A hospital in Cresco, IA. It ran an operating surplus of 12.1% in FY25 on $59.3M of operating revenue. It held 238 days of cash on hand (74th percentile among Critical Access Hospitals on liquidity). Operating margin declined from 17.1% in FY21 to 12.1% in FY25, though it rose 2.2 points in the most recent year.
Operating margin · FY25
+12.1%
▲ 2.2 pts vs FY24
vs Critical Access Hospitals83rd pctl of 824 (FY25)
Days cash on hand · FY25
238d
all sources
▲ 52.3 days vs FY24
vs Critical Access Hospitals74th pctl of 827 (FY25)
Total operating revenue · FY25
$59.3M
▲ 6.7 $M vs FY24
vs Critical Access Hospitals77th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+9.9%
▲ 4.1 pts vs FY24
vs Critical Access Hospitals64th pctl of 824 (FY25)
One point of operating margin at REGIONAL HEALTH SERVICES OF HOWARD COUNTY is about $593K per year (1% of FY25 total operating revenue).
Where REGIONAL HEALTH SERVICES 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 hospitalREGIONAL HEALTHCritical 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
+36.2% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+59.4% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
36,828
40,015
44,518
Other operating revenue
12,979
12,621
14,770
Total operating revenue
49,807
52,636
59,289
Total operating expenses
45,929
47,446
52,134
Operating income
3,878
5,190
7,155
Operating margin %
+7.8%
+9.9%
+12.1%
Other non-operating, net
(1,832)
(2,110)
(1,284)
Net income
2,046
3,080
5,871
Net income %
+4.3%
+6.1%
+10.1%
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 18-bed hospital at 10% occupancy where swing beds are 53% of the inpatient business and 92% 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
9.8%
Verified fact2025
HCRIS WS S-3
Average daily census
1.76
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
18
Verified fact2025
HCRIS WS S-3
Annual discharges
240
Verified fact2025
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
2.01
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
53.3%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
91.9%
Verified fact2025
HCRIS WS G-2 L28
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
14.7%
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
HOWARD County, IA
Median household income
$67.3K
vs $82.1K US · $59.7K rural median
Poverty rate
8.4%
vs 12.5% US · 14.3% rural median
Uninsured
9.6%
vs 8.6% US · 8.4% rural median
Age 65+
20.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 8.3% of county personal income is Medicare/Medicaid medical benefits; 19.1% arrives as government transfers (BEA, 2022).
What this hospital means to Howard County
economic contribution · FY25 cost report
Direct annual spending
$52.1M
total operating expense · reported
Total economic output
$119.9M
× 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.
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.
Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
Commercial Pricing Study$10,000CAH only, subject to data validation
Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.
