A hospital in Orange City, FL. It ran an operating surplus of 16.8% in FY24 on $323.6M of operating revenue. It held 216 days of cash on hand (86th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 9.3% in FY20 to 16.8% in FY24.
Operating margin · FY24
+16.8%
▲ 8.0 pts vs FY23
vs Urban PPS hospitals85th pctl of 2,562 (FY24)
Days cash on hand · FY24
216d
all sources
▲ 81.8 days vs FY23
vs Urban PPS hospitals86th pctl of 2,354 (FY24)
Total operating revenue · FY24
$323.6M
▲ 48.8 $M vs FY23
vs Urban PPS hospitals57th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+18.6%
▲ 7.7 pts vs FY23
vs Urban PPS hospitals85th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at ADVENTHEALTH FISH MEMORIAL is about $3.2M per year (1% of FY24 total operating revenue).
Where ADVENTHEALTH FISH MEMORIAL sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 of 2,681 filed
Each point is one Urban PPS 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 Urban PPS hospital median is +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalADVENTHEALTH FISHUrban PPS 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
FY22
FY23
FY24
Patient revenue
239,427
273,921
318,515
Other operating revenue
268
919
5,131
Total operating revenue
239,695
274,841
323,646
Total operating expenses
235,277
250,680
269,216
Operating income
4,418
24,161
54,430
Operating margin %
+1.8%
+8.8%
+16.8%
Investment income
(11,611)
5,508
5,622
Other non-operating, net
1,081
989
1,486
Net income
(6,112)
30,658
61,538
Net income %
-2.7%
+10.9%
+18.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 217-bed hospital at 58% occupancy 50% 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
57.8%
Verified fact2024
HCRIS WS S-3
Average daily census
125.84
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
217
Verified fact2024
HCRIS WS S-3
Annual discharges
12,378
Verified fact2024
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
49.5%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,059
Verified fact2024
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$31.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.982494
CMS-reported measure07/01/2022 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
VOLUSIA County, FL · metro, 250K–1M
Median household income
$66.6K
vs $82.1K US · $59.7K rural median
Poverty rate
12.2%
vs 12.5% US · 14.3% rural median
Uninsured
11.0%
vs 8.6% US · 8.4% rural median
Age 65+
25.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.9% of county personal income is Medicare/Medicaid medical benefits; 27.6% arrives as government transfers (BEA, 2022).
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