A hospital in Madera, CA. It ran an operating loss of 2.9% in FY25 on $922.4M of operating revenue. It held 644 days of cash on hand (92nd percentile among Children's hospitals on liquidity). Operating margin declined from -1.4% in FY20 to -2.9% in FY25, though it rose 2.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 15.0%.
Operating margin · FY25
-2.9%
vs Children's hospitals34th pctl of 38 (FY25)
Days cash on hand · FY25
644d
all sources
vs Children's hospitals92nd pctl of 37 (FY25)
Total operating revenue · FY25
$922.4M
vs Children's hospitals59th pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+15.0%
vs Children's hospitals61st pctl of 38 (FY25)
One point of operating margin at VALLEY CHILDREN'S HOSPITAL is about $9.2M per year (1% of FY25 total operating revenue).
Where VALLEY CHILDREN'S HOSPITAL sits among Children's hospitals
Operating margin · FY25 pool · n = 38 of 73 filed
Each point is one Children's 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 Children's hospital median is +3.6%. Descriptive context only, not a ranking.
One children's hospitalVALLEY CHILDREN'SChildren's 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
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
719,923
801,544
919,461
Other operating revenue
3,251
2,861
2,891
Total operating revenue
723,174
804,405
922,352
Total operating expenses
761,809
848,530
949,425
Operating income
(38,635)
(44,125)
(27,073)
Operating margin %
-5.3%
-5.5%
-2.9%
Grants & contributions
10,278
10,097
7,454
Investment income
88,011
181,034
136,484
Other non-operating, net
34,360
40,982
50,459
Net income
94,014
187,988
167,324
Net income %
+11.0%
+18.1%
+15.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 200-bed hospital at 50% occupancy 40% 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
49.9%
Verified fact2025
HCRIS WS S-3
Average daily census
99.98
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
200
Verified fact2025
HCRIS WS S-3
Annual discharges
10,132
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
39.6%
Verified fact2025
HCRIS WS G-2 L28
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
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
MADERA County, CA · metro, 1M+ population
Median household income
$75.5K
vs $82.1K US
Poverty rate
19.9%
vs 12.5% US
Uninsured
7.5%
vs 8.6% US
Age 65+
14.4%
vs 16.8% US
Fair or poor health
30.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 24.2% arrives as government transfers (BEA, 2022).
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