A hospital in Clearlake, CA. It ran an operating loss of 5.6% in FY24 on $178.4M of operating revenue. It held 117 days of cash on hand (56th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -18.4% in FY20 to -5.6% in FY24, though it fell 0.7 points in the most recent year. Including nonoperating items, the all-in result was positive at 2.0%.
Operating margin · FY24
-5.6%
▼ 0.7 pts vs FY23
vs Critical Access Hospitals36th pctl of 1,340 (FY24)
Days cash on hand · FY24
117d
all sources
▲ 30.2 days vs FY23
vs Critical Access Hospitals56th pctl of 1,325 (FY24)
Total operating revenue · FY24
$178.4M
▲ 7.6 $M vs FY23
vs Critical Access Hospitals99th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+2.0%
▼ 6.1 pts vs FY23
vs Critical Access Hospitals37th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at ADVENTIST HEALTH CLEARLAKE is about $1.8M per year (1% of FY24 total operating revenue).
Where ADVENTIST HEALTH CLEARLAKE sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalADVENTIST HEALTHCritical Access 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
Medicare inpatient contribution margin
+6.6% (FY24)
19th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+52.5% (FY24)
38th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
159,860
169,686
176,420
Other operating revenue
2,414
1,131
1,961
Total operating revenue
162,274
170,816
178,381
Total operating expenses
169,962
179,164
188,335
Operating income
(7,688)
(8,348)
(9,954)
Operating margin %
-4.7%
-4.9%
-5.6%
Grants & contributions
5,380
2,650
2,455
Investment income
9
3,720
3,236
Other non-operating, net
18,731
17,700
8,014
Net income
16,432
15,722
3,751
Net income %
+8.8%
+8.1%
+2.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22 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 21-bed hospital at 54% occupancy 80% 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
54.3%
Verified fact2024
HCRIS WS S-3
Average daily census
11.44
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2024
HCRIS WS S-3
Annual discharges
1,538
Verified fact2024
HCRIS WS S-3
Average length of stay
2.7d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
0.60
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
5.0%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
79.7%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$4.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.735
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 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
LAKE County, CA
Median household income
$58.7K
vs $82.1K US · $59.7K rural median
Poverty rate
16.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.4%
vs 8.6% US · 8.4% rural median
Age 65+
23.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
26.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 17.9% of county personal income is Medicare/Medicaid medical benefits; 37.2% arrives as government transfers (BEA, 2022).
What this hospital means to Lake County
economic contribution · FY24 cost report
Direct annual spending
$188.3M
total operating expense · reported
Total economic output
$433.2M
× 2.30 output multiplier · estimate, upper bound for rural
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). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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