Astrelis
Psychiatric hospital · Fargo, ND

PRAIRIE ST JOHN'S

CCN 354004CASS CountyProprietaryUrban (USDA RUCC)132 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Fargo, ND. It ran an operating surplus of 16.1% in FY25 on $45.9M of operating revenue. It held 244 days of cash on hand (94th percentile among Psychiatric hospitals on liquidity). Operating margin declined from 27.1% in FY20 to 16.1% in FY25, though it rose 21.0 points in the most recent year.

Operating margin · FY25
+16.1%
21.0 pts vs FY24
vs Psychiatric hospitals73rd pctl of 437 (FY24)
Days cash on hand · FY25
244d
all sources
36.2 days vs FY24
vs Psychiatric hospitals94th pctl of 376 (FY24)
Total operating revenue · FY25
$45.9M
4.3 $M vs FY24
vs Psychiatric hospitals80th pctl of 509 (FY24)
Total margin · incl. nonoperating · FY25
+16.1%
21.0 pts vs FY24
vs Psychiatric hospitals70th pctl of 434 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=437).
One point of operating margin at PRAIRIE ST JOHN'S is about $459K per year (1% of FY25 total operating revenue).

Where PRAIRIE ST JOHN'S sits among Psychiatric hospitals

Operating margin · FY24 pool · n = 437 of 610 filed

Each point is one Psychiatric 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 Psychiatric hospital median is +4.8%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=437).
-20%-10%0%+10%+20%Psychiatric hospital median +4.788257940327237%PRAIRIE ST +16.09193900351501%-20%0%+20%Psychiatric hospital median +4.788257940327237%PRAIRIE ST +16.09193900351501%
One psychiatric hospitalPRAIRIE STPsychiatric 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.

Operating margin
+16.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+16.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
244d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue41,50241,52045,880
Other operating revenue335937
Total operating revenue41,53641,57945,917
Total operating expenses38,62143,63138,529
Operating income2,914(2,052)7,389
Operating margin %+7.0%-4.9%+16.1%
Other non-operating, net292928
Net income2,943(2,023)7,417
Net income %+7.1%-4.9%+16.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 132-bed hospital at 79% occupancy 18% 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
79.2%
Verified fact2025
HCRIS WS S-3
Average daily census
104.77
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
132
Verified fact2025
HCRIS WS S-3
Annual discharges
4,276
Verified fact2025
HCRIS WS S-3
Average length of stay
8.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
17.9%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+27.1%+39.3%+18.6%+7.0%-4.9%+16.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
368 days441 days244 days233 days208 days244 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

CASS County, ND · metro, under 250K
Median household income
$75.0K
vs $82.1K US
Poverty rate
10.3%
vs 12.5% US
Uninsured
5.7%
vs 8.6% US
Age 65+
12.8%
vs 16.8% US
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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