Astrelis
Rural PPS hospital · Enterprise, AL

MEDICAL CENTER ENTERPRISE

CCN 010049COFFEE CountyProprietaryRural (USDA RUCC)77 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY23, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Enterprise, AL. It ran an operating surplus of 9.9% in FY24 on $67.4M of operating revenue. It held 0 days of cash on hand in FY23, its most recent reported liquidity (10th percentile among Rural PPS hospitals on liquidity). Operating margin declined from 12.9% in FY20 to 9.9% in FY24, though it rose 2.4 points in the most recent year.

Operating margin · FY24
+9.9%
2.4 pts vs FY23
vs Rural PPS hospitals80th pctl of 387 (FY24)
Days cash on hand · FY23
0d
all sources
0.0 days vs FY22
vs Rural PPS hospitals10th pctl of 376 (FY24)
Total operating revenue · FY24
$67.4M
4.8 $M vs FY23
vs Rural PPS hospitals38th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+9.9%
1.5 pts vs FY23
vs Rural PPS hospitals72nd pctl of 387 (FY24)
One point of operating margin at MEDICAL CENTER ENTERPRISE is about $674K per year (1% of FY24 total operating revenue).

Where MEDICAL CENTER ENTERPRISE 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.

-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%MEDICAL CENTER +9.945398163122988%-20%0%+20%Rural PPS hospital median -0.8727424997636124%MEDICAL CENTER +9.945398163122988%
One rural pps hospitalMEDICAL CENTERRural 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
+9.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+9.9% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY23)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.69× (FY22)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
82% (FY22)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
54d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue59,12561,80766,619
Other operating revenue3,594760779
Total operating revenue62,71962,56767,397
Total operating expenses58,20857,86660,694
Operating income4,5124,7016,703
Operating margin %+7.2%+7.5%+9.9%
Other non-operating, net06650
Net income4,5125,3666,703
Net income %+7.2%+8.5%+9.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20 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 77-bed hospital at 25% occupancy where swing beds are 33% of the inpatient business and 71% 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
24.9%
Verified fact2024
HCRIS WS S-3
Average daily census
19.84
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
77
Verified fact2024
HCRIS WS S-3
Annual discharges
3,299
Verified fact2024
HCRIS WS S-3
Average length of stay
2.2d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
9.70
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
32.8%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
70.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
343.10
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.8%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$3.0M
Verified fact2023
HCRIS WS S-10 line 31
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
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.91
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.867148
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+12.9%+14.9%+7.2%+7.5%+9.9%FY20FY21FY22FY23FY24
Days cash on hand
0 days0 days0 days0 daysFY20FY21FY22FY23FY24
FY24 days cash suppressed: out of display range.

The county this hospital serves

COFFEE County, AL · nonmetro, urban 20K+, metro-adjacent
Median household income
$64.7K
vs $82.1K US · $59.7K rural median
Poverty rate
17.6%
vs 12.5% US · 14.3% rural median
Uninsured
10.5%
vs 8.6% US · 8.4% rural median
Age 65+
17.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.9% of county personal income is Medicare/Medicaid medical benefits; 25.6% arrives as government transfers (BEA, 2022).

What this hospital means to Coffee County

economic contribution · FY24 cost report
Direct annual spending
$60.7M
total operating expense · reported
Total economic output
$139.6M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
2.0%
of all county jobs
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.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

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