Short Term Acute Care HospitalVoluntary non-profit - Private

Adventist Medical Center Selma

Adventist Health · Selma, CA

115 Mall Drive, Selma, CA 93662

3 of 5

CMS star rating

235

Beds

9,655

Inpatient discharges a year

$422.1M

Net patient revenue a year

About this hospital

Adventist Medical Center Selma is a 235-bed voluntary non-profit - private hospital in Selma, CA, affiliated with Adventist Health. Below you'll find publicly disclosed negotiated rates and facility details, including 296 disclosed rate categories.

Disproportionate share hospital
340B participant
Helipad

CCN: 050121
NPI: 1962693895
Health system: Adventist Health
Teaching: Teaching hospital
County: Kings County
Metro area: Hanford-Corcoran, CA MSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 1966
Last CMS survey: 2022

Prices for common services

The 24 services Adventist Medical Center Selma most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

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Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,688 - $12,192

from 4 insurers · median $10,636

Cigna$10,926

Insurer A*$5,688

Insurer B*$10,346

Insurer C*$12,192

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,088 - $20,334

from 4 insurers · median $16,829

Cigna$20,334

Insurer A*$8,088

Insurer B*$16,430

Insurer C*$17,229

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$597 - $5,218

from 4 insurers · median $2,860

Anthem / Blue Shield$4,129

Insurer A*$597

Insurer B*$1,590

Insurer C*$5,218

Medicare $446Nearby hospitals $2,26226% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,242 - $15,945

from 3 insurers · median $11,326

Aetna$11,326

Insurer A*$5,242

Insurer B*$15,945

Medicare $4,142Nearby hospitals $5,501106% above nearby hospitals

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Adventist Medical Center Selma

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

Insurer	Services	Median % of Medicare	Above nearby	Below nearby
Insurer A*	14	1460%	9	0
Insurer B*	24	653%	15	2
Insurer C*	23	423%	17	2
Insurer D*	24	350%	12	4

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Adventist Medical Center Selma, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Quality
3 of 5 stars
- 180 min in the ER before going home (US median 148)
- Medicare readmissions penalty (-0.17%)
See quality ratings
Doctors and services
Accredited by The Joint Commission
- Teaching hospital
- 24 services, including trauma care
- 580 affiliated clinicians
See doctors and services
Finances
$422.1M net patient revenue
- Operating margin on patient care -8.5%
- $12.2M unreimbursed and uncompensated care
- $65.2M net income
See finances
Ownership and leadership
Owned by Adventist Health System/west
- Church
- Jason Wells, chief executive
- 340B drug pricing program participant
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Adventist Medical Center Selma in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
94-0535360Adventist Health Hanford	58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 53 more	1538141627 Hanford Community Hospital1427449438 Adventist Medical Center Reedley1891720199 Hanford Community Medical Centerand 6 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

115 Mall Drive, Selma, CA 93662

Get directions

Quality ratings (CMS Care Compare)

How Adventist Medical Center Selma compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 7 measures
2 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
0 better, 5 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
65%
Lower than 73% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.77
Lower than 96% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
180 min
Higher than 70% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
88%
Higher than 95% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	3 of 5
Death rates	No different on 7 measures
Safety	Better on 2 of 7 measures
Readmissions	Worse on 2 of 7 measures
Patient survey ratingCMS: Summary star rating	3 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	65%	2024-10-01 to 2025-09-30
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.77	2022-07-01 to 2024-06-30
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	180 min	2024-10-01 to 2025-09-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	88%	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Adventist Medical Center Selma's inpatient payments for its readmissions, quality and cost results.

