CCN 050320ALAMEDA CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)191 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 Oakland, CA. It reported $398.8M of operating revenue. It held 4 days of cash on hand (38th percentile of 1,446 Urban PPS hospitals on liquidity, FY25 pool). Only a single comparable reporting year is available, so trend context is limited.
Operating margin
Astrelis calculation unavailable
Days cash on hand · FY25
4d
all sources
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals38th pctl of 1,446 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$398.8M
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals62nd pctl of 1,503 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating
Astrelis calculation unavailable
One point of operating margin at HIGHLAND HOSPITAL is about $4.0M per year (1% of FY25 total operating revenue).
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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
297,790
300,741
307,306
Other operating revenue
15,054
91,032
91,456
Total operating revenue
312,844
391,773
398,761
Total operating expenses
1,239,391
1,283,823
1,423,735
Operating income
(926,547)
(892,050)
(1,024,974)
Grants & contributions
540,847
519,061
592,620
Investment income
103
1,547
1,946
Other non-operating, net
416,417
399,925
489,346
Net income
30,820
28,483
58,938
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,116,429K · Net patient revenue 307,306KFY24 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -983,082K · Net patient revenue 300,741KFY23 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -941,601K · Net patient revenue 297,790KFY22 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -747,008K · Net patient revenue 269,424KFY21 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -1,045,421K · Net patient revenue -67,750K
How it operates
quality & operational context · CMS public reporting
A 191-bed hospital running at 78% occupancy, where 42% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
77.6%
Reported value2025
HCRIS WS S-3
Average daily census
148.58
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
191
Reported value2025
HCRIS WS S-3
Annual discharges
11,847
Reported value2025
HCRIS WS S-3
Average length of stay
5 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$26,325
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$120,177
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
41.7%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
3,621
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.9%
Reported value2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.628
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.5%
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)
1.060077
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).
Illustrative advocacy scenario: what this hospital means to Alameda County
Illustrative estimate · FY25 cost report
Direct annual spending
$1.42B
total operating expense · Reported value, not a local-capture estimate
Labor income
$746.3M
$627.1M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$3.27B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.5%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Report coverage: Limited Facility Benchmark. 12 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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