A hospital in Birmingham, AL. It ran an operating surplus of 11.2% in FY25 on $3916.7M of operating revenue. It held 123 days of cash on hand (73rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 1.4% in FY20 to 11.2% in FY25.
Operating margin · FY25
+11.2%
▲ 19.0 pts vs FY24
vs Urban PPS hospitals76th pctl of 1,475 (FY25)
Days cash on hand · FY25
123d
all sources
▼ 1.1 days vs FY24
vs Urban PPS hospitals73rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$3.92B
▲ 988.8 $M vs FY24
vs Urban PPS hospitals99th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+7.2%
▲ 4.1 pts vs FY24
vs Urban PPS hospitals54th pctl of 1,475 (FY25)
One point of operating margin at UNIVERSITY OF ALABAMA HOSPITAL is about $39.2M per year (1% of FY25 total operating revenue).
Where UNIVERSITY OF ALABAMA sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 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 +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalUNIVERSITY OFUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
2,534,354
2,927,817
3,916,659
Other operating revenue
432,447
—
—
Total operating revenue
2,966,801
2,927,817
3,916,659
Total operating expenses
2,879,740
3,153,987
3,476,247
Operating income
87,060
(226,169)
440,412
Operating margin %
+2.9%
-7.7%
+11.2%
Grants & contributions
43,516
46,288
49,264
Investment income
156,875
282,443
164,366
Other non-operating, net
0
(1)
(356,108)
Net income
287,451
102,561
297,934
Net income %
+9.1%
+3.1%
+7.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 840-bed hospital at 85% occupancy 47% 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
84.9%
Verified fact2025
HCRIS WS S-3
Average daily census
715.17
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
840
Verified fact2025
HCRIS WS S-3
Annual discharges
46,729
Verified fact2025
HCRIS WS S-3
Average length of stay
5.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
46.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
12,628
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$165.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.443
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.158696
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
JEFFERSON County, AL · metro, 1M+ population
Median household income
$64.6K
vs $82.1K US · $59.7K rural median
Poverty rate
16.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.2%
vs 8.6% US · 8.4% rural median
Age 65+
16.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.2% of county personal income is Medicare/Medicaid medical benefits; 18.1% arrives as government transfers (BEA, 2022).
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