Astrelis
Urban PPS hospital · Walnut Creek, CA

JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS

CCN 050180Contra Costa CountyVoluntary non-profit - OtherUrban (USDA RUCC)268 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Walnut Creek, CA. It ran an operating loss of 1.9% in FY24 on $1167.5M of operating revenue. It held 43 days of cash on hand (59th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 4.1% in FY20 to -1.9% in FY24. Including nonoperating items, the all-in result was positive at 6.8%.

Operating margin · FY24
-1.9%
5.0 pts vs FY23
vs Urban PPS hospitals37th pctl of 2,562 (FY24)
Days cash on hand · FY24
43d
all sources
4.2 days vs FY23
vs Urban PPS hospitals59th pctl of 2,354 (FY24)
Total operating revenue · FY24
$1.17B
46.7 $M vs FY23
vs Urban PPS hospitals91st pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+6.8%
1.3 pts vs FY23
vs Urban PPS hospitals54th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS is about $11.7M per year (1% of FY24 total operating revenue).

Where JOHN MUIR MEDICAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%JOHN MUIR -1.9114725266668544%-20%0%+20%Urban PPS hospital median +2.027429837815152%JOHN MUIR -1.9114725266668544%
One urban pps hospitalJOHN MUIRUrban 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
-1.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
43d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.60× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
23% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
52d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue1,091,9351,120,1421,166,946
Other operating revenue1,653686599
Total operating revenue1,093,5881,120,8281,167,545
Total operating expenses1,044,6861,085,9901,189,862
Operating income48,90334,838(22,317)
Operating margin %+4.5%+3.1%-1.9%
Investment income1,9355,11310,997
Other non-operating, net19,65423,55898,575
Net income70,49263,50987,255
Net income %+6.3%+5.5%+6.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24 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 268-bed hospital at 79% occupancy 32% 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
78.6%
Verified fact2024
HCRIS WS S-3
Average daily census
211.35
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
268
Verified fact2024
HCRIS WS S-3
Annual discharges
22,646
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
31.7%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
2,261
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.6%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$42.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.483
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.13725
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+4.1%+12.7%+4.5%+3.1%-1.9%FY20FY21FY22FY23FY24
Days cash on hand
97 days31 days10 days47 days43 daysFY20FY21FY22FY23FY24

The county this hospital serves

CONTRA COSTA County, CA · metro, 1M+ population
Median household income
$125.7K
vs $82.1K US · $59.7K rural median
Poverty rate
8.3%
vs 12.5% US · 14.3% rural median
Uninsured
4.8%
vs 8.6% US · 8.4% rural median
Age 65+
16.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.4% of county personal income is Medicare/Medicaid medical benefits; 12.0% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

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.

build aa21187 · 2026-07-28