Astrelis
Urban PPS hospital · San Bernardino, CA

ST BERNARDINE MEDICAL CENTER

CCN 050129SAN BERNARDINO CountyVoluntary non-profit - PrivateUrban (USDA RUCC)261 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in San Bernardino, CA. It ran an operating loss of 5.3% in FY25 on $498.4M of operating revenue. It held 5 days of cash on hand (37th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -9.8% in FY21 to -5.3% in FY25, though it fell 8.1 points in the most recent year. Including nonoperating items, the all-in result was positive at 1.5%.

Operating margin · FY25
-5.3%
8.1 pts vs FY24
vs Urban PPS hospitals31st pctl of 1,475 (FY25)
Days cash on hand · FY25
5d
all sources
3.4 days vs FY21
vs Urban PPS hospitals37th pctl of 1,386 (FY25)
Total operating revenue · FY25
$498.4M
42.4 $M vs FY24
vs Urban PPS hospitals70th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+1.5%
2.5 pts vs FY24
vs Urban PPS hospitals32nd pctl of 1,475 (FY25)
One point of operating margin at ST BERNARDINE MEDICAL CENTER is about $5.0M per year (1% of FY25 total operating revenue).

Where ST BERNARDINE 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%ST BERNARDINE -5.297644236277441%-20%0%+20%Urban PPS hospital median +1.3311360264910879%ST BERNARDINE -5.297644236277441%
One urban pps hospitalST BERNARDINEUrban 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
-5.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+1.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
5d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue442,727540,655498,450
Other operating revenue350118(68)
Total operating revenue443,077540,773498,382
Total operating expenses471,986525,554524,784
Operating income(28,909)15,219(26,402)
Operating margin %-6.5%+2.8%-5.3%
Investment income6781,7791,740
Other non-operating, net13,6834,93532,735
Net income(14,548)21,9338,073
Net income %-3.2%+4.0%+1.5%
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 261-bed hospital at 69% occupancy 33% 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
68.7%
Verified fact2025
HCRIS WS S-3
Average daily census
177.81
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
261
Verified fact2025
HCRIS WS S-3
Annual discharges
15,375
Verified fact2025
HCRIS WS S-3
Average length of stay
4.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
32.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,471
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.189
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.05
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.033123
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-9.8%-15.9%-6.5%+2.8%-5.3%FY21FY22FY23FY24FY25
Days cash on hand
2 days5 daysFY21FY22FY23FY24FY25

The county this hospital serves

SAN BERNARDINO County, CA
Median household income
$82.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.5%
vs 8.6% US · 8.4% rural median
Age 65+
12.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 22.7% arrives as government transfers (BEA, 2022).

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