CCN 050279SAN BERNARDINO CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)51 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Joshua Tree, CA. It ran an operating surplus of 2.3% in FY25 on $87.3M of operating revenue. It held 0 days of cash on hand (22nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 3.3% in FY21 to 2.3% in FY25.
Operating margin · FY25
+2.3%
▲ 0.1 pts vs FY24
vs Urban PPS hospitals53rd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
▲ 0.0 days vs FY24
vs Urban PPS hospitals22nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$87.3M
▲ 3.7 $M vs FY24
vs Urban PPS hospitals18th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.6%
▲ 0.0 pts vs FY24
vs Urban PPS hospitals36th pctl of 1,475 (FY25)
One point of operating margin at HI-DESERT MEDICAL CENTER is about $873K per year (1% of FY25 total operating revenue).
Where HI-DESERT MEDICAL CENTER 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 hospitalHI-DESERT MEDICALUrban 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
80,432
83,537
87,282
Other operating revenue
221
151
62
Total operating revenue
80,653
83,688
87,344
Total operating expenses
77,478
81,866
85,373
Operating income
3,175
1,822
1,971
Operating margin %
+3.9%
+2.2%
+2.3%
Investment income
6
0
0
Other non-operating, net
563
317
304
Net income
3,744
2,139
2,275
Net income %
+4.6%
+2.5%
+2.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21 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 51-bed hospital at 31% occupancy 55% 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
30.9%
Verified fact2025
HCRIS WS S-3
Average daily census
15.82
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
51
Verified fact2025
HCRIS WS S-3
Annual discharges
2,178
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
55.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
313.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.5%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.516
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.92
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.973497
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
SAN BERNARDINO County, CA
Median household income
$82.2K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.5%
vs 8.6% US · 8.4% rural median
Age 65+
12.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 22.7% arrives as government transfers (BEA, 2022).
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