▸ Cost Report · CCN 050013 · FY 2024
ADVENTIST HEALTH ST. HELENA
ST. HELENA, CA 94574 · Fiscal year ending 2024-12-31
$263.6M
TOTAL REVENUES
−$28.0M
NET INCOME
-10.6%
OPERATING MARGIN
3,547
DISCHARGES
01 — FINANCIAL
Financial summary
- Total revenues
- $263.6M
- Total costs
- $334.5M
- Net income
- −$28.0M
- Operating margin
- -10.6%
- Total charges
- $1.26B
- Medicare charges
- $331.1M
- Medicaid charges
- —
- Charity care charges
- $11.9M
- Uncompensated care
- $25.4M
- Bad debt
- $30.7M
- Total assets
- $21.5M
- Total liabilities
- $106.8M
- Fund balance
- −$85.3M
02 — UTILIZATION
Utilization
- Total beds
- 141
- Bed days available
- 51,606
- Total inpatient days
- 20,446
- Medicare inpatient days
- 7,263
- Medicaid inpatient days
- 298
- Total outpatient visits
- —
- Total discharges
- 3,547
- Total FTEs
- —
- Inpatient residents
- —
- Outpatient residents
- —
03 — HISTORY
Latest filing
| Fiscal year | Discharges | Revenue | Net income | Margin |
|---|---|---|---|---|
| 2024-12-31 | 3,547 | $263.6M | −$28.0M | -10.6% |
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03b — TREND CHART
Revenue, costs, and net income by fiscal year
Multi-year P&L chart — visualize revenue, costs, and net income side-by-side across every filing.See Solo · $499/yr →
DISTRESS RADAR
Risk signals detected
Auto-flagged from 3-year trend on margin, volume, and bad debt
This hospital tripped 2 distress signals. Upgrade to see which signals fired and the underlying numbers.See Solo · $499/yr →
04 — PEER BENCHMARK
Peer cohort — CA Acute Care Hospitals
277 hospitals filing FY2024
- Median operating margin
- 4.5%
- 25th percentile margin
- -2.5%
- 75th percentile margin
- 11.9%
- Median discharges
- 8,932
- Median net income
- $12.2M
- Median bed count
- 188
05 — QUALITY (CMS CARE COMPARE)
CMS Care Compare quality measures
Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.
Overall rating
4 / 5
- Emergency services
- Yes
- Mortality vs national avg
- Same as the national average
- Safety vs national avg
- Same as the national average
- Readmissions vs national avg
- Same as the national average
- Patient experience vs national avg
- —
- Timely & effective vs national avg
- —
07a — MS-DRG MIX
Top inpatient DRGs by volume
Per CMS Medicare Inpatient Hospitals dataset (PY2022)
| DRG | Description | Discharges | Avg payment |
|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 97 | $21K |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 97 | $22K |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 82 | $34K |
| 885 | PSYCHOSES | 73 | $16K |
| 885 | PSYCHOSES | 59 | $14K |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 55 | $35K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 52 | $14K |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 45 | $34K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 44 | $14K |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCED… | 39 | $51K |
07 — MARKET (HSAF)
Top patient-origin ZIPs
Catchment based on CMS Hospital Service Area File (PY2019)
| ZIP | Cases | Bed days |
|---|---|---|
| 95422 | 337 | 1965 |
| 95422 | 327 | 1810 |
| 95422 | 214 | 1288 |
| 95422 | 214 | 1201 |
| 94574 | 201 | 862 |
| 95422 | 188 | 1028 |
| 94574 | 179 | 683 |
| 95422 | 166 | 812 |
| 94574 | 159 | 607 |
| 94574 | 154 | 571 |
08 — 340B DRUG PRICING
340B Covered Entity
HRSA Office of Pharmacy Affairs — this hospital participates in the 340B Drug Pricing Program
- Entity type
- DSH
- Covered entity ID
- DSH050013
- Entity name
- St. Helena Hospital, DBA Adventist Health St. Helena
- Match method
- NPI match
340B hospitals purchase outpatient drugs at discounted prices from manufacturers. Entity types: DSH = Disproportionate Share Hospital, CAH = Critical Access, FQHC = Federally Qualified Health Center, PED = Pediatric, SCH = Sole Community Hospital.
CROSS-REFERENCE
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