Draft Almanac release · Independent analysis by CRWDHEALTH · Not endorsed by CHCF
Hospital explorer/ADVENTIST HEALTH AND RIDEOUT

HCAI facility 106580996

ADVENTIST HEALTH AND RIDEOUT

726 4TH STREET · MARYSVILLE · Yuba County · 95901

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Licensed beds221
Acute beds221
Occupancy66.9%
Adjusted discharges20.7K
Cost / adjusted discharge$25.4K
Operating revenue$495.6M
Operating margin-6.1%
Net income-$48.7M
Cash$188.8K
Current ratio0.59
Net long-term debt$240.7M
Hospital FTEs1,274

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
3

Utilization

Outpatient visits
189,122
ER visits
73,221
Average length of stay
4.76 days
Inpatient surgeries
1,492
Outpatient surgeries
2,582
Births
1,320

Financial performance

Operating expense
$525.7M
Cost / adjusted discharge
$25.4K
Net from operations
-$30.1M
Net income margin
-9.8%
Days in receivables
284.39
Charity + bad debt charges
$21.6M

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
221
Psychiatric
0
Chemical dependency
0
Rehabilitation
0
Long-term care
0
Residential
0

Liquidity and capital

Cash
$188.8K
Assets limited as to use
$0
Investments + other assets
$3.7M
Current assets
$159.1M
Current liabilities
$271.1M
Equity
-$53.8M

Workforce

Hospital FTEs
1,274
Student FTEs
0
Productive hours
2.4M
Paid hours
2.8M
RN productive hours
1.1M
Contract RN hours
0

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$260.1M$249.2M$10.8M
Medi-Cal$119.2M$162.7M-$43.5M
County indigent$0$0$0
Commercial / other third party$90.2M$89.2M$998.6K
Other$13.6M$12M$1.6M

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
2 / 5
HCAHPS definitely recommend
52%
SEP-1 appropriate sepsis care
84%
ED median time
194 min
HRRP ratios above 1 / reported
4 / 5
IMI better / expected / worse
0 / 8 / 0

OHCA 2023 spending

Third-party IP NPR / CMAD
$29.8K
Medicare IP NPR / CMAD
$11.7K
Medi-Cal IP NPR / CMAD
$9.4K
Third-party OP NPR / adjusted visit
$279.9
Medicare OP NPR / adjusted visit
$137.9
Medi-Cal OP NPR / adjusted visit
$143.9

2026 Q1 liquidity + identifiers

Days cash on hand
0.22 days
Liquid reserve assets
$330.7K
Quarter operating margin
-2.4%
Quarter current ratio
0.6
Quarter discharges
2,743
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.