Astrelis
Dialysis facility · Porterville, CA

Sierra Valley Dialysis Center

CCN 552856Latest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Operating margin: +26.1% in FY2025, the 73rd percentile of 7,109 dialysis facilities in the FY2025 pool. Days cash on hand: 3 days in FY2025, the 25th percentile of 1,453 dialysis facilities in the FY2025 pool. Total operating revenue: $8.5M in FY2025, the 94th percentile of 7,110 dialysis facilities in the FY2025 pool. Total margin (including nonoperating): +14.5% in FY2025, the 47th percentile of 7,110 dialysis facilities in the FY2025 pool. Figures as filed; not audited by Astrelis.

Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A dialysis facility in Porterville, CA. It ran an operating surplus of 26.1% in FY25 on $8.5M of operating revenue. It held 3 days of cash on hand (25th percentile of 1,453 dialysis facilities on liquidity, FY25 pool). Operating margin improved from 23.8% in FY20 to 26.1% in FY25.

Operating margin · FY25
+26.1%
Astrelis calculation · as-filed inputs
vs dialysis facilities73rd pctl of 7,109 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
3d
all sources
Astrelis calculation · as-filed inputs
vs dialysis facilities25th pctl of 1,453 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$8.5M
Astrelis calculation · as-filed inputs
vs dialysis facilities94th pctl of 7,110 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+14.5%
Astrelis calculation · as-filed inputs
vs dialysis facilities47th pctl of 7,110 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values

Where Sierra Valley Dialysis sits among dialysis facilities

Operating margin · FY25 pool · n = 7,109 of 7,234 filed

Each point is one dialysis facility in the national FY25 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 dialysis facility FY25 median is +16.8%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%dialysis facility median +16.8%Sierra Valley +26.1%
One dialysis facilitySierra Valleydialysis facility median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this dialysis facility 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
+26.1% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+14.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
3d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
0.60× (FY24)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
77% (FY24)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
47d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue6,2295,8688,489
Total operating revenue6,2295,8688,489
Total operating expenses5,3525,5466,276
Operating income8783212,212
Operating margin %+14.1%+5.5%+26.1%
Other non-operating, net(498)(232)(1,146)
Net income379891,066
Net income %+6.6%+1.6%+14.5%
— = Not reported in source for that year.
HCRIS CMS-265 cost report · $ thousands · FY20–FY25 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding

How it operates

quality & operational context · CMS public reporting

The metrics this dialysis facility 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.

Quality star
3★
Reported value2026
CMS Dialysis Compare
Total treatments
18,948
Reported value2025
HCRIS CMS-265
Cost per treatment ($)
331.24
Astrelis calculation2025
HCRIS CMS-265
Net revenue per treatment ($)
447.99
Astrelis calculation2025
HCRIS CMS-265
Dialysis stations
32
Reported value2026
CMS Dialysis Facility Compare
Modalities offered
In-center hemodialysis, Peritoneal dialysis
Reported value2026
CMS Dialysis Facility Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+23.8%+10.4%+14.8%+14.1%+5.5%+26.1%FY20FY21FY22FY23FY24FY25
Days cash on hand
6 days7 days24 days25 days16 days3 daysFY20FY21FY22FY23FY24FY25

State context

Porterville, CA
Located in Porterville, CA. County-level statistics: linkage not established — this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Operating margin vs its peer poolFY25Astrelis calculation

26.1% operating margin — 73rd percentile of 7,109 peers (FY25 pool).

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

($448 revenue vs $331 cost per treatment) = $117 per treatment above cost × 18,948 treatments ≈ $2.2M net spread at current volume · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 7,109.

Performance Benchmark Report: FY25 peer pool · n = 7,109 · conservative low band; acuity limits stated in the report.

Report coverage: Standard Facility Benchmark. 10 of 10 facility measures available from public sources. Every declared facility measure is available for this record, benchmarked against its same-year peer pools. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.

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Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Sierra Valley Dialysis Center", https://astrelis.co/providers/dialysis/552856, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Machine-readable twin of this page: astrelis.co/providers/dialysis/552856.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.

build 2321a4fc37a7 · 2026-10-22 · dev