A hospital in Muscatine, IA. It ran an operating surplus of 15.5% in FY24 on $71.4M of operating revenue. It held 311 days of cash on hand (92nd percentile among Rural PPS hospitals on liquidity). Operating margin improved from -1.3% in FY20 to 15.5% in FY24.
Operating margin · FY24
+15.5%
▼ 0.0 pts vs FY23
vs Rural PPS hospitals88th pctl of 387 (FY24)
Days cash on hand · FY24
311d
all sources
▲ 154.8 days vs FY23
vs Rural PPS hospitals92nd pctl of 376 (FY24)
Total operating revenue · FY24
$71.4M
▲ 5.0 $M vs FY23
vs Rural PPS hospitals40th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+18.8%
▲ 0.1 pts vs FY23
vs Rural PPS hospitals90th pctl of 387 (FY24)
One point of operating margin at TRINITY MUSCATINE is about $714K per year (1% of FY24 total operating revenue).
Where TRINITY MUSCATINE sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
One rural pps hospitalTRINITY MUSCATINERural 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
FY22
FY23
FY24
Patient revenue
54,092
63,455
69,634
Other operating revenue
2,419
2,973
1,789
Total operating revenue
56,510
66,428
71,423
Total operating expenses
53,950
56,085
60,333
Operating income
2,560
10,343
11,090
Operating margin %
+4.5%
+15.6%
+15.5%
Investment income
(964)
2,018
2,499
Other non-operating, net
3,469
531
409
Net income
5,065
12,892
13,998
Net income %
+8.6%
+18.7%
+18.8%
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 15-bed hospital at 53% occupancy 88% 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
53.0%
Verified fact2024
HCRIS WS S-3
Average daily census
7.98
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
15
Verified fact2024
HCRIS WS S-3
Annual discharges
977
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
87.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
275.40
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.7M
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
13.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.93
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.969803
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
MUSCATINE County, IA · nonmetro, urban 20K+, metro-adjacent
Median household income
$69.5K
vs $82.1K US · $59.7K rural median
Poverty rate
11.6%
vs 12.5% US · 14.3% rural median
Uninsured
4.0%
vs 8.6% US · 8.4% rural median
Age 65+
17.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.2% of county personal income is Medicare/Medicaid medical benefits; 21.3% arrives as government transfers (BEA, 2022).
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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