-0.17% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.10% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Adventist Medical Center Selma, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available		4.075
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,486 cases	4.1	3.9	3.81		Worse than 57% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30 · 43 cases	12.4	11.8	11.57		Worse than 70% of US hospitals
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.379
Death rate for COPD patients2022-07-01 to 2025-06-30 · 101 cases	8.2	8.5	8.235		Better than 56% of US hospitals
Death rate for heart failure patients2022-07-01 to 2025-06-30 · 269 cases	13.5	11	10.29		Worse than 89% of US hospitals
Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 376 cases	17.8	15.2	14.49		Worse than 84% of US hospitals
Death rate for stroke patients2023-07-01 to 2025-06-30 · 145 cases	9.2	11.6	11.57		Better than 91% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,186 cases	0.21	0.51	0.4818	No Different Than the National Rate	Better than 90% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 29 cases	191	173	171	No Different Than the National Rate	Worse than 77% of US hospitals
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,684 cases	0.18	0.2	0.21	No Different Than the National Rate	Better than 76% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,819 cases	0.28	0.27	0.261	No Different Than the National Rate	Worse than 68% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 598 cases	2.65	2.29	2.308	No Different Than the National Rate	Worse than 85% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 154 cases	1.61	1.63	1.668	No Different Than the National Rate	Better than 58% of US hospitals
Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 160 cases	7.24	8.88	9.555	No Different Than the National Rate	Better than 82% of US hospitals
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 613 cases	2.67	3.4	3.521	No Different Than the National Rate	Better than 92% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30 · 147 cases	4.85	5.105	5.495	No Different Than the National Rate	Better than 69% of US hospitals
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 146 cases	1.69	1.72	1.796	No Different Than the National Rate	Better than 63% of US hospitals
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 614 cases	0.9	1.02	1.061	No Different Than the National Rate	Better than 83% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available		11.09
Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 302 cases	14.5	1.25	7.901		Worse than 68% of US hospitals
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 380 cases	22	3.85	16.67		Worse than 74% of US hospitals
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 896 cases	13	12.9	12.91	No Different Than the National Rate	Worse than 50% of US hospitals
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		11.39	Number of Cases Too Small
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		5.546	Number of Cases Too Small
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 228 cases	0.9	1	1.001	No Different than expected	Better than 68% of US hospitals
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 38 cases	13.8	14.4	14.43		Better than 77% of US hospitals
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available		11.19
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 113 cases	19.9	19.8	19.94		Worse than 53% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 328 cases	21.9	21.3	21.41		Worse than 68% of US hospitals
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available		5.612
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 407 cases	17.7	17.2	17.7		Worse than 67% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.146	0.172	0.2347	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.561	1.504	1.834	No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	6,079	1,370	5,722	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	5.229	0.9835	5.638	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	3	0	3.347	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	0.574	0.484	0.5696	No Different than National Benchmark	Worse than 58% of US hospitals
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.07	0.138	0.2147	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.382	1.392	1.749	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	4,981	1,799	5,308	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	4.783	1.377	6.105	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	2	0	3.273	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0.418	0.399	0.5366	No Different than National Benchmark	Worse than 52% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	0.433	0.2345	0.32	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	2.62	2.135	2.433	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	146	61	112	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	4.23	1.591	2.999	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	5	1	2.368	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	1.182	0.7155	0.8107	No Different than National Benchmark	Worse than 76% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2606
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		3.273
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	106	38	73.49
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	0.969	0.328	0.6136
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	0	0	0.5911
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available		0.7863
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	0.024	0.193	0.3103	No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	2.387	1.855	2.305	No Different than National Benchmark
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	48,337	14,451	52,601	No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	2.066	0.567	3.111	No Different than National Benchmark
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	1	0	2.166	No Different than National Benchmark
MRSA Bacteremia2024-10-01 to 2025-09-30	0.484	0.597	0.7784	No Different than National Benchmark	Better than 60% of US hospitals
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	0.102	0.127	0.1925	Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	0.614	0.747	0.9502	Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	45,141	13,646	48,317	Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	18.04	5.683	27.04	Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	5	2	9.99	Better than the National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0.277	0.279	0.383	Better than the National Benchmark	Better than 50% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	This hospital	US median	CA average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 947 cases	80	73	72.2	Better than 75% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 947 cases	5	8	8.78	Better than 73% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 947 cases	15	18	19.02
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 947 cases	91	87	86.82	Better than 81% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 947 cases	4	4	3.514	Better than 47% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 947 cases	76	80	75.76	Worse than 72% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 947 cases	90	91	89.84	Worse than 66% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 947 cases	6	4	5.713	Worse than 76% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 947 cases	3	3	2.855	Worse than 49% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 947 cases	18	16	18.53
