LifePoint Health · Muscle Shoals, AL
Not rated by CMS
CMS star rating
90
Beds
1,863
Inpatient discharges a year
$46.6M
Net patient revenue a year
31
In-network payers
North Alabama Shoals Hospital is a 90-bed proprietary hospital in Muscle Shoals, AL, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 246 disclosed rate categories.
The 24 services North Alabama Shoals Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 460
$33,721 - $62,134
from 4 insurers · median $53,502
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$426 - $4,790
from 4 insurers · median $2,191
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$22,266 - $40,067
from 2 insurers · median $31,166
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$11,878 - $33,411
from 4 insurers · median $23,832
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$2,133 - $3,805
from 4 insurers · median $2,747
108 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74176
$318 - $4,818
from 4 insurers · median $2,056
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$143 - $1,956
from 4 insurers · median $916
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$10,546 - $21,395
from 4 insurers · median $14,170
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93306
$655 - $1,731
from 4 insurers · median $1,045
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,196 - $2,341
from 4 insurers · median $1,819
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$240 - $2,684
from 4 insurers · median $1,311
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$484 - $2,957
from 4 insurers · median $1,629
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,226 - $3,535
from 4 insurers · median $2,160
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,352 - $16,169
from 4 insurers · median $11,077
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,322 - $5,717
from 4 insurers · median $2,105
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$87 - $422
from 4 insurers · median $217
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,314 - $6,273
from 4 insurers · median $3,374
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,218 - $2,613
from 4 insurers · median $1,837
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$73 - $271
from 4 insurers · median $130
Common here, based on CMS Medicare volume
MRI imaging
CPT 72141
$318 - $2,875
from 4 insurers · median $1,553
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$318 - $2,298
from 4 insurers · median $892
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$143 - $671
from 4 insurers · median $397
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$1,048 - $3,821
from 4 insurers · median $1,606
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$318 - $2,192
from 4 insurers · median $786
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 474% | 16 | 1 |
| Insurer B* | 23 | 422% | 16 | 3 |
| Insurer C* | 24 | 131% | 4 | 17 |
| Insurer D* | 23 | 129% | 1 | 19 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for North Alabama Shoals Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
Accredited by The Joint Commission
Finances
$46.6M net patient revenue
Ownership and leadership
Owned by Dsb Acquisition LLC
The employer identification numbers (EINs) health plans and networks list for North Alabama Shoals Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 27-2451336(multi-state) RCHP Florence LLC | 51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more | 1699096552 Rchp - Florence LLC1477874337 Rchp - Florence LLC1154635522 Rchp Florence LLCand 23 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
201 Avalon Avenue, Muscle Shoals, AL 35661
(256) 386-1601
How North Alabama Shoals Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Death rates
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Would definitely recommend
84%
Higher than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 52% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
103 min
Lower than 88% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Death rates | No different on 1 measures | |
| Safety | No different on 2 measures | |
| Readmissions | No different on 2 measures | |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 84% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 103 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts North Alabama Shoals Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for North Alabama Shoals Hospital, beside the US median and the average of AL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.469 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 61 cases | 4.1 | 3.9 | 4.658 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.46 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.7 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.869 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.65 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 16.81 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 14.25 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 233 cases | 0.58 | 0.51 | 0.6234 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 276 cases | 0.21 | 0.2 | 0.2114 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 271 cases | 0.27 | 0.27 | 0.2777 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.258 | Number of Cases Too Small | ||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.702 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.91 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.831 | Number of Cases Too Small | ||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.911 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.803 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.058 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.616 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.68 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 12.55 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 154 cases | 12.6 | 12.9 | 12.93 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.28 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.113 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.986 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.31 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.67 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.89 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.29 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.979 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.3 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3169 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.803 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 131 | 1,370 | 3,994 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.099 | 0.9835 | 4.09 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.932 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6373 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1812 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.656 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 187 | 1,799 | 5,240 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.147 | 1.377 | 6.563 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.286 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5151 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2584 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.032 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 1 | 61 | 115 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.03 | 1.591 | 3.302 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.222 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6198 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3223 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.058 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 169 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.547 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.1 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.6612 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3413 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.26 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 10,138 | 14,451 | 38,119 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.342 | 0.567 | 2.905 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.295 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8121 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2104 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.102 | 0.747 | 1.307 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 10,138 | 13,646 | 35,794 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.718 | 5.683 | 20 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.833 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3683 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 40 cases | 82 | 73 | 70.64 | Better than 82% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 40 cases | 9 | 8 | 10.56 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 40 cases | 9 | 18 | 18.79 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 83.69 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 2.759 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 40 cases | 88 | 80 | 79.88 | Better than 89% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 91.09 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 40 cases | 4 | 4 | 4.699 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.315 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 40 cases | 8 | 16 | 15.42 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 40 cases | 88 | 79 | 81.51 | Better than 90% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 91.22 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 40 cases | 4 | 5 | 5.027 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.278 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 40 cases | 8 | 16 | 13.47 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 40 cases | 66 | 61 | 62.21 | Better than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 77.09 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 40 cases | 24 | 19 | 19.6 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 2.685 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 · 40 cases | 10 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 84.46 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 40 cases | 15 | 13 | 14.63 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.056 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 40 cases | 85 | 87 | 85.37 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 40 cases | Not Available | 16.42 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 40 cases | Not Available | 83.58 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 76.38 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 6.297 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 17.33 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 79.28 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 5.516 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 15.2 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 86.14 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 3.688 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 10.17 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 40 cases | 6 | 8 | 8.753 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 40 cases | 13 | 20 | 20.79 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 40 cases | 81 | 72 | 70.45 | Better than 82% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 87.57 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.222 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 40 cases | Not Available | 74.89 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 40 cases | Not Available | 9.938 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 40 cases | Not Available | 15.17 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 75.05 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 6 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 40 cases | Not Available | 18.95 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 76.77 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 5.703 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 40 cases | Not Available | 17.53 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 84.83 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 3.531 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 40 cases | Not Available | 11.64 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 40 cases | 76 | 59 | 66.56 | Better than 92% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 40 cases | 4 | 9 | 6.575 | Better than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 40 cases | 20 | 31 | 26.86 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 84.96 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 4 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 40 cases | 6 | 5 | 6.466 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 40 cases | 84 | 71 | 70.55 | Better than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 86.26 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 40 cases | 10 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.389 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 40 cases | Not Available | 48.08 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 40 cases | Not Available | 30.03 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 40 cases | Not Available | 21.89 | |||
| Summary star rating2024-10-01 to 2025-09-30 · 40 cases | Not Applicable | 3.241 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 40 cases | Not Available | 13 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 40 cases | Not Available | 87 |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 1,250 cases | 8 | 8 | 10 | Better than 47% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 97 cases | 1 | 1 | 1.7 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 354 cases | 1 | 0 | 0.5 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 280 cases | 62 | 79 | 62.92 | Worse than 75% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 390 cases | 109 | 154 | 158 | Better than 87% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 348 cases | 103 | 148 | 153 | Better than 88% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 24 cases | 160 | 247 | 255 | Better than 84% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 18 cases | 234 | 293 | 311 | Better than 76% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 9,078 cases | 1 | 1 | 2.342 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.37 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 73 cases | 100 | 97 | 90.8 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.43 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 194 cases | 13 | 15 | 14.5 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 62.47 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 70.8 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 87.48 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 79.9 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.95 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.75 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.83 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 75.44 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 89.85 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 11.9 | 5 | 7.666 | Worse than 93% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.2 | 6.6 | 6.484 | Worse than 83% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 0.9828 | Better than 58% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 55 cases | 67.3 | 60.8 | 54.63 | Better than 68% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 55 cases | 45.5 | 35.5 | 30.65 | Better than 77% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 8,960 cases | 0.13 | 0.05 | 0.06205 | Better than 67% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 8,960 cases | 0.31 | 0.03 | 0.8569 | Better than 82% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 125 cases | 83 | 87 | 83.44 | Worse than 56% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 83.08 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 160 cases | 21.9 | 19.1 | 19.31 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 158 cases | 85 | 92 | 85.49 | Worse than 66% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 30 cases | 97 | 74 | 71.35 | Better than 86% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 30 cases | 97 | 81 | 84.76 | Better than 81% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 28 cases | 21 | 77 | 65.14 | Worse than 92% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 28 cases | 11 | 56 | 59.52 | Worse than 91% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 61 cases | 20 | 64 | 62.52 | Worse than 79% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 61 cases | 0 | 4 | 37.24 | The worst result, shared by 31% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 330 cases | 86 | 77 | 70.82 | Better than 59% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.029 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.996 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1.009 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.039 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.047 | 1.021 | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9669 | 1.004 | N/A | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.05 | 0.9812 | 1.004 | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5999 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.221 | 0.346 | 0.4007 | Better than 69% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8784 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8744 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9678 | 0.9628 | 1.049 | Worse than 52% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5688 | |||
| Total HAC scoreFY 2026 | -0.3755 | -0.0453 | 0.09962 | Better than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.8199 | -0.8668 | 0 | -0.7009 | -0.7747 | -0.3755 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2006)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
198
Medicare-certified beds
77
Registered nurses (full-time equivalent)
1998
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What North Alabama Shoals Hospital reported to Medicare in its latest cost report, covering Apr 1, 2025 to Mar 31, 2026.
