November was a busier month than anticipated at Winneshiek Medical Center.

At last week's meeting of the WMC Board of Directors, Chief Financial Officer Lynn Luloff told the Board the net gain for November was $135,834, bringing the year-to-date profit to $573,583.

"We had some areas that were over budget in expenses in November, but those were supported by above-budget revenues," said Luloff.

Winneshiek Medical Center experienced higher-than-expected utilization of inpatient services, Home Health and emergency department services.

"We had an increase in acute patient days from 220 in October to 242 in November," said Luloff.

The administrator attributed some of the increase to a high number of births, at 27 for the month.

Skilled patient days increased from 152 in October to 187 in November, which was 100 percent ahead of expectations. Many patients utilize skilled care while recovering from surgical procedures.

"Care and treatment may move from an acute care setting to a skilled setting, slowing continuity of care. Studies show treatments received under this level of care can limit readmissions," said Luloff at a previous meeting.