A hospital in St Thomas, VI. It ran an operating loss of 58.1% in FY25 on $71.4M of operating revenue. It held 119 days of cash on hand (73rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from -46.2% in FY20 to -58.1% in FY25. Including nonoperating items, the all-in result was positive at 15.6%.
Operating margin · FY25
-58.1%
vs Urban PPS hospitals1st pctl of 1,475 (FY25)
Days cash on hand · FY25
119d
all sources
vs Urban PPS hospitals73rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$71.4M
vs Urban PPS hospitals14th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+15.6%
vs Urban PPS hospitals79th pctl of 1,475 (FY25)
One point of operating margin at ROY LESTER SCHNEIDER HOSPITAL,THE is about $714K per year (1% of FY25 total operating revenue).
Where ROY LESTER SCHNEIDER 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 hospitalROY LESTERUrban 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
73,803
78,816
71,410
Other operating revenue
130
1,347
—
Total operating revenue
73,933
80,163
71,410
Total operating expenses
121,276
114,498
112,879
Operating income
(47,343)
(34,335)
(41,469)
Operating margin %
-64.0%
-42.8%
-58.1%
Grants & contributions
35,290
33,608
59,413
Investment income
23
91
12
Other non-operating, net
1,040
803
2,886
Net income
(10,990)
167
20,842
Net income %
-10.0%
+0.1%
+15.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, FY24, FY25 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
A 141-bed hospital at 29% occupancy 44% 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
28.9%
Verified fact2025
HCRIS WS S-3
Average daily census
40.84
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
141
Verified fact2025
HCRIS WS S-3
Annual discharges
2,645
Verified fact2025
HCRIS WS S-3
Average length of stay
5.6d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
6.22
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
13.2%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
43.6%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$22.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.286
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Results are not available for this reporting period.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
Location, VI
Located in St Thomas, VI. County demographic and economic context (Census, CDC, HRSA sources) extends to this hospital cohort in an upcoming release.
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