Astrelis
Skilled nursing facility · Gas City, IN

TWIN CITY HEALTH CARE

CCN 155232Grant CountyGovernment - CountyLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Overall Five-Star: 3 in FY2025. Total nursing HPRD: 3.69 in FY2025. Operating margin: +1.4% in FY2025, the 52nd percentile of 12,819 snfs in the FY2025 pool. Days cash on hand: 84 days in FY2025, the 86th percentile of 12,474 snfs in the FY2025 pool. Total operating revenue: $6.5M in FY2025, the 19th percentile of 12,819 snfs in the FY2025 pool. Total margin (including nonoperating): +1.5% in FY2025, the 39th percentile of 12,819 snfs in the FY2025 pool. Figures as filed; not audited by Astrelis.

The read

A skilled nursing facility in Gas City, IN. It ran an operating surplus of 1.4% in FY25 on $6.5M of operating revenue. It held 84 days of cash on hand (86th percentile of 12,474 SNFs on liquidity, FY25 pool). On care, it carries a 3-star CMS quality rating. Its rate of potentially preventable readmissions is 10.7%. On the filed record it is roughly breaking even with mid-range measured quality. Source-reported context, not a recommendation.

Overall Five-Star
3
Reported value2025
Source: CMS Care Compare
Total nursing HPRD
3.69
Reported value2025
Source: CMS PBJ staffing
Operating margin · FY25
+1.4%
Astrelis calculation · as-filed inputs
▼ 13.9 pts vs FY24
vs SNFs52nd pctl of 12,819 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
84d
all sources
Astrelis calculation · as-filed inputs
▼ 46 days vs FY24
vs SNFs86th pctl of 12,474 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values

Where TWIN CITY HEALTH sits among SNFs

Operating margin · FY25 pool · n = 12,819 of 13,649 filed

Each point is one SNF 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 SNF FY25 median is +0.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%SNF median +0.8%TWIN CITY +1.4%
One snfTWIN CITYSNF median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this skilled nursing facility 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.

Operating margin
+1.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+1.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
84d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
11.72× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
92% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
88d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue5,6316,9076,531
Total operating revenue5,6316,9076,531
Total operating expenses6,1335,8456,436
Operating income(501)1,06194
Operating margin %-8.9%+15.4%+1.4%
Other non-operating, net1(7)2
Net income(501)1,05497
Net income %-8.9%+15.3%+1.5%
— = Not reported in source for that year.
HCRIS Worksheet G-3 (SNF) · $ thousands · FY20–FY25 · operating revenue reflects net patient revenue (the SNF form carries no other-operating split) · FY20–21 may include COVID-era relief funding in other income

How it operates

quality & operational context · CMS public reporting

The metrics this skilled nursing facility 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.

Overall Five-Star
3
Reported value2025
CMS Care Compare
Health inspection star
4
Reported value2025
CMS Care Compare
Quality measure star
4
Reported value2025
CMS Care Compare
Total nursing HPRD
3.69
Reported value2025
CMS PBJ staffing
RN HPRD
0.42
Reported value2025
CMS PBJ staffing
Total nurse turnover
42.5%
Reported value2025
CMS PBJ staffing
Potentially-preventable readmissions
10.7%
Reported value2026
CMS SNF QRP
Occupancy
49.8%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
13.9%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
74.2%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
11.9%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+1.6%+5.6%+16.5%-8.9%+15.4%+1.4%FY20FY21FY22FY23FY24FY25
Days cash on hand
69 days86 days95 days67 days130 days84 daysFY20FY21FY22FY23FY24FY25

The county this skilled nursing facility serves

Grant County, IN · nonmetro, urban 20K+, metro-adjacent
Median household income
$54.0K
vs $82.1K US · $59.7K rural median
Poverty rate
18.8%
vs 12.5% US · 14.3% rural median
Uninsured
7.2%
vs 8.6% US · 8.4% rural median
Age 65+
18.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.6% of county personal income is Medicare/Medicaid medical benefits; 35.1% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation

1.4% operating margin — 52nd percentile of 12,819 peers (FY25 pool).

The Board Briefing

Operating margin declined 13.9 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

(≈ $138.53 per resident day above the peer benchmark × 13,624 resident days a year) ≈ $1.9M more spending than the benchmark rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 12,819.

Performance Benchmark Report: FY25 peer pool · n = 12,819 · conservative low band; acuity limits stated in the report.

Report coverage: Limited Facility Benchmark. 15 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.

SNF Performance Benchmark

Your facility against its matched peer cohort, every arithmetic benchmark difference dollarized against the cohort median.

$2,500delivered within 30 days of coverage confirmation
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A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Twin City Health Care", https://astrelis.co/providers/snf/155232, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Machine-readable twin of this page: astrelis.co/providers/snf/155232.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.

build 2321a4fc37a7 · 2026-10-22 · dev