Astrelis
Children's hospital · Miami, FL

NICKLAUS CHILDREN'S HOSPITAL

CCN 103301MIAMI-DADE CountyVoluntary non-profit - PrivateUrban (USDA RUCC)132 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Miami, FL. It ran an operating surplus of 9.7% in FY24 on $980.4M of operating revenue. It held 360 days of cash on hand (73rd percentile among Children's hospitals on liquidity). Operating margin improved from -29.6% in FY20 to 9.7% in FY24.

Operating margin · FY24
+9.7%
3.7 pts vs FY22
vs Children's hospitals67th pctl of 66 (FY24)
Days cash on hand · FY24
360d
all sources
359.7 days vs FY23
vs Children's hospitals73rd pctl of 60 (FY24)
Total operating revenue · FY24
$980.4M
206.8 $M vs FY22
vs Children's hospitals60th pctl of 68 (FY24)
Total margin · incl. nonoperating · FY24
+11.3%
11.9 pts vs FY22
vs Children's hospitals58th pctl of 66 (FY24)
Benchmarked within its own FY24 pool (n=66); the Children's hospital cohort's current year is FY25.
One point of operating margin at NICKLAUS CHILDREN'S HOSPITAL is about $9.8M per year (1% of FY24 total operating revenue).

Where NICKLAUS CHILDREN'S HOSPITAL sits among Children's hospitals

Operating margin · FY24 pool · n = 66 of 73 filed

Each point is one Children's 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 Children's hospital median is +5.6%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=66); the Children's hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Children's hospital median +5.572969972789766%NICKLAUS CHILDREN'S +9.74542088169543%-20%0%+20%Children's hospital median +5.572969972789766%NICKLAUS CHILDREN'S +9.74542088169543%
One children's hospitalNICKLAUS CHILDREN'SChildren's 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
+9.7% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+11.3% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
360d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.97× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
59% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
37d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY21FY22FY24
Patient revenue714,881769,284959,783
Other operating revenue3,8794,27620,607
Total operating revenue718,760773,560980,391
Total operating expenses641,623726,913884,847
Operating income77,13746,64795,543
Operating margin %+10.7%+6.0%+9.7%
Grants & contributions39,068
Investment income44,921
Other non-operating, net(951)(50,952)(58,789)
Net income76,186(4,305)120,743
Net income %+10.6%-0.6%+12.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 132-bed hospital at 56% occupancy 54% 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
55.7%
Verified fact2024
HCRIS WS S-3
Average daily census
73.78
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
132
Verified fact2024
HCRIS WS S-3
Annual discharges
10,695
Verified fact2024
HCRIS WS S-3
Average length of stay
2.5d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
54.0%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$7.1M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-29.6%+10.7%+6.0%+9.7%FY20FY21FY22FY23FY24
Days cash on hand
310 days380 days341 days0 days360 daysFY20FY21FY22FY23FY24

The county this hospital serves

MIAMI-DADE County, FL · metro, 1M+ population
Median household income
$68.7K
vs $82.1K US
Poverty rate
14.9%
vs 12.5% US
Uninsured
14.3%
vs 8.6% US
Age 65+
16.8%
vs 16.8% US
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.6% of county personal income is Medicare/Medicaid medical benefits; 18.5% arrives as government transfers (BEA, 2022).
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