Astrelis
Urban PPS hospital · San Marcos, CA

KAISER FOUNDATION HOSPITAL - SAN MARCOS

CCN 050855SAN DIEGO CountyVoluntary non-profit - PrivateUrban (USDA RUCC)152 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in San Marcos, CA. It ran an operating loss of 18.4% in FY24 on $320.2M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY24
-18.4%
vs Urban PPS hospitals10th pctl of 2,562 (FY24)
Days cash on hand · FY24
0d
all sources
vs Urban PPS hospitals0th pctl of 2,354 (FY24)
Total operating revenue · FY24
$320.2M
vs Urban PPS hospitals56th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
-18.0%
vs Urban PPS hospitals5th 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 - SAN MARCOS is about $3.2M 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.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%KAISER FOUNDATION -18.406669517261456%-20%0%+20%Urban PPS hospital median +2.027429837815152%KAISER FOUNDATION -18.406669517261456%
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.

Operating margin
-18.4% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-18.0% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not reported in this filing
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY24
Patient revenue320,089
Other operating revenue79
Total operating revenue320,167
Total operating expenses379,099
Operating income(58,932)
Operating margin %-18.4%
Grants & contributions0
Other non-operating, net990
Net income(57,942)
Net income %-18.0%
1 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24–FY24
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 152-bed hospital at 38% occupancy 65% 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
37.9%
Verified fact2024
HCRIS WS S-3
Average daily census
57.70
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
152
Verified fact2024
HCRIS WS S-3
Annual discharges
7,284
Verified fact2024
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
64.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
810.10
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.4%
Verified fact2024
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.744
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.89
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.987176
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · single reporting year
Operating margin
-18.4%FY24
Days cash on hand
0 daysFY24

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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