A hospital in Council Bluffs, IA. It ran an operating surplus of 1.0% in FY25 on $128.5M of operating revenue. It held 12 days of cash on hand (44th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 1.9% in FY21 to 1.0% in FY25, though it rose 6.5 points in the most recent year.
Operating margin · FY25
+1.0%
▲ 6.5 pts vs FY24
vs Urban PPS hospitals48th pctl of 1,475 (FY25)
Days cash on hand · FY25
12d
all sources
▲ 10.0 days vs FY24
vs Urban PPS hospitals44th pctl of 1,386 (FY25)
Total operating revenue · FY25
$128.5M
▲ 9.2 $M vs FY24
vs Urban PPS hospitals26th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+1.0%
▲ 5.6 pts vs FY24
vs Urban PPS hospitals30th pctl of 1,475 (FY25)
One point of operating margin at CHI HEALTH MERCY COUNCIL BLUFFS is about $1.3M per year (1% of FY25 total operating revenue).
Where CHI HEALTH MERCY 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 hospitalCHI 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.
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
98,485
113,897
122,317
Other operating revenue
8,438
5,353
6,152
Total operating revenue
106,923
119,251
128,468
Total operating expenses
113,051
125,825
127,185
Operating income
(6,128)
(6,575)
1,284
Operating margin %
-5.7%
-5.5%
+1.0%
Grants & contributions
—
331
—
Investment income
—
342
—
Other non-operating, net
0
325
0
Net income
(6,128)
(5,577)
1,284
Net income %
-5.7%
-4.6%
+1.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, 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 125-bed hospital at 56% occupancy 53% 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
56.4%
Verified fact2025
HCRIS WS S-3
Average daily census
70.65
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
125
Verified fact2025
HCRIS WS S-3
Annual discharges
6,510
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
52.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
448.90
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.252
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.845894
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
POTTAWATTAMIE County, IA
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
10.9%
vs 12.5% US · 14.3% rural median
Uninsured
4.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.4% of county personal income is Medicare/Medicaid medical benefits; 23.4% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
