CCN 050211Alameda CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)58 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Alameda, CA. It ran an operating loss of 47.3% in FY25 on $123.4M of operating revenue. It held 29 days of cash on hand (53rd percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
-47.3%
▼ 0.8 pts vs FY24
vs Urban PPS hospitals2nd pctl of 1,475 (FY25)
Days cash on hand · FY25
29d
all sources
▲ 17.3 days vs FY24
vs Urban PPS hospitals53rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$123.4M
▲ 6.9 $M vs FY24
vs Urban PPS hospitals25th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-25.1%
▼ 7.7 pts vs FY24
vs Urban PPS hospitals3rd pctl of 1,475 (FY25)
One point of operating margin at ALAMEDA HOSPITAL is about $1.2M per year (1% of FY25 total operating revenue).
Where ALAMEDA HOSPITAL 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.
One urban pps hospitalALAMEDA HOSPITALUrban 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
FY23
FY24
FY25
Patient revenue
106,447
116,332
123,281
Other operating revenue
—
147
76
Total operating revenue
106,447
116,479
123,357
Total operating expenses
173,184
170,713
181,721
Operating income
(66,738)
(54,234)
(58,364)
Operating margin %
-62.7%
-46.6%
-47.3%
Grants & contributions
58,607
29,115
21,078
Investment income
14
250
291
Other non-operating, net
494
(548)
505
Net income
(7,623)
(25,417)
(36,490)
Net income %
-4.6%
-17.5%
-25.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 58-bed hospital at 49% 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
49.1%
Verified fact2025
HCRIS WS S-3
Average daily census
28.57
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
58
Verified fact2025
HCRIS WS S-3
Annual discharges
2,526
Verified fact2025
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
32.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
603.10
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
23.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.3
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.96
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.885266
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
Alameda County, CA
Median household income
$126.2K
vs $82.1K US · $59.7K rural median
Poverty rate
9.2%
vs 12.5% US · 14.3% rural median
Uninsured
4.1%
vs 8.6% US · 8.4% rural median
Age 65+
14.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.2% of county personal income is Medicare/Medicaid medical benefits; 12.0% arrives as government transfers (BEA, 2022).
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