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 947 cases	73	79	75.81	Worse than 87% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 947 cases	88	91	89.11	Worse than 83% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 947 cases	8	5	7.043	Worse than 84% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 947 cases	2	3	2.688	Worse than 71% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 947 cases	19	16	17.15
Staff "always" explained2024-10-01 to 2025-09-30 · 947 cases	58	61	58.95	Worse than 66% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 947 cases	75	77	75.75	Worse than 63% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 947 cases	22	19	21.56	Worse than 65% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 947 cases	2	3	2.449	Worse than 53% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 947 cases	20	19	19.48
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 947 cases	87	86	84.61	Better than 55% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 947 cases	13	13	15.03	Better than 47% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 947 cases	4	3	3.08	Better than 55% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 947 cases	87	87	84.97	Better than 47% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 947 cases	13	14	16.39	Better than 59% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 947 cases	87	86	83.61	Better than 59% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 947 cases	69	74	70.69	Worse than 81% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 947 cases	10	7	8.855	Worse than 84% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 947 cases	21	19	20.45
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 947 cases	71	77	73.94	Worse than 86% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 947 cases	9	6	7.637	Worse than 86% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 947 cases	20	17	18.43
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 947 cases	80	85	81.99	Worse than 85% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 947 cases	5	3	4.958	Worse than 73% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 947 cases	15	11	13.06
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 947 cases	11	8	10.01	Worse than 75% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 947 cases	23	20	22.36
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 947 cases	66	72	67.63	Worse than 72% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 947 cases	86	88	86.85	Worse than 69% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 947 cases	3	3	3.047	Worse than 45% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 947 cases	71	74	72.06	Worse than 69% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 947 cases	11	9	10.94	Worse than 62% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 947 cases	18	16	17
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 947 cases	72	75	71.11	Worse than 67% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 947 cases	7	5	7.488	Worse than 66% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 947 cases	21	20	21.4
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 947 cases	71	77	72.49	Worse than 81% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 947 cases	6	4	6.121	Worse than 71% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 947 cases	23	19	21.39
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 947 cases	84	86	82.8	Worse than 65% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 947 cases	4	3	3.779	Worse than 72% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 947 cases	12	11	13.42
"Always" quiet at night2024-10-01 to 2025-09-30 · 947 cases	52	59	47.5	Worse than 74% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 947 cases	13	9	17.79	Worse than 71% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 947 cases	35	31	34.71
Quietness - linear mean score2024-10-01 to 2025-09-30 · 947 cases	79	82	74.85	Worse than 66% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 947 cases	3	3	2.203	Worse than 44% of US hospitals
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 947 cases	8	5	7.623	Worse than 76% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 947 cases	65	71	68.6	Worse than 73% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 947 cases	84	87	85.85	Worse than 74% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 947 cases	27	23	23.77
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 947 cases	3	4	3.431	Worse than 58% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 947 cases	45	47	45.33	Worse than 58% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 947 cases	33	30	32.51	Worse than 62% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 947 cases	22	22	22.16
Summary star rating2024-10-01 to 2025-09-30 · 947 cases	3	3	2.859	Worse than 40% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 947 cases	13	12	13.94	Worse than 52% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 947 cases	87	88	86.06	Worse than 52% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	This hospital	US median	CA average	US rank
Emergency department volume2024-01-01 to 2024-12-31	very high
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		8.289
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		1.008
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0.1852
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 4,466 cases	93	79	69.96	Better than 80% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 422 cases	183	154	187	Worse than 69% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 402 cases	180	148	182	Worse than 70% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 12 cases	224	247	282	Better than 59% of US hospitals
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		411
Left before being seen2024-01-01 to 2024-12-31 · 105,136 cases	1	1	2.162	Better than 42% of US hospitals
Head CT results2024-10-01 to 2025-09-30 · 25 cases	64	74	75.06	Worse than 68% of US hospitals
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 84 cases	87	97	92.55	Worse than 83% of US hospitals
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available		80
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available		48.75
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,500 cases	9	15	13.67	Better than 86% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 233 cases	88	65	68.8	Better than 95% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 45 cases	91	73	76.38	Better than 87% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases	93	88	86.64	Better than 65% of US hospitals
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 233 cases	92	82	82.89	Better than 88% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 100 cases	99	94	93.98	Better than 86% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31	Not Available		93.4
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		70.68
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 155 cases	97	94	89.93	Better than 73% of US hospitals
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 4,194 cases	90	90	86.9	Better than 49% of US hospitals
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 690 cases	100	97	94.78	The best result, shared by 14% of US hospitals

