A hospital in Dubuque, IA. It ran an operating surplus of 16.3% in FY24 on $153.6M of operating revenue. It held 402 days of cash on hand (95th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 5.9% in FY20 to 16.3% in FY24.
Operating margin · FY24
+16.3%
▲ 5.9 pts vs FY23
vs Urban PPS hospitals84th pctl of 2,562 (FY24)
Days cash on hand · FY24
402d
all sources
▲ 34.6 days vs FY23
vs Urban PPS hospitals95th pctl of 2,354 (FY24)
Total operating revenue · FY24
$153.6M
▲ 18.8 $M vs FY23
vs Urban PPS hospitals33rd pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+9.7%
▲ 3.0 pts vs FY23
vs Urban PPS hospitals63rd 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 FINLEY HOSPITAL is about $1.5M per year (1% of FY24 total operating revenue).
Where FINLEY HOSPITAL 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.
One urban pps hospitalFINLEY HOSPITALUrban 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
121,713
134,847
148,553
Other operating revenue
—
—
5,087
Total operating revenue
121,713
134,847
153,640
Total operating expenses
121,572
120,781
128,546
Operating income
142
14,066
25,093
Operating margin %
+0.1%
+10.4%
+16.3%
Investment income
(10,838)
10,134
11,006
Other non-operating, net
(13,607)
(14,020)
(20,136)
Net income
(24,303)
10,180
15,963
Net income %
-25.0%
+7.8%
+11.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 58-bed hospital at 57% occupancy 69% 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
56.8%
Verified fact2024
HCRIS WS S-3
Average daily census
33.04
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
58
Verified fact2024
HCRIS WS S-3
Annual discharges
4,008
Verified fact2024
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
68.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
533.50
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$4.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.168
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16%
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)
1.126452
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
DUBUQUE County, IA
Median household income
$75.9K
vs $82.1K US · $59.7K rural median
Poverty rate
9.4%
vs 12.5% US · 14.3% rural median
Uninsured
3.5%
vs 8.6% US · 8.4% rural median
Age 65+
18.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.9% of county personal income is Medicare/Medicaid medical benefits; 18.7% arrives as government transfers (BEA, 2022).
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