HCAI facility 106540816
ADVENTIST HEALTH TULARE
869 N. CHERRY STREET · TULARE · Tulare County · 93724
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
- 67,382
- ER visits
- 36,319
- Average length of stay
- 3.97 days
- Inpatient surgeries
- 736
- Outpatient surgeries
- 2,548
- Births
- 32
Financial performance
- Operating expense
- $104.7M
- Cost / adjusted discharge
- $13.2K
- Net from operations
- -$20.9M
- Net income margin
- -25%
- Days in receivables
- 357.38
- Charity + bad debt charges
- $6.9M
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
- 73
- Psychiatric
- 0
- Chemical dependency
- 0
- Rehabilitation
- 0
- Long-term care
- 0
- Residential
- 0
Liquidity and capital
- Cash
- $0
- Assets limited as to use
- $0
- Investments + other assets
- $0
- Current assets
- $36.7M
- Current liabilities
- $77.3M
- Equity
- -$144.4M
Workforce
- Hospital FTEs
- 346
- Student FTEs
- 9
- Productive hours
- 641.6K
- Paid hours
- 725.8K
- RN productive hours
- 193.2K
- Contract RN hours
- 6.1K
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 group | Net patient revenue | Allocated operating expense | Revenue less expense |
|---|---|---|---|
| Medicare | $22.2M | $27.5M | -$5.3M |
| Medi-Cal | $32.4M | $46.9M | -$14.5M |
| County indigent | $0 | $0 | $0 |
| Commercial / other third party | $21.3M | $18.8M | $2.4M |
| Other | $190.4K | $3.7M | -$3.5M |
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
- 3 / 5
- HCAHPS definitely recommend
- 68%
- SEP-1 appropriate sepsis care
- 84%
- ED median time
- 198 min
- HRRP ratios above 1 / reported
- 2 / 2
- IMI better / expected / worse
- 0 / 5 / 0
OHCA 2023 spending
- Third-party IP NPR / CMAD
- $4K
- Medicare IP NPR / CMAD
- $4.6K
- Medi-Cal IP NPR / CMAD
- $6.4K
- Third-party OP NPR / adjusted visit
- $64.6
- Medicare OP NPR / adjusted visit
- $95.6
- Medi-Cal OP NPR / adjusted visit
- $162.7
2026 Q1 liquidity + identifiers
- Days cash on hand
- 0.03 days
- Liquid reserve assets
- $8.2K
- Quarter operating margin
- -10%
- Quarter current ratio
- 0.41
- Quarter discharges
- 555
- 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.