Operating margin: +0.4% in FY2025, the 40th percentile of 443 psychiatric hospitals in the FY2025 pool. Total operating revenue: $30.2M in FY2025, the 59th percentile of 503 psychiatric hospitals in the FY2025 pool. Total margin (including nonoperating): +0.4% in FY2025, the 33rd percentile of 443 psychiatric hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Tuscaloosa, AL. It ran an operating surplus of 0.4% in FY25 on $30.2M of operating revenue. Days cash on hand is an Astrelis calculation unavailable for its latest year (cash, temporary investments and investments are not reported on this filing). Operating margin improved from -5.5% in FY20 to 0.4% in FY25.
Operating margin · FY25
+0.4%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals40th pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand
Astrelis calculation unavailable
all sources
Total operating revenue · FY25
$30.2M
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals59th pctl of 503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+0.4%
Astrelis calculation · as-filed inputs
vs Psychiatric hospitals33rd pctl of 443 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at MARY S HARPER GERIATRIC PSYCHIATRY CENTER is about $302K per year (1% of FY25 total operating revenue).
Where MARY S HARPER sits among Psychiatric hospitals
Operating margin · FY25 pool · n = 443 of 608 filed
Each point is one Psychiatric hospital in the national FY25 distribution for Psychiatric hospitals, this hospital's comparison cohort, 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 Psychiatric hospital FY25 median is +5.2%. Descriptive context only, not a ranking.
One psychiatric hospitalMARY SPsychiatric 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 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.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
26,754
25,996
30,215
Other operating revenue
45
0
3
Total operating revenue
26,799
25,996
30,218
Total operating expenses
28,435
29,080
30,107
Operating income
(1,636)
(3,083)
111
Operating margin %
-6.1%
-11.9%
+0.4%
Net income
(1,636)
(3,083)
111
Net income %
-6.1%
-11.9%
+0.4%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)FY24 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)FY23 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)FY22 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)FY21 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)FY20 · Days cash on hand — Astrelis calculation unavailable (cash, temporary investments and investments are not reported on this filing)
How it operates
quality & operational context · CMS public reporting
A 126-bed psychiatric hospital running at 52% occupancy, where the average stay runs 916.3 days, and operating cost runs $1,264 per patient day.
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
Occupancy
51.8%
Reported value2025
HCRIS WS S-3
Average daily census
65.27
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
126
Reported value2025
HCRIS WS S-3
Annual discharges
26
Reported value2025
HCRIS WS S-3
Average length of stay
916 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$1,264
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$1,157,957
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
0.0%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
TUSCALOOSA County, AL · metro, 250K–1M
Median household income
$63.9K
vs $82.1K US
Poverty rate
16.7%
vs 12.5% US
Uninsured
6.7%
vs 8.6% US
Age 65+
13.7%
vs 16.8% US
Fair or poor health
20.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.4% of county personal income is Medicare/Medicaid medical benefits; 22.9% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Tuscaloosa County
Illustrative estimate · FY25 cost report
Direct annual spending
$30.1M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$69.2M
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 →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 443.
Performance Benchmark Report: FY25 peer pool · n = 443 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 11 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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Astrelis Atlas, "Mary S Harper Geriatric Psychiatry Center", https://astrelis.co/hospitals/014012, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/014012.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
