CCN 010039MADISON CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)725 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Huntsville, AL. It ran an operating surplus of 0.5% in FY25 on $1609.7M of operating revenue. It held 52 days of cash on hand (59th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -1.3% in FY21 to 0.5% in FY25.
Operating margin · FY25
+0.5%
▲ 2.4 pts vs FY24
vs Urban PPS hospitals47th pctl of 1,475 (FY25)
Days cash on hand · FY25
52d
all sources
▼ 0.9 days vs FY24
vs Urban PPS hospitals59th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.61B
▲ 134.2 $M vs FY24
vs Urban PPS hospitals93rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+11.3%
▲ 1.8 pts vs FY24
vs Urban PPS hospitals67th pctl of 1,475 (FY25)
One point of operating margin at HUNTSVILLE HOSPITAL is about $16.1M per year (1% of FY25 total operating revenue).
Where HUNTSVILLE HOSPITAL 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 hospitalHUNTSVILLE 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
1,278,346
1,436,543
1,567,919
Other operating revenue
24,035
38,927
41,797
Total operating revenue
1,302,381
1,475,470
1,609,716
Total operating expenses
1,366,523
1,502,988
1,601,083
Operating income
(64,142)
(27,518)
8,633
Operating margin %
-4.9%
-1.9%
+0.5%
Grants & contributions
107,929
114,463
114,284
Investment income
42,285
55,328
64,900
Other non-operating, net
17,308
15,418
15,632
Net income
103,380
157,691
203,449
Net income %
+7.0%
+9.5%
+11.3%
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 725-bed hospital at 89% occupancy 50% 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
88.6%
Verified fact2025
HCRIS WS S-3
Average daily census
644.17
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
725
Verified fact2025
HCRIS WS S-3
Annual discharges
54,323
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
49.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
7,351
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.44
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.732384
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
MADISON County, AL
Median household income
$83.5K
vs $82.1K US · $59.7K rural median
Poverty rate
10.5%
vs 12.5% US · 14.3% rural median
Uninsured
7.7%
vs 8.6% US · 8.4% rural median
Age 65+
15.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.7% of county personal income is Medicare/Medicaid medical benefits; 16.7% arrives as government transfers (BEA, 2022).
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