CCN 010079LIMESTONE CountyGovernment - Hospital District or Authority56 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Athens, AL. It ran an operating loss of 5.0% in FY25 on $113.2M of operating revenue. It held 11 days of cash on hand (43rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 3.5% in FY21 to -5.0% in FY25, though it rose 5.1 points in the most recent year. Including nonoperating items, the all-in result was positive at 2.3%.
Operating margin · FY25
-5.0%
▲ 5.1 pts vs FY24
vs Urban PPS hospitals31st pctl of 1,475 (FY25)
Days cash on hand · FY25
11d
all sources
▲ 0.1 days vs FY24
vs Urban PPS hospitals43rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$113.2M
▲ 10.0 $M vs FY24
vs Urban PPS hospitals23rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.3%
▲ 10.6 pts vs FY24
vs Urban PPS hospitals35th pctl of 1,475 (FY25)
One point of operating margin at ATHENS LIMESTONE HOSPITAL is about $1.1M per year (1% of FY25 total operating revenue).
Where ATHENS LIMESTONE 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 hospitalATHENS LIMESTONEUrban 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
88,873
92,218
111,774
Other operating revenue
11,705
10,945
1,387
Total operating revenue
100,578
103,162
113,161
Total operating expenses
107,478
113,571
118,800
Operating income
(6,900)
(10,409)
(5,639)
Operating margin %
-6.9%
-10.1%
-5.0%
Grants & contributions
688
248
8,135
Investment income
26
53
—
Other non-operating, net
3,993
1,383
317
Net income
(2,193)
(8,725)
2,813
Net income %
-2.1%
-8.3%
+2.3%
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 56-bed hospital at 48% occupancy 76% 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
47.9%
Verified fact2025
HCRIS WS S-3
Average daily census
26.91
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
56
Verified fact2025
HCRIS WS S-3
Annual discharges
3,497
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
75.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
620.80
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.138
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.06
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.867307
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
LIMESTONE County, AL
Median household income
$83.5K
vs $82.1K US · $59.7K rural median
Poverty rate
10.1%
vs 12.5% US · 14.3% rural median
Uninsured
8.1%
vs 8.6% US · 8.4% rural median
Age 65+
15.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.2% of county personal income is Medicare/Medicaid medical benefits; 18.7% arrives as government transfers (BEA, 2022).
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