Days cash on hand: 249 days in FY2023. Total operating revenue: $1.4M in FY2023. Operating margin: -319.1% in FY2023. Total margin (including nonoperating): -6.2% in FY2023. Figures as filed; not audited by Astrelis.
The read
A skilled nursing facility in Council Bluffs, IA. It ran an operating loss of 319.1% in FY23 on $1.4M of operating revenue. It held 249 days of cash on hand. Operating margin improved from -325.7% in FY21 to -319.1% in FY23.
Days cash on hand · FY23
249d
all sources
Astrelis calculation · as-filed inputs
▼ 29 days vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
Total operating revenue · FY23
$1.4M
Astrelis calculation · as-filed inputs
▼ $0.5M vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
Operating margin · FY23
-319.1%
Astrelis calculation · as-filed inputs
▲ 34.8 pts vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
Total margin · incl. nonoperating · FY23
-6.2%
Astrelis calculation · as-filed inputs
▲ 1.5 pts vs FY22
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY23)
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
-319.1% (FY23)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-6.2% (FY23)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
249d (FY23)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
3.10× (FY23)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
2% (FY23)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
69d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY21 · 336 days
FY22
FY23 · 243 days
Patient revenue
2,020
1,914
1,438
Total operating revenue
2,020
1,914
1,438
Total operating expenses
8,597
8,689
6,028
Operating income
(6,578)
(6,774)
(4,589)
Operating margin %
-325.7%
-353.9%
-319.1%
Other non-operating, net
6,955
6,154
4,238
Net income
377
(620)
(352)
Net income %
+4.2%
-7.7%
-6.2%
— = Not reported in source for that year.
HCRIS Worksheet G-3 (SNF) · $ thousands · FY21–FY23 · 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
Display states.FY23 · Operating margin: -319.1% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100% of net patient revenue — a valid filing can produce this; this year enters no peer pool)FY22 · Operating margin: -353.9% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100% of net patient revenue — a valid filing can produce this; the pool absorbs it)FY21 · Operating margin: -325.7% — Astrelis calculation · outside expected range; shown at the chart boundary and not in peer statistics (this year is not comparison-eligible) (beyond ±100% of net patient revenue — a valid filing can produce this; this year enters no peer pool)
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.
Occupancy
49.8%
Astrelis calculation2023
HCRIS WS S-1 (SNF cost report)
Medicare day share
2.2%
Astrelis calculation2023
HCRIS WS S-1 (SNF cost report)
Medicaid day share
8.9%
Astrelis calculation2023
HCRIS WS S-1 (SNF cost report)
Other payer day share
88.9%
Astrelis calculation2023
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 3 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility serves
POTTAWATTAMIE County, IA
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
10.9%
vs 12.5% US · 14.3% rural median
Uninsured
4.8%
vs 8.6% US · 8.4% rural median
Age 65+
18.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.4% of county personal income is Medicare/Medicaid medical benefits; 23.4% arrives as government transfers (BEA, 2022).
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Report coverage: Limited Facility Benchmark. 8 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.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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Astrelis Atlas, "Prairie Gate", https://astrelis.co/providers/snf/165789, 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/165789.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.
