Astrelis
Urban PPS hospital · Fort Payne, AL

DEKALB REGIONAL MEDICAL CENTER

CCN 010012DEKALB CountyProprietary85 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Fort Payne, AL. It ran an operating loss of 28.9% in FY24 on $52.1M of operating revenue. Operating margin declined from -8.5% in FY21 to -28.9% in FY24.

Operating margin · FY24
-28.9%
vs Urban PPS hospitals5th pctl of 2,562 (FY24)
Days cash on hand
Not available
all sources
vs Urban PPS hospitals
Total operating revenue · FY24
$52.1M
vs Urban PPS hospitals10th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-25.8%
vs Urban PPS hospitals3rd pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at DEKALB REGIONAL MEDICAL CENTER is about $521K per year (1% of FY24 total operating revenue).

Where DEKALB REGIONAL MEDICAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 of 2,681 filed

Each point is one Urban PPS hospital 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 Urban PPS hospital median is +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%DEKALB REGIONAL -28.85827013653582%-20%0%+20%Urban PPS hospital median +2.027429837815152%DEKALB REGIONAL -28.85827013653582%
One urban pps hospitalDEKALB REGIONALUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital 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
-28.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-25.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
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 revenue57,49350,28352,029
Other operating revenue(6)2031
Total operating revenue57,48850,30252,060
Total operating expenses58,53158,28967,083
Operating income(1,043)(7,986)(15,023)
Operating margin %-1.8%-15.9%-28.9%
Grants & contributions20
Investment income274
Other non-operating, net2,4311,6591,006
Net income1,408(6,327)(13,743)
Net income %+2.3%-12.2%-25.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 85-bed hospital at 18% occupancy 68% of patient revenue is outpatient.

The metrics this hospital 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.

Scale and flow
Occupancy
18.1%
Verified fact2024
HCRIS WS S-3
Average daily census
15.45
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
85
Verified fact2024
HCRIS WS S-3
Annual discharges
2,537
Verified fact2024
HCRIS WS S-3
Average length of stay
2.2d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
67.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
319.80
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
12.8%
Verified fact2024
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.99
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.016805
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 4 reporting years
Operating margin
-8.5%-1.8%-15.9%-28.9%FY21FY22FY23FY24
Days cash on hand
Not available
FY24 days cash suppressed: out of display range.

The county this hospital serves

DEKALB County, AL
Median household income
$51.1K
vs $82.1K US · $59.7K rural median
Poverty rate
20.4%
vs 12.5% US · 14.3% rural median
Uninsured
15.0%
vs 8.6% US · 8.4% rural median
Age 65+
17.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.8% of county personal income is Medicare/Medicaid medical benefits; 30.0% arrives as government transfers (BEA, 2022).

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