1,863
Inpatient discharges
Medicare 5%, Medicaid 14%
9,600
Inpatient days
60% of available bed days used
174
Employees (full-time equivalent)
6
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 842970). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges North Alabama Shoals Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 366 | 1,526 | 7,708 | 9,600 |
| Discharges | 85 | 266 | 1,512 | 1,863 |
| Average length of stay | 4.3 days | 5.7 days | 5.1 days | 5.2 days |
| Average daily census | 1.0 | 4.2 | 21.1 | 26.3 |
1,089
Medicare Advantage days
227 discharges
254
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 44 | 9,600 | 366 | 60% |
| Subprovider - ipf | 14 | 4,880 | 1,936 | 95% |
| Subprovider - irf | 32 | 9,334 | 5,417 | 80% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What North Alabama Shoals Hospital treats Medicare patients for most often, in 2024. 21 Medicare discharges in 1 published DRGs; 0% surgical; 0% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 21 | $16,848 | $6,836 | $4,280 | 0.86 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) North Alabama Shoals Hospital billed Medicare for most in 2024: 151 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 108 | 63 | $10,607 | $1,504 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 25 | 21 | $19,073 | $1,756 | $2,405 |
| Comprehensive Observation ServicesAPC 8011 | 18 | 18 | $14,590 | $1,839 | $2,090 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at North Alabama Shoals Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,147 in 2020 to 177 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 35674 | 52 | 29% | 210 | $1.6M | 4% | 15% |
| 35661 | 37 | 21% | 156 | $1.2M | 3% | 15% |
| 35630 | 25 | 14% | 146 | $804,908 | 1% | 10% |
| 35660 | 25 | 14% | 106 | $729,387 | 4% | 12% |
| 35646 | 15 | 8% | 63 | $402,072 | 5% | 13% |
| 35645 | 12 | 7% | 69 | $395,503 | 1% | 10% |
| 35633 | 11 | 6% | 83 | $453,240 | 1% | 11% |
Source: CMS Hospital Service Area file. Shares are of the 177 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units North Alabama Shoals Hospital reported at its latest Medicare certification survey (2001). Counts are people, not full-time equivalents.
6
Operating rooms
2
Endoscopy rooms
30
Psychiatric unit beds
32
Rehabilitation unit beds
77
Registered nurses
5
Licensed practical nurses
2
Physicians
1
Nurse practitioners
3
Nurse anesthetists (CRNAs)
4
Pharmacists
6
Respiratory therapists
7
Radiology technicians
1
Nuclear medicine technicians
5
Laboratory technicians
2
Medical technologists
1
Dietitians
3
Social workers
87
Other personnel
Source: CMS Provider of Services file.
163 clinicians who bill Medicare list North Alabama Shoals Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Clint Kingsley, MD
Hematology & Oncology Physician
NPI 1053348037
See commercial rates for Clint Kingsley, MDHeather Brody
Hematology & Oncology Physician
NPI 1013301563
See commercial rates for Heather BrodyNarasimha Boorgu, M.D.
Nephrology Physician
NPI 1043218928
See commercial rates for Narasimha Boorgu, M.D.Charles Thompson, M.D.
Family Medicine Physician
NPI 1164781373
See commercial rates for Charles Thompson, M.D.Therese Lango, MD
Interventional Cardiology Physician
NPI 1235136821
See commercial rates for Therese Lango, MDBethany Jackson, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1750517835
See commercial rates for Bethany Jackson, M.D.Zaman Shah, MD
Internal Medicine Physician
NPI 1588972673
See commercial rates for Zaman Shah, MDJoshua Vacik, M.D.
