Astrelis
Skilled nursing facility · Gowrie, IA

ASPIRE OF GOWRIE

CCN 165344WEBSTER CountyLatest FY 2024
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A skilled nursing facility in Gowrie, IA. It ran an operating loss of 25.3% in FY24 on $1.7M of operating revenue. Operating margin declined from -16.9% in FY20 to -25.3% in FY24, though it rose 23.3 points in the most recent year.

Days cash on hand · FY24
Not available
all sources
vs SNFs
Total operating revenue · FY24
$1.7M
vs SNFs
Operating margin · FY24
-25.3%
vs SNFs
Total margin · incl. nonoperating · FY24
-25.1%
vs SNFs

Where ASPIRE OF GOWRIE 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.

-20%-10%0%+10%+20%SNF median +1.03%ASPIRE OF -25.32%-20%0%+20%SNF median +1.03%ASPIRE OF -25.32%
One snfASPIRE OFSNF 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
-25.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-25.1% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
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 itemFY22FY23FY24
Patient revenue1,7301,6181,654
Total operating revenue1,7301,6181,654
Total operating expenses2,7552,4052,073
Operating income(1,026)(787)(419)
Operating margin %-59.3%-48.6%-25.3%
Other non-operating, net3(5)3
Net income(1,023)(792)(416)
Net income %-59.0%-49.1%-25.1%
HCRIS Worksheet G-3 (SNF) · $ thousands · FY20–FY24 · 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.

Occupancy
85.5%
Verified fact2024
HCRIS WS S-1 (SNF cost report)
Medicare day share
1.1%
Verified fact2024
HCRIS WS S-1 (SNF cost report)
Medicaid day share
96.0%
Verified fact2024
HCRIS WS S-1 (SNF cost report)
Other payer day share
3.0%
Verified fact2024
HCRIS WS S-1 (SNF cost report)

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-16.9%-15.2%-59.3%-48.6%-25.3%FY20FY21FY22FY23FY24
Days cash on hand
7 daysFY20FY21FY22FY23FY24

The county this skilled nursing facility serves

WEBSTER County, IA
Median household income
$68.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.5%
vs 8.6% US · 8.4% rural median
Age 65+
19.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.6% of county personal income is Medicare/Medicaid medical benefits; 23.7% arrives as government transfers (BEA, 2022).
Opportunity screen · FY24
$263K

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.
See what's behind this number in the Performance Benchmark →

SNF Performance Benchmark$2,500Available

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.

build aa21187 · 2026-07-23