Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A skilled nursing facility in Madrid, IA. It ran an operating loss of 14.6% in FY25 on $7.3M of operating revenue. It held 80 days of cash on hand (85th percentile among SNFs on liquidity). Operating margin improved from -19.4% in FY20 to -14.6% in FY25. On care, it carries a 3-star CMS quality rating. Its potentially-preventable readmissions runs 10.3%. These figures come from filings spanning FY22–FY25: read each by its own year rather than as one current picture.
Overall Five-Star
3
Verified fact2025
Source: CMS Care Compare
Total nursing HPRD
3.50
Verified fact2025
Source: CMS PBJ staffing
Operating margin · FY25
-14.6%
vs SNFs13th pctl of 12,481 (FY25)
Return to community
53.5%
Proxy2026
Source: CMS SNF QRP
Where Madrid Home for sits among SNFs
Operating margin · FY25 pool · n = 12,481 of 13,901 filed
Each point is one SNF 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 SNF median is +1.0%. Descriptive context only, not a ranking.
One snfMadrid HomeSNF 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 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
-14.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-9.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
80d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
5.83× (FY22)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
52% (FY22)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
18d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
5,018
6,498
7,320
Total operating revenue
5,018
6,498
7,320
Total operating expenses
6,580
7,687
8,391
Operating income
(1,562)
(1,189)
(1,071)
Operating margin %
-31.1%
-18.3%
-14.6%
Other non-operating, net
112
188
331
Net income
(1,450)
(1,001)
(740)
Net income %
-28.3%
-15.0%
-9.7%
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 evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Overall Five-Star
3
Verified fact2025
CMS Care Compare
Health inspection star
3
Verified fact2025
CMS Care Compare
Quality measure star
3
Verified fact2025
CMS Care Compare
Staffing star
2
Verified fact2025
CMS Care Compare
Total nursing HPRD
3.50
Verified fact2025
CMS PBJ staffing
RN HPRD
0.50
Verified fact2025
CMS PBJ staffing
Total nurse turnover
50.0%
Verified fact2025
CMS PBJ staffing
Return to community
53.5%
Proxy2026
CMS SNF QRP
Potentially-preventable readmissions
10.3%
Proxy2026
CMS SNF QRP
Occupancy
81.5%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
5.9%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
71.1%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
23.0%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility serves
Boone County, IA · metro, under 250K
Median household income
$79.7K
vs $82.1K US · $59.7K rural median
Poverty rate
6.7%
vs 12.5% US · 14.3% rural median
Uninsured
3.7%
vs 8.6% US · 8.4% rural median
Age 65+
19.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 8.9% of county personal income is Medicare/Medicaid medical benefits; 21.4% arrives as government transfers (BEA, 2022).
Opportunity screen · FY24
≈ $2.3M
of annual opportunity identified against peer medians across 1 measure
Directional, conservative band. Arithmetic against matched-peer medians from public filings, not a projection; public data cannot fully control for patient acuity.
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