Internal Medicine Physician
NPI 1770582371
See commercial rates for Joshua Vacik, M.D.Aaron Karr, D.O.
Family Medicine Physician
NPI 1265428031
See commercial rates for Aaron Karr, D.O.Loren Mccoy, MD FACP
Internal Medicine Physician
NPI 1447312822
See commercial rates for Loren Mccoy, MD FACPJerrel Mcanalley, M.D.
Internal Medicine Physician
NPI 1346341948
See commercial rates for Jerrel Mcanalley, M.D.Debashis Biswas, M.D.
Neurology Physician
NPI 1831144039
See commercial rates for Debashis Biswas, M.D.Rajesh Boorgu, M.D.
Nephrology Physician
NPI 1033117817
See commercial rates for Rajesh Boorgu, M.D.George Evans, M.D.
Family Medicine Physician
NPI 1124073788
See commercial rates for George Evans, M.D.Cameron Bonds, MD
Family Medicine Physician
NPI 1699205989
See commercial rates for Cameron Bonds, MDSubir Paul, M.D.
Nephrology Physician
NPI 1922006816
See commercial rates for Subir Paul, M.D.John Baron, MD
Cardiovascular Disease Physician
NPI 1649263294
See commercial rates for John Baron, MDJeffrey Hovater, D.O.
Orthopaedic Surgery Physician
NPI 1639378540
See commercial rates for Jeffrey Hovater, D.O.Adam Isbell, M.D.
Internal Medicine Physician
NPI 1518196070
See commercial rates for Adam Isbell, M.D.Warren Norman, M.D.
Diagnostic Radiology Physician
NPI 1447252788
See commercial rates for Warren Norman, M.D.Ferrin Bayles, CRNP
Nurse Practitioner
NPI 1548291271
See commercial rates for Ferrin Bayles, CRNPRoy Barco, M.D.
Internal Medicine Physician
NPI 1033436191
See commercial rates for Roy Barco, M.D.Carlos Liotta, MD
Sports Medicine (Family Medicine) Physician
NPI 1528270790
See commercial rates for Carlos Liotta, MDBrad Ginevan, MD
Family Medicine Physician
NPI 1285732016
See commercial rates for Brad Ginevan, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income North Alabama Shoals Hospital reported to Medicare for Apr 1, 2025 to Mar 31, 2026. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $234.5M | 503.4% |
| Inpatient | $105.3M | 226.1% |
| Outpatient | $129.2M | 277.3% |
| Contractual allowances and discounts | -$187.9M | -403.4% |
| Net patient revenue | $46.6M | 100.0% |
| Operating expenses | -$51.1M | -109.7% |
| Operating income from patient care | -$4.5M | -9.7% |
| Other income | $213,656 | 0.5% |
| Investment income | $2 | 0.0% |
| Other | $213,654 | 0.5% |
| Net income | -$4.3M | -9.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $19.8M | 8.7% |
| Medicaid (including managed care) | $15.3M | 6.7% |
| Other payers and self-pay | $193.8M | 84.7% |
| Total charges | $228.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from North Alabama Shoals Hospital's latest cost report.
