Astrelis
Urban PPS hospital · Salisbury, MD

TIDALHEALTH PENINSULA REGIONAL, INC

CCN 210019WICOMICO CountyVoluntary non-profit - Private251 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Salisbury, MD. It ran an operating loss of 2.4% in FY25 on $567.2M of operating revenue. It held 338 days of cash on hand (93rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 8.2% in FY21 to -2.4% in FY25. Including nonoperating items, the all-in result was positive at 10.5%.

Operating margin · FY25
-2.4%
9.4 pts vs FY24
vs Urban PPS hospitals38th pctl of 1,475 (FY25)
Days cash on hand · FY25
338d
all sources
35.1 days vs FY24
vs Urban PPS hospitals93rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$567.2M
27.5 $M vs FY24
vs Urban PPS hospitals74th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+10.5%
4.9 pts vs FY24
vs Urban PPS hospitals65th pctl of 1,475 (FY25)
One point of operating margin at TIDALHEALTH PENINSULA REGIONAL, INC is about $5.7M per year (1% of FY25 total operating revenue).

Where TIDALHEALTH PENINSULA REGIONAL, 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%TIDALHEALTH PENINSULA -2.4457200164183464%-20%0%+20%Urban PPS hospital median +1.3311360264910879%TIDALHEALTH PENINSULA -2.4457200164183464%
One urban pps hospitalTIDALHEALTH PENINSULAUrban 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
-2.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+10.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
338d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.70× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
79% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, outside plausibility bounds
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue493,388539,640567,169
Other operating revenue29322
Total operating revenue493,681539,642567,170
Total operating expenses489,455502,183581,042
Operating income4,22637,459(13,871)
Operating margin %+0.9%+6.9%-2.4%
Investment income34,89745,62041,548
Other non-operating, net6,6798,72640,710
Net income45,80291,80568,387
Net income %+8.6%+15.5%+10.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY25 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 251-bed hospital at 79% occupancy 45% 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
78.7%
Verified fact2025
HCRIS WS S-3
Average daily census
198.02
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
251
Verified fact2025
HCRIS WS S-3
Annual discharges
15,984
Verified fact2025
HCRIS WS S-3
Average length of stay
4.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
44.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,284
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.28
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.8%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Results are not available for this reporting period.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.912285
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+8.2%+3.0%+0.9%+6.9%-2.4%FY21FY22FY23FY24FY25
Days cash on hand
559 days381 days330 days373 days338 daysFY21FY22FY23FY24FY25

The county this hospital serves

WICOMICO County, MD
Median household income
$72.9K
vs $82.1K US · $59.7K rural median
Poverty rate
14.0%
vs 12.5% US · 14.3% rural median
Uninsured
6.5%
vs 8.6% US · 8.4% rural median
Age 65+
16.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.8% of county personal income is Medicare/Medicaid medical benefits; 28.4% arrives as government transfers (BEA, 2022).

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