Astrelis
Rural PPS hospital · Brownsville, TN

HAYWOOD COUNTY COMMUNITY HOSPITAL

CCN 440238HAYWOOD CountyProprietaryRural (USDA RUCC)9 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Brownsville, TN. It ran an operating loss of 66.9% in FY24 on $5.9M of operating revenue. It held 1 day of cash on hand (20th percentile among Rural PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY24
-66.9%
vs Rural PPS hospitals1st pctl of 387 (FY24)
Days cash on hand · FY24
1d
all sources
0.6 days vs FY23
vs Rural PPS hospitals20th pctl of 376 (FY24)
Total operating revenue · FY24
$5.9M
0.7 $M vs FY23
vs Rural PPS hospitals1st pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
-62.7%
vs Rural PPS hospitals0th pctl of 387 (FY24)
One point of operating margin at HAYWOOD COUNTY COMMUNITY HOSPITAL is about $59K per year (1% of FY24 total operating revenue).

Where HAYWOOD COUNTY COMMUNITY sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%HAYWOOD COUNTY -66.94182788075223%-20%0%+20%Rural PPS hospital median -0.8727424997636124%HAYWOOD COUNTY -66.94182788075223%
One rural pps hospitalHAYWOOD COUNTYRural 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.

Operating margin
-66.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-62.7% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.10× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-90% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
92d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24
Patient revenue3,7785,498
Other operating revenue2,889426
Total operating revenue6,6685,924
Total operating expenses8,1079,889
Operating income(1,439)(3,966)
Operating margin %-21.6%-66.9%
Other non-operating, net91157
Net income(1,348)(3,809)
Net income %-19.9%-62.6%
2 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY23–FY24
FY23, FY24 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).
FY23 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).

How it operates

quality & operational context · CMS public reporting

A 9-bed hospital at 35% occupancy where swing beds are 37% of the inpatient business and 67% 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
35.5%
Verified fact2024
HCRIS WS S-3
Average daily census
3.20
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
9
Verified fact2024
HCRIS WS S-3
Annual discharges
301
Verified fact2024
HCRIS WS S-3
Average length of stay
3.9d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
1.90
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
37.3%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
66.5%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
70.10
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
13.5%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.06
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 2 reporting years
Operating margin
-66.9%FY23FY24
Days cash on hand
1 day1 dayFY23FY24

The county this hospital serves

HAYWOOD County, TN · nonmetro, urban 5–20K, metro-adjacent
Median household income
$43.5K
vs $82.1K US · $59.7K rural median
Poverty rate
22.8%
vs 12.5% US · 14.3% rural median
Uninsured
11.2%
vs 8.6% US · 8.4% rural median
Age 65+
20.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
30.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 15.2% of county personal income is Medicare/Medicaid medical benefits; 36.3% arrives as government transfers (BEA, 2022).

What this hospital means to Haywood County

economic contribution · FY24 cost report
Direct annual spending
$9.9M
total operating expense · reported
Total economic output
$22.7M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
0.9%
of all county jobs
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

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