Astrelis
Urban PPS hospital · North Kansas City, MO

NORTH KANSAS CITY HOSPITAL

CCN 260096