CCN 010114JEFFERSON CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)106 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Bessemer, AL. It ran an operating loss of 17.9% in FY25 on $174.8M of operating revenue. It held 24 days of cash on hand (51st percentile among Urban PPS hospitals on liquidity). Operating margin declined from -1.3% in FY20 to -17.9% in FY25.
Operating margin · FY25
-17.9%
vs Urban PPS hospitals12th pctl of 1,475 (FY25)
Days cash on hand · FY25
24d
all sources
vs Urban PPS hospitals51st pctl of 1,386 (FY25)
Total operating revenue · FY25
$174.8M
vs Urban PPS hospitals35th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-17.6%
vs Urban PPS hospitals5th pctl of 1,475 (FY25)
One point of operating margin at MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM is about $1.7M per year (1% of FY25 total operating revenue).
Where MEDICAL WEST, AN 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 hospitalMEDICAL WEST,Urban 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
145,242
153,796
187,285
Other operating revenue
15,388
19,413
(12,501)
Total operating revenue
160,629
173,209
174,784
Total operating expenses
166,119
177,361
206,014
Operating income
(5,490)
(4,152)
(31,230)
Operating margin %
-3.4%
-2.4%
-17.9%
Investment income
5,925
—
382
Other non-operating, net
0
0
0
Net income
435
(4,152)
(30,848)
Net income %
+0.3%
-2.4%
-17.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · 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
How it operates
quality & operational context · CMS public reporting
A 106-bed hospital at 68% occupancy 61% 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
67.9%
Verified fact2025
HCRIS WS S-3
Average daily census
72.17
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
106
Verified fact2025
HCRIS WS S-3
Annual discharges
7,659
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
61.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,089
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$12.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.584
No Different than National Benchmark
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
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.159507
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
JEFFERSON County, AL · metro, 1M+ population
Median household income
$64.6K
vs $82.1K US · $59.7K rural median
Poverty rate
16.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.2%
vs 8.6% US · 8.4% rural median
Age 65+
16.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.2% of county personal income is Medicare/Medicaid medical benefits; 18.1% arrives as government transfers (BEA, 2022).
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