CCN 050115SAN DIEGO CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)238 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Escondido, CA. It ran an operating loss of 7.1% in FY25 on $629.0M of operating revenue. It held 793 days of cash on hand (99th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 8.2% in FY21 to -7.1% in FY25.
Operating margin · FY25
-7.1%
▼ 3.2 pts vs FY24
vs Urban PPS hospitals26th pctl of 1,475 (FY25)
Days cash on hand · FY25
793d
all sources
▲ 182.8 days vs FY24
vs Urban PPS hospitals99th pctl of 1,386 (FY25)
Total operating revenue · FY25
$629.0M
▲ 54.0 $M vs FY24
vs Urban PPS hospitals77th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-3.4%
▼ 3.5 pts vs FY24
vs Urban PPS hospitals19th pctl of 1,475 (FY25)
One point of operating margin at PALOMAR HEALTH DOWNTOWN CAMPUS is about $6.3M per year (1% of FY25 total operating revenue).
Where PALOMAR HEALTH DOWNTOWN sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalPALOMAR HEALTHUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
630,519
573,444
628,762
Other operating revenue
4,414
1,484
200
Total operating revenue
634,933
574,928
628,962
Total operating expenses
617,959
597,423
673,450
Operating income
16,973
(22,495)
(44,487)
Operating margin %
+2.7%
-3.9%
-7.1%
Grants & contributions
2,174
15,232
15,842
Investment income
13,453
307
13
Other non-operating, net
4,599
7,324
6,520
Net income
37,199
368
(22,112)
Net income %
+5.7%
+0.1%
-3.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 238-bed hospital at 89% occupancy 35% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
89.5%
Verified fact2025
HCRIS WS S-3
Average daily census
213.58
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
238
Verified fact2025
HCRIS WS S-3
Annual discharges
29,984
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
34.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,912
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
17.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.336
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.12
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.944472
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
SAN DIEGO County, CA
Median household income
$102.3K
vs $82.1K US · $59.7K rural median
Poverty rate
10.4%
vs 12.5% US · 14.3% rural median
Uninsured
6.8%
vs 8.6% US · 8.4% rural median
Age 65+
15.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 15.4% arrives as government transfers (BEA, 2022).
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