CCN 010120MONROE CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)38 bedsLatest FY 2025
Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 011310 — 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 Monroeville, AL. It ran an operating loss of 95.0% in FY25 on $23.3M of operating revenue. It held 39 days of cash on hand. Operating margin declined from -16.2% in FY20 to -95.0% in FY25.
Operating margin · FY25
-95.0%
▼ 80.3 pts vs FY24
vs Rural PPS hospitals—
Days cash on hand · FY25
39d
all sources
▼ 27.8 days vs FY24
vs Rural PPS hospitals—
Total operating revenue · FY25
$23.3M
▬ 0.0 $M vs FY24
vs Rural PPS hospitals—
Total margin · incl. nonoperating · FY25
-77.0%
▼ 72.9 pts vs FY24
vs Rural PPS hospitals—
One point of operating margin at MONROE COUNTY HOSPITAL is about $233K per year (1% of FY25 total operating revenue).
Where MONROE 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.
One rural pps hospitalMONROE 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
22,336
23,271
23,271
Other operating revenue
145
65
65
Total operating revenue
22,481
23,335
23,335
Total operating expenses
27,388
26,755
45,503
Operating income
(4,907)
(3,420)
(22,168)
Operating margin %
-21.8%
-14.7%
-95.0%
Grants & contributions
1,387
1,470
1,470
Investment income
71
39
39
Other non-operating, net
3,733
863
864
Net income
284
(1,048)
(19,795)
Net income %
+1.0%
-4.1%
-77.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY23, FY24, FY25 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 38-bed hospital at 8% occupancy 92% 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
8.3%
Verified fact2025
HCRIS WS S-3
Average daily census
3.35
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
38
Verified fact2025
HCRIS WS S-3
Annual discharges
569
Verified fact2025
HCRIS WS S-3
Average length of stay
2.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
91.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
203
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
7.2%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$2.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.416
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.9%
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)
0.993683
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
MONROE County, AL · nonmetro, rural, metro-adjacent
Median household income
$40.2K
vs $82.1K US · $59.7K rural median
Poverty rate
22.6%
vs 12.5% US · 14.3% rural median
Uninsured
11.2%
vs 8.6% US · 8.4% rural median
Age 65+
21.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.5% of county personal income is Medicare/Medicaid medical benefits; 36.4% arrives as government transfers (BEA, 2022).
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.
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