CCN 050506SAN LUIS OBISPO CountyProprietaryUrban (USDA RUCC)123 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 FY24, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY24, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in San Luis Obispo, CA. It ran an operating loss of 9.7% in FY25 on $204.4M of operating revenue. It held 46 days of cash on hand in FY24, its most recent reported liquidity (57th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 9.2% in FY21 to -9.7% in FY25.
Operating margin · FY25
-9.7%
vs Urban PPS hospitals22nd pctl of 1,475 (FY25)
Days cash on hand · FY24
46d
all sources
vs Urban PPS hospitals57th pctl of 1,386 (FY25)
Total operating revenue · FY25
$204.4M
vs Urban PPS hospitals40th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-8.9%
vs Urban PPS hospitals10th pctl of 1,475 (FY25)
One point of operating margin at ADVENTIST HEALTH SIERRA VISTA is about $2.0M per year (1% of FY25 total operating revenue).
Where ADVENTIST HEALTH SIERRA 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 hospitalADVENTIST HEALTHUrban 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
175,388
184,181
203,015
Other operating revenue
287
115
1,420
Total operating revenue
175,675
184,296
204,436
Total operating expenses
164,171
176,062
224,184
Operating income
11,504
8,234
(19,749)
Operating margin %
+6.5%
+4.5%
-9.7%
Investment income
1
137
1,130
Other non-operating, net
498
414
284
Net income
12,003
8,785
(18,335)
Net income %
+6.8%
+4.8%
-8.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22, FY23, FY24 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 123-bed hospital at 41% occupancy 39% 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
40.8%
Verified fact2025
HCRIS WS S-3
Average daily census
50.28
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
123
Verified fact2025
HCRIS WS S-3
Annual discharges
4,621
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
39.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
530.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.268
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.959985
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
FY25 days cash suppressed: out of display range.
The county this hospital serves
SAN LUIS OBISPO County, CA
Median household income
$93.4K
vs $82.1K US · $59.7K rural median
Poverty rate
12.8%
vs 12.5% US · 14.3% rural median
Uninsured
5.8%
vs 8.6% US · 8.4% rural median
Age 65+
21.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.5% of county personal income is Medicare/Medicaid medical benefits; 17.1% arrives as government transfers (BEA, 2022).
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