Astrelis
Rural PPS hospital · Manitowoc, WI

HOLY FAMILY MEMORIAL

CCN 520107Voluntary non-profit - OtherRural (USDA RUCC)35 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, 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 Manitowoc, WI. It ran an operating loss of 33.9% in FY25 on $85.4M of operating revenue. It held 7 days of cash on hand in FY24, its most recent reported liquidity (31st percentile among Rural PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.

Operating margin · FY25
-33.9%
vs Rural PPS hospitals5th pctl of 387 (FY24)
Days cash on hand · FY24
7d
all sources
vs Rural PPS hospitals31st pctl of 376 (FY24)
Total operating revenue · FY25
$85.4M
vs Rural PPS hospitals46th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-33.9%
vs Rural PPS hospitals1st pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at HOLY FAMILY MEMORIAL is about $854K per year (1% of FY25 total operating revenue).

Where HOLY FAMILY MEMORIAL sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%HOLY FAMILY -33.89755496155588%-20%0%+20%Rural PPS hospital median -0.8727424997636124%HOLY FAMILY -33.89755496155588%
One rural pps hospitalHOLY FAMILYRural 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
-33.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-33.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
7d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.21× (FY21)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
66% (FY21)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue79,2842,330,49480,914
Other operating revenue4,3644,1394,496
Total operating revenue83,6482,334,63385,410
Total operating expenses102,526110,462114,362
Operating income(18,878)2,224,171(28,952)
Operating margin %-22.6%+95.3%-33.9%
Net income(18,878)2,224,171(28,952)
Net income %-22.6%+95.3%-33.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
FY21 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 35-bed hospital at 40% occupancy 80% 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
40.4%
Verified fact2025
HCRIS WS S-3
Average daily census
14.18
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
35
Verified fact2025
HCRIS WS S-3
Annual discharges
1,637
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
79.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
371.40
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.1%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$12.8M
Verified fact2024
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.943094
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-3.6%-39.2%-22.6%+95.3%-33.9%FY20FY21FY22FY23FY24FY25
Days cash on hand
251 days163 days7 days7 daysFY20FY21FY22FY23FY24FY25
FY25 days cash suppressed: out of display range.

The county this hospital serves

MANITOWOC County, WI · nonmetro, urban 20K+, metro-adjacent
Median household income
$68.6K
vs $82.1K US · $59.7K rural median
Poverty rate
9.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.4%
vs 8.6% US · 8.4% rural median
Age 65+
21.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 23.2% arrives as government transfers (BEA, 2022).

What this hospital means to Manitowoc County

economic contribution · FY25 cost report
Direct annual spending
$114.4M
total operating expense · reported
Total economic output
$263.0M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
1.1%
of all county jobs
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

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.

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