A hospital in Sonora, CA. It ran an operating loss of 0.9% in FY24 on $346.1M of operating revenue. It held 241 days of cash on hand (87th percentile among Rural PPS hospitals on liquidity). Operating margin improved from -4.4% in FY20 to -0.9% in FY24, though it fell 8.7 points in the most recent year. Including nonoperating items, the all-in result was positive at 8.3%.
Operating margin · FY24
-0.9%
▼ 8.7 pts vs FY23
vs Rural PPS hospitals50th pctl of 387 (FY24)
Days cash on hand · FY24
241d
all sources
▼ 2.7 days vs FY23
vs Rural PPS hospitals87th pctl of 376 (FY24)
Total operating revenue · FY24
$346.1M
▲ 7.6 $M vs FY23
vs Rural PPS hospitals93rd pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+8.3%
▼ 7.0 pts vs FY23
vs Rural PPS hospitals66th pctl of 387 (FY24)
One point of operating margin at ADVENTIST HEALTH SONORA is about $3.5M per year (1% of FY24 total operating revenue).
Where ADVENTIST HEALTH SONORA sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
One rural pps hospitalADVENTIST HEALTHRural 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
FY22
FY23
FY24
Patient revenue
274,296
325,215
327,880
Other operating revenue
328
13,302
18,242
Total operating revenue
274,624
338,516
346,122
Total operating expenses
294,730
312,314
349,373
Operating income
(20,106)
26,203
(3,251)
Operating margin %
-7.3%
+7.7%
-0.9%
Grants & contributions
1,135
550
802
Investment income
(3,425)
17,314
16,341
Other non-operating, net
16,029
12,355
17,715
Net income
(6,367)
56,422
31,607
Net income %
-2.2%
+15.3%
+8.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 78-bed hospital at 46% occupancy 70% 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
45.9%
Verified fact2024
HCRIS WS S-3
Average daily census
35.93
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
78
Verified fact2024
HCRIS WS S-3
Annual discharges
5,450
Verified fact2024
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.16
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
0.4%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
70.2%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,079
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
26.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$4.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.187
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.91
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.872198
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
TUOLUMNE County, CA · nonmetro, urban 20K+, metro-adjacent
Median household income
$72.3K
vs $82.1K US · $59.7K rural median
Poverty rate
10.7%
vs 12.5% US · 14.3% rural median
Uninsured
5.8%
vs 8.6% US · 8.4% rural median
Age 65+
27.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.1% of county personal income is Medicare/Medicaid medical benefits; 31.6% arrives as government transfers (BEA, 2022).
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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