A skilled nursing facility in Fresno, CA. It ran an operating loss of 2.8% in FY25 on $9.4M of operating revenue. It held 9 days of cash on hand (54th percentile of 12,522 SNFs on liquidity, FY25 pool). Operating margin improved from -9.0% in FY20 to -2.8% in FY25. Including nonoperating items, the all-in result was positive at 0.5%. On care, it carries a 5-star CMS quality rating. On the filed record it is running at an operating loss with strong measured quality. Source-reported context, not a recommendation.
Overall Five-Star
5
Reported value2025
Source: CMS Care Compare
Total nursing HPRD
4.96
Reported value2025
Source: CMS PBJ staffing
Operating margin · FY25
-2.8%
Astrelis calculation · as-filed inputs
vs SNFs38th pctl of 12,880 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
9d
all sources
Astrelis calculation · as-filed inputs
vs SNFs54th pctl of 12,522 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Where MANNING GARDENS CARE sits among SNFs
Operating margin · FY25 pool · n = 12,880 of 13,649 filed
Each point is one SNF in the national FY25 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 FY25 median is +0.6%. Descriptive context only, not a ranking.
One snfMANNING GARDENSSNF 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Operating margin
-2.8% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+0.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
9d (FY25)
Cash & investments ÷ daily operating expense
Astrelis calculation · HCRIS WS G / G-3
Current ratio
1.45× (FY25)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
-12% (FY25)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
116d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
8,252
8,353
9,445
Total operating revenue
8,252
8,353
9,445
Total operating expenses
8,642
9,101
9,714
Operating income
(390)
(748)
(269)
Operating margin %
-4.7%
-8.9%
-2.8%
Other non-operating, net
138
289
313
Net income
(252)
(459)
44
Net income %
-3.0%
-5.3%
+0.5%
— = Not reported in source for that year.
HCRIS Worksheet G-3 (SNF) · $ thousands · FY20–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 provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Overall Five-Star
5
Reported value2025
CMS Care Compare
Health inspection star
4
Reported value2025
CMS Care Compare
Quality measure star
4
Reported value2025
CMS Care Compare
Staffing star
5
Reported value2025
CMS Care Compare
Total nursing HPRD
4.96
Reported value2025
CMS PBJ staffing
RN HPRD
0.96
Reported value2025
CMS PBJ staffing
Total nurse turnover
23.6%
Reported value2025
CMS PBJ staffing
Occupancy
88.5%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Medicare day share
10.6%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Medicaid day share
87.7%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Other payer day share
1.7%
Astrelis calculation2025
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility serves
Fresno County, CA · metro, 1M+ population
Median household income
$71.4K
vs $82.1K US · $59.7K rural median
Poverty rate
18.7%
vs 12.5% US · 14.3% rural median
Uninsured
7.0%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
27.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.2% of county personal income is Medicare/Medicaid medical benefits; 26.3% arrives as government transfers (BEA, 2022).
Operating margin vs its peer poolFY25Astrelis calculation
A facility-specific dollar comparison cannot be calculated because a benchmark input was not reported. The report still includes all available facility measures, peer benchmarks, and a source-coverage inventory.
Operating margin vs its peer pool: FY25 pool · n = 12,880.
Report coverage: Limited Facility Benchmark. 15 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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