CCN 010059LAWRENCE CountyGovernment - Hospital District or Authority37 bedsLatest FY 2024
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Lawrence County, AL. It ran an operating loss of 36.5% in FY24 on $11.9M of operating revenue. It held 2 days of cash on hand (35th percentile of 2,490 Urban PPS hospitals on liquidity, FY24 pool). 4 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited.
Operating margin · FY24
-36.5%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals3rd pctl of 2,563 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
2d
all sources
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals35th pctl of 2,490 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$11.9M
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals1st pctl of 2,608 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-34.9%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals1st pctl of 2,563 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at LAWRENCE MEDICAL CENTER is about $119K per year (1% of FY24 total operating revenue).
Where LAWRENCE MEDICAL CENTER sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,563 of 2,643 filed
Each point is one Urban PPS hospital in the national FY24 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 FY24 median is +2.0%. Descriptive context only, not a ranking.
One urban pps hospitalLAWRENCE MEDICALUrban 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
11,792
12,390
11,873
Other operating revenue
1,345
807
26
Total operating revenue
13,137
13,197
11,899
Total operating expenses
13,937
15,356
16,246
Operating income
(801)
(2,159)
(4,347)
Operating margin %
-6.1%
-16.4%
-36.5%
Investment income
1
25
39
Other non-operating, net
98
105
102
Net income
(702)
(2,029)
(4,206)
Net income %
-5.3%
-15.2%
-34.9%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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
Display states.FY20 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -9,267K · Net patient revenue 4,324K
How it operates
quality & operational context · CMS public reporting
A 37-bed hospital running at 10% occupancy, where swing beds are 28% of the inpatient business, and 87% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
10.1%
Reported value2024
HCRIS WS S-3
Average daily census
3.74
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
37
Reported value2024
HCRIS WS S-3
Annual discharges
395
Reported value2024
HCRIS WS S-3
Average length of stay
3 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$11,902
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$41,129
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Swing-bed average daily census
1.43
Reported value2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
27.7%
Reported value2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
86.5%
Reported value2024
HCRIS WS G-2 L28
Total FTEs
129.30
Reported value2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
27.3%
Reported value2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.9M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LAWRENCE County, AL
Median household income
$60.0K
vs $82.1K US · $59.7K rural median
Poverty rate
13.7%
vs 12.5% US · 14.3% rural median
Uninsured
9.2%
vs 8.6% US · 8.4% rural median
Age 65+
18.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.1% of county personal income is Medicare/Medicaid medical benefits; 30.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Lawrence County
Illustrative estimate · FY24 cost report
Direct annual spending
$16.2M
total operating expense · Reported value, not a local-capture estimate
Labor income
$9.5M
$8.0M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$37.4M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
2.1%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 2,563.
Report coverage: Historical Facility Benchmark. 17 of 17 facility measures available from public sources. This CCN is terminated. The report benchmarks the record's final filed years against their own contemporaneous peer pools and says so on every exhibit; no current-year comparison is implied. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
$1,000delivered within 2 business days of invoice
Reservation: invoice after coverage confirmation. No payment is collected on this site.
