A hospital in Grass Valley, CA. It ran an operating surplus of 5.1% in FY24 on $214.1M of operating revenue. It held 488 days of cash on hand (97th percentile among Rural PPS hospitals on liquidity). Operating margin improved from -5.0% in FY20 to 5.1% in FY24, though it fell 1.3 points in the most recent year.
Operating margin · FY24
+5.1%
▼ 1.3 pts vs FY23
vs Rural PPS hospitals68th pctl of 387 (FY24)
Days cash on hand · FY24
488d
all sources
▲ 20.1 days vs FY23
vs Rural PPS hospitals97th pctl of 376 (FY24)
Total operating revenue · FY24
$214.1M
▲ 13.3 $M vs FY23
vs Rural PPS hospitals83rd pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+15.0%
▼ 0.3 pts vs FY23
vs Rural PPS hospitals83rd pctl of 387 (FY24)
One point of operating margin at SIERRA NEVADA MEMORIAL HOSPITAL is about $2.1M per year (1% of FY24 total operating revenue).
Where SIERRA NEVADA MEMORIAL sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
One rural pps hospitalSIERRA NEVADARural 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
FY22
FY23
FY24
Patient revenue
183,235
200,748
214,189
Other operating revenue
42
26
(104)
Total operating revenue
183,277
200,773
214,084
Total operating expenses
191,766
187,830
203,149
Operating income
(8,489)
12,944
10,935
Operating margin %
-4.6%
+6.4%
+5.1%
Grants & contributions
196
92
163
Investment income
(14,062)
16,419
22,921
Other non-operating, net
8,247
4,417
1,880
Net income
(14,108)
33,872
35,899
Net income %
-7.9%
+15.3%
+15.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 100-bed hospital at 48% occupancy 56% 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
47.6%
Verified fact2024
HCRIS WS S-3
Average daily census
47.78
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
100
Verified fact2024
HCRIS WS S-3
Annual discharges
4,511
Verified fact2024
HCRIS WS S-3
Average length of stay
3.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
56.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
617.30
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.7M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.246
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.833374
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
NEVADA County, CA · nonmetro, urban 20K+, metro-adjacent
Median household income
$84.9K
vs $82.1K US · $59.7K rural median
Poverty rate
10.6%
vs 12.5% US · 14.3% rural median
Uninsured
5.2%
vs 8.6% US · 8.4% rural median
Age 65+
28.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 20.8% arrives as government transfers (BEA, 2022).
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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