A hospital in Winona, MN. It ran an operating loss of 17.9% in FY25 on $115.3M of operating revenue. It held 83 days of cash on hand (69th percentile of 201 Rural PPS hospitals on liquidity, FY25 pool). Operating margin declined from -8.1% in FY20 to -17.9% in FY25.
Operating margin · FY25
-17.9%
Astrelis calculation · as-filed inputs
▼ 4.0 pts vs FY24
vs Rural PPS hospitals18th pctl of 202 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
83d
all sources
Astrelis calculation · as-filed inputs
▼ 32 days vs FY24
vs Rural PPS hospitals69th pctl of 201 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$115.3M
Astrelis calculation · as-filed inputs
▼ $1.7M vs FY24
vs Rural PPS hospitals60th pctl of 207 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
-5.3%
Astrelis calculation · as-filed inputs
▲ 1.8 pts vs FY24
vs Rural PPS hospitals26th pctl of 202 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at WINONA HEALTH SERVICES is about $1.2M per year (1% of FY25 total operating revenue).
Where WINONA HEALTH SERVICES sits among Rural PPS hospitals
Operating margin · FY25 pool · n = 202 of 410 filed
Each point is one Rural PPS hospital in the national FY25 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 Rural PPS hospital FY25 median is -3.6%. Descriptive context only, not a ranking.
One rural pps hospitalWINONA HEALTHRural 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
99,628
102,354
104,749
Other operating revenue
16,827
14,595
10,534
Total operating revenue
116,455
116,949
115,283
Total operating expenses
137,590
133,180
135,946
Operating income
(21,135)
(16,231)
(20,663)
Operating margin %
-18.1%
-13.9%
-17.9%
Grants & contributions
—
—
8
Investment income
4,407
3,310
2,745
Other non-operating, net
3,896
4,129
11,059
Net income
(12,832)
(8,792)
(6,851)
Net income %
-10.3%
-7.1%
-5.3%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 41-bed hospital running at 18% occupancy, where 81% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
18.3%
Reported value2025
HCRIS WS S-3
Average daily census
7.51
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
41
Reported value2025
HCRIS WS S-3
Annual discharges
1,349
Reported value2025
HCRIS WS S-3
Average length of stay
2 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$49,724
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$100,775
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
1.29
Reported value2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
14.6%
Reported value2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.1%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
699.20
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.7%
Reported value2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$6.7M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.193
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.86
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.019111
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
WINONA County, MN · nonmetro, urban 20K+, metro-adjacent
Median household income
$70.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.4%
vs 12.5% US · 14.3% rural median
Uninsured
5.1%
vs 8.6% US · 8.4% rural median
Age 65+
18.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 21.0% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Winona County
Illustrative estimate · FY25 cost report
Direct annual spending
$135.9M
total operating expense · Reported value, not a local-capture estimate
Labor income
$72.2M
$60.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$312.7M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
2.9%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 202.
Performance Benchmark Report: FY25 peer pool · n = 202 · conservative low band; acuity limits stated in the report.
Report coverage: Standard Facility Benchmark. 17 of 17 facility measures available from public sources. Every declared facility measure is available for this record, benchmarked against its same-year peer pools. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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