Astrelis
Rural PPS hospital · Union Springs, AL

BULLOCK COUNTY HOSPITAL

CCN 010110BULLOCK CountyProprietaryRural (USDA RUCC)17 bedsLatest FY 2024
Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 010779see 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 Union Springs, AL. It ran an operating loss of 76.0% in FY24 on $4.2M of operating revenue. It held 9 days of cash on hand. Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY24
-76.0%
vs Rural PPS hospitals
Days cash on hand · FY24
9d
all sources
vs Rural PPS hospitals
Total operating revenue · FY24
$4.2M
vs Rural PPS hospitals
Total margin · incl. nonoperating · FY24
-75.5%
vs Rural PPS hospitals
One point of operating margin at BULLOCK COUNTY HOSPITAL is about $42K per year (1% of FY24 total operating revenue).

Where BULLOCK COUNTY HOSPITAL 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%BULLOCK COUNTY -75.98733938019653%-20%0%+20%Rural PPS hospital median -0.8727424997636124%BULLOCK COUNTY -75.98733938019653%
One rural pps hospitalBULLOCK COUNTYRural 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
-76.0% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-75.5% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
9d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.37× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
10% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
106d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue13,91323,6114,233
Other operating revenue2782621
Total operating revenue14,19123,8734,234
Total operating expenses17,30428,2187,451
Operating income(3,113)(4,346)(3,217)
Operating margin %-21.9%-18.2%-76.0%
Grants & contributions115
Investment income2,002342
Other non-operating, net2,00128510
Net income890(3,912)(3,205)
Net income %+4.9%-16.1%-75.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
FY22, FY23, FY24 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 17-bed hospital 55% 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
Staffed beds (acute)
17
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
54.7%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
44
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.2%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Results are not available for this reporting period.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Results are not available for this reporting period.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-31.4%-21.9%-18.2%-76.0%FY20FY21FY22FY23FY24
Days cash on hand
3 days8 days50 days1 day9 daysFY20FY21FY22FY23FY24

The county this hospital serves

BULLOCK County, AL · nonmetro, rural, metro-adjacent
Median household income
$36.7K
vs $82.1K US · $59.7K rural median
Poverty rate
25.7%
vs 12.5% US · 14.3% rural median
Uninsured
12.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
37.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.1% of county personal income is Medicare/Medicaid medical benefits; 36.6% arrives as government transfers (BEA, 2022).

What this hospital means to Bullock County

economic contribution · FY24 cost report
Direct annual spending
$7.5M
total operating expense · reported
Total economic output
$17.1M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
1.6%
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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