-9.7%
Operating margin
Operating income from patient care / net patient revenue
-9.2%
Total margin
Net income / net patient revenue plus other income
-4.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
40% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.80
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-10.1%
Return on assets
Net income for a year / total assets
0.09
Current ratio
Current assets / current liabilities
0.00
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
618 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.10
Asset turnover
Total revenue for a year / total assets
11.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What North Alabama Shoals Hospital owned and owed at the end of its reporting period (Mar 2026), across all fund types: $42.7M in total assets and a -$40.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1,360 | 0.0% |
| Inventory | $768,177 | 1.8% |
| Total current assets | $7.1M | 16.5% |
| Property and equipment, net of depreciation | $33.2M | 77.8% |
| Investments and other assets | $2.4M | 5.6% |
| Total assets | $42.7M | 100.0% |
| Current liabilities | $82.7M | 193.9% |
| Total liabilities | $82.7M | 193.9% |
| Fund balance (net assets) | -$40.1M | -93.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care North Alabama Shoals Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$9.3M
Bad debt
Patient bills written off as uncollectible, at charges
-$2.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.8M
Total unreimbursed and uncompensated care
5.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
North Alabama Shoals Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 |
|---|---|---|---|---|---|---|
| Net patient revenue | $28.9M | $29.9M | $31.2M | $39.6M | $44.4M | $46.6M |
| Operating expenses | $29.9M | $33.9M | $35.6M | $45.4M | $49.8M | $51.1M |
| Operating margin | -3.3% | -13.3% | -14.2% | -14.6% | -12.1% | -9.7% |
| Net income | -$583,584 | -$3.8M | -$3.7M | -$5.1M | -$5.2M | -$4.3M |
| Total assets | $38.2M | $38.5M | $39.6M | $44.1M | $44.1M | $42.7M |
| Discharges | 1,383 | 1,365 | 1,227 | 1,602 | 1,644 | 1,863 |
| Inpatient days | 9,123 | 7,164 | 7,906 | 10,450 | 9,330 | 9,600 |
| Medicare Advantage days | 1,099 | 296 | 79 | 907 | 383 | 1,089 |
| Beds | 184 | 184 | 115 | 109 | 109 | 90 |
| Employees (FTE) | 171 | 153 | 153 | 182 | 190 | 174 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center North Alabama Shoals Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $1.3M | $5.4M | $33.2M | 0.16 | 21,573 |
| Physical therapy | $3.3M | $20.2M | 0.16 | 3,249 | |
| Drugs charged to patients | $2.5M | $22.9M | 0.11 | ||
| Emergency | $1.3M | $2.5M | $10.6M | 0.23 | 5,148 |
| Laboratory | $623,367 | $1.7M | $28.9M | 0.06 | 2,081 |
| Radiology-diagnostic | $608,711 | $1.6M | $10.3M | 0.16 | 5,724 |
| Medical supplies charged to patient | $1.3M | $8.6M | 0.15 | ||
| Respiratory therapy | $694,834 | $1.2M | $10.9M | 0.11 | 1,056 |
| Mri | $77,541 | $482,518 | $7.3M | 0.07 | 5,544 |
| Ct scan | $73,301 | $284,605 | $19.5M | 0.01 | 1,140 |
| Observation beds (non-distinct part | $227,632 | $439,631 | 0.52 | ||
| Impl. dev. charged to patients | $146,029 | $1.5M | 0.10 | ||
| Anesthesiology | $28,670 | $124,690 | $12.9M | 0.01 | 399 |
| Renal dialysis | $26,289 | $37,303 | $433,094 | 0.09 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.6M | $8.8M | $15.3M | 0.58 | 23,529 |
| Subprovider - irf | $2.1M | $5.3M | $17.7M | 0.30 | 19,276 |
| Subprovider - ipf | $1.2M | $3.6M | $8.2M | 0.43 | 13,610 |
| Intensive care unit | $198,553 | 3,216 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $659,811 | $8.1M | 2,796 | $177.60 | 9,629 |
| Operation of plant | $481,122 | $2.3M | 20,897 | $23.02 | 24,601 |
| Cap rel costs-bldg & fixt | $1.9M | 159,136 | |||
| Employee benefits department | $62,915 | $1.8M | 2,136 | $29.45 | 2,068 |
| I&r services-other prgm costs apprv | $659,442 | $1.4M | |||
| Pharmacy | $839,973 | $1.3M | 18,283 | $45.94 | 1,579 |
| Dietary | $2,130 | $1.2M | 133 | $16.02 | 5,403 |
| Cap rel costs-mvble equip | $854,614 | ||||
| Medical records & library | $428,486 | $824,292 | 12,280 | $34.89 | 1,723 |
| Housekeeping | $790,942 | 560 | |||
| Nursing administration | $410,604 | $625,939 | 10,774 | $53.26 | 547 |
| Laundry & linen service | $161,296 | 1,541 | |||
| Central services & supply | $81,676 | $111,002 | 3,769 | $21.67 | 5,655 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842970, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays North Alabama Shoals Hospital for an inpatient stay.
1.04
Case mix index
Higher than 2% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.12 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
32.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
74
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.10 | 1.11 | 1.24 | 1.20 | 1.27 | 1.24 | 1.04 |
| Wage index | 0.817 | 0.811 | 0.829 | 0.833 | 0.822 | 0.821 | 0.827 |
| Readmissions adjustment | -0.35% | -0.71% | -0.13% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +0.06% | +0.28% | +0.28% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 401 | 401 | 205 | 155 | 160 | 103 | 74 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations North Alabama Shoals Hospital reports to Medicare as owners or with operational control.
