CCN 011302Franklin CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Red Bay, AL. It ran an operating loss of 6.6% in FY25 on $9.8M of operating revenue. It held 193 days of cash on hand (67th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -36.9% in FY20 to -6.6% in FY25. These figures come from filings spanning FY22–FY25: read each by its own year rather than as one current picture.
Operating margin · FY25
-6.6%
▲ 18.7 pts vs FY24
vs Critical Access Hospitals30th pctl of 824 (FY25)
Days cash on hand · FY25
193d
all sources
▲ 69.3 days vs FY24
vs Critical Access Hospitals67th pctl of 827 (FY25)
Total operating revenue · FY25
$9.8M
▲ 1.9 $M vs FY24
vs Critical Access Hospitals7th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
-6.0%
▲ 18.5 pts vs FY24
vs Critical Access Hospitals9th pctl of 824 (FY25)
One point of operating margin at RED BAY HOSPITAL is about $98K per year (1% of FY25 total operating revenue).
Where RED BAY HOSPITAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalRED BAYCritical Access 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
Medicare inpatient contribution margin
+50.5% (FY25)
90th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+45.4% (FY25)
19th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
8,212
6,941
9,025
Other operating revenue
1,263
949
785
Total operating revenue
9,475
7,889
9,809
Total operating expenses
9,972
9,888
10,459
Operating income
(497)
(1,998)
(649)
Operating margin %
-5.2%
-25.3%
-6.6%
Grants & contributions
29
8
0
Investment income
5
—
2
Other non-operating, net
48
45
55
Net income
(415)
(1,945)
(592)
Net income %
-4.3%
-24.5%
-6.0%
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
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 25-bed hospital at 5% occupancy where swing beds are 83% of the inpatient business and 72% 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
5.1%
Verified fact2025
HCRIS WS S-3
Average daily census
1.28
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
150
Verified fact2025
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
6.06
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
82.6%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
72.2%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
FRANKLIN County, AL · nonmetro, urban 5–20K, metro-adjacent
Median household income
$51.5K
vs $82.1K US · $59.7K rural median
Poverty rate
17.4%
vs 12.5% US · 14.3% rural median
Uninsured
11.8%
vs 8.6% US · 8.4% rural median
Age 65+
17.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
28.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.1% of county personal income is Medicare/Medicaid medical benefits; 29.1% arrives as government transfers (BEA, 2022).
What this hospital means to Franklin County
economic contribution · FY25 cost report
Direct annual spending
$10.5M
total operating expense · reported
Total economic output
$24.1M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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