Astrelis
Urban PPS hospital · Costa Mesa, CA

COLLEGE HOSPITAL COSTA MESA

CCN 050543ORANGE CountyProprietaryUrban (USDA RUCC)122 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Costa Mesa, CA. It ran an operating loss of 96.2% in FY24 on $45.8M of operating revenue. It held 1 day of cash on hand (27th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited. Including nonoperating items, the all-in result was positive at 26.8%.

Operating margin · FY24
-96.2%
vs Urban PPS hospitals0th pctl of 2,562 (FY24)
Days cash on hand · FY24
1d
all sources
vs Urban PPS hospitals27th pctl of 2,354 (FY24)
Total operating revenue · FY24
$45.8M
vs Urban PPS hospitals9th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+26.8%
vs Urban PPS hospitals94th 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 COLLEGE HOSPITAL COSTA MESA is about $458K per year (1% of FY24 total operating revenue).

Where COLLEGE HOSPITAL COSTA 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.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%COLLEGE HOSPITAL -96.21281949352823%-20%0%+20%Urban PPS hospital median +2.027429837815152%COLLEGE HOSPITAL -96.21281949352823%
One urban pps hospitalCOLLEGE HOSPITALUrban 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.

Operating margin
-96.2% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+26.8% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.53× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-2% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
65d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue101,172100,07145,701
Other operating revenue243082
Total operating revenue101,196100,10145,783
Total operating expenses79,56487,06889,833
Operating income21,63213,034(44,049)
Operating margin %+21.4%+13.0%-96.2%
Investment income7198287
Other non-operating, net2,0822,31276,582
Net income23,72115,54432,820
Net income %+23.0%+15.1%+26.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 122-bed hospital at 92% occupancy 9% 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
92.1%
Verified fact2024
HCRIS WS S-3
Average daily census
112.64
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
122
Verified fact2024
HCRIS WS S-3
Annual discharges
4,195
Verified fact2024
HCRIS WS S-3
Average length of stay
9.8d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
8.9%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
410
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.0%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.13
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
The number of cases/patients is too few to report.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-86.0%-62.5%+21.4%+13.0%-96.2%FY20FY21FY22FY23FY24
Days cash on hand
10 days5 days10 days126 days1 dayFY20FY21FY22FY23FY24

The county this hospital serves

ORANGE County, CA · metro, 1M+ population
Median household income
$113.7K
vs $82.1K US · $59.7K rural median
Poverty rate
9.5%
vs 12.5% US · 14.3% rural median
Uninsured
6.8%
vs 8.6% US · 8.4% rural median
Age 65+
15.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.0% of county personal income is Medicare/Medicaid medical benefits; 12.1% arrives as government transfers (BEA, 2022).

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