A hospital in Union Springs, AL. It ran an operating loss of 16.2% in FY24 on $8.0M of operating revenue. It held -3 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (10th percentile of 29 Rural Emergency Hospitals on liquidity, FY24 pool). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY24
-16.2%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
Days cash on hand · FY24
-3d
all sources
Astrelis calculation · as-filed inputs
vs Rural Emergency Hospitals10th pctl of 29 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$8.0M
Astrelis calculation · as-filed inputs
vs Rural Emergency Hospitals52nd pctl of 29 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-15.8%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY24)
One point of operating margin at BULLOCK COUNTY HOSPITAL is about $80K per year (1% of FY24 total operating revenue).
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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY24
Patient revenue
8,007
Other operating revenue
22
Total operating revenue
8,028
Total operating expenses
9,329
Operating income
(1,301)
Operating margin %
-16.2%
Grants & contributions
12
Investment income
2
Other non-operating, net
12
Net income
(1,275)
Net income %
-15.8%
1 of 3 years available for this statement.
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24
Display states.FY24 · Days cash on hand: -3 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reporting
A Rural Emergency Hospital (no inpatient beds by design), where 98% of patient revenue is outpatient — the post-conversion model working as designed.
Rural Emergency Hospital continuity. This REH converted from BULLOCK COUNTY HOSPITAL — the predecessor's full filed history stays published on its own page, benchmarked in its own contemporaneous peer years. Post-conversion, an REH runs emergency and outpatient services without inpatient beds by design; the outpatient economics below are the model working, not a shrinking acute hospital. Services retained at conversion appear in the quality block where CMS reports them.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Outpatient share of patient revenue
97.7%
Reported value2024
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 1)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 1)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: CMS does not publish these measures for this provider subtype (it does not participate in the acute-care IQR/OQR reporting programs, which do not apply here).
Trajectory
Cost-report basis · single reporting year
Operating margin
Days cash on hand
FY24 days cash on hand is an Astrelis calculation outside expected range: charted at the boundary arrow, shown at its actual value in the tiles, and included in peer statistics.
State context
Union Springs, AL
Located in Union Springs, AL. County-level statistics: linkage not established— this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Illustrative advocacy scenario: what this hospital means to its county
Illustrative estimate · FY24 cost report
Direct annual spending
$9.3M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$21.5M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Converted from Rural PPS hospital CCN 010110 (BULLOCK COUNTY HOSPITAL).
Conversion timeline. Rural PPS hospital CCN 010110 filed through FY24 → Rural Emergency Hospital CCN 010779 filing from FY24. The predecessor's full history stays published on its own page, benchmarked in its own contemporaneous peer years.
The Board Briefing
What changed, what matters, and what your board should ask — every figure sourced to the public record.
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Report coverage: Limited Facility Benchmark. 5 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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