Draft Almanac release · Independent analysis by CRWDHEALTH · Not endorsed by CHCF
Hospital explorer/HIGHLAND HOSPITAL

HCAI facility 106010846

HIGHLAND HOSPITAL

1411 EAST 31ST STREET · OAKLAND · Alameda County · 94602

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Licensed beds475
Acute beds232
Occupancy80.3%
Adjusted discharges27.6K
Cost / adjusted discharge$45.1K
Operating revenue$719.9M
Operating margin-72.6%
Net income$10.7M
Cash$31.8M
Current ratio0.66
Net long-term debt$85.7M
Hospital FTEs3,345

Identity and period

Control
City/County
System
N/A
Owner
ALAMEDA HEALTH SYSTEM
Reporting period
2023-07-01 to 2024-06-30
Days reported
366
ER designation
1

Utilization

Outpatient visits
375,470
ER visits
91,896
Average length of stay
8.72 days
Inpatient surgeries
3,635
Outpatient surgeries
3,394
Births
1,142

Financial performance

Operating expense
$1.2B
Cost / adjusted discharge
$45.1K
Net from operations
-$522.7M
Net income margin
0.9%
Days in receivables
476.56
Charity + bad debt charges
$135.5M

Capacity, reserves and labor

Beds, liquidity and workforce

Cash, assets limited as to use and other investments are shown separately and are not combined into a days-cash figure. Restrictions on their use and system-level reporting vary.

Licensed bed mix

Acute
232
Psychiatric
80
Chemical dependency
0
Rehabilitation
28
Long-term care
135
Residential
0

Liquidity and capital

Cash
$31.8M
Assets limited as to use
$0
Investments + other assets
$197.1M
Current assets
$543.5M
Current liabilities
$829.4M
Equity
-$114M

Workforce

Hospital FTEs
3,345
Student FTEs
140
Productive hours
6.2M
Paid hours
7.3M
RN productive hours
1.4M
Contract RN hours
260.3K

Payer accounting

Net revenue versus allocated expense

HCAI allocates operating expense to broad payer groups. The difference is an accounting result and does not measure payer profitability.

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Payer groupNet patient revenueAllocated operating expenseRevenue less expense
Medicare$153.2M$313.7M-$160.5M
Medi-Cal$410.2M$717.6M-$307.4M
County indigent-$1$27M-$27M
Commercial / other third party$96.9M$84.3M$12.6M
Other$5.6M$45.8M-$40.3M

Linked public evidence

Quality, spending, and current context

Each measure keeps its source period and definition. Missing records are left blank.

CMS + HCAI quality

CMS overall rating
1 / 5
HCAHPS definitely recommend
70%
SEP-1 appropriate sepsis care
62%
ED median time
182 min
HRRP ratios above 1 / reported
2 / 4
IMI better / expected / worse
0 / 9 / 0

OHCA 2023 spending

Third-party IP NPR / CMAD
$29.6K
Medicare IP NPR / CMAD
$14.9K
Medi-Cal IP NPR / CMAD
$19.7K
Third-party OP NPR / adjusted visit
$339.7
Medicare OP NPR / adjusted visit
$86.6
Medi-Cal OP NPR / adjusted visit
$132.3

2026 Q1 liquidity + identifiers

Days cash on hand
6.43 days
Liquid reserve assets
$26.3M
Quarter operating margin
-28.5%
Quarter current ratio
0.95
Quarter discharges
3,563
AHRQ system
Alameda Health System

Notes: CMS quality records are linked by Medicare certification number (CCN). An excess readmission ratio above 1 means more readmissions than expected for that condition. NPR per CMAD (net patient revenue per case-mix-adjusted discharge) measures spending, not negotiated prices. 2026 Q1 days cash uses HCAI's liquid-reserve formula and may reflect system-level reporting. Review the quality and spending workspace for comparison populations and downloads.

Figures reflect the facility's reported period and primary HCAI source fields. See methodology for formulas and limitations.