CCN 440002MADISON CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)466 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 FY24, 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 Jackson, TN. It ran an operating surplus of 10.1% in FY25 on $790.9M of operating revenue. It held 23 days of cash on hand (50th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -1.3% in FY21 to 10.1% in FY25.
Operating margin · FY25
+10.1%
▲ 7.2 pts vs FY24
vs Urban PPS hospitals74th pctl of 1,475 (FY25)
Days cash on hand · FY25
23d
all sources
▲ 7.7 days vs FY24
vs Urban PPS hospitals50th pctl of 1,386 (FY25)
Total operating revenue · FY25
$790.9M
▼ 61.9 $M vs FY24
vs Urban PPS hospitals83rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+25.3%
▲ 11.5 pts vs FY24
vs Urban PPS hospitals93rd pctl of 1,475 (FY25)
One point of operating margin at JACKSON-MADISON COUNTY GENERAL HOSPITAL is about $7.9M per year (1% of FY25 total operating revenue).
Where JACKSON-MADISON COUNTY GENERAL 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 hospitalJACKSON-MADISON COUNTYUrban 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
797,131
852,772
790,868
Other operating revenue
8
1
6
Total operating revenue
797,140
852,774
790,874
Total operating expenses
786,139
828,741
711,283
Operating income
11,000
24,033
79,591
Operating margin %
+1.4%
+2.8%
+10.1%
Other non-operating, net
69,620
101,944
146,099
Net income
80,620
125,977
225,690
Net income %
+9.3%
+13.2%
+24.1%
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 466-bed hospital at 67% 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
67.0%
Verified fact2025
HCRIS WS S-3
Average daily census
312.87
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
466
Verified fact2025
HCRIS WS S-3
Annual discharges
26,715
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
56.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,720
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.256
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.867925
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
MADISON County, TN
Median household income
$58.2K
vs $82.1K US · $59.7K rural median
Poverty rate
18.6%
vs 12.5% US · 14.3% rural median
Uninsured
10.2%
vs 8.6% US · 8.4% rural median
Age 65+
17.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
24.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.1% of county personal income is Medicare/Medicaid medical benefits; 25.8% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
