Astrelis
Children's hospital · Detroit, MI

CHILDREN'S HOSPITAL OF MICHIGAN

CCN 233300WAYNE CountyProprietaryUrban (USDA RUCC)117 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Detroit, MI. It ran an operating surplus of 27.8% in FY24 on $612.3M of operating revenue. It held 0 days of cash on hand (17th percentile among Children's hospitals on liquidity). Operating margin improved from -9.4% in FY20 to 27.8% in FY24.

Operating margin · FY24
+27.8%
23.3 pts vs FY23
vs Children's hospitals91st pctl of 66 (FY24)
Days cash on hand · FY24
0d
all sources
0.0 days vs FY23
vs Children's hospitals17th pctl of 60 (FY24)
Total operating revenue · FY24
$612.3M
175.2 $M vs FY23
vs Children's hospitals43rd pctl of 68 (FY24)
Total margin · incl. nonoperating · FY24
+29.3%
23.7 pts vs FY23
vs Children's hospitals92nd 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 CHILDREN'S HOSPITAL OF MICHIGAN is about $6.1M per year (1% of FY24 total operating revenue).

Where CHILDREN'S HOSPITAL OF 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%CHILDREN'S HOSPITAL +27.823808530650567%-20%0%+20%Children's hospital median +5.572969972789766%CHILDREN'S HOSPITAL +27.823808530650567%
One children's hospitalCHILDREN'S HOSPITALChildren'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
+27.8% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+29.3% (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
3.44× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
86% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
57d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue392,957433,393609,292
Other operating revenue4,4433,6652,992
Total operating revenue397,399437,058612,284
Total operating expenses394,341417,360441,923
Operating income3,05919,698170,361
Operating margin %+0.8%+4.5%+27.8%
Investment income11614534
Other non-operating, net62,8234,97812,897
Net income65,99824,821183,292
Net income %+14.3%+5.6%+29.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 117-bed hospital at 55% occupancy 52% 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
55.3%
Verified fact2024
HCRIS WS S-3
Average daily census
64.78
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
117
Verified fact2024
HCRIS WS S-3
Annual discharges
8,941
Verified fact2024
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
52.0%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,587
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.3%
Verified fact2024
HCRIS WS S-3 Pt V
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
-9.4%+10.3%+0.8%+4.5%+27.8%FY20FY21FY22FY23FY24
Days cash on hand
0 days0 days0 days0 days0 daysFY20FY21FY22FY23FY24

The county this hospital serves

WAYNE County, MI · metro, 1M+ population
Median household income
$59.5K
vs $82.1K US
Poverty rate
20.1%
vs 12.5% US
Uninsured
5.7%
vs 8.6% US
Age 65+
16.1%
vs 16.8% US
Fair or poor health
24.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.5% of county personal income is Medicare/Medicaid medical benefits; 27.6% arrives as government transfers (BEA, 2022).
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