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	14.3	5	4.959		Worse than 96% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	4.6	6.6	8.417		Better than 76% of US hospitals

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	This hospital	US median	CA average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.99	0.99	1.024		Worse than 47% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	This hospital	US median	CA average	US rank
VBP clinical outcomes domain scoreFY 2026	8	20	30.07	Worse than 77% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	2	5	7.571	Worse than 77% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	10	10	16.48	Better than 43% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	2.5	2.5	4.567	Worse than 44% of US hospitals
VBP person and community engagement domain scoreFY 2026	32	34	28.67	Worse than 54% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	8	8.75	7.519	Worse than 54% of US hospitals
VBP safety domain scoreFY 2026	71.67	40	45.16	Better than 91% of US hospitals
VBP safety weighted domain scoreFY 2026	17.92	10	11.79	Better than 90% of US hospitals
VBP total performance scoreFY 2026	30.42	29.5	30.43	Better than 54% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	52	38	30	4	0	8
VBP clinical outcomes weighted domain score	13	9.5	7.5	1	0	2
VBP efficiency and cost reduction domain score	30	Not Available	0	10	20	10
VBP efficiency and cost reduction weighted domain score	7.5	Not Available	0	2.5	5	2.5
VBP person and community engagement domain score	18	Not Available	Not Available	8	9	32
VBP person and community engagement weighted domain score	4.5	Not Available	Not Available	2	2.25	8
VBP safety domain score	36	Not Available	Not Available	8	32	71.67
VBP safety weighted domain score	9	Not Available	Not Available	2	8	17.92
VBP total performance score	34	Not Available	Not Available	7.5	15.25	30.42

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	This hospital	US median	CA average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	0.9742	0.9995	1.015	Better than 67% of US hospitals
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		1.005
READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 111 cases	0.9189	0.9969	1.002	Better than 97% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 301 cases	1.066	0.9983	1.017	Worse than 85% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	0.9577	0.9916	0.9788	Better than 61% of US hospitals
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 352 cases	0.9472	0.9955	1.026	Better than 81% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	1.115	1.115	1.074	1.035	0.9841	0.9742
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	1.165	1.062	1.011	0.933	0.9257	0.9189
READM-30-HF-HRRP	1.049	1.084	1.067	1.104	1.077	1.066
READM-30-HIP-KNEE-HRRP	0.9504	0.9421	0.9906	0.9787	0.9435	0.9577
READM-30-PN-HRRP	1.063	1.046	0.9664	0.9451	0.8924	0.9472

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	This hospital	US median	CA average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0.342	0.489	0.6114	Better than 66% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.412	0.346	0.449	Worse than 60% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.784	0.559	0.679	Worse than 69% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0.212	0.6405	0.7204	Better than 84% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.7667	0.9628	0.9656	Better than 96% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	0.65	0.7945	0.8116	Better than 60% of US hospitals
Total HAC scoreFY 2026	-0.4649	-0.0453	0.02733	Better than 78% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	No	No
Total HAC score	-0.4498	0.1047	0	0.338	0.0699	-0.4649

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2025)
Accreditation
Graduate
Medical school affiliation
Church
Ownership type
235
Medicare-certified beds
391
Registered nurses (full-time equivalent)
1966
In Medicare since

25 services at Adventist Medical Center Selma

Emergency and trauma: Shock trauma servicesEmergency Department
Surgery: AnesthesiaInpatient SurgicalOphthalmic SurgeryOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery Room
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear Medicine
Women and children: Clinical LaboratoryNeonatal NurseryObstetrics / Child BirthPediatric Care
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Adventist Medical Center Selma reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

9,655
Inpatient discharges
Medicare 22%, Medicaid 5%
42,814
Inpatient days
50% of available bed days used
1,316
Employees (full-time equivalent)
29
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 838928). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Adventist Medical Center Selma reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	11,063	1,507	30,244	42,814
Discharges	2,141	471	7,043	9,655
Average length of stay	5.2 days	3.2 days	4.3 days	4.4 days
Average daily census	30.3	4.1	82.9	117.3

7,128
Medicare Advantage days
1,383 discharges
15,043
Medicaid managed care days
4,725 discharges
4,276
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	207	35,984	10,152	48%
Intensive care unit	28	3,081	911	30%
Nursery		3,749

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Adventist Medical Center Selma treats Medicare patients for most often, in 2024. 1,281 Medicare discharges in 39 published DRGs; 12% surgical; 83% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	266	$84,316	$18,447	$23,862	1.98
Heart failure and shock with MCCMS-DRG 291, medical	112	$56,033	$11,917	$15,857	1.28
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	64	$57,963	$12,027	$16,403	1.32
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	57	$57,748	$12,164	$16,343	1.33
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	50	$82,269	$19,575	$23,282	2.07
Respiratory infections and inflammations with MCCMS-DRG 177, medical	47	$68,366	$15,411	$19,348	1.70
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	41	$61,943	$14,679	$17,530	1.65
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	41	$205,729	$48,785	$58,221	5.00
Pulmonary edema and respiratory failureMS-DRG 189, medical	34	$61,506	$11,425	$17,406	1.23
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	34	$41,661	$9,441	$11,790	1.03
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	33	$49,852	$8,830	$14,108	0.98
Renal failure with CCMS-DRG 683, medical	32	$37,945	$7,473	$10,739	0.90
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	30	$89,544	$16,748	$25,341	1.79
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	29	$74,341	$14,861	$21,039	1.59
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	28	$50,232	$8,762	$14,216	1.02
Renal failure with MCCMS-DRG 682, medical	26	$70,126	$13,640	$19,846	1.50
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	22	$54,729	$9,878	$15,488	1.10
Kidney and urinary tract infections with MCCMS-DRG 689, medical	22	$45,931	$10,099	$12,998	1.17
Transient ischemia without thrombolyticMS-DRG 069, medical	21	$48,751	$7,247	$13,796	0.80
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	21	$101,758	$20,298	$28,797	2.11

