Astrelis
Urban PPS hospital · Marshalltown, IA

UNITYPOINT HEALTH - MARSHALLTOWN

CCN 160001MARSHALL CountyVoluntary non-profit - Private16 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 FY22, 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 Marshalltown, IA. It ran an operating surplus of 6.3% in FY24 on $85.3M of operating revenue. It held 6 days of cash on hand (38th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 7.5% in FY20 to 6.3% in FY24, though it rose 5.7 points in the most recent year.

Operating margin · FY24
+6.3%
5.7 pts vs FY23
vs Urban PPS hospitals63rd pctl of 2,562 (FY24)
Days cash on hand · FY24
6d
all sources
0.0 days vs FY23
vs Urban PPS hospitals38th pctl of 2,354 (FY24)
Total operating revenue · FY24
$85.3M
11.1 $M vs FY23
vs Urban PPS hospitals18th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+7.2%
4.7 pts vs FY23
vs Urban PPS hospitals56th 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 UNITYPOINT HEALTH - MARSHALLTOWN is about $853K per year (1% of FY24 total operating revenue).

Where UNITYPOINT HEALTH - 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%UNITYPOINT HEALTH +6.335550985280013%-20%0%+20%Urban PPS hospital median +2.027429837815152%UNITYPOINT HEALTH +6.335550985280013%
One urban pps hospitalUNITYPOINT HEALTHUrban 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
+6.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+7.2% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
6d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.24× (FY22)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
41% (FY22)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
41d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue65,90472,00682,269
Other operating revenue6,3872,2183,016
Total operating revenue72,29174,22385,285
Total operating expenses70,68173,78179,882
Operating income1,6104425,403
Operating margin %+2.2%+0.6%+6.3%
Investment income0
Other non-operating, net2,2621,514828
Net income3,8721,9566,231
Net income %+5.2%+2.6%+7.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 16-bed hospital at 55% occupancy 89% 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
55.4%
Verified fact2024
HCRIS WS S-3
Average daily census
8.90
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
16
Verified fact2024
HCRIS WS S-3
Annual discharges
959
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
88.5%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
322.90
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.9%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$6.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.84
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.924313
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+7.5%+5.9%+2.2%+0.6%+6.3%FY20FY21FY22FY23FY24
Days cash on hand
6 days9 days8 days6 days6 daysFY20FY21FY22FY23FY24

The county this hospital serves

MARSHALL County, IA
Median household income
$72.8K
vs $82.1K US · $59.7K rural median
Poverty rate
11.1%
vs 12.5% US · 14.3% rural median
Uninsured
5.4%
vs 8.6% US · 8.4% rural median
Age 65+
18.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.5% of county personal income is Medicare/Medicaid medical benefits; 25.6% arrives as government transfers (BEA, 2022).

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