Disproportionate share hospital · CA
HAZEL HAWKINS MEMORIAL HOSPITAL
Taking partNoTermination date filed1 October 2020Last certified26 August 2019
- 4Registered locations
- 1Associated locations
- 6Contract pharmacies
- 0With no end date
- 1 April 2018In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended 25 March 2020 — a reporting period of 268 days, not a full year.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $227,242,449 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $148,212,753 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $79,029,696 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $96,224,781 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$17,195,085 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $1,179,843 | CMS-2552-10 worksheet S100000 line 2000 column 300 |
| Charity care, at cost | $882,241 | CMS-2552-10 worksheet S100000 line 2300 column 300 |
| Bad debt expense | $3,712,228 | CMS-2552-10 worksheet S100000 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,317,605 | CMS-2552-10 worksheet S100000 line 2900 column 100 |
| Uncompensated care, at cost | $2,199,846 | CMS-2552-10 worksheet S100000 line 3000 column 100 |
| Total facility beds | 49 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3552 | CMS-2552-10 worksheet S100000 line 100 column 100 |
Cost report filed under CMS certification number 050296 for 1 July 2019 to 25 March 2020, reopened. The public file it was read from.
Every cost report on file
One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.
| Fiscal year ↑↓ | Period ended ↑↓ | Days ↑↓ | Form ↑↓ | Status ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Total operating expenses ↑↓ | Income from service to patients ↑↓ | Charity care, at cost ↑↓ | Uncompensated care, at cost ↑↓ | Bad debt expense ↑↓ | Cost-to-charge ratio ↑↓ | Stamped by CMS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1997 | 1997-06-30 | 364 | CMS-2552-96 | reopened | 49 | $23,520,280 | $22,619,990 | $900,290 | 2005-01-19 | ||||
| 1998 | 1998-06-30 | 364 | CMS-2552-96 | reopened | 49 | $26,115,315 | $25,135,215 | $980,100 | 2005-03-17 | ||||
| 1999 | 1999-06-30 | 364 | CMS-2552-96 | reopened | 49 | $28,601,860 | $27,895,139 | $706,721 | 2025-12-16 | ||||
| 2000 | 2000-06-30 | 365 | CMS-2552-96 | reopened | 49 | $31,061,984 | $31,287,865 | −$225,881 | 2005-09-21 | ||||
| 2001 | 2001-06-30 | 364 | CMS-2552-96 | settled | 49 | $35,811,297 | $34,706,967 | $1,104,330 | 2006-09-25 | ||||
| 2002 | 2002-06-30 | 364 | CMS-2552-96 | settled | 49 | $41,607,213 | $39,752,592 | $1,854,621 | 2005-10-21 | ||||
| 2003 | 2003-06-30 | 364 | CMS-2552-96 | reopened | 49 | $50,433,167 | $49,247,760 | $1,185,407 | 2025-10-10 | ||||
| 2004 | 2004-06-30 | 365 | CMS-2552-96 | reopened | 49 | $54,822,899 | $55,721,508 | −$898,609 | 2025-10-10 | ||||
| 2005 | 2005-06-30 | 364 | CMS-2552-96 | settled | 49 | $53,099,234 | $55,139,913 | −$2,040,679 | 2007-08-29 | ||||
| 2006 | 2006-06-30 | 364 | CMS-2552-96 | reopened | 49 | $57,536,805 | $60,497,781 | −$2,960,976 | 2025-10-10 | ||||
| 2007 | 2007-06-30 | 364 | CMS-2552-96 | reopened | 49 | $66,951,719 | $70,265,096 | −$3,313,377 | 2012-08-17 | ||||
| 2008 | 2008-06-30 | 365 | CMS-2552-96 | reopened | 49 | $71,262,311 | $77,411,696 | −$6,149,385 | 2025-10-15 | ||||
| 2009 | 2009-06-30 | 364 | CMS-2552-96 | reopened | 49 | $72,254,944 | $78,338,688 | −$6,083,744 | 2024-05-01 | ||||
| 2010 | 2010-06-30 | 364 | CMS-2552-96 | reopened | 49 | $80,052,135 | $86,470,643 | −$6,418,508 | 2025-08-29 | ||||
