Astrelis
Urban PPS hospital · Santa Cruz, CA

DOMINICAN HOSPITAL

CCN 050242SANTA CRUZ CountyVoluntary non-profit - PrivateUrban (USDA RUCC)163 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Santa Cruz, CA. It ran an operating surplus of 4.6% in FY25 on $511.1M of operating revenue. It held 680 days of cash on hand (99th percentile among Urban PPS hospitals on liquidity).

Operating margin · FY25
+4.6%
1.9 pts vs FY24
vs Urban PPS hospitals60th pctl of 1,475 (FY25)
Days cash on hand · FY25
680d
all sources
79.3 days vs FY24
vs Urban PPS hospitals99th pctl of 1,386 (FY25)
Total operating revenue · FY25
$511.1M
21.4 $M vs FY24
vs Urban PPS hospitals71st pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+20.8%
1.8 pts vs FY24
vs Urban PPS hospitals88th pctl of 1,475 (FY25)
One point of operating margin at DOMINICAN HOSPITAL is about $5.1M per year (1% of FY25 total operating revenue).

Where DOMINICAN 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%DOMINICAN HOSPITAL +4.560112611797436%-20%0%+20%Urban PPS hospital median +1.3311360264910879%DOMINICAN HOSPITAL +4.560112611797436%
One urban pps hospitalDOMINICAN 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.

Operating margin
+4.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+20.8% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
680d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.40× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
94% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
43d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue499,021529,234506,881
Other operating revenue1,6773,3314,256
Total operating revenue500,697532,565511,137
Total operating expenses474,009498,128487,828
Operating income26,68834,43723,308
Operating margin %+5.3%+6.5%+4.6%
Grants & contributions19322
Investment income23,59473,33472,152
Other non-operating, net24,4488,97532,687
Net income74,749116,749128,169
Net income %+13.6%+19.0%+20.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 163-bed hospital at 76% occupancy 34% 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
76.3%
Verified fact2025
HCRIS WS S-3
Average daily census
124.70
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
163
Verified fact2025
HCRIS WS S-3
Annual discharges
10,541
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
34.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,193
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.7%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.463
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.2%
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)
1.136821
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+4.3%+7.7%+5.3%+6.5%+4.6%FY21FY22FY23FY24FY25
Days cash on hand
593 days606 days556 days601 days680 daysFY21FY22FY23FY24FY25

The county this hospital serves

SANTA CRUZ County, CA
Median household income
$109.3K
vs $82.1K US · $59.7K rural median
Poverty rate
11.2%
vs 12.5% US · 14.3% rural median
Uninsured
5.3%
vs 8.6% US · 8.4% rural median
Age 65+
18.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.3% of county personal income is Medicare/Medicaid medical benefits; 14.4% arrives as government transfers (BEA, 2022).

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