A hospital in San Rafael, CA. It ran an operating loss of 19.2% in FY24 on $258.9M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -24.6% in FY21 to -19.2% in FY24.
Operating margin · FY24
-19.2%
▲ 32.5 pts vs FY23
vs Urban PPS hospitals9th pctl of 2,562 (FY24)
Days cash on hand · FY24
0d
all sources
▬ 0.0 days vs FY23
vs Urban PPS hospitals0th pctl of 2,354 (FY24)
Total operating revenue · FY24
$258.9M
▲ 74.3 $M vs FY23
vs Urban PPS hospitals49th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-19.2%
▲ 32.5 pts vs FY23
vs Urban PPS hospitals4th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at KAISER FOUNDATION HOSPITAL is about $2.6M per year (1% of FY24 total operating revenue).
Where KAISER FOUNDATION HOSPITAL sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One urban pps hospitalKAISER FOUNDATIONUrban 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
FY22
FY23
FY24
Patient revenue
200,048
180,316
251,981
Other operating revenue
4,653
4,276
6,893
Total operating revenue
204,701
184,591
258,874
Total operating expenses
262,222
280,175
308,670
Operating income
(57,522)
(95,583)
(49,796)
Operating margin %
-28.1%
-51.8%
-19.2%
Grants & contributions
5
0
—
Net income
(57,517)
(95,583)
(49,796)
Net income %
-28.1%
-51.8%
-19.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
A condensed balance sheet is not shown for this hospital: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
How it operates
quality & operational context · CMS public reporting
A 95-bed hospital at 52% occupancy 59% 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
51.9%
Verified fact2024
HCRIS WS S-3
Average daily census
49.42
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
95
Verified fact2024
HCRIS WS S-3
Annual discharges
4,824
Verified fact2024
HCRIS WS S-3
Average length of stay
3.7d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
58.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
556.60
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.5%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$7.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.742
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.9
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.963922
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
MARIN County, CA · metro, 1M+ population
Median household income
$142.8K
vs $82.1K US · $59.7K rural median
Poverty rate
7.8%
vs 12.5% US · 14.3% rural median
Uninsured
3.8%
vs 8.6% US · 8.4% rural median
Age 65+
23.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 2.7% of county personal income is Medicare/Medicaid medical benefits; 7.1% arrives as government transfers (BEA, 2022).
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