A hospital in Minneapolis, MN. It ran an operating loss of 5.0% in FY24 on $1053.8M of operating revenue. It held 384 days of cash on hand (78th percentile of 64 Children's hospitals on liquidity, FY24 pool). Operating margin improved from -14.5% in FY20 to -5.0% in FY24. Including nonoperating items, the all-in result was positive at 7.5%.
Operating margin · FY24
-5.0%
Astrelis calculation · as-filed inputs
▲ 2.6 pts vs FY23
vs Children's hospitals23rd pctl of 66 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY24
384d
all sources
Astrelis calculation · as-filed inputs
▼ 2 days vs FY23
vs Children's hospitals78th pctl of 64 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY24
$1.05B
Astrelis calculation · as-filed inputs
▲ $37.0M vs FY23
vs Children's hospitals65th pctl of 68 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY24
+7.5%
Astrelis calculation · as-filed inputs
▬ 0.0 pts vs FY23
vs Children's hospitals38th pctl of 66 (FY24 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at CHILDREN'S HOSPITALS & CLINICS OF MN is about $10.5M per year (1% of FY24 total operating revenue).
Where CHILDREN'S HOSPITALS & sits among Children's hospitals
Operating margin · FY24 pool · n = 66 of 73 filed
Each point is one Children's hospital in the national FY24 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 FY24 median is +5.6%. Descriptive context only, not a ranking.
One children's hospitalCHILDREN'S HOSPITALSChildren'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 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 ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
965,544
1,016,840
1,053,810
Total operating revenue
965,544
1,016,840
1,053,810
Total operating expenses
995,830
1,093,862
1,106,184
Operating income
(30,286)
(77,022)
(52,374)
Operating margin %
-3.1%
-7.6%
-5.0%
Grants & contributions
14,470
14,998
15,517
Investment income
19,076
49,550
72,837
Other non-operating, net
(80,297)
96,222
52,355
Net income
(77,037)
83,748
88,335
Net income %
-7.4%
+7.5%
+7.5%
— = Not reported in source for that year.
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 177-bed children's hospital running at 53% occupancy, where operating cost runs $77,649 per discharge (unadjusted), and 35% of patient revenue is outpatient.
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
52.7%
Reported value2024
HCRIS WS S-3
Average daily census
93.41
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
177
Reported value2024
HCRIS WS S-3
Annual discharges
14,246
Reported value2024
HCRIS WS S-3
Average length of stay
2 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$32,443
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$77,649
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
34.9%
Reported value2024
HCRIS WS G-2 L28
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 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 1)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 1)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: CMS does not publish these measures for this provider subtype (it does not participate in the acute-care IQR/OQR reporting programs, which do not apply here).
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
HENNEPIN County, MN · metro, 1M+ population
Median household income
$96.3K
vs $82.1K US
Poverty rate
10.0%
vs 12.5% US
Uninsured
4.5%
vs 8.6% US
Age 65+
15.1%
vs 16.8% US
Fair or poor health
14.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.1% of county personal income is Medicare/Medicaid medical benefits; 12.5% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Hennepin County
Illustrative estimate · FY24 cost report
Direct annual spending
$1.11B
total operating expense · Reported value, not a local-capture estimate
Economic activity
$2.54B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
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 = 66.
Performance Benchmark Report: FY24 peer pool · n = 66 · conservative low band; acuity limits stated in the report.
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