Draft Almanac release · Independent analysis by CRWDHEALTH · Not endorsed by CHCF
Hospital explorer/ADVENTIST HEALTH ST. HELENA

HCAI facility 106281078

ADVENTIST HEALTH ST. HELENA

10 WOODLAND ROAD · ST. HELENA · Napa County · 94574

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Licensed beds141
Acute beds141
Occupancy39.6%
Adjusted discharges8.1K
Cost / adjusted discharge$33.6K
Operating revenue$262.1M
Operating margin-4.1%
Net income-$21.9M
Cash$54.4K
Current ratio0.37
Net long-term debt$69.2M
Hospital FTEs500

Identity and period

Control
Non-Profit
System
ADVENTIST HEALTH SYSTEMS
Owner
ADVENTIST HEALTH
Reporting period
2024-01-01 to 2024-12-31
Days reported
366
ER designation
Not reported

Utilization

Outpatient visits
49,634
ER visits
7,330
Average length of stay
5.54 days
Inpatient surgeries
1,096
Outpatient surgeries
5,712
Births
0

Financial performance

Operating expense
$272.9M
Cost / adjusted discharge
$33.6K
Net from operations
-$10.8M
Net income margin
-8.1%
Days in receivables
353.64
Charity + bad debt charges
$5.5M

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
141
Psychiatric
0
Chemical dependency
0
Rehabilitation
0
Long-term care
0
Residential
0

Liquidity and capital

Cash
$54.4K
Assets limited as to use
$0
Investments + other assets
$2.9M
Current assets
$75.2M
Current liabilities
$201.2M
Equity
-$88.1M

Workforce

Hospital FTEs
500
Student FTEs
0
Productive hours
934.8K
Paid hours
1.1M
RN productive hours
303.3K
Contract RN hours
28.1K

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.

Scroll horizontally to view every payer measure.

Payer groupNet patient revenueAllocated operating expenseRevenue less expense
Medicare$120.4M$167.2M-$46.8M
Medi-Cal$48.6M$43.5M$5M
County indigent$0$0$0
Commercial / other third party$78.9M$55.3M$23.6M
Other$10.9M$3.6M$7.3M

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
4 / 5
HCAHPS definitely recommend
77%
SEP-1 appropriate sepsis care
75%
ED median time
130 min
HRRP ratios above 1 / reported
1 / 5
IMI better / expected / worse
0 / 7 / 1

OHCA 2023 spending

Third-party IP NPR / CMAD
$21.2K
Medicare IP NPR / CMAD
$9.6K
Medi-Cal IP NPR / CMAD
$18.7K
Third-party OP NPR / adjusted visit
$247.1
Medicare OP NPR / adjusted visit
$144.3
Medi-Cal OP NPR / adjusted visit
$400.1

2026 Q1 liquidity + identifiers

Days cash on hand
0 days
Liquid reserve assets
$0
Quarter operating margin
-7.6%
Quarter current ratio
0.99
Quarter discharges
1,030
AHRQ system
Adventist Health

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.