A skilled nursing facility in Hills, MN. It ran an operating surplus of 0.4% in FY23 on $4.0M of operating revenue. It held 295 days of cash on hand (96th percentile among SNFs on liquidity). Operating margin improved from -0.6% in FY20 to 0.4% in FY23. On care, it carries a 5-star CMS quality rating. On the filed record it is roughly breaking even with strong measured quality. Source-reported context, not a recommendation.
Overall Five-Star
5
Verified fact2025
Source: CMS Care Compare
Total nursing HPRD
3.96
Verified fact2025
Source: CMS PBJ staffing
Operating margin · FY23
+0.4%
▲ 9.7 pts vs FY22
vs SNFs47th pctl of 12,481 (FY25)
Days cash on hand · FY23
295d
all sources
▲ 37.9 days vs FY22
vs SNFs96th pctl of 10,767 (FY25)
Where Tuff Memorial Home 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 snfTuff MemorialSNF 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
+0.4% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.7% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
295d (FY23)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
8.35× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
91% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
112d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY20
FY22
FY23
Patient revenue
3,219
3,412
3,987
Total operating revenue
3,219
3,412
3,987
Total operating expenses
3,239
3,731
3,972
Operating income
(20)
(319)
15
Operating margin %
-0.6%
-9.3%
+0.4%
Other non-operating, net
337
301
269
Net income
317
(18)
284
Net income %
+8.9%
-0.5%
+6.7%
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
5
Verified fact2025
CMS Care Compare
Health inspection star
4
Verified fact2025
CMS Care Compare
Quality measure star
5
Verified fact2025
CMS Care Compare
Staffing star
5
Verified fact2025
CMS Care Compare
Total nursing HPRD
3.96
Verified fact2025
CMS PBJ staffing
RN HPRD
0.72
Verified fact2025
CMS PBJ staffing
Total nurse turnover
40.0%
Verified fact2025
CMS PBJ staffing
Occupancy
78.0%
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
Rock County, MN
Median household income
$70.7K
vs $82.1K US · $59.7K rural median
Poverty rate
9.5%
vs 12.5% US · 14.3% rural median
Uninsured
4.9%
vs 8.6% US · 8.4% rural median
Age 65+
20.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.2% of county personal income is Medicare/Medicaid medical benefits; 20.8% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
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.
