A skilled nursing facility in Manly, IA. It ran an operating surplus of 2.9% in FY25 on $4.6M of operating revenue. It held 0 days of cash on hand (10th percentile among SNFs on liquidity). Operating margin improved from -18.3% in FY20 to 2.9% in FY25, though it fell 1.6 points in the most recent year. On care, it carries a 3-star CMS quality rating. Its potentially-preventable readmissions runs 12.1%. On the filed record it is comfortably profitable with mid-range measured quality. Source-reported context, not a recommendation.
Overall Five-Star
3
Verified fact2025
Source: CMS Care Compare
Total nursing HPRD
3.54
Verified fact2025
Source: CMS PBJ staffing
Operating margin · FY25
+2.9%
▼ 1.6 pts vs FY24
vs SNFs58th pctl of 12,481 (FY25)
Return to community
42.6%
Proxy2026
Source: CMS SNF QRP
Where Manly Specialty Care 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 snfManly SpecialtySNF 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
+2.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+1.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
4,018
4,346
4,561
Total operating revenue
4,018
4,346
4,561
Total operating expenses
3,874
4,150
4,429
Operating income
145
196
131
Operating margin %
+3.6%
+4.5%
+2.9%
Other non-operating, net
11
12
(80)
Net income
156
208
51
Net income %
+3.9%
+4.8%
+1.1%
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
2
Verified fact2025
CMS Care Compare
Quality measure star
3
Verified fact2025
CMS Care Compare
Staffing star
5
Verified fact2025
CMS Care Compare
Total nursing HPRD
3.54
Verified fact2025
CMS PBJ staffing
RN HPRD
0.93
Verified fact2025
CMS PBJ staffing
Total nurse turnover
30.6%
Verified fact2025
CMS PBJ staffing
Return to community
42.6%
Proxy2026
CMS SNF QRP
Potentially-preventable readmissions
12.1%
Proxy2026
CMS SNF QRP
Occupancy
90.0%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
9.4%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
61.7%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
28.9%
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
Worth County, IA · nonmetro, rural, remote
Median household income
$76.9K
vs $82.1K US · $59.7K rural median
Poverty rate
7.3%
vs 12.5% US · 14.3% rural median
Uninsured
6.6%
vs 8.6% US · 8.4% rural median
Age 65+
22.4%
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: 8.2% of county personal income is Medicare/Medicaid medical benefits; 20.4% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Delivered within 30 days of eligibility confirmation.