See all 39 Medicare inpatient DRGs at Adventist Medical Center Selma

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Adventist Medical Center Selma billed Medicare for most in 2024: 1,104 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	189	184	$29,931	$2,652	$2,090
Level 1 Endovascular ProceduresAPC 5191	134	134	$35,256	$2,830	$2,208
Level 2 Upper GI ProceduresAPC 5302	95	85	$15,812	$1,866	$1,445
Level 5 Musculoskeletal ProceduresAPC 5115	76	75	$79,505	$14,244	$10,772
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	67	66	$9,328	$1,526	$1,220
Level 1 Laparoscopy and Related ServicesAPC 5361	67	66	$30,838	$5,127	$4,358
Level 3 Musculoskeletal ProceduresAPC 5113	64	62	$20,714	$2,868	$2,373
Level 3 Electrophysiologic ProceduresAPC 5213	45	44	$115,457	$27,470	$21,117
Level 3 Vascular ProceduresAPC 5183	39	36	$27,274	$2,994	$2,405
Level 4 Urology and Related ServicesAPC 5374	37	32	$22,110	$2,990	$2,629

See all 24 Medicare outpatient services at Adventist Medical Center Selma

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Adventist Medical Center Selma in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 3,203 in 2020 to 3,288 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
93230	1,116	34%	5,422	$89.1M	55%	59%
93245	437	13%	2,306	$36.5M	53%	62%
93662	239	7%	1,086	$18.3M	28%	25%
93212	160	5%	878	$14.1M	48%	61%
93274	154	5%	974	$14.4M	7%	5%
93631	115	3%	495	$8.2M	22%	23%
93654	110	3%	497	$7.1M	15%	12%
93618	88	3%	482	$6.7M	14%	13%
93648	85	3%	381	$6.1M	26%	31%
93210	80	2%	472	$7.7M	27%	54%
93204	74	2%	344	$5.9M	60%	73%
93202	66	2%	324	$5.3M	55%	86%
93657	59	2%	355	$5.4M	6%	7%
93234	52	2%	236	$3.8M	55%	68%
93656	49	1%	276	$4.3M	42%	50%
93646	47	1%	240	$3.7M	24%	18%
93232	34	1%	171	$3M	100%	74%
93609	31	1%	142	$2.3M	20%	16%
93242	30	1%	145	$2.7M	73%	72%
93277	29	1%	135	$2.3M	2%	1%
93239	24	1%	198	$3.4M	100%
93292	23	1%	107	$1.5M	2%
93625	23	1%	92	$1.7M	11%	15%
93647	23	1%	144	$1.6M	8%	5%
93725	23	1%	177	$2.8M	3%	3%

Source: CMS Hospital Service Area file. Shares are of the 3,288 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Adventist Medical Center Selma reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.

8
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
4
Off-site locations

391
Registered nurses
30
Licensed practical nurses
47
Nurse practitioners
31
Physician assistants
89
Nurse anesthetists (CRNAs)
18
Pharmacists
31
Respiratory therapists
18
Physical therapists
2
Occupational therapists
9
Radiology technicians
1
Nuclear medicine technicians
38
Laboratory technicians
38
Medical technologists
2
Dietitians
7
Social workers

Source: CMS Provider of Services file.

