Astrelis
Urban PPS hospital · La Crosse, WI

GUNDERSEN LUTHERAN MEDICAL CENTER

CCN 520087LA CROSSE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)224 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in La Crosse, WI. It ran an operating surplus of 25.1% in FY25 on $1741.3M of operating revenue. It held 1 day of cash on hand (28th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
+25.1%
vs Urban PPS hospitals94th pctl of 1,475 (FY25)
Days cash on hand · FY25
1d
all sources
vs Urban PPS hospitals28th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.74B
vs Urban PPS hospitals94th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.6%
vs Urban PPS hospitals55th pctl of 1,475 (FY25)
One point of operating margin at GUNDERSEN LUTHERAN MEDICAL CENTER is about $17.4M per year (1% of FY25 total operating revenue).

Where GUNDERSEN LUTHERAN MEDICAL 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%GUNDERSEN LUTHERAN +25.120266451996958%-20%0%+20%Urban PPS hospital median +1.3311360264910879%GUNDERSEN LUTHERAN +25.120266451996958%
One urban pps hospitalGUNDERSEN LUTHERANUrban 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.

Operating margin
+25.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+7.6% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, outside plausibility bounds
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
99% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
16d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,042,734618,5161,738,202
Other operating revenue3,4594,1823,140
Total operating revenue1,046,193622,6981,741,342
Total operating expenses820,0141,193,0811,303,912
Operating income226,179(570,383)437,430
Operating margin %+21.6%-91.6%+25.1%
Grants & contributions6615,379901
Investment income33713091
Other non-operating, net(217,716)(229,383)(306,561)
Net income9,461(794,257)131,861
Net income %+1.1%-199.1%+9.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY24 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).

How it operates

quality & operational context · CMS public reporting

A 224-bed hospital at 72% occupancy 81% 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
72.3%
Verified fact2025
HCRIS WS S-3
Average daily census
162.31
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
224
Verified fact2025
HCRIS WS S-3
Annual discharges
17,982
Verified fact2025
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
80.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,931
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
33.2%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$109.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.321
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.07
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.047077
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+25.2%-24.4%+21.6%+25.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
9 days8 days0 days1 day1 day1 dayFY20FY21FY22FY23FY24FY25

The county this hospital serves

LA CROSSE County, WI · metro, under 250K
Median household income
$70.7K
vs $82.1K US · $59.7K rural median
Poverty rate
12.4%
vs 12.5% US · 14.3% rural median
Uninsured
4.6%
vs 8.6% US · 8.4% rural median
Age 65+
17.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.2% of county personal income is Medicare/Medicaid medical benefits; 19.1% arrives as government transfers (BEA, 2022).

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