A hospital in Muscle Shoals, AL. It ran an operating loss of 11.9% in FY25 on $44.5M of operating revenue. It held 0 days of cash on hand (9th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -2.7% in FY21 to -11.9% in FY25, though it rose 2.4 points in the most recent year.
Operating margin · FY25
-11.9%
▲ 2.4 pts vs FY24
vs Urban PPS hospitals18th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▬ 0.0 days vs FY24
vs Urban PPS hospitals9th pctl of 1,386 (FY25)
Total operating revenue · FY25
$44.5M
▲ 4.7 $M vs FY24
vs Urban PPS hospitals8th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-11.6%
▲ 1.0 pts vs FY24
vs Urban PPS hospitals7th pctl of 1,475 (FY25)
One point of operating margin at NORTH ALABAMA SHOALS HOSPITAL is about $445K per year (1% of FY25 total operating revenue).
Where NORTH ALABAMA SHOALS 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 hospitalNORTH ALABAMAUrban 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
31,154
39,648
44,420
Other operating revenue
123
126
76
Total operating revenue
31,277
39,774
44,496
Total operating expenses
35,590
45,435
49,783
Operating income
(4,313)
(5,661)
(5,287)
Operating margin %
-13.8%
-14.2%
-11.9%
Investment income
1
0
0
Other non-operating, net
611
583
113
Net income
(3,701)
(5,078)
(5,174)
Net income %
-11.6%
-12.6%
-11.6%
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 47-bed hospital at 54% occupancy 56% 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
54.4%
Verified fact2025
HCRIS WS S-3
Average daily census
25.63
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
47
Verified fact2025
HCRIS WS S-3
Annual discharges
1,644
Verified fact2025
HCRIS WS S-3
Average length of stay
5.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
55.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
243.50
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.967589
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
COLBERT County, AL
Median household income
$56.7K
vs $82.1K US · $59.7K rural median
Poverty rate
16.9%
vs 12.5% US · 14.3% rural median
Uninsured
7.4%
vs 8.6% US · 8.4% rural median
Age 65+
20.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 29.8% arrives as government transfers (BEA, 2022).
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