Operating margin: -14.3% in FY2023, the 15th percentile of 2,529 urban pps hospitals in the FY2023 pool. Days cash on hand: 8 days in FY2023, the 42nd percentile of 2,446 urban pps hospitals in the FY2023 pool. Total operating revenue: $28.3M in FY2023, the 4th percentile of 2,561 urban pps hospitals in the FY2023 pool. Total margin (including nonoperating): -13.6% in FY2023, the 7th percentile of 2,530 urban pps hospitals in the FY2023 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY23. Margin and revenue are as filed for FY23. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, 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 Modesto, CA. It ran an operating loss of 14.3% in FY23 on $28.3M of operating revenue. It held 8 days of cash on hand (42nd percentile of 2,446 Urban PPS hospitals on liquidity, FY23 pool). Operating margin declined from -7.6% in FY20 to -23.0% in FY24.
Operating margin · FY23
-14.3%
Astrelis calculation · as-filed inputs
▲ 4.4 pts vs FY22
vs Urban PPS hospitals15th pctl of 2,529 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY23
8d
all sources
Astrelis calculation · as-filed inputs
▼ 2 days vs FY22
vs Urban PPS hospitals42nd pctl of 2,446 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY23
$28.3M
Astrelis calculation · as-filed inputs
▲ $3.6M vs FY22
vs Urban PPS hospitals4th pctl of 2,561 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY23
-13.6%
Astrelis calculation · as-filed inputs
▲ 4.1 pts vs FY22
vs Urban PPS hospitals7th pctl of 2,530 (FY23 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at STANISLAUS SURGICAL HOSPITAL is about $283K per year (1% of FY23 total operating revenue).
Where STANISLAUS SURGICAL HOSPITAL sits among Urban PPS hospitals
Operating margin · FY23 pool · n = 2,529 of 2,652 filed
Each point is one Urban PPS hospital in the national FY23 distribution for Urban PPS hospitals, this hospital's comparison cohort, 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 FY23 median is +0.5%. Descriptive context only, not a ranking.
One urban pps hospitalSTANISLAUS SURGICALUrban 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 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 × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24 · 288 days
Patient revenue
24,727
28,074
14,454
Other operating revenue
16
246
3,818
Total operating revenue
24,742
28,320
18,272
Total operating expenses
29,366
32,364
22,469
Operating income
(4,623)
(4,044)
(4,198)
Operating margin %
-18.7%
-14.3%
-23.0%
Other non-operating, net
199
165
20
Net income
(4,424)
(3,879)
(4,178)
Net income %
-17.7%
-13.6%
-22.8%
— = Not reported in source for that year.
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 23-bed hospital running at 6% occupancy, where 69% 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
5.7%
Reported value2024
HCRIS WS S-3
Average daily census
1.31
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
23
Reported value2024
HCRIS WS S-3
Annual discharges
218
Reported value2024
HCRIS WS S-3
Average length of stay
2 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$59,759
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$103,070
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
68.7%
Reported value2024
HCRIS WS G-2 L28
Total FTEs
103.40
Reported value2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.1%
Reported value2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.0M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 2)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 2)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.972549
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Results are not available for this reporting period.Note 2: The number of cases/patients is too few to report.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
STANISLAUS County, CA · metro, 250K–1M
Median household income
$79.7K
vs $82.1K US · $59.7K rural median
Poverty rate
13.1%
vs 12.5% US · 14.3% rural median
Uninsured
6.0%
vs 8.6% US · 8.4% rural median
Age 65+
13.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.6% of county personal income is Medicare/Medicaid medical benefits; 24.1% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Stanislaus County
Illustrative estimate · FY24 cost report
Direct annual spending
$22.5M
total operating expense · Reported value, not a local-capture estimate
Labor income
$9.7M
$8.1M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$51.7M
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
0.1%
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 →
Operating margin vs its peer poolFY23Astrelis calculation
Operating margin vs its peer pool: FY23 pool · n = 2,529.
Performance Benchmark Report: FY23 peer pool · n = 2,529 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 15 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.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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Astrelis Atlas, "Stanislaus Surgical Hospital", https://astrelis.co/hospitals/050726, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/050726.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
