Astrelis
Urban PPS hospital · Santa Maria, CA

MARIAN REGIONAL MEDICAL CENTER

CCN 050107SANTA BARBARA CountyVoluntary non-profit - ChurchUrban (USDA RUCC)189 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Santa Maria, CA. It ran an operating surplus of 7.2% in FY25 on $807.8M of operating revenue. It held 55 days of cash on hand (60th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 4.5% in FY21 to 7.2% in FY25, though it fell 7.2 points in the most recent year.

Operating margin · FY25
+7.2%
7.2 pts vs FY24
vs Urban PPS hospitals67th pctl of 1,475 (FY25)
Days cash on hand · FY25
55d
all sources
43.5 days vs FY24
vs Urban PPS hospitals60th pctl of 1,386 (FY25)
Total operating revenue · FY25
$807.8M
64.8 $M vs FY24
vs Urban PPS hospitals83rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+12.9%
2.6 pts vs FY24
vs Urban PPS hospitals71st pctl of 1,475 (FY25)
One point of operating margin at MARIAN REGIONAL MEDICAL CENTER is about $8.1M per year (1% of FY25 total operating revenue).

Where MARIAN 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%MARIAN REGIONAL +7.15684151795524%-20%0%+20%Urban PPS hospital median +1.3311360264910879%MARIAN REGIONAL +7.15684151795524%
One urban pps hospitalMARIAN 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.

Operating margin
+7.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+12.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
55d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
9.21× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
87% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
49d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue751,473870,038804,838
Other operating revenue2,6982,5332,952
Total operating revenue754,171872,571807,789
Total operating expenses715,795747,200749,977
Operating income38,377125,37157,812
Operating margin %+5.1%+14.4%+7.2%
Grants & contributions12375136
Investment income64426187
Other non-operating, net25,05911,89053,139
Net income63,623137,762111,274
Net income %+8.2%+15.6%+12.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 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 189-bed hospital at 70% occupancy 55% 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
69.5%
Verified fact2025
HCRIS WS S-3
Average daily census
131.72
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
189
Verified fact2025
HCRIS WS S-3
Annual discharges
14,915
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
55.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,128
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.084
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.7%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.94
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.666686
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+4.5%-5.8%+5.1%+14.4%+7.2%FY21FY22FY23FY24FY25
Days cash on hand
12 days30 days12 days55 daysFY21FY22FY23FY24FY25

The county this hospital serves

SANTA BARBARA County, CA
Median household income
$96.0K
vs $82.1K US · $59.7K rural median
Poverty rate
13.8%
vs 12.5% US · 14.3% rural median
Uninsured
9.2%
vs 8.6% US · 8.4% rural median
Age 65+
16.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.4% of county personal income is Medicare/Medicaid medical benefits; 13.7% arrives as government transfers (BEA, 2022).

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