Doctors and clinicians

580 clinicians who bill Medicare list Adventist Medical Center Selma as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 58
Emergency Medicine Physician 47
Family Nurse Practitioner 44
Internal Medicine Physician 41
Diagnostic Radiology Physician 38
Certified Registered Nurse Anesthetist 26
Nurse Practitioner 22
Physician Assistant 21
Hospitalist Physician 16
Nephrology Physician 16

Daniel Watrous, M.D.
Rheumatology Physician
NPI 1841246568
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William Jawien, MD
Hematology & Oncology Physician
NPI 1417904020
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Amneet Virk Dulai, MD
Rheumatology Physician
NPI 1992911309
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David Bryson, M.D.
Hematology & Oncology Physician
NPI 1346248077
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Sanjai Sharma, MD
Hematology & Oncology Physician
NPI 1659458867
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Glade Roper, M.D.
Vascular & Interventional Radiology Physician
NPI 1033385810
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Christopher Glezos, MD
Orthopaedic Surgery Physician
NPI 1922341601
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Phillip Myers, PA-C
Physician Assistant
NPI 1518111426
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Srikanth Naramala, M.D
Rheumatology Physician
NPI 1437412129
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Hans-Joachim Hildebrandt, M.D.
Diagnostic Radiology Physician
NPI 1194721035
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Hany Nasr, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1396872107
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Amitabh Goswami, D.O., M.P.H.
Interventional Pain Medicine Physician
NPI 1447451539
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Mohsen Thomas, MD
Nephrology Physician
NPI 1225092877
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Kevin Day, MD
Radiation Oncology Physician
NPI 1699030577
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Ronald Thant, M.D.
Diagnostic Radiology Physician
NPI 1306016464
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Yuk-Yuen Leung, M.D.
Urology Physician
NPI 1083612949
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Dustin Covell, M.D.
Diagnostic Radiology Physician
NPI 1942615893
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Sreedhar Adapa, M.D.
Nephrology Physician
NPI 1881997872
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Daniel Hightower, M.D.
Diagnostic Radiology Physician
NPI 1437173325
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Kurt Hildebrandt, MD
Body Imaging Physician
NPI 1770554271
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Kevin Boran, M.D., FACC, FSCAI
Interventional Cardiology Physician
NPI 1982673406
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Kelly Smith, M.D.
Diagnostic Radiology Physician
NPI 1144201799
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Robert Gousse, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1952667792
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Sasha Staack, MD
Diagnostic Radiology Physician
NPI 1972031631
See commercial rates for Sasha Staack, MD

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Adventist Medical Center Selma reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$2B	478.2%
Inpatient	$656.8M	155.6%
Outpatient	$1.4B	322.6%
Contractual allowances and discounts	-$1.6B	-378.2%
Net patient revenue	$422.1M	100.0%
Operating expenses	-$458M	-108.5%
Operating income from patient care	-$35.9M	-8.5%
Other income	$101.1M	24.0%
Contributions and donations	$202,190	0.0%
Investment income	$1.7M	0.4%
Other	$99.2M	23.5%
Net income	$65.2M	15.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$274.5M	13.7%
Medicaid (including managed care)	$873.4M	43.7%
Other payers and self-pay	$849.4M	42.5%
Total charges	$2B	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Adventist Medical Center Selma's latest cost report.

-8.5%
Operating margin
Operating income from patient care / net patient revenue
12.5%
Total margin
Net income / net patient revenue plus other income
13.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$53.92
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
7.0%
Return on assets
Net income for a year / total assets
10.7%
Return on equity
Net income for a year / fund balance
0.37
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
8.83
Current ratio
Current assets / current liabilities
6.85
Quick ratio
Cash, temporary investments and net receivables / current liabilities
434 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
69 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.56
Asset turnover
Total revenue for a year / total assets
36.1 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Adventist Medical Center Selma owned and owed at the end of its reporting period (Dec 2025), across all fund types: $935M in total assets and a $608.7M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$536.2M	57.3%
Patient receivables, net	$48M	5.1%
Inventory	$7.8M	0.8%
Total current assets	$753.5M	80.6%
Property and equipment, net of depreciation	$159.4M	17.1%
Investments and other assets	$22M	2.4%
Total assets	$935M	100.0%
Current liabilities	$85.3M	9.1%
Long-term debt	$225.2M	24.1%
Total liabilities	$326.3M	34.9%
Fund balance (net assets)	$608.7M	65.1%

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Adventist Medical Center Selma provided without full payment, as reported on Worksheet S-10 of its cost report.

$9.4M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14.2M
Bad debt
Patient bills written off as uncollectible, at charges
-$10.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$12.2M
Total unreimbursed and uncompensated care
2.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Adventist Medical Center Selma's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue	$315.3M	$375.5M	$341.1M	$359.2M	$408.3M	$422.1M
Operating expenses	$331.6M	$355.1M	$358M	$388.4M	$428.2M	$458M
Operating margin	-5.2%	5.4%	-5.0%	-8.1%	-4.9%	-8.5%
Net income	$25.9M	$79.6M	$10.7M	$57.5M	$67.8M	$65.2M
Total assets	$691.4M	$756.3M	$720.2M	$804.8M	$866.9M	$935M
Discharges	10,722	10,652	9,412	9,203	8,163	9,655
Inpatient days	52,327	55,386	46,966	43,205	42,279	42,814
Medicare Advantage days	3,987	4,537	5,014	5,424	5,564	7,128
Beds	235	235	235	235	235	235
Employees (FTE)	1,088	997	963	1,064	1,232	1,316

