Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY25, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY25, 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 Elkader, IA. It ran an operating surplus of 1.6% in FY24 on $13.2M of operating revenue. It held 309 days of cash on hand in FY25, its most recent reported liquidity (82nd percentile among Critical Access Hospitals on liquidity). Operating margin declined from 2.2% in FY21 to 1.6% in FY24.
Operating margin · FY24
+1.6%
▼ 1.1 pts vs FY23
vs Critical Access Hospitals57th pctl of 824 (FY25)
Days cash on hand · FY25
309d
all sources
▲ 134.4 days vs FY24
vs Critical Access Hospitals82nd pctl of 827 (FY25)
Total operating revenue · FY24
$13.2M
▲ 0.7 $M vs FY23
vs Critical Access Hospitals14th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY24
+3.5%
▼ 2.0 pts vs FY23
vs Critical Access Hospitals37th pctl of 824 (FY25)
One point of operating margin at MERCYONE ELKADER MEDICAL CENTER is about $132K per year (1% of FY24 total operating revenue).
Where MERCYONE ELKADER MEDICAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalMERCYONE ELKADERCritical Access 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
Medicare inpatient contribution margin
-30.8% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
-50.0% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
9,775
12,333
12,862
Other operating revenue
110
220
371
Total operating revenue
9,884
12,553
13,234
Total operating expenses
10,458
12,216
13,027
Operating income
(573)
337
206
Operating margin %
-5.8%
+2.7%
+1.6%
Grants & contributions
222
287
78
Investment income
21
57
150
Other non-operating, net
145
28
37
Net income
(185)
709
471
Net income %
-1.8%
+5.5%
+3.5%
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 15-bed hospital at 4% occupancy where swing beds are 57% of the inpatient business.
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
3.8%
Verified fact2025
HCRIS WS S-3
Average daily census
0.57
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
15
Verified fact2025
HCRIS WS S-3
Annual discharges
66
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.75
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
56.9%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
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
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
CLAYTON County, IA
Median household income
$62.3K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
7.6%
vs 8.6% US · 8.4% rural median
Age 65+
24.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.8% of county personal income is Medicare/Medicaid medical benefits; 21.5% arrives as government transfers (BEA, 2022).
What this hospital means to Clayton County
economic contribution · FY25 cost report
Direct annual spending
$13.9M
total operating expense · reported
Total economic output
$32.0M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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