CCN 010035CULLMAN CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)137 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Cullman, AL. It ran an operating loss of 3.6% in FY25 on $201.7M of operating revenue. It held 87 days of cash on hand (68th percentile among Rural PPS hospitals on liquidity). Operating margin declined from 2.3% in FY21 to -3.6% in FY25, though it rose 0.6 points in the most recent year.
Operating margin · FY25
-3.6%
▲ 0.6 pts vs FY24
vs Rural PPS hospitals41st pctl of 387 (FY24)
Days cash on hand · FY25
87d
all sources
▼ 19.3 days vs FY24
vs Rural PPS hospitals68th pctl of 376 (FY24)
Total operating revenue · FY25
$201.7M
▲ 15.7 $M vs FY24
vs Rural PPS hospitals81st pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-0.4%
▲ 0.8 pts vs FY24
vs Rural PPS hospitals36th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at CULLMAN REGIONAL MEDICAL CENTER is about $2.0M per year (1% of FY25 total operating revenue).
Where CULLMAN REGIONAL MEDICAL sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalCULLMAN REGIONALRural 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
167,078
179,023
193,353
Other operating revenue
5,024
6,964
8,311
Total operating revenue
172,103
185,988
201,664
Total operating expenses
175,190
193,670
208,829
Operating income
(3,088)
(7,683)
(7,165)
Operating margin %
-1.8%
-4.1%
-3.6%
Grants & contributions
703
1,537
1,266
Investment income
336
697
1,215
Other non-operating, net
4,492
3,252
3,883
Net income
2,443
(2,197)
(801)
Net income %
+1.4%
-1.1%
-0.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 137-bed hospital at 57% occupancy 64% 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
57.3%
Verified fact2025
HCRIS WS S-3
Average daily census
78.76
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
137
Verified fact2025
HCRIS WS S-3
Annual discharges
8,924
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
63.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,217
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.07
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
16.6%
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)
1.086603
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
CULLMAN County, AL
Median household income
$60.9K
vs $82.1K US · $59.7K rural median
Poverty rate
13.9%
vs 12.5% US · 14.3% rural median
Uninsured
10.7%
vs 8.6% US · 8.4% rural median
Age 65+
18.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.6% of county personal income is Medicare/Medicaid medical benefits; 24.6% arrives as government transfers (BEA, 2022).
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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