| 2011 | 2011-06-30 | 364 | CMS-2552-10 | reopened | 49 | $75,485,155 | $79,713,861 | −$4,228,706 | $344,600 | $2,343,181 | $6,015,284 | 0.3333 | 2018-05-02 |
| 2012 | 2012-06-30 | 365 | CMS-2552-10 | reopened | 49 | $87,284,850 | $92,464,947 | −$5,180,097 | $876,739 | $3,713,876 | $8,765,111 | 0.3313 | 2025-08-28 |
| 2013 | 2013-06-30 | 364 | CMS-2552-10 | reopened | 49 | $87,829,378 | $95,413,396 | −$7,584,018 | $712,745 | $3,138,575 | $7,658,466 | 0.3231 | 2025-08-28 |
| 2014 | 2014-06-30 | 364 | CMS-2552-10 | reopened | 49 | $90,915,698 | $99,707,256 | −$8,791,558 | $475,542 | $2,452,584 | $6,477,696 | 0.3143 | 2025-08-28 |
| 2015 | 2015-06-30 | 364 | CMS-2552-10 | settled | 41 | $94,907,896 | $103,535,659 | −$8,627,763 | $284,404 | $1,258,396 | $3,241,991 | 0.2962 | 2018-06-01 |
| 2016 | 2016-06-30 | 365 | CMS-2552-10 | settled | 41 | $103,292,333 | $114,703,501 | −$11,411,168 | $338,823 | $1,650,794 | $4,303,963 | 0.3011 | 2018-09-18 |
| 2017 | 2017-06-30 | 364 | CMS-2552-10 | settled | 41 | $107,808,394 | $119,751,761 | −$11,943,367 | $362,118 | $1,491,429 | $3,823,777 | 0.2910 | 2019-10-28 |
| 2018 | 2018-06-30 | 364 | CMS-2552-10 | settled | 49 | $111,641,924 | $120,999,407 | −$9,357,483 | $377,582 | $1,376,905 | $3,434,511 | 0.2864 | 2022-02-28 |
| 2019 | 2019-06-30 | 364 | CMS-2552-10 | reopened | 49 | $112,236,725 | $124,523,268 | −$12,286,543 | $187,082 | $1,441,711 | $4,132,257 | 0.3006 | 2025-11-19 |
| 2020 | 2020-03-25 | 268 | CMS-2552-10 | reopened | 49 | $79,029,696 | $96,224,781 | −$17,195,085 | $882,241 | $2,199,846 | $3,712,228 | 0.3552 | 2026-01-14 |
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
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Cite this page
Velarion Records, “HAZEL HAWKINS MEMORIAL HOSPITAL”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260910_071018.xlsx, stamped by its publisher 2026-09-10. https://velarionrecords.com/340b/DSH050296. Accessed 10 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 April 2018
- Termination date
- 1 October 2020
- Termination reason
- Failure to recertify
- Certification date
- 26 August 2019
- Record last edited
- 1 October 2020
Identifiers
- 340B ID
- DSH050296
- Entity type as filed
- DSH
- CMS certification number
- 050296
- Rural
- No
911 SUNSET DRIVE, HOLLISTER CA 95023
Locations registered under this record
Browse all of them as a list →
| DSH050296A | Mabie San Juan Rd Healthcare Center - primary care | DSH | Hollister, CA | No |
| DSH050296B | San Benito Community Health Clinic - primary care | DSH | Hollister, CA | No |
| DSH050296C | Hazel Hawkins Health Clinic - primary care | DSH | San Juan Bautista, CA | No |
| DSH050296D | Mabie First Street Healthcare Center - primary care | DSH | Hollister, CA | No |
Associated locations
| HAZEL HAWKINS MEMORIAL HOSPITAL | 911 SUNSET DRIVE | HOLLISTER CA 95023 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed6
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| GARFIELD BEACH CVS, L.L.C. | HOLLISTER, CA | 1 July 2018 | 1 October 2020 |
| LUCKY PHARMACY #719 | HOLLISTER, CA | 1 July 2018 | 1 October 2020 |
| NOB HILL PHARMACY #605 | HOLLISTER, CA | 1 October 2018 | 1 October 2020 |
| SAFEWAY INC | HOLLISTER, CA | 1 April 2018 | 1 October 2020 |
| THRIFTY PAYLESS, INC. | HOLLISTER, CA | 1 October 2018 | 1 October 2020 |
| WAL-MART PHARMACY 10-2002 | GILROY, CA | 1 April 2018 | 1 October 2020 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260910_071018.xlsx, stamped by its publisher 10 September 2026. This record has been read here since 6 September 2026.
The full report for HAZEL HAWKINS MEMORIAL HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.