82.1K US · $59.7K rural median
Poverty rate
8.8%
vs 12.5% US · 14.3% rural median
Uninsured
11.7%
vs 8.6% US · 8.4% rural median
Age 65+
9.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.8% of county personal income is Medicare/Medicaid medical benefits; 9.7% arrives as government transfers (BEA, 2022).
What this hospital means to Williams County
economic contribution · FY25 cost report
Direct annual spending
$104.9M
total operating expense · reported
Total economic output
$241.2M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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