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Adventist Medical Center Selma reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 42 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$16.6M	$68M	$285.2M	0.24	56,784
Emergency	$17.7M	$44.6M	$496.7M	0.09	15,767
Laboratory	$6.9M	$27.4M	$261.8M	0.10	9,496
Drugs charged to patients		$23.9M	$130.2M	0.18
Radiology-diagnostic	$4.5M	$15.5M	$74.5M	0.21	15,728
Delivery room & labor room	$5.6M	$13.3M	$31.9M	0.42	4,239
Impl. dev. charged to patients		$12.5M	$49.4M	0.25
Physical therapy	$4.3M	$8.8M	$31.4M	0.28	754
Observation beds (non-distinct part		$8.6M	$11.3M	0.76
Respiratory therapy	$3.4M	$7.4M	$65.6M	0.11	2,831
Ct scan	$2.1M	$6.2M	$203.9M	0.03	5,250
Ultra sound	$2.4M	$5.9M	$59.7M	0.10	4,052
Cardiac catheterization	$1.4M	$5.1M	$17.2M	0.30	1,741
Renal dialysis		$5.1M	$17.8M	0.28	1,251
Clinic	$243,892	$4.1M	$94,229	43.71	4,226
Medical supplies charged to patient		$3.6M	$8.6M	0.42
Whole blood & packed red blood cell		$1.8M	$1.2M	1.48	30
Mri	$734,415	$1.8M	$45.1M	0.04	1,015
Electrocardiology	$413,268	$1.5M	$6.8M	0.22	1,931
Radioisotope	$330,346	$1.3M	$3.4M	0.39	2,044
Radiology-therapeutic	$567,981	$1.2M	$562,043	2.18
Sleep lab	$494,888	$1M	$5.6M	0.18
Anesthesiology		$578,545	$23.9M	0.02	2,870

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$31.3M	$80.9M	$132.1M	0.61	69,133
Intensive care unit	$6.1M	$17.4M	$21.4M	0.81	11,537
Nursery		$6M	$12M	0.50	1,732

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$14.7M	$97.6M	355,926	$41.19	71,528
Employee benefits department	$2.7M	$34.6M	27,424	$98.52	7,762
Nursing administration	$7.8M	$10.3M	142,418	$55.04	2,601
Maintenance & repairs	$2.3M	$10.2M	58,691	$38.57	17,713
Cap rel costs-bldg & fixt		$9.6M			417,903
Operation of plant		$9.1M			43,880
Housekeeping		$8M			910
Pharmacy	$5.7M	$6M	77,062	$74.12	4,033
Cafeteria	$322,995	$5M	117,658	$33.96	7,559
I&r services-salary & fringes apprv		$3.9M
Central services & supply	$1.7M	$2.3M	49,995	$33.25	4,325
Medical records & library	$27,378	$1.8M			11,158
Laundry & linen service		$1.3M			5,130
Social service		$1.1M			799
I&r services-other prgm costs apprv		$394,794			2,132
Cap rel costs-mvble equip		$353,275

Source: CMS cost report (HCRIS, Form 2552-10), report 838928, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Adventist Medical Center Selma for an inpatient stay.

1.74
Case mix index
Higher than 56% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.05 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
54.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,064
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.60	1.60	1.74	1.72	1.72	1.79	1.74
Wage index	1.275	1.269	1.253	1.519	1.451	1.431	1.399
Readmissions adjustment	-0.90%	-0.89%	-0.68%	-0.23%	-0.29%	-0.18%	-0.17%
Value-based purchasing adjustment	+0.25%	+0.18%	+0.18%	-0.40%	-1.29%	-0.63%	+0.10%
Medicare inpatient stays	3,195	3,195	2,547	2,188	2,046	1,969	2,064

Source: CMS IPPS final rule Impact File (FY 2027).

Ownership

Organizations Adventist Medical Center Selma reports to Medicare as owners or with operational control.

Adventist Health System/west
Operational/managerial control, 100%, since 1980

Sources: CMS Hospital All Owners.

