Psychiatric hospital · Santa Cruz, CA
SANTA CRUZ COUNTY PSYCHIATRIC HEALTH FACILITY
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Santa Cruz, CA. It ran an operating surplus of 2.4% in FY25 on $10.3M of operating revenue. Days cash on hand is an Astrelis calculation unavailable for its latest year (the corrected series carries no computable value for this year). Operating margin declined from 5.2% in FY21 to 2.4% in FY25.
Operating margin · FY25
+2.4%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Days cash on hand
Astrelis calculation unavailable
all sources
Total operating revenue · FY25
$10.3M
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Total margin · incl. nonoperating · FY25
+2.4%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
One point of operating margin at SANTA CRUZ COUNTY PSYCHIATRIC HEALTH FACILITY is about $103K per year (1% of FY25 total operating revenue).
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRatios 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Operating margin
+2.4% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+2.4% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
Not reported in source
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
2.02× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
55% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
-84d (FY25) — outside expected range; shown at the chart boundary and included in peer statistics
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
| Line item | FY23 | FY24 | FY25 |
|---|---|---|---|
| Patient revenue | 9,408 | 9,826 | 10,263 |
| Other operating revenue | 53 | 26 | — |
| Total operating revenue | 9,461 | 9,852 | 10,263 |
| Total operating expenses | 8,879 | 9,279 | 10,012 |
| Operating income | 581 | 573 | 251 |
| Operating margin % | +6.1% | +5.8% | +2.4% |
| Other non-operating, net | 1 | 0 | 0 |
| Net income | 582 | 573 | 251 |
| Net income % | +6.1% | +5.8% | +2.4% |
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · 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
Display states. FY25 · Net patient A/R: -2,368K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -2368.4K (gross HOSP10_2024_nmrc.csv G000000 L00400; allowances L00500 4106.9K + L00600 9.4K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY25 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY24 · Net patient A/R: -1,610K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -1610.3K (gross HOSP10_2023_nmrc.csv G000000 L00400; allowances L00500 3905.9K + L00600 9.4K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY24 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY23 · Net patient A/R: -2,200K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -2199.8K (gross HOSP10_2022_nmrc.csv G000000 L00400; allowances L00500 3905.9K + L00600 9.4K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY23 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY22 · Net patient A/R: -2,082K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -2082.5K (gross HOSP10_2021_nmrc.csv G000000 L00400; allowances L00500 3905.9K + L00600 9.4K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY22 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)FY21 · Net patient A/R: -2,201K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -2201.1K (gross HOSP10_2020_nmrc.csv G000000 L00400; allowances L00500 2520.7K + L00600 9.4K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY21 · Days cash on hand — Astrelis calculation unavailable (the corrected series carries no computable value for this year)
How it operates
quality & operational context · CMS public reportingA 16-bed psychiatric hospital running at 84% occupancy, where the average stay runs 12.3 days, and operating cost runs $2,052 per patient day.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
83.5%
HCRIS WS S-3
Average daily census
13.40
HCRIS WS S-3
Staffed beds (acute)
16
HCRIS WS S-3
Annual discharges
397
HCRIS WS S-3
Average length of stay
12 days
HCRIS WS S-3
Cost per patient day
$2,052
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$25,218
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
Santa Cruz County, CA
Median household income
$109.3K
vs $82.1K US
Poverty rate
11.2%
vs 12.5% US
Uninsured
5.3%
vs 8.6% US
Age 65+
18.3%
vs 16.8% US
Fair or poor health
19.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.3% of county personal income is Medicare/Medicaid medical benefits; 14.4% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Santa Cruz County
Illustrative estimate · FY25 cost reportDirect annual spending
$10.0M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$23.0M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin (as filed)FY25Astrelis calculation
2.4% operating margin in FY25.
The Board Briefing
What changed, what matters, and what your board should ask — every figure sourced to the public record.
Reserve The Board Briefing →Performance Benchmark Report
A facility-specific dollar comparison cannot be calculated because a valid same-year peer pool was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Reserve Performance Benchmark Report →The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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