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 (36th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin
Not available
vs Urban PPS hospitals—
Days cash on hand · FY25
4d
all sources
vs Urban PPS hospitals36th pctl of 1,386 (FY25)
Total operating revenue · FY25
$398.8M
vs Urban PPS hospitals62nd pctl of 1,503 (FY25)
Total margin · incl. nonoperating
Not available
vs Urban PPS hospitals—
One point of operating margin at HIGHLAND HOSPITAL is about $4.0M per year (1% of FY25 total operating revenue).
Where HIGHLAND 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 hospitalHIGHLAND 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
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)
Operating margin %
-296.2%
-227.7%
-257.0%
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
Net income %
+2.4%
+2.2%
+4.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 191-bed hospital at 78% occupancy 42% 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
77.6%
Verified fact2025
HCRIS WS S-3
Average daily census
148.58
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
191
Verified fact2025
HCRIS WS S-3
Annual discharges
11,847
Verified fact2025
HCRIS WS S-3
Average length of stay
4.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
41.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,621
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.9%
Verified fact2025
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).
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