A hospital in Downey, CA. It ran an operating loss of 16.5% in FY25 on $446.4M of operating revenue. It held 55 days of cash on hand (60th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
-16.5%
vs Urban PPS hospitals13th pctl of 1,475 (FY25)
Days cash on hand · FY25
55d
all sources
vs Urban PPS hospitals60th pctl of 1,386 (FY25)
Total operating revenue · FY25
$446.4M
vs Urban PPS hospitals66th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-58.3%
vs Urban PPS hospitals0th pctl of 1,475 (FY25)
One point of operating margin at LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR is about $4.5M per year (1% of FY25 total operating revenue).
Where LAC/RANCHO LOS AMIGOS 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 hospitalLAC/RANCHO LOSUrban 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
512,640
311,200
439,262
Other operating revenue
48,984
6,363
7,180
Total operating revenue
561,624
317,563
446,443
Total operating expenses
297,976
332,612
520,001
Operating income
263,647
(15,049)
(73,558)
Operating margin %
+46.9%
-4.7%
-16.5%
Investment income
—
1,592
9,177
Other non-operating, net
(238,755)
(112,925)
(201,042)
Net income
24,892
(126,382)
(265,423)
Net income %
+7.7%
-61.3%
-104.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY22 operating and total margins are not shown: they compute from near-zero net patient revenue, so the ratio is not meaningful (display gate; statement values unchanged).
How it operates
quality & operational context · CMS public reporting
A 50-bed hospital at 62% occupancy 40% 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
61.5%
Verified fact2025
HCRIS WS S-3
Average daily census
30.84
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
50
Verified fact2025
HCRIS WS S-3
Annual discharges
1,255
Verified fact2025
HCRIS WS S-3
Average length of stay
8.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
39.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,446
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
37.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
1.486
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.920914
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
LOS ANGELES County, CA
Median household income
$87.8K
vs $82.1K US · $59.7K rural median
Poverty rate
13.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.7%
vs 8.6% US · 8.4% rural median
Age 65+
14.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.3% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
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