CCN 051338FRESNO CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)24 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY22, 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 Coalinga, CA. It ran an operating loss of 37.9% in FY24 on $41.5M of operating revenue. It held 2 days of cash on hand in FY22, its most recent reported liquidity (14th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. These figures come from filings spanning FY21–FY24: read each by its own year rather than as one current picture.
Operating margin · FY24
-37.9%
vs Critical Access Hospitals5th pctl of 1,340 (FY24)
Days cash on hand · FY22
2d
all sources
vs Critical Access Hospitals14th pctl of 1,325 (FY24)
Total operating revenue · FY24
$41.5M
vs Critical Access Hospitals65th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-37.1%
vs Critical Access Hospitals1st 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 COALINGA REGIONAL MEDICAL CENTER is about $415K per year (1% of FY24 total operating revenue).
Where COALINGA REGIONAL MEDICAL 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 hospitalCOALINGA REGIONALCritical 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
-74.3% (FY24)
3rd percentile of 808 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+54.6% (FY24)
45th percentile of 807 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
26,297
40,736
39,591
Other operating revenue
1,910
5,419
1,897
Total operating revenue
28,206
46,154
41,488
Total operating expenses
39,620
49,494
57,203
Operating income
(11,414)
(3,339)
(15,715)
Operating margin %
-40.5%
-7.2%
-37.9%
Grants & contributions
—
1
—
Investment income
5
11
9
Other non-operating, net
172
170
214
Net income
(11,237)
(3,157)
(15,492)
Net income %
-39.6%
-6.8%
-37.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, 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 24-bed hospital at 11% occupancy where swing beds are 82% of the inpatient business and 42% 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
10.6%
Verified fact2024
HCRIS WS S-3
Average daily census
2.54
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
24
Verified fact2024
HCRIS WS S-3
Annual discharges
233
Verified fact2024
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
11.83
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
82.3%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
41.9%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
135%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 3rd percentile among CAHs.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 4 reporting years
Operating margin
Days cash on hand
FY24 days cash suppressed: out of display range.
The county this hospital serves
FRESNO County, CA · metro, 1M+ population
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.0%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).
What this hospital means to Fresno County
economic contribution · FY24 cost report
Direct annual spending
$57.2M
total operating expense · reported
Total economic output
$131.6M
× 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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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.
