Astrelis
Urban PPS hospital · Montgomery, AL

JACKSON HOSPITAL & CLINIC INC

CCN 010024MONTGOMERY CountyVoluntary non-profit - PrivateUrban (USDA RUCC)236 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Montgomery, AL. It ran an operating loss of 39.7% in FY24 on $225.5M of operating revenue. It held 17 days of cash on hand (47th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -13.6% in FY20 to -39.7% in FY24.

Operating margin · FY24
-39.7%
26.6 pts vs FY23
vs Urban PPS hospitals3rd pctl of 2,562 (FY24)
Days cash on hand · FY24
17d
all sources
27.0 days vs FY23
vs Urban PPS hospitals47th pctl of 2,354 (FY24)
Total operating revenue · FY24
$225.5M
68.4 $M vs FY23
vs Urban PPS hospitals45th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-27.7%
28.4 pts vs FY23
vs Urban PPS hospitals2nd 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 JACKSON HOSPITAL & CLINIC INC is about $2.3M per year (1% of FY24 total operating revenue).

Where JACKSON HOSPITAL & 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%JACKSON HOSPITAL -39.669212944998165%-20%0%+20%Urban PPS hospital median +2.027429837815152%JACKSON HOSPITAL -39.669212944998165%
One urban pps hospitalJACKSON HOSPITALUrban 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
-39.7% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-27.7% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
17d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.28× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-38% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
57d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue301,434292,053221,326
Other operating revenue4,1121,8784,167
Total operating revenue305,546293,932225,493
Total operating expenses332,744332,357314,944
Operating income(27,198)(38,425)(89,451)
Operating margin %-8.9%-13.1%-39.7%
Grants & contributions163,7947
Investment income(6,088)3,299197
Other non-operating, net23,56633,77820,899
Net income(9,704)2,446(68,348)
Net income %-3.0%+0.7%-27.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22, FY23, 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 236-bed hospital at 55% occupancy 53% 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
55.1%
Verified fact2024
HCRIS WS S-3
Average daily census
130.42
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
236
Verified fact2024
HCRIS WS S-3
Annual discharges
13,824
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
52.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,683
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
10.4%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$12.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.041
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.949761
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-13.6%-11.4%-8.9%-13.1%-39.7%FY20FY21FY22FY23FY24
Days cash on hand
112 days91 days86 days44 days17 daysFY20FY21FY22FY23FY24

The county this hospital serves

MONTGOMERY County, AL · metro, 250K–1M
Median household income
$58.2K
vs $82.1K US · $59.7K rural median
Poverty rate
19.3%
vs 12.5% US · 14.3% rural median
Uninsured
10.6%
vs 8.6% US · 8.4% rural median
Age 65+
15.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.7% of county personal income is Medicare/Medicaid medical benefits; 25.3% arrives as government transfers (BEA, 2022).

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