Saint Francis Medical Center College of Nursing

Peoria, IL

FY 2023-24 fragility

/ 100

moderate

Composite Fragility Score over time

Pillar trajectories

Operating Margin

(Operating revenue − operating expenses) / operating revenue. Industry-standard debt-rating heuristics — Fitch-style bands for privates, Moody's-aligned for publics. Score reflects current year and 3-year rolling average — single positive years don't erase chronic distress.

Amber dot = unusual single-year shift; smoothed metric attenuates impact. Hover for context.

Pricing Power

Real net tuition revenue per FTE, 5-year change. Falling real net tuition + rising discount rate = market rejection of value proposition. Discount rate is the all-student institutional rate (F2C05 + F2C06 funded + unfunded grants over gross tuition); schools typically publish a first-time-in-college rate which runs 5-10 points higher.

Amber dot = unusual single-year shift; smoothed metric attenuates impact. Hover for context.

Debt Burden

Viability ratio (expendable net assets / plant debt) with debt-acceleration penalty. Catches schools whose covenants are at risk because of recent debt issuance.

Liquidity

Days cash on hand. Tuition-collapse override prevents 'deathbed cash' from misleading the score (high cash from emergency relief while school is shrinking).

Tuition discount rate

The share of gross tuition revenue that’s offset by institutional grant aid (scholarships funded from the operating budget plus endowed scholarships). A rising discount rate combined with falling real net tuition is the canonical signal that a school is buying enrollment with aid that the market won’t support.

Tuition discount rate · FY 2023-24

46.8%

$6.0M institutional aid ÷ $12.8M gross tuition

Discount rate · trend

▼ 14.6 pts since FY 2004-05 (61.4%)

Institutional grant aid (F2C05 funded + F2C06 unfunded) divided by gross tuition revenue (F2D01 net tuition + grants). This is the all-student, institution-wide rate. Schools and NACUBO typically publish a first-time-in-college (FTIC) freshman rate, which runs 5–10 points higher because recruitment merit aid is front-loaded onto incoming classes and steps down for upperclassmen.

Administrative spending

Institutional Support (administration) measured two ways, from IPEDS expense-by-function reporting: as a share of total operating expenses alongside Instruction (faculty/teaching), and indexed against net tuition revenue to show whether admin spending tracks the revenue that funds it.

Admin: 13.9% → 8.9% · Instruction: 47.1% → 54.9%

Instruction and Institutional Support as a share of total operating expenses. Instruction is the IPEDS faculty/teaching proxy; Institutional Support is the administrative proxy (executive management, finance, HR, general admin). A narrowing gap means admin is gaining on teaching.

Student-to-admin ratio · AY 2023-24

33.1:1

298 student FTE ÷ 9 full-time admin

26% below Carnegie peer average — more admin-dense than peers

Carnegie reference

44.6:1

Other Health Professions · n=91

Mean students-per-admin across schools in the same Carnegie classification (target excluded). Higher means leaner administrative footprint.

What “admin” means here: Management (OCCUPCAT 300) + Business and Financial Operations (OCCUPCAT 310) full-time staff — the “decision-making admin” headcount. Source: IPEDS S2023_OC survey (Fall 2023). This is a headcount metric, not a dollar metric, so it isn’t contaminated by regional salary differences. Not part of the fragility score; surfaced as descriptive context only.

Program earnings outcomes

From the HEA Group’s January 2026 release of program-level earnings data used in AHEAD negotiations. Each tested program is checked against a same-state high-school-graduate earnings benchmark; programs also subject to OBBBA Gainful Employment lose Title IV eligibility on a fail and are flagged AT RISK.

Earnings by Program

Median earnings 4 years post-completion vs the earnings benchmark.

Benchmark

$34,808

IL HS-only median

Registered Nursing Nursing Administration Nursing Research and Clinical Nursing
Bachelor · 221 completers in earnings cohort
PASS +39K

Source: HEA Group Jan 2026 release using AHEAD-negotiations data. Pooled 2017-18 + 2018-19 completer cohorts; earnings measured CY 2022-23, inflation-adjusted to 2024 (CPI-U). Only programs with sufficient Title-IV completers appear in the test. “AT RISK” = fails the OBBBA Gainful Employment threshold — loss of Title IV eligibility likely, program likely closes.

Latest-year breakdown (FY 2023-24)

Pillar	Raw Metric	Score
Operating Margin	—	12 / 25
Pricing Power	$22,825 real net tuition / FTE	0 / 25
Debt Burden	—	12 / 25
Liquidity	—	12 / 25

Peer schools

Closest by Fragility Score in FY 2023-24. Financial similarity only — geographic / regional clustering is a separate (future) feature.

Less fragile

Schools scoring below

More fragile

Schools scoring above

Selected raw financials — FY 2023-24

FASB / IPEDS Finance F2.

Total revenue (F2B01)

—

Total expenses (F2B02)

—

Net tuition revenue (F2D01)

$6.8M

Auxiliary enterprises revenue (F2D12)

Endowment EOY (F2H02)

$6.7M

Plant debt (F2I06 / F2A03A)

—

Expendable net assets (F2I05)

—

Interest expense (F2E136)

Depreciation (F2E135)