Dsb Acquisition LLC
5% or greater indirect ownership interest, 100%, since 2015
LifePoint Health Inc
5% or greater indirect ownership interest, 100%, since 2011
Rchp LLC
5% or greater indirect ownership interest, 100%, since 2016
Regionalcare Hospital Partners LLC
5% or greater direct ownership interest, 100%, since 2019
Sources: CMS Hospital All Owners.
The officers and board members on North Alabama Shoals Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Accountable care organization (Medicare Shared Savings Program)
AdvantagePoint Health Alliance - Tennessee Valley, LLC
ACO A5038, current agreement since 2024. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on North Alabama Shoals Hospital's legal name.
Shoals psychiatric
CCN 01S157, certified 2009, Medicare prospective payment
Shoals rehab
CCN 01T157, certified 2004, Medicare prospective payment
Shoals swing beds
CCN 01U157, certified 2020, Medicare prospective payment
Source: Worksheet S-2 Part I of North Alabama Shoals Hospital's latest Medicare cost report (HCRIS).
About North Alabama Shoals Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at North Alabama Shoals Hospital range from $484 to $2,957 across 4 insurers. UnitedHealthcare's rate is $484. The median at nearby comparable hospitals is $568. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at North Alabama Shoals Hospital range from $426 to $4,790 across 4 insurers. Aetna's rate is $3,898. The median at nearby comparable hospitals is $466. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at North Alabama Shoals Hospital range from $1,226 to $3,535 across 4 insurers. Blue Cross Blue Shield's rate is $1,322. The median at nearby comparable hospitals is $1,419. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at North Alabama Shoals Hospital range from $73 to $271 across 4 insurers. Aetna's rate is $184. The median at nearby comparable hospitals is $139. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at North Alabama Shoals Hospital range from $11,878 to $33,411 across 4 insurers. Cigna's rate is $30,218. The median at nearby comparable hospitals is $22,650. What a patient pays depends on their plan's deductible, coinsurance and network status.
Yes. CMS counts 0.12 Medicare-funded residents per bed at North Alabama Shoals Hospital for fiscal year 2027, so it is a teaching hospital.
No. North Alabama Shoals Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were alcohol, drug abuse or dependence without rehabilitation therapy without mcc (21 discharges).
North Alabama Shoals Hospital's Medicare case mix index is 1.04 for fiscal year 2027, higher than 2% of hospitals paid under the inpatient prospective payment system.
North Alabama Shoals Hospital reported 1,863 inpatient discharges and 9,600 inpatient days from Apr 1, 2025 to Mar 31, 2026.
North Alabama Shoals Hospital reported 174 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.
North Alabama Shoals Hospital reported $46.6M in net patient revenue on $234.5M of gross charges for Apr 1, 2025 to Mar 31, 2026, an operating margin of -9.7%, and net income of -$4.3M.
North Alabama Shoals Hospital reported $2.8M of unreimbursed and uncompensated care for Apr 1, 2025 to Mar 31, 2026, including $1.3M of charity care at cost.
North Alabama Shoals Hospital's Medicare enrollment lists William Haugh as President since 2022.
Insurers' price transparency files list North Alabama Shoals Hospital under employer identification number 27-2451336 ((multi-state) RCHP Florence LLC). 51 health plans and networks list 27-2451336 for it.
163 clinicians who bill Medicare list North Alabama Shoals Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (23), family nurse practitioner (22), internal medicine physician (18).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for North Alabama Shoals Hospital, effective 2006.
In its Medicare enrollment, North Alabama Shoals Hospital reports Dsb Acquisition LLC as 5% or greater indirect ownership interest (100%).
CMS lists 37 services at North Alabama Shoals Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at North Alabama Shoals Hospital came from ZIP codes 35674 (52), 35661 (37), 35630 (25).
North Alabama Shoals Hospital has 90 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 198 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
North Alabama Shoals Hospital is located at 201 Avalon Avenue, Muscle Shoals, AL 35661. Its main phone number is (256) 386-1601.
North Alabama Shoals Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 010157.
The National Provider Identifier (NPI) on file for North Alabama Shoals Hospital is 1699096552.
North Alabama Shoals Hospital is affiliated with LifePoint Health.
North Alabama Shoals Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
246 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers