Tulare, CA
3 of 5
CMS star rating
73
Beds
2,310
Inpatient discharges a year
$93.5M
Net patient revenue a year
26
In-network payers
Adventist Health Tulare is a 73-bed voluntary non-profit - private hospital in Tulare, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 203 disclosed rate categories.
The 24 services Adventist Health Tulare 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.
Medicine & Surgery
CPT 47562
$8,529 - $19,388
from 2 insurers · median $13,958
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$409 - $6,045
from 4 insurers · median $2,579
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,666 - $7,582
from 3 insurers · median $5,807
84 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 43239
$690 - $4,621
from 3 insurers · median $3,930
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$6,626 - $11,431
from 2 insurers · median $9,029
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$4,047 - $7,582
from 2 insurers · median $5,815
21 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 74176
$258 - $4,317
from 4 insurers · median $1,674
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$1,800 - $7,582
from 3 insurers · median $4,047
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$744 - $3,286
from 4 insurers · median $2,311
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$314 - $4,829
from 4 insurers · median $2,713
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$238 - $1,455
from 4 insurers · median $459
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$821 - $1,375
from 4 insurers · median $1,129
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$1,853 - $7,582
from 3 insurers · median $6,148
84 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 70553
$792 - $4,919
from 4 insurers · median $2,499
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$156 - $460
from 4 insurers · median $293
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$676 - $9,360
from 4 insurers · median $4,735
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$4,199 - $4,413
from 2 insurers · median $4,306
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,915 - $9,257
from 2 insurers · median $9,086
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $3,883
from 4 insurers · median $2,653
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$74 - $486
from 4 insurers · median $208
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$396 - $2,678
from 4 insurers · median $1,569
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $2,887
from 4 insurers · median $1,367
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,121 - $6,634
from 2 insurers · median $5,377
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,800 - $6,634
from 3 insurers · median $5,910
Typical for a hospital with this service line
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* | 13 | 1099% | 1 | 9 |
| Insurer B* | 24 | 310% | 20 | 3 |
| Insurer C* | 24 | 227% | 9 | 10 |
| Insurer D* | 18 | 163% | 4 | 9 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 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 Health Tulare, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by DNV
Finances
$93.5M net patient revenue
Ownership and leadership
Owned by Adventist Health System/west
The employer identification numbers (EINs) health plans and networks list for Adventist Health Tulare 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 |
|---|---|---|
| 83-2351753Adventist Health Tulare | 45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 40 more | 1801366711 Adventist Health Tulare1306840723 Tulare Local Health Care District1669408159 Columbus Radiology Corp |
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.
869 NORTH CHERRY STREET, Tulare, CA 93274
(559) 688-0821
How Adventist Health Tulare 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 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 4 measures
0 better, 3 no different, 1 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
68%
Lower than 61% 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)
0.95
Lower than 57% 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
198 min
Higher than 80% 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
84%
Higher than 91% 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 | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 1 of 4 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 | 68% | 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) | 0.95 | 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 | 198 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 84% | 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.
How Medicare adjusts Adventist Health Tulare's inpatient payments for its readmissions, quality and cost results.
-0.12% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.09% 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).
Each result CMS publishes for Adventist Health Tulare, 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.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Adventist Health Tulare | 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 · 441 cases | 3.3 | 3.9 | 3.81 | Better than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| 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 · 29 cases | 8.6 | 8.5 | 8.235 | Worse than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 51 cases | 11.9 | 11 | 10.29 | Worse than 67% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 135 cases | 16.6 | 15.2 | 14.49 | Worse than 71% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 49 cases | 10.4 | 11.6 | 11.57 | Better than 72% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 681 cases | 0.44 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 61% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 835 cases | 0.2 | 0.2 | 0.21 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 870 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 119 cases | 2.25 | 2.29 | 2.308 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.668 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.555 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 123 cases | 3.83 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.495 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 41 cases | 1.05 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Adventist Health Tulare | 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 · 67 cases | 25.4 | 1.25 | 7.901 | Worse than 80% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 129 cases | 35.4 | 3.85 | 16.67 | Worse than 86% 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 | Not Available | 12.91 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 100 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 | Not Available | 14.43 | |||
| 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 · 46 cases | 19.6 | 19.8 | 19.94 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 94 cases | 21.2 | 21.3 | 21.41 | Better than 53% 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 · 141 cases | 18.3 | 17.2 | 17.7 | Worse than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Adventist Health Tulare | 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 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 932 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.749 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.749 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 988 | 1,799 | 5,308 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.736 | 1.377 | 6.105 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5366 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 30 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.89 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8107 | |||
| 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 | 1 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.008 | 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 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 7,046 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.403 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.022 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.149 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 7,046 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.295 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.436 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 70% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 219 cases | 80 | 73 | 72.2 | Better than 75% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 219 cases | 5 | 8 | 8.78 | Better than 73% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 219 cases | 15 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 92 | 87 | 86.82 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 219 cases | 5 | 4 | 3.514 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 219 cases | 77 | 80 | 75.76 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 91 | 91 | 89.84 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 219 cases | 4 | 4 | 5.713 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 219 cases | 3 | 3 | 2.855 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 219 cases | 19 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 219 cases | 79 | 79 | 75.81 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 91 | 91 | 89.11 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 219 cases | 5 | 5 | 7.043 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 219 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 219 cases | 16 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 219 cases | 52 | 61 | 58.95 | Worse than 93% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 70 | 77 | 75.75 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 219 cases | 27 | 19 | 21.56 | Worse than 91% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 219 cases | 1 | 3 | 2.449 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 219 cases | 21 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 91 | 86 | 84.61 | Better than 92% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 219 cases | 9 | 13 | 15.03 | Better than 84% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 219 cases | 5 | 3 | 3.08 | The top rating, shared by 8% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 219 cases | 91 | 87 | 84.97 | Better than 84% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 219 cases | 10 | 14 | 16.39 | Better than 83% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 219 cases | 90 | 86 | 83.61 | Better than 83% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 219 cases | 73 | 74 | 70.69 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 219 cases | 8 | 7 | 8.855 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 219 cases | 19 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 219 cases | 79 | 77 | 73.94 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 219 cases | 5 | 6 | 7.637 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 219 cases | 16 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 219 cases | 87 | 85 | 81.99 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 219 cases | 3 | 3 | 4.958 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 219 cases | 10 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 219 cases | 10 | 8 | 10.01 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 219 cases | 24 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 219 cases | 66 | 72 | 67.63 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 86 | 88 | 86.85 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 219 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 219 cases | 65 | 74 | 72.06 | Worse than 94% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 219 cases | 14 | 9 | 10.94 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 219 cases | 21 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 219 cases | 74 | 75 | 71.11 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 219 cases | 5 | 5 | 7.488 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 219 cases | 21 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 219 cases | 74 | 77 | 72.49 | Worse than 64% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 219 cases | 4 | 4 | 6.121 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 219 cases | 22 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 219 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 · 219 cases | 2 | 3 | 3.779 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 219 cases | 14 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 219 cases | 42 | 59 | 47.5 | Worse than 94% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 219 cases | 19 | 9 | 17.79 | Worse than 90% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 219 cases | 39 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 73 | 82 | 74.85 | Worse than 91% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 219 cases | 2 | 3 | 2.203 | Worse than 76% 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 · 219 cases | 9 | 5 | 7.623 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 219 cases | 68 | 71 | 68.6 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 219 cases | 85 | 87 | 85.85 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 219 cases | 23 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 219 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 219 cases | 39 | 47 | 45.33 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 219 cases | 41 | 30 | 32.51 | Worse than 94% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 219 cases | 20 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 219 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 · 219 cases | 8 | 12 | 13.94 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 219 cases | 92 | 88 | 86.06 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 1,501 cases | 95 | 79 | 69.96 | Better than 86% 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 · 433 cases | 201 | 154 | 187 | Worse than 78% 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 · 417 cases | 198 | 148 | 182 | Worse than 80% 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 | Not Available | 282 | |||
| 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 · 35,613 cases | 2 | 1 | 2.162 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 11 cases | 82 | 74 | 75.06 | Better than 67% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.55 | |||
| 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 · 382 cases | 12 | 15 | 13.67 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 93 cases | 84 | 65 | 68.8 | Better than 91% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 24 cases | 96 | 73 | 76.38 | Better than 94% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases | 84 | 88 | 86.64 | Worse than 63% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 94 cases | 93 | 82 | 82.89 | Better than 90% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 57 cases | 96 | 94 | 93.98 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 43 cases | 91 | 98 | 93.4 | Worse than 91% of US hospitals | |
| 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 · 37 cases | 100 | 94 | 89.93 | The best result, shared by 6% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,273 cases | 94 | 90 | 86.9 | Better than 65% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 9.2 | 5 | 4.959 | Worse than 84% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.02 | 0.99 | 1.024 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 30.07 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.571 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 31 | 34 | 28.67 | Worse than 56% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7.75 | 8.75 | 7.519 | Worse than 56% of US hospitals | |
| VBP safety domain scoreFY 2026 | 90 | 40 | 45.16 | Better than 98% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 22.5 | 10 | 11.79 | Better than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.25 | 29.5 | 30.43 | Better than 53% of US hospitals |
| By fiscal year | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|
| VBP clinical outcomes domain score | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 20 | 20 | 0 |
| VBP efficiency and cost reduction weighted domain score | 6.667 | 6.667 | 0 |
| VBP person and community engagement domain score | 17 | 13 | 31 |
| VBP person and community engagement weighted domain score | 5.667 | 4.333 | 7.75 |
| VBP safety domain score | Not Available | Not Available | 90 |
| VBP safety weighted domain score | Not Available | Not Available | 22.5 |
| VBP total performance score | 12.33 | 11 | 30.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 1.002 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 58 cases | 1.048 | 0.9983 | 1.017 | Worse than 78% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 112 cases | 1.014 | 0.9955 | 1.026 | Worse than 61% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | 1.033 | 1.013 | 1.056 | 1.048 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | N/A | 1.018 | 1.004 | 0.9809 | 0.9843 | 1.014 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Adventist Health Tulare | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6114 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.238 | 0.346 | 0.449 | Better than 66% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.734 | 0.559 | 0.679 | Worse than 66% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7204 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9465 | 0.9628 | 0.9656 | Better than 57% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | -0.464 | -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 | Yes | Yes | N/A | No | No | No |
| Total HAC score | 2.14 | 2.166 | 0 | -0.4057 | -0.0781 | -0.464 |
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.
DNV (since 2022)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
59
Medicare-certified beds
69
Registered nurses (full-time equivalent)
2019
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Adventist Health Tulare reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,310
Inpatient discharges
Medicare 27%, Medicaid 4%
8,376
Inpatient days
31% of available bed days used
347
Employees (full-time equivalent)
12
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838596). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Adventist Health Tulare reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,579 | 334 | 5,463 | 8,376 |
| Discharges | 634 | 100 | 1,576 | 2,310 |
| Average length of stay | 4.1 days | 3.3 days | 3.5 days | 3.6 days |
| Average daily census | 7.1 | 0.9 | 15.0 | 22.9 |
1,935
Medicare Advantage days
476 discharges
2,481
Medicaid managed care days
686 discharges
946
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 65 | 7,158 | 2,228 | 30% |
| Intensive care unit | 8 | 1,218 | 351 | 42% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838596, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Adventist Health Tulare treats Medicare patients for most often, in 2024. 250 Medicare discharges in 10 published DRGs; 0% surgical; 80% 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 | 98 | $71,440 | $17,282 | $25,647 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 29 | $67,724 | $13,113 | $24,313 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $49,353 | $11,056 | $17,718 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $38,854 | $9,445 | $13,949 | 1.03 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $68,325 | $12,124 | $24,529 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 15 | $89,798 | $15,077 | $32,238 | 1.70 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 13 | $49,433 | $7,740 | $17,746 | 0.80 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 12 | $44,594 | $12,770 | $16,009 | 1.59 |
| Renal failure with CCMS-DRG 683, medical | 12 | $36,898 | $8,672 | $13,246 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $57,696 | $13,294 | $20,713 | 1.45 |
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.
The comprehensive outpatient service groups (APCs) Adventist Health Tulare billed Medicare for most in 2024: 365 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Musculoskeletal ProceduresAPC 5113 | 84 | 76 | $19,891 | $3,149 | $2,373 |
| Comprehensive Observation ServicesAPC 8011 | 50 | 46 | $32,534 | $2,681 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 48 | 47 | $13,750 | $1,845 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 47 | 46 | $31,347 | $5,648 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 36 | 35 | $36,658 | $7,160 | $5,339 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 32 | 31 | $129,914 | $27,482 | $21,117 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 28 | $15,406 | $1,571 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $24,932 | $3,389 | $2,636 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 19 | 19 | $15,180 | $1,585 | $1,220 |
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.
ZIP codes with the most Medicare inpatient stays at Adventist Health Tulare 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 318 in 2020 to 1,010 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 93274 | 723 | 72% | 2,770 | $48.9M | 33% | 16% |
| 93277 | 53 | 5% | 218 | $3.6M | 3% | |
| 93292 | 48 | 5% | 180 | $3.5M | 4% | |
| 93291 | 31 | 3% | 105 | $2M | 2% | |
| 93257 | 28 | 3% | 115 | $2.3M | 1% | |
| 93230 | 24 | 2% | 136 | $1.7M | 1% | 1% |
| 93256 | 24 | 2% | 64 | $1.6M | 31% | |
| 93275 | 24 | 2% | 88 | $1.3M | 48% | 23% |
| 93219 | 19 | 2% | 77 | $1.5M | 13% | |
| 93221 | 12 | 1% | 63 | $980,896 | 2% | |
| 93245 | 12 | 1% | 66 | $1.2M | 1% | |
| 93247 | 12 | 1% | 75 | $1M | 3% |
Source: CMS Hospital Service Area file. Shares are of the 1,010 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Adventist Health Tulare reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
3
Operating rooms
10
Endoscopy rooms
1
Cardiac catheterization rooms
69
Registered nurses
2
Pharmacists
10
Respiratory therapists
1
Physical therapists
5
Radiology technicians
1
Nuclear medicine technicians
10
Laboratory technicians
8
Medical technologists
1
Dietitians
144
Other personnel
Source: CMS Provider of Services file.
263 clinicians who bill Medicare list Adventist Health Tulare 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.
David Bryson, M.D.
Hematology & Oncology Physician
NPI 1346248077
See commercial rates for David Bryson, M.D.Robert Allen, M.D.
Family Medicine Physician
NPI 1629074489
See commercial rates for Robert Allen, M.D.Sanjai Sharma, MD
Hematology & Oncology Physician
NPI 1659458867
See commercial rates for Sanjai Sharma, MDGlade Roper, M.D.
Vascular & Interventional Radiology Physician
NPI 1033385810
See commercial rates for Glade Roper, M.D.Srikanth Naramala, M.D
Rheumatology Physician
NPI 1437412129
See commercial rates for Srikanth Naramala, M.DJason Roberts, MD
Diagnostic Radiology Physician
NPI 1508845579
See commercial rates for Jason Roberts, MDMohsen Thomas, MD
Nephrology Physician
NPI 1225092877
See commercial rates for Mohsen Thomas, MDDustin Covell, M.D.
Diagnostic Radiology Physician
NPI 1942615893
See commercial rates for Dustin Covell, M.D.Sreedhar Adapa, M.D.
Nephrology Physician
NPI 1881997872
See commercial rates for Sreedhar Adapa, M.D.Khaled Tawansy, M.D.
Ophthalmology Physician
NPI 1902916711
See commercial rates for Khaled Tawansy, M.D.Daniel Hightower, M.D.
Diagnostic Radiology Physician
NPI 1437173325
See commercial rates for Daniel Hightower, M.D.Nitasha Klar, M.D.
Neuroradiology Physician
NPI 1275709883
See commercial rates for Nitasha Klar, M.D.Hanumandla Reddy, M.D
Specialist
NPI 1164490967
See commercial rates for Hanumandla Reddy, M.DAmarinder Singh Garcha, MBBS
Nephrology Physician
NPI 1770817744
See commercial rates for Amarinder Singh Garcha, MBBSPrem Sahasranam, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1720270820
See commercial rates for Prem Sahasranam, M.D.Shashi Sharma, D.M.
Interventional Cardiology Physician
NPI 1356487656
See commercial rates for Shashi Sharma, D.M.Ashok Verma, M.D.
Interventional Cardiology Physician
NPI 1013911049
See commercial rates for Ashok Verma, M.D.Kusai Aziz, M.D.
Nuclear Cardiology Physician
NPI 1265590863
See commercial rates for Kusai Aziz, M.D.Tariq Javed, MD
Nephrology Physician
NPI 1891973806
See commercial rates for Tariq Javed, MDSameer Patel, M.D.
Diagnostic Radiology Physician
NPI 1508081530
See commercial rates for Sameer Patel, M.D.Tom Yang, M.D.
Nephrology Physician
NPI 1548346695
See commercial rates for Tom Yang, M.D.Sean Johnston, M.D., PH.D.
Vascular & Interventional Radiology Physician
NPI 1477581866
See commercial rates for Sean Johnston, M.D., PH.D.Arthur Fontaine, MD
Diagnostic Radiology Physician
NPI 1225020845
See commercial rates for Arthur Fontaine, MDMatthew Kliethermes, M.D.
Student in an Organized Health Care Education/Training Program
NPI 1417303363
See commercial rates for Matthew Kliethermes, M.D.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.
Revenue, expenses and income Adventist Health Tulare reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $589.3M | 630.4% |
| Inpatient | $153.2M | 163.9% |
| Outpatient | $436.1M | 466.5% |
| Contractual allowances and discounts | -$495.8M | -530.4% |
| Net patient revenue | $93.5M | 100.0% |
| Operating expenses | -$113.1M | -121.0% |
| Operating income from patient care | -$19.6M | -21.0% |
| Other income | $4.1M | 4.4% |
| Contributions and donations | $1.4M | 1.4% |
| Investment income | $26,453 | 0.0% |
| Other | $2.8M | 3.0% |
| Net income | -$15.5M | -16.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $98.6M | 16.9% |
| Medicaid (including managed care) | $250.4M | 43.0% |
| Other payers and self-pay | $233.4M | 40.1% |
| Total charges | $582.5M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838596, 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.
Computed from Adventist Health Tulare's latest cost report.
-21.0%
Operating margin
Operating income from patient care / net patient revenue
-15.9%
Total margin
Net income / net patient revenue plus other income
-7.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
38% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$45.18
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-23.9%
Return on assets
Net income for a year / total assets
0.43
Current ratio
Current assets / current liabilities
0.15
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
59 days
Days in patient receivables
Net patient receivables / daily net patient revenue
320 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.51
Asset turnover
Total revenue for a year / total assets
5.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838596, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Adventist Health Tulare owned and owed at the end of its reporting period (Dec 2025), across all fund types: $64.7M in total assets and a -$160M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$329,463 | -0.5% |
| Patient receivables, net | $15.2M | 23.5% |
| Inventory | $2.8M | 4.3% |
| Total current assets | $41.5M | 64.1% |
| Property and equipment, net of depreciation | $13.7M | 21.1% |
| Investments and other assets | $9.6M | 14.8% |
| Total assets | $64.7M | 100.0% |
| Current liabilities | $96.8M | 149.6% |
| Long-term debt | $120.9M | 186.9% |
| Total liabilities | $224.7M | 347.3% |
| Fund balance (net assets) | -$160M | -247.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838596, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Adventist Health Tulare provided without full payment, as reported on Worksheet S-10 of its cost report.
$3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.4M
Bad debt
Patient bills written off as uncollectible, at charges
$8.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.8M
Total unreimbursed and uncompensated care
3.4% 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 838596, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Adventist Health Tulare's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $62.2M | $33.9M | $49.6M | $59.2M | $76.1M | $93.5M |
| Operating expenses | $65.5M | $81.9M | $87.2M | $92.4M | $105.6M | $113.1M |
| Operating margin | -5.3% | -141.8% | -75.8% | -56.1% | -38.8% | -21.0% |
| Net income | -$1.6M | -$46.5M | -$35.4M | -$25.4M | -$21.9M | -$15.5M |
| Total assets | $7.3M | $2.8M | -$37.1M | $9.8M | -$2.1M | $64.7M |
| Discharges | 1,666 | 2,348 | 2,223 | 1,876 | 1,624 | 2,310 |
| Inpatient days | 6,591 | 9,231 | 9,035 | 7,580 | 7,384 | 8,376 |
| Medicare Advantage days | 978 | 1,422 | 1,935 | |||
| Beds | 73 | 73 | 73 | 73 | 73 | 73 |
| Employees (FTE) | 232 | 224 | 240 | 287 | 308 | 347 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838596, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Adventist Health Tulare reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $6.8M | $17.2M | $188.5M | 0.09 | 4,565 |
| Laboratory | $2.9M | $10.8M | $58.3M | 0.19 | 3,570 |
| Operating room | $2.3M | $10.6M | $31.5M | 0.34 | 13,498 |
| Cath lab | $1.1M | $6.6M | $41.3M | 0.16 | 1,447 |
| Radiology-diagnostic | $1.2M | $5.4M | $34.9M | 0.15 | 6,758 |
| Drugs charged to patients | $4.4M | $25.7M | 0.17 | ||
| Ct scan | $959,029 | $2.7M | $80.5M | 0.03 | 770 |
| Impl. dev. charged to patients | $2.5M | $14.1M | 0.18 | ||
| Respiratory therapy | $1M | $2.5M | $28.4M | 0.09 | 944 |
| Observation beds (non-distinct part | $2M | $2.5M | 0.81 | ||
| Mri | $274,909 | $1.3M | $16.9M | 0.07 | 833 |
| Renal dialysis | $924,673 | $3.7M | 0.25 | ||
| Physical therapy | $278,648 | $808,586 | $2M | 0.41 | 1,083 |
| Electrocardiology | $246,255 | $662,661 | $3.2M | 0.21 | |
| Medical supplies charged to patient | $322,395 | $9.4M | 0.03 | ||
| Occupational therapy | $138,469 | $256,366 | $1.4M | 0.18 | |
| Blood storing processing & trans. | $254,500 | $191,347 | 1.33 | ||
| Speech pathology | $25,023 | $92,401 | $522,981 | 0.18 | |
| Anesthesiology | $57,383 | $3.9M | 0.01 | ||
| Sleep lab | $4,914 | $10,000 | 0.49 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.1M | $17.5M | $27.6M | 0.63 | 20,876 |
| Intensive care unit | $1.9M | $6.5M | $7.9M | 0.82 | 8,334 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2M | $17.7M | 60,741 | $33.09 | 8,317 |
| Employee benefits department | $666,562 | $9M | 7,361 | $90.55 | 1,346 |
| Cap rel costs-bldg & fixt | $8.5M | 172,983 | |||
| Operation of plant | $2.7M | 36,003 | |||
| Maintenance & repairs | $504,264 | $2.6M | 14,177 | $35.57 | 38,074 |
| Nursing administration | $1.8M | $2.4M | 28,510 | $61.45 | 1,216 |
| Housekeeping | $2.2M | 1,498 | |||
| Pharmacy | $712,870 | $1.1M | 11,999 | $59.41 | 1,512 |
| I&r services-salary & fringes apprv | $898,849 | ||||
| Cafeteria | $729,528 | 18,190 | $30.07 | 3,972 | |
| Central services & supply | $381,129 | $606,746 | 9,597 | $39.71 | 3,762 |
| Medical records & library | $476,879 | 3,491 | |||
| Social service | $330,062 | ||||
| Laundry & linen service | $306,800 | 728 | |||
| Dietary | $755,507 | $275,067 | 6,938 | $30.06 | 658 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838596, 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.
The factors Medicare uses to set what it pays Adventist Health Tulare for an inpatient stay.
1.64
Case mix index
Higher than 45% 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
0.13 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
48.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
605
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).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.39 | 1.39 | 1.56 | 1.65 | 1.65 | 1.69 | 1.64 |
| Wage index | 1.275 | 1.269 | 1.253 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | 0.00% | 0.00% | -0.02% | -0.10% | 0.00% | -0.14% | -0.12% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | -0.83% | -1.02% | +0.09% |
| Medicare inpatient stays | 179 | 179 | 453 | 491 | 421 | 472 | 605 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Adventist Health Tulare reports to Medicare as owners or with operational control.
Adventist Health System/west
Operational/managerial control, 100%, since 2019
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Adventist Health Tulare's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 18 of 19 are shown.
| Name | Title |
|---|---|
| Heinrich Kerry | Director/ceo |
| Hofheins Todd | Coo/vice Chair |
| Beaman John | CFO/ Asst Sec |
| Stevens Eric eff 724 | President |
| Wells Jason | President Ccn |
| Jobe Meredith | Secretary |
| Kofl Andrea thru 124 | Ctrl Vally Pres |
| Haydock Timothy eff 724 | Ops Exec Ccn |
| Cox Shane thru 724 | Treasurer |
| Thordarson Heidar | Treasurer |
Board members: Freedman John, Newton Bradford, Cherry Robert, Davis Andrew, Innocent Larry, Reiner Richard, WagnerJack, Woodson Marc, SalazarVelino thru924, Fehr Joy, Beckett Ann, and 3 more on the return.
Source: IRS Form 990 Part VII filed by Adventist Health Tulare (EIN 83-2351753), via the IRS e-file data. A health system's return can cover several hospitals.
About Adventist Health Tulare's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Adventist Health Tulare range from $792 to $4,919 across 4 insurers. Cigna's rate is $4,161. The median at nearby comparable hospitals is $2,750. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventist Health Tulare range from $409 to $6,045 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,090. The median at nearby comparable hospitals is $1,750. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Adventist Health Tulare range from $314 to $4,829 across 4 insurers. Aetna's rate is $4,621. The median at nearby comparable hospitals is $3,651. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adventist Health Tulare range from $156 to $460 across 4 insurers. Cigna's rate is $275. The median at nearby comparable hospitals is $272. What a patient pays depends on their plan's deductible, coinsurance and network status.
Adventist Health Tulare 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.
Yes. CMS counts 0.13 Medicare-funded residents per bed at Adventist Health Tulare for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Adventist Health Tulare's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (98 discharges), heart failure and shock with mcc (29 discharges), simple pneumonia and pleurisy with mcc (24 discharges).
Adventist Health Tulare's Medicare case mix index is 1.64 for fiscal year 2027, higher than 45% of hospitals paid under the inpatient prospective payment system.
Adventist Health Tulare reported 2,310 inpatient discharges and 8,376 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Adventist Health Tulare reported 347 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Adventist Health Tulare reported $93.5M in net patient revenue on $589.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -21.0%, and net income of -$15.5M.
Adventist Health Tulare reported $3.8M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $3M of charity care at cost.
Adventist Health Tulare's Medicare enrollment lists Jason Wells as President since 2024. Its 2024 IRS Form 990 lists Heinrich Kerry as Director/ceo.
Insurers' price transparency files list Adventist Health Tulare under employer identification number 83-2351753 (Adventist Health Tulare). 45 health plans and networks list 83-2351753 for it.
263 clinicians who bill Medicare list Adventist Health Tulare as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (27), internal medicine physician (27), emergency medicine physician (21).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Adventist Health Tulare, effective 2022.
In its Medicare enrollment, Adventist Health Tulare reports Adventist Health System/west as Operational/managerial control (100%).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Adventist Health Tulare came from ZIP codes 93274 (723), 93277 (53), 93292 (48).
Adventist Health Tulare has 73 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 59 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.
Adventist Health Tulare is located at 869 NORTH CHERRY STREET, Tulare, CA 93274. Its main phone number is (559) 688-0821.
Adventist Health Tulare's CMS Certification Number (CCN), also called its Medicare provider number, is 050784.
The National Provider Identifier (NPI) on file for Adventist Health Tulare is 1801366711.
Adventist Health Tulare lists 26 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
203 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers