A skilled nursing facility in San Rafael, CA. It ran an operating surplus of 2.4% in FY25 on $9.5M of operating revenue. It held 32 days of cash on hand (70th percentile among SNFs on liquidity). Operating margin improved from -3.7% in FY21 to 2.4% in FY25. On care, it carries a 1-star CMS quality rating. Its potentially-preventable readmissions runs 10.1%. On the filed record it is comfortably profitable with lower measured quality. Source-reported context, not a recommendation.
Overall Five-Star
1
Verified fact2025
Source: CMS Care Compare
Days cash on hand · FY25
32d
all sources
vs SNFs70th pctl of 10,767 (FY25)
Operating margin · FY25
+2.4%
vs SNFs56th pctl of 12,481 (FY25)
Return to community
60.7%
Proxy2026
Source: CMS SNF QRP
Where SAN RAFAEL HEALTHCARE sits among SNFs
Operating margin · FY25 pool · n = 12,481 of 13,901 filed
Each point is one SNF 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 SNF median is +1.0%. Descriptive context only, not a ranking.
One snfSAN RAFAELSNF median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this skilled nursing facility 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
+2.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+2.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
32d (FY25)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
1.24× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-43% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
18d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
8,431
8,156
9,524
Total operating revenue
8,431
8,156
9,524
Total operating expenses
9,992
8,828
9,297
Operating income
(1,561)
(672)
227
Operating margin %
-18.5%
-8.2%
+2.4%
Other non-operating, net
255
378
(18)
Net income
(1,306)
(294)
209
Net income %
-15.0%
-3.4%
+2.2%
HCRIS Worksheet G-3 (SNF) · $ thousands · FY21–FY25 · operating revenue reflects net patient revenue (the SNF form carries no other-operating split) · FY20–21 may include COVID-era relief funding in other income
How it operates
quality & operational context · CMS public reporting
The metrics this skilled nursing facility 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.
Overall Five-Star
1
Verified fact2025
CMS Care Compare
Health inspection star
2
Verified fact2025
CMS Care Compare
Quality measure star
3
Verified fact2025
CMS Care Compare
Return to community
60.7%
Proxy2026
CMS SNF QRP
Potentially-preventable readmissions
10.1%
Proxy2026
CMS SNF QRP
Occupancy
92.4%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
17.4%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
71.7%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
10.9%
Verified fact2025
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility 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).
The Board Briefing$1,000
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Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Delivered within 30 days of eligibility confirmation.
