Astrelis
Urban PPS hospital · Palm Coast, FL

ADVENTHEALTH PALM COAST PARKWAY

CCN 100363Flagler CountyVoluntary non-profit - PrivateUrban (USDA RUCC)82 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Palm Coast, FL. It ran an operating surplus of 1.4% in FY25 on $140.0M of operating revenue. It held 328 days of cash on hand (93rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from -12.8% in FY24 to 1.4% in FY25.

Operating margin · FY25
+1.4%
14.3 pts vs FY24
vs Urban PPS hospitals50th pctl of 1,475 (FY25)
Days cash on hand · FY25
328d
all sources
224.0 days vs FY24
vs Urban PPS hospitals93rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$140.0M
41.3 $M vs FY24
vs Urban PPS hospitals29th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+4.9%
16.8 pts vs FY24
vs Urban PPS hospitals45th pctl of 1,475 (FY25)
One point of operating margin at ADVENTHEALTH PALM COAST PARKWAY is about $1.4M per year (1% of FY25 total operating revenue).

Where ADVENTHEALTH PALM COAST sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 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 +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%ADVENTHEALTH PALM +1.4470492839767244%-20%0%+20%Urban PPS hospital median +1.3311360264910879%ADVENTHEALTH PALM +1.4470492839767244%
One urban pps hospitalADVENTHEALTH PALMUrban 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.

Operating margin
+1.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+4.9% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
328d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.57× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-4% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
38d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY24FY25
Patient revenue98,305139,454
Other operating revenue324520
Total operating revenue98,629139,975
Total operating expenses111,282137,949
Operating income(12,653)2,026
Operating margin %-12.8%+1.4%
Investment income5054,596
Other non-operating, net354562
Net income(11,794)7,184
Net income %-11.9%+4.9%
2 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24–FY25

How it operates

quality & operational context · CMS public reporting

A 82-bed hospital at 73% occupancy 52% 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
73.1%
Verified fact2025
HCRIS WS S-3
Average daily census
60.07
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
82
Verified fact2025
HCRIS WS S-3
Annual discharges
5,918
Verified fact2025
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
51.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
667.10
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.251
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
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.91674
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 2 reporting years
Operating margin
-12.8%+1.4%FY24FY25
Days cash on hand
104 days328 daysFY24FY25

The county this hospital serves

Flagler County, FL
Median household income
$72.9K
vs $82.1K US · $59.7K rural median
Poverty rate
9.4%
vs 12.5% US · 14.3% rural median
Uninsured
10.8%
vs 8.6% US · 8.4% rural median
Age 65+
31.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.8% of county personal income is Medicare/Medicaid medical benefits; 26.4% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-26