CCN 010073CLAY CountyGovernment - Hospital District or Authority42 bedsLatest FY 2025
Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 010782 — see the current profile. 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 Ashland, AL. It ran an operating loss of 12.1% in FY25 on $18.9M of operating revenue. It held 7 days of cash on hand. Operating margin declined from -9.2% in FY20 to -12.1% in FY25.
Operating margin · FY25
-12.1%
▼ 2.3 pts vs FY24
vs Urban PPS hospitals—
Days cash on hand · FY25
7d
all sources
▼ 2.5 days vs FY24
vs Urban PPS hospitals—
Total operating revenue · FY25
$18.9M
▼ 0.6 $M vs FY24
vs Urban PPS hospitals—
Total margin · incl. nonoperating · FY25
-1.8%
▲ 1.9 pts vs FY24
vs Urban PPS hospitals—
One point of operating margin at CLAY COUNTY HOSPITAL is about $189K per year (1% of FY25 total operating revenue).
Where CLAY COUNTY 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 hospitalCLAY COUNTYUrban 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
17,619
19,425
18,802
Other operating revenue
122
140
137
Total operating revenue
17,741
19,565
18,939
Total operating expenses
21,459
21,481
21,231
Operating income
(3,719)
(1,916)
(2,292)
Operating margin %
-21.0%
-9.8%
-12.1%
Grants & contributions
651
574
1,473
Investment income
6
3
2
Other non-operating, net
1,222
586
445
Net income
(1,840)
(753)
(372)
Net income %
-9.4%
-3.6%
-1.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 42-bed hospital at 19% occupancy 65% 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
18.8%
Verified fact2025
HCRIS WS S-3
Average daily census
7.90
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
42
Verified fact2025
HCRIS WS S-3
Annual discharges
544
Verified fact2025
HCRIS WS S-3
Average length of stay
5.3d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
0.76
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
8.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
65.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
206.90
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.3%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$1.0M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.04
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.186999
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
CLAY County, AL
Median household income
$51.9K
vs $82.1K US · $59.7K rural median
Poverty rate
16.5%
vs 12.5% US · 14.3% rural median
Uninsured
8.4%
vs 8.6% US · 8.4% rural median
Age 65+
20.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.7% of county personal income is Medicare/Medicaid medical benefits; 33.8% arrives as government transfers (BEA, 2022).
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