A hospital in Spencer, IA. It ran an operating surplus of 3.0% in FY25 on $130.9M of operating revenue. It held 215 days of cash on hand (85th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.3% in FY21 to 3.0% in FY25.
Operating margin · FY25
+3.0%
▲ 4.0 pts vs FY24
vs Urban PPS hospitals56th pctl of 1,475 (FY25)
Days cash on hand · FY25
215d
all sources
▲ 22.7 days vs FY24
vs Urban PPS hospitals85th pctl of 1,386 (FY25)
Total operating revenue · FY25
$130.9M
▲ 10.4 $M vs FY24
vs Urban PPS hospitals27th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+8.6%
▲ 4.1 pts vs FY24
vs Urban PPS hospitals59th pctl of 1,475 (FY25)
One point of operating margin at SPENCER MUNICIPAL HOSPITAL is about $1.3M per year (1% of FY25 total operating revenue).
Where SPENCER MUNICIPAL HOSPITAL 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 hospitalSPENCER MUNICIPALUrban 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
108,690
117,862
128,489
Other operating revenue
3,449
2,589
2,401
Total operating revenue
112,140
120,451
130,890
Total operating expenses
119,896
121,621
126,957
Operating income
(7,756)
(1,170)
3,933
Operating margin %
-6.9%
-1.0%
+3.0%
Grants & contributions
—
—
791
Investment income
—
—
6,329
Other non-operating, net
5,601
6,933
861
Net income
(2,155)
5,763
11,914
Net income %
-1.8%
+4.5%
+8.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 49-bed hospital at 26% occupancy 86% 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
26.0%
Verified fact2025
HCRIS WS S-3
Average daily census
12.77
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
49
Verified fact2025
HCRIS WS S-3
Annual discharges
1,362
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.50
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
3.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
85.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
423
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
23.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.9
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.128726
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
CLAY County, IA
Median household income
$64.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.5%
vs 12.5% US · 14.3% rural median
Uninsured
4.6%
vs 8.6% US · 8.4% rural median
Age 65+
21.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 8.8% of county personal income is Medicare/Medicaid medical benefits; 20.1% 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.
