CCN 243300RAMSEY CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)50 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Saint Paul, MN. It ran an operating surplus of 0.1% in FY24 on $368.8M of operating revenue. It held 250 days of cash on hand (60th percentile among Children's hospitals on liquidity). Operating margin improved from -8.5% in FY20 to 0.1% in FY24.
Operating margin · FY24
+0.1%
▲ 7.3 pts vs FY23
vs Children's hospitals35th pctl of 66 (FY24)
Days cash on hand · FY24
250d
all sources
▼ 85.1 days vs FY23
vs Children's hospitals60th pctl of 60 (FY24)
Total operating revenue · FY24
$368.8M
▲ 84.7 $M vs FY23
vs Children's hospitals28th pctl of 68 (FY24)
Total margin · incl. nonoperating · FY24
+6.9%
▲ 3.7 pts vs FY23
vs Children's hospitals32nd 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 GILLETTE CHILDRENS SPECIALTY HOSPITAL is about $3.7M per year (1% of FY24 total operating revenue).
Where GILLETTE CHILDRENS SPECIALTY 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.
One children's hospitalGILLETTE CHILDRENSChildren'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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
266,704
268,682
351,798
Other operating revenue
10,952
15,480
17,017
Total operating revenue
277,655
284,161
368,815
Total operating expenses
283,550
304,639
368,359
Operating income
(5,895)
(20,477)
456
Operating margin %
-2.1%
-7.2%
+0.1%
Grants & contributions
12,275
6,905
6,022
Investment income
(19,562)
23,938
21,023
Other non-operating, net
0
0
0
Net income
(13,182)
10,366
27,501
Net income %
-4.9%
+3.3%
+6.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY23, FY24 accounts receivable is not shown: patient receivables not separately identified on the filed balance sheet.
How it operates
quality & operational context · CMS public reporting
A 50-bed hospital at 47% occupancy 58% 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
46.8%
Verified fact2024
HCRIS WS S-3
Average daily census
23.47
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
50
Verified fact2024
HCRIS WS S-3
Annual discharges
2,116
Verified fact2024
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
57.7%
Verified fact2024
HCRIS WS G-2 L28
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
Days cash on hand
The county this hospital serves
RAMSEY County, MN · metro, 1M+ population
Median household income
$81.0K
vs $82.1K US
Poverty rate
12.4%
vs 12.5% US
Uninsured
5.2%
vs 8.6% US
Age 65+
15.4%
vs 16.8% US
Fair or poor health
18.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.0% of county personal income is Medicare/Medicaid medical benefits; 19.8% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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