Astrelis
Urban PPS hospital · Fairhope, AL

THOMAS HOSPITAL

CCN 010100BALDWIN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)147 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Fairhope, AL. It ran an operating surplus of 5.1% in FY25 on $269.6M of operating revenue. It held 72 days of cash on hand (65th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.4% in FY21 to 5.1% in FY25.

Operating margin · FY25
+5.1%
0.2 pts vs FY24
vs Urban PPS hospitals61st pctl of 1,475 (FY25)
Days cash on hand · FY25
72d
all sources
22.4 days vs FY24
vs Urban PPS hospitals65th pctl of 1,386 (FY25)
Total operating revenue · FY25
$269.6M
10.7 $M vs FY24
vs Urban PPS hospitals48th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+6.9%
1.0 pts vs FY24
vs Urban PPS hospitals53rd pctl of 1,475 (FY25)
One point of operating margin at THOMAS HOSPITAL is about $2.7M per year (1% of FY25 total operating revenue).

Where THOMAS 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%THOMAS HOSPITAL +5.126125043399301%-20%0%+20%Urban PPS hospital median +1.3311360264910879%THOMAS HOSPITAL +5.126125043399301%
One urban pps hospitalTHOMAS 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.

Operating margin
+5.1% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
72d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
7.03× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
60% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
28d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue244,684255,575268,824
Other operating revenue5,6453,291766
Total operating revenue250,329258,867269,590
Total operating expenses229,438245,018255,770
Operating income20,89213,84813,820
Operating margin %+8.3%+5.3%+5.1%
Grants & contributions2392841,018
Investment income(2,016)1,3752,083
Other non-operating, net3,76612,181
Net income22,88115,50819,102
Net income %+9.1%+6.0%+6.9%
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 147-bed hospital at 83% occupancy 53% 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
83.4%
Verified fact2025
HCRIS WS S-3
Average daily census
122.88
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
147
Verified fact2025
HCRIS WS S-3
Annual discharges
11,198
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
53.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,126
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.882
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.93
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.096552
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-3.4%-22.6%+8.3%+5.3%+5.1%FY21FY22FY23FY24FY25
Days cash on hand
43 days36 days43 days49 days72 daysFY21FY22FY23FY24FY25

The county this hospital serves

BALDWIN County, AL
Median household income
$75.0K
vs $82.1K US · $59.7K rural median
Poverty rate
10.5%
vs 12.5% US · 14.3% rural median
Uninsured
8.2%
vs 8.6% US · 8.4% rural median
Age 65+
21.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 7.5% of county personal income is Medicare/Medicaid medical benefits; 21.4% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-25