Urban PPS hospital · Los Angeles, CA
ADVENTIST HEALTH WHITE MEMORIAL
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Los Angeles, CA. It ran an operating loss of 16.5% in FY24 on $594.7M of operating revenue. It held 224 days of cash on hand (87th percentile of 2,490 Urban PPS hospitals on liquidity, FY24 pool). Operating margin improved from -27.7% in FY20 to -16.5% in FY24.
Operating margin · FY24
-16.5%
Astrelis calculation · as-filed inputs
▲ 3.6 pts vs FY23
vs Urban PPS hospitals12th pctl of 2,563 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
224d
all sources
Astrelis calculation · as-filed inputs
▼ 25 days vs FY23
vs Urban PPS hospitals87th pctl of 2,490 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$594.7M
Astrelis calculation · as-filed inputs
▲ $100.0M vs FY23
vs Urban PPS hospitals77th pctl of 2,608 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-0.3%
Astrelis calculation · as-filed inputs
▼ 16.7 pts vs FY23
vs Urban PPS hospitals27th pctl of 2,563 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at ADVENTIST HEALTH WHITE MEMORIAL is about $5.9M per year (1% of FY24 total operating revenue).
Where ADVENTIST HEALTH WHITE sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,563 of 2,643 filedEach point is one Urban PPS hospital in the national FY24 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 FY24 median is +2.0%. Descriptive context only, not a ranking.
One urban pps hospitalADVENTIST HEALTHUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRatios 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.
Operating margin
-16.5% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-0.3% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
224d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
2.65× (FY24)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
55% (FY24)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
-19d (FY24) — outside expected range; shown at the chart boundary and included in peer statistics
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
| Line item | FY22 | FY23 | FY24 |
|---|---|---|---|
| Patient revenue | 404,426 | 494,281 | 594,305 |
| Other operating revenue | 969 | 431 | 417 |
| Total operating revenue | 405,395 | 494,712 | 594,722 |
| Total operating expenses | 522,193 | 594,069 | 692,563 |
| Operating income | (116,798) | (99,357) | (97,842) |
| Operating margin % | -28.8% | -20.1% | -16.5% |
| Grants & contributions | 78 | 174 | 86 |
| Investment income | (8,690) | 39,022 | 30,358 |
| Other non-operating, net | 94,033 | 176,337 | 65,361 |
| Net income | (31,377) | 116,176 | (2,037) |
| Net income % | -6.4% | +16.4% | -0.3% |
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states. FY24 · Net patient A/R: -31,497K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -31496.6K (gross HOSP10_2024_nmrc.csv G000000 L00400; allowances L00500 116260.1K + L00600 944129.9K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY23 · Net patient A/R: -835K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -835.0K (gross HOSP10_2023_nmrc.csv G000000 L00400; allowances L00500 105608.4K + L00600 935772.4K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY22 · Net patient A/R: -29,973K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -29973.0K (gross HOSP10_2022_nmrc.csv G000000 L00400; allowances L00500 80773.0K + L00600 560148.7K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY21 · Net patient A/R: -11,513K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -11512.6K (gross HOSP10_2021_nmrc.csv G000000 L00400; allowances L00500 61813.6K + L00600 469877.2K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY20 · Net patient A/R: -23,073K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -23073.5K (gross HOSP10_2020_nmrc.csv G000000 L00400; allowances L00500 73208.5K + L00600 435918.0K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)
How it operates
quality & operational context · CMS public reportingA 309-bed hospital running at 70% occupancy, where 37% of patient revenue is outpatient.
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
70.4%
HCRIS WS S-3
Average daily census
218.09
HCRIS WS S-3
Staffed beds (acute)
309
HCRIS WS S-3
Annual discharges
22,631
HCRIS WS S-3
Average length of stay
4 days
HCRIS WS S-3
Cost per patient day
$8,700
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$30,602
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
37.3%
HCRIS WS G-2 L28
Total FTEs
1,916
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.6%
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$26.7M
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.161
Better than the National Benchmark
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS Care Compare
Medicare spending per beneficiary
1.1
CMS Care Compare
Patient-safety composite (PSI-90)
0.954029
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LOS ANGELES County, CA · metro, 1M+ population
Median household income
$87.8K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.7%
vs 8.6% US · 8.4% rural median
Age 65+
14.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Los Angeles County
Illustrative estimate · FY24 cost reportDirect annual spending
$692.6M
total operating expense · Reported value, not a local-capture estimate
Labor income
$278.4M
$234.0M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$1.59B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.0%
of all county jobs · Reported value
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 poolFY24Astrelis calculation
-16.5% operating margin — 12th percentile of 2,563 peers (FY24 pool).
The Board Briefing
Operating margin improved 3.6 points vs FY23 — the briefing traces why, line by line.
Reserve The Board Briefing →Performance Benchmark Report
18.5 points below the cohort median — at current revenue, approximately $110.0M less operating income than the median rate.
(-16.5% facility vs 2.0% peer median) = 18.5 points below the median × $594.7M revenue ≈ $110.0M less operating income than the median rate
Reserve Performance Benchmark Report →How we calculated this
Operating margin vs its peer pool: FY24 pool · n = 2,563.
Performance Benchmark Report: FY24 peer pool · n = 2,563 · conservative low band; acuity limits stated in the report.
The Board Briefing
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