Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY22, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Ottumwa, IA. It ran an operating loss of 23.5% in FY25 on $81.7M of operating revenue. It held 1 day of cash on hand in FY22, its most recent reported liquidity (25th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 3.9% in FY21 to -23.5% in FY25. These figures come from filings spanning FY22–FY25: read each by its own year rather than as one current picture.
Operating margin · FY25
-23.5%
▼ 3.8 pts vs FY24
vs Urban PPS hospitals8th pctl of 1,475 (FY25)
Days cash on hand · FY22
1d
all sources
vs Urban PPS hospitals25th pctl of 1,386 (FY25)
Total operating revenue · FY25
$81.7M
▼ 1.6 $M vs FY24
vs Urban PPS hospitals17th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-23.2%
▼ 3.9 pts vs FY24
vs Urban PPS hospitals4th pctl of 1,475 (FY25)
One point of operating margin at OTTUMWA REGIONAL HEALTH CENTER is about $817K per year (1% of FY25 total operating revenue).
Where OTTUMWA REGIONAL HEALTH 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 hospitalOTTUMWA REGIONALUrban 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
74,591
83,142
81,557
Other operating revenue
282
153
142
Total operating revenue
74,874
83,295
81,699
Total operating expenses
94,992
99,690
100,866
Operating income
(20,118)
(16,395)
(19,167)
Operating margin %
-26.9%
-19.7%
-23.5%
Grants & contributions
8
—
—
Other non-operating, net
219
263
147
Net income
(19,891)
(16,132)
(19,020)
Net income %
-26.5%
-19.3%
-23.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
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 66-bed hospital at 19% occupancy 76% 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
19.4%
Verified fact2025
HCRIS WS S-3
Average daily census
12.84
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
66
Verified fact2025
HCRIS WS S-3
Annual discharges
1,643
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
75.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
291.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.835
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.912713
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
FY25 days cash suppressed: out of display range.
The county this hospital serves
WAPELLO County, IA
Median household income
$60.0K
vs $82.1K US · $59.7K rural median
Poverty rate
16.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
18.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.8% of county personal income is Medicare/Medicaid medical benefits; 29.1% arrives as government transfers (BEA, 2022).
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