Leadership

The officers and board members on Adventist Medical Center Selma's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Meredith S Jobe Officer, Secretary, since 2014
Jason Wells Officer, President, since 2024
Shane H Cox Officer, Treasurer, since 2024
Larry L Innocent Director, Board Member, since 2011
Kerry L Heinrich Director, Board Member, since 2014
Velino A Salazar Director, Board Member, since 2015
John C Freedman Director, Board Member, since 2016
Richard K Reiner Director, Board Member, since 2017
Andrew R Davis Director, Board Member, since 2017
Robert A Cherry Director, Board Member, since 2017
Marc K Woodson Director, Board Member, since 2019
Joy A. Fehr Director, Board Member, since 2020
Bradford C Newton Director, Board Member, since 2021
Todd N Hofheins Director, Board Member, since 2022
Jack W Wagner Director, Board Member, since 2022
Ann K Beckett Director, Board Member, since 2024
Jonathan J Daggett Director, Board Member, since 2024
Kenneth Jutzy Director, Board Member, since 2024

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 18 of 20 are shown.

Officers and key employees of Hanford Community Hospital (IRS Form 990, tax year 2024)

Hanford Community Hospital files the Form 990 for the tax ID insurers list for Adventist Medical Center Selma, so these people may lead the wider organization rather than Adventist Medical Center Selma alone.

Name	Title
Heinrich Kerry	Director/ceo
Hofheins Todd	Coo/vice Chair
Beaman John	Cfo/asst Secty
Stevens Eric eff 724	President
Wells Jason	President
Jobe Meredith	Secretary
Kofl Andrea thru 124	Ctrl Vally Pres
Haydock Timothy	Treas/asst Sec
Cox Shane thru 724	Treasurer
Thordarson Heidar	Treasurer

Board members: Freedman John, Newton Bradford, Cherry Robert, Davis Andrew, Innocent Larry, Reiner Richard, Wagner Jack, Woodson Marc, SalazarVelino thru924, Fehr Joy, Beckett Ann, Jutsy Kenneth, and 2 more on the return.

Source: IRS Form 990 Part VII filed by Hanford Community Hospital (EIN 94-0535360), via the IRS e-file data. A health system's return can cover several hospitals.

Programs and facilities

340B drug pricing program
Participating since 2008
340B ID DSH050121, registered as a disproportionate share hospital; 15 registered outpatient sites; 41 active contract pharmacies. Authorizing official: Timothy Michael Haydock, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Adventist Medical Center Hanford
FAA location ID 15CN, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.

Hospital-based units

Hospital-based units with their own Medicare certification

Hanford health clinic
CCN 553986, certified 1995, Medicare cost reimbursed

Source: Worksheet S-2 Part I of Adventist Medical Center Selma's latest Medicare cost report (HCRIS).

Frequently asked questions

About Adventist Medical Center Selma's rates and hospital price transparency.

How much does an MRI cost at Adventist Medical Center Selma?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Adventist Medical Center Selma range from $792 to $5,339 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,224. The median at nearby comparable hospitals is $3,101. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Adventist Medical Center Selma?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventist Medical Center Selma range from $597 to $5,218 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,129. The median at nearby comparable hospitals is $2,262. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Adventist Medical Center Selma?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Adventist Medical Center Selma range from $5,271 to $10,327 across 3 insurers. UnitedHealthcare's rate is $5,271. The median at nearby comparable hospitals is $3,869. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Adventist Medical Center Selma?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Adventist Medical Center Selma range from $5,688 to $12,192 across 4 insurers. Cigna's rate is $10,926. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Adventist Medical Center Selma?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adventist Medical Center Selma range from $176 to $352 across 4 insurers. Aetna's rate is $331. The median at nearby comparable hospitals is $316. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Adventist Medical Center Selma?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Adventist Medical Center Selma range from $16,272 to $55,263 across 4 insurers. Aetna's rate is $52,950. The median at nearby comparable hospitals is $23,173. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Adventist Medical Center Selma's CMS star rating?

Adventist Medical Center Selma has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Adventist Medical Center Selma a teaching hospital?

Yes. CMS counts 0.05 Medicare-funded residents per bed at Adventist Medical Center Selma for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Adventist Medical Center Selma for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Adventist Medical Center Selma's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Adventist Medical Center Selma?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (266 discharges), heart failure and shock with mcc (112 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (64 discharges).

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Gross, discounted cash, payer-specific and de-identified min / max charges
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About this hospital

Prices for common services

How the insurers pay at Adventist Medical Center Selma

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

25 services at Adventist Medical Center Selma

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Officers and key employees of Hanford Community Hospital (IRS Form 990, tax year 2024)

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Comparable hospitals nearby

Frequently asked questions

Running price transparency at a hospital like this one?

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