Astrelis
Urban PPS hospital · Simi Valley, CA

ADVENTIST HEALTH SIMI VALLEY

CCN 050236VENTURA CountyVoluntary non-profit - PrivateUrban (USDA RUCC)112 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Simi Valley, CA. It ran an operating loss of 12.8% in FY24 on $216.0M of operating revenue. It held 2 days of cash on hand (32nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from -11.3% in FY20 to -12.8% in FY24.

Operating margin · FY24
-12.8%
6.4 pts vs FY23
vs Urban PPS hospitals15th pctl of 2,562 (FY24)
Days cash on hand · FY24
2d
all sources
1.5 days vs FY23
vs Urban PPS hospitals32nd pctl of 2,354 (FY24)
Total operating revenue · FY24
$216.0M
1.3 $M vs FY23
vs Urban PPS hospitals44th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-11.4%
4.5 pts vs FY23
vs Urban PPS hospitals8th 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 ADVENTIST HEALTH SIMI VALLEY is about $2.2M per year (1% of FY24 total operating revenue).

Where ADVENTIST HEALTH SIMI 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%ADVENTIST HEALTH -12.75604214081878%-20%0%+20%Urban PPS hospital median +2.027429837815152%ADVENTIST HEALTH -12.75604214081878%
One urban pps hospitalADVENTIST HEALTHUrban 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
-12.8% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-11.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
2d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.14× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-71% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
55d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue196,743206,030214,003
Other operating revenue11,2441,997
Total operating revenue196,743217,273216,000
Total operating expenses217,474231,116243,553
Operating income(20,731)(13,843)(27,553)
Operating margin %-10.5%-6.4%-12.8%
Grants & contributions0
Investment income(1,392)(735)70
Other non-operating, net6,351(336)2,539
Net income(15,772)(14,914)(24,944)
Net income %-7.8%-6.9%-11.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · 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
FY20, 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 112-bed hospital at 62% occupancy 43% 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
62.0%
Verified fact2024
HCRIS WS S-3
Average daily census
69.65
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
112
Verified fact2024
HCRIS WS S-3
Annual discharges
6,673
Verified fact2024
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
43.4%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
717.80
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.3%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$11.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.145
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.088999
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-11.3%-6.6%-10.5%-6.4%-12.8%FY20FY21FY22FY23FY24
Days cash on hand
28 days4 days4 days2 daysFY20FY21FY22FY23FY24

The county this hospital serves

VENTURA County, CA · metro, 250K–1M
Median household income
$107.3K
vs $82.1K US · $59.7K rural median
Poverty rate
9.0%
vs 12.5% US · 14.3% rural median
Uninsured
7.9%
vs 8.6% US · 8.4% rural median
Age 65+
16.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.5% of county personal income is Medicare/Medicaid medical benefits; 15.3% arrives as government transfers (BEA, 2022).

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