Astrelis
Urban PPS hospital · Greenville, SC

ST FRANCIS-DOWNTOWN

CCN 420023GREENVILLE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)276 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Greenville, SC. It ran an operating surplus of 7.5% in FY24 on $776.7M of operating revenue. It held 20 days of cash on hand (48th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 9.0% in FY21 to 7.5% in FY24, though it rose 2.5 points in the most recent year.

Operating margin · FY24
+7.5%
2.5 pts vs FY23
vs Urban PPS hospitals66th pctl of 2,562 (FY24)
Days cash on hand · FY24
20d
all sources
48.6 days vs FY23
vs Urban PPS hospitals48th pctl of 2,354 (FY24)
Total operating revenue · FY24
$776.7M
85.1 $M vs FY23
vs Urban PPS hospitals84th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+8.3%
2.8 pts vs FY23
vs Urban PPS hospitals59th 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 ST FRANCIS-DOWNTOWN is about $7.8M per year (1% of FY24 total operating revenue).

Where ST FRANCIS-DOWNTOWN 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.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%ST FRANCIS-DOWNTOWN +7.471045935873478%-20%0%+20%Urban PPS hospital median +2.027429837815152%ST FRANCIS-DOWNTOWN +7.471045935873478%
One urban pps hospitalST FRANCIS-DOWNTOWNUrban 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.

Operating margin
+7.5% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+8.3% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
20d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
15.97× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
55% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
48d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue631,474691,361773,956
Other operating revenue1,3912802,740
Total operating revenue632,865691,642776,696
Total operating expenses620,227657,416718,669
Operating income12,63834,22558,027
Operating margin %+2.0%+4.9%+7.5%
Investment income(3,639)1,0553,295
Other non-operating, net13,3283,4204,014
Net income22,32738,70065,336
Net income %+3.5%+5.6%+8.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 276-bed hospital at 75% occupancy 66% 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
75.5%
Verified fact2024
HCRIS WS S-3
Average daily census
208.92
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
276
Verified fact2024
HCRIS WS S-3
Annual discharges
20,309
Verified fact2024
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
66.3%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
2,122
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.1%
Verified fact2024
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.169
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.799659
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 4 reporting years
Operating margin
+9.0%+2.0%+4.9%+7.5%FY21FY22FY23FY24
Days cash on hand
206 days109 days68 days20 daysFY21FY22FY23FY24

The county this hospital serves

GREENVILLE County, SC
Median household income
$74.6K
vs $82.1K US · $59.7K rural median
Poverty rate
11.0%
vs 12.5% US · 14.3% rural median
Uninsured
10.1%
vs 8.6% US · 8.4% rural median
Age 65+
16.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 18.5% arrives as government transfers (BEA, 2022).

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