Astrelis
Critical Access Hospital · King City, CA

SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL

CCN 051336MONTEREY CountyVoluntary non-profit - OtherUrban (USDA RUCC)13 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in King City, CA. It ran an operating surplus of 7.3% in FY25 on $79.0M of operating revenue. It held 102 days of cash on hand (50th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
+7.3%
vs Critical Access Hospitals74th pctl of 824 (FY25)
Days cash on hand · FY25
102d
all sources
vs Critical Access Hospitals50th pctl of 827 (FY25)
Total operating revenue · FY25
$79.0M
vs Critical Access Hospitals86th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+8.7%
vs Critical Access Hospitals60th pctl of 824 (FY25)
One point of operating margin at SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL is about $790K per year (1% of FY25 total operating revenue).

Where SOUTHERN MONTEREY COUNTY sits among Critical Access Hospitals

Operating margin · FY25 pool · n = 824 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 -0.2%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Critical Access Hospital median -0.24974129749702573%SOUTHERN MONTEREY +7.277274907882196%-20%0%+20%Critical Access Hospital median -0.24974129749702573%SOUTHERN MONTEREY +7.277274907882196%
One critical access hospitalSOUTHERN MONTEREYCritical 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.

Operating margin
+7.3% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+8.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
102d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.21× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
78% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
35d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
Medicare inpatient contribution margin
+11.6% (FY25)
21st percentile of 117 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+69.6% (FY25)
92nd percentile of 116 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line itemFY23FY24FY25
Patient revenue68,08168,12077,585
Other operating revenue1658321,417
Total operating revenue68,24568,95279,002
Total operating expenses68,28272,60473,253
Operating income(37)(3,652)5,749
Operating margin %-0.1%-5.3%+7.3%
Grants & contributions2,396866463
Investment income190570529
Other non-operating, net1,4112,073233
Net income3,960(143)6,974
Net income %+5.5%-0.2%+8.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20 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).
FY21 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 13-bed hospital at 19% occupancy where swing beds are 63% of the inpatient business and 82% 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
18.9%
Verified fact2025
HCRIS WS S-3
Average daily census
2.46
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
13
Verified fact2025
HCRIS WS S-3
Annual discharges
389
Verified fact2025
HCRIS WS S-3
Average length of stay
2.3d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
4.20
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
63.1%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.9%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$25.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.1%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+25.4%+8.1%-0.1%-5.3%+7.3%FY20FY21FY22FY23FY24FY25
Days cash on hand
53 days57 days34 days56 days102 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

MONTEREY County, CA · metro, 250K–1M
Median household income
$94.5K
vs $82.1K US · $59.7K rural median
Poverty rate
12.6%
vs 12.5% US · 14.3% rural median
Uninsured
9.9%
vs 8.6% US · 8.4% rural median
Age 65+
14.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
25.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.1% of county personal income is Medicare/Medicaid medical benefits; 16.8% arrives as government transfers (BEA, 2022).

What this hospital means to Monterey County

economic contribution · FY25 cost report
Direct annual spending
$73.3M
total operating expense · reported
Total economic output
$168.5M
× 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.

CAH Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

Commercial Pricing Study$10,000CAH only, subject to data validation

Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.

build aa21187 · 2026-07-23