Operating margin: -90.5% in FY2024, the 0th percentile of 2,517 urban pps hospitals in the FY2024 pool. Days cash on hand: 4 days in FY2024, the 38th percentile of 2,445 urban pps hospitals in the FY2024 pool. Total operating revenue: $7.4M in FY2024, the 0th percentile of 2,558 urban pps hospitals in the FY2024 pool. Total margin (including nonoperating): -90.5% in FY2024, the 0th percentile of 2,517 urban pps hospitals in the FY2024 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Lenexa, KS. It ran an operating loss of 90.5% in FY24 on $7.4M of operating revenue. It held 4 days of cash on hand (38th percentile of 2,445 Urban PPS hospitals on liquidity, FY24 pool). Operating margin declined from 18.4% in FY20 to -90.5% in FY24.
Operating margin · FY24
-90.5%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals0th pctl of 2,517 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
4d
all sources
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals38th pctl of 2,445 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$7.4M
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals0th pctl of 2,558 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
-90.5%
Astrelis calculation · as-filed inputs
vs Urban PPS hospitals0th pctl of 2,517 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at MINIMALLY INVASIVE SURGERY HOSPITAL is about $74K per year (1% of FY24 total operating revenue).
Where MINIMALLY INVASIVE SURGERY sits among Urban PPS hospitals
Operating margin · FY24 pool · n = 2,517 of 2,652 filed
Each point is one Urban PPS hospital in the national FY24 distribution for Urban PPS hospitals, this hospital's comparison cohort, 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 FY24 median is +2.1%. Descriptive context only, not a ranking.
One urban pps hospitalMINIMALLY INVASIVEUrban 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 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.
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
14,448
10,786
7,441
Other operating revenue
25
21
—
Total operating revenue
14,473
10,807
7,441
Total operating expenses
11,392
18,294
14,174
Operating income
3,081
(7,488)
(6,733)
Operating margin %
+21.3%
-69.3%
-90.5%
Other non-operating, net
0
0
0
Net income
3,081
(7,488)
(6,733)
Net income %
+21.3%
-69.3%
-90.5%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · 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
Display states.FY25 · Operating margin — Astrelis calculation unavailable (net patient revenue was not reported (or is zero) on this filing)Filed inputs: Operating income -9,930KFY25 · Days cash on hand — Astrelis calculation unavailable (the balance sheet (Worksheet G) is not filed on this cost report)FY24 · Net patient A/R: 659K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))FY23 · Net patient A/R — Not reported in source (gross accounts receivable was not filed on Worksheet G, so no net figure exists to derive)FY22 · Days cash on hand — Astrelis calculation unavailable (operating expenses less depreciation is blank or zero on this filing)FY20 · Net patient A/R: 5,484K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))
How it operates
quality & operational context · CMS public reporting
The metrics this hospital 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.
Scale and flow
Occupancy
17.7%
Reported value2025
HCRIS WS S-3
Average daily census
1.24
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
7
Reported value2025
HCRIS WS S-3
Annual discharges
175
Reported value2025
HCRIS WS S-3
Average length of stay
3 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$22,018
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$56,743
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Total FTEs
34.40
Reported value2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 2)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 2)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.968325
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: Results are based on a shorter time period than required.; Results cannot be calculated for this reporting period.Note 2: The number of cases/patients is too few to report.
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
JOHNSON County, KS · metro, 1M+ population
Median household income
$107.3K
vs $82.1K US · $59.7K rural median
Poverty rate
5.3%
vs 12.5% US · 14.3% rural median
Uninsured
5.1%
vs 8.6% US · 8.4% rural median
Age 65+
15.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
11.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.2% of county personal income is Medicare/Medicaid medical benefits; 8.8% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Johnson County
Illustrative estimate · FY24 cost report
Direct annual spending
$14.2M
total operating expense · Reported value, not a local-capture estimate
Labor income
$4.9M
$4.1M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$32.6M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.0%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY24Astrelis calculation
Operating margin vs its peer pool: FY24 pool · n = 2,517.
Performance Benchmark Report: FY24 peer pool · n = 2,517 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 12 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.
The Board Briefing
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Astrelis Atlas, "Minimally Invasive Surgery Hospital", https://astrelis.co/hospitals/170199, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/170199.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
