A hospital in Fresno, CA. It ran an operating surplus of 0.4% in FY25 on $1624.4M of operating revenue. It held 191 days of cash on hand (83rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -1.4% in FY21 to 0.4% in FY25.
Operating margin · FY25
+0.4%
▲ 4.5 pts vs FY24
vs Urban PPS hospitals46th pctl of 1,475 (FY25)
Days cash on hand · FY25
191d
all sources
▼ 13.0 days vs FY24
vs Urban PPS hospitals83rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.62B
▲ 68.3 $M vs FY24
vs Urban PPS hospitals93rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+6.4%
▼ 8.2 pts vs FY24
vs Urban PPS hospitals51st pctl of 1,475 (FY25)
One point of operating margin at COMMUNITY REGIONAL MEDICAL CENTER is about $16.2M per year (1% of FY25 total operating revenue).
Where COMMUNITY REGIONAL MEDICAL 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 hospitalCOMMUNITY REGIONALUrban 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
1,471,534
1,556,069
1,544,449
Other operating revenue
72,913
—
79,922
Total operating revenue
1,544,447
1,556,069
1,624,371
Total operating expenses
1,619,055
1,620,425
1,617,727
Operating income
(74,608)
(64,356)
6,644
Operating margin %
-4.8%
-4.1%
+0.4%
Grants & contributions
1,398
896
—
Investment income
33,308
80,515
41,280
Other non-operating, net
187,905
262,722
62,994
Net income
148,003
279,777
110,918
Net income %
+8.4%
+14.7%
+6.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–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
FY21, FY22, FY23 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 611-bed hospital at 91% occupancy 31% 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
90.5%
Verified fact2025
HCRIS WS S-3
Average daily census
554.58
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
611
Verified fact2025
HCRIS WS S-3
Annual discharges
40,703
Verified fact2025
HCRIS WS S-3
Average length of stay
5.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
31.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
4,939
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.736
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.086103
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
FRESNO County, CA
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.0%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 26.3% 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.
