Astrelis
Rural PPS hospital · Greenville, AL

THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE- LV STABLER HOSPITAL

CCN 010150BUTLER CountyProprietaryRural (USDA RUCC)37 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Greenville, AL. It ran an operating loss of 26.0% in FY25 on $22.8M of operating revenue. It held 7 days of cash on hand (31st percentile among Rural PPS hospitals on liquidity). Operating margin improved from -37.4% in FY20 to -26.0% in FY25, though it fell 4.4 points in the most recent year.

Operating margin · FY25
-26.0%
4.4 pts vs FY24
vs Rural PPS hospitals8th pctl of 387 (FY24)
Days cash on hand · FY25
7d
all sources
0.7 days vs FY24
vs Rural PPS hospitals31st pctl of 376 (FY24)
Total operating revenue · FY25
$22.8M
1.1 $M vs FY24
vs Rural PPS hospitals10th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
-18.5%
23.1 pts vs FY24
vs Rural PPS hospitals6th pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE- LV STABLER HOSPITAL is about $228K per year (1% of FY25 total operating revenue).

Where THE HEALTH CARE 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.

This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%THE HEALTH -25.967520895999442%-20%0%+20%Rural PPS hospital median -0.8727424997636124%THE HEALTH -25.967520895999442%
One rural pps hospitalTHE HEALTHRural 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
-26.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-18.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
7d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.46× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-17% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
42d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue19,18623,68222,692
Other operating revenue3,572240148
Total operating revenue22,75823,92322,839
Total operating expenses26,76529,08028,770
Operating income(4,006)(5,157)(5,931)
Operating margin %-17.6%-21.6%-26.0%
Investment income104,976706
Other non-operating, net2,1961,609740
Net income(1,800)1,428(4,485)
Net income %-7.2%+4.7%-18.5%
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
FY21 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 37-bed hospital at 28% occupancy 70% 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
27.7%
Verified fact2025
HCRIS WS S-3
Average daily census
10.27
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
37
Verified fact2025
HCRIS WS S-3
Annual discharges
926
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
70.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
179.90
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.8%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$3.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
Better than the 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
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.971963
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-37.4%-22.0%-28.9%-17.6%-21.6%-26.0%FY20FY21FY22FY23FY24FY25
Days cash on hand
164 days52 days19 days10 days7 days7 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

BUTLER County, AL · nonmetro, urban 5–20K, metro-adjacent
Median household income
$44.9K
vs $82.1K US · $59.7K rural median
Poverty rate
21.0%
vs 12.5% US · 14.3% rural median
Uninsured
12.3%
vs 8.6% US · 8.4% rural median
Age 65+
21.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.6% of county personal income is Medicare/Medicaid medical benefits; 32.3% arrives as government transfers (BEA, 2022).

What this hospital means to Butler County

economic contribution · FY25 cost report
Direct annual spending
$28.8M
total operating expense · reported
Total economic output
$66.2M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
2.6%
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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