Astrelis
Urban PPS hospital · Tulare, CA

ADVENTIST HEALTH TULARE

CCN 050784TULARE CountyVoluntary non-profit - Private65 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Tulare, CA. It ran an operating loss of 38.8% in FY24 on $76.1M of operating revenue. Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY24
-38.8%
vs Urban PPS hospitals3rd pctl of 2,562 (FY24)
Days cash on hand
Not available
all sources
vs Urban PPS hospitals
Total operating revenue · FY24
$76.1M
vs Urban PPS hospitals16th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-26.1%
vs Urban PPS hospitals3rd pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at ADVENTIST HEALTH TULARE is about $761K per year (1% of FY24 total operating revenue).

Where ADVENTIST HEALTH TULARE sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%ADVENTIST HEALTH -38.84249504112351%-20%0%+20%Urban PPS hospital median +2.027429837815152%ADVENTIST HEALTH -38.84249504112351%
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.

Operating margin
-38.8% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-26.1% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue49,61559,16476,076
Other operating revenue190
Total operating revenue49,61559,18376,076
Total operating expenses87,21192,350105,626
Operating income(37,595)(33,167)(29,550)
Operating margin %-75.8%-56.0%-38.8%
Grants & contributions271,751226
Investment income1189836
Other non-operating, net2,0865,9427,395
Net income(35,364)(25,376)(21,893)
Net income %-68.2%-37.9%-26.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY23 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).
FY21 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 65-bed hospital at 26% occupancy 77% 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
26.1%
Verified fact2024
HCRIS WS S-3
Average daily census
17
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
65
Verified fact2024
HCRIS WS S-3
Annual discharges
1,624
Verified fact2024
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
76.8%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
309
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.7%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$5.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than 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
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.946248
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-5.3%-75.8%-56.0%-38.8%FY20FY21FY22FY23FY24
Days cash on hand
Not available

The county this hospital serves

TULARE County, CA
Median household income
$69.5K
vs $82.1K US · $59.7K rural median
Poverty rate
17.8%
vs 12.5% US · 14.3% rural median
Uninsured
8.0%
vs 8.6% US · 8.4% rural median
Age 65+
11.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
29.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.4% of county personal income is Medicare/Medicaid medical benefits; 27.3% arrives as government transfers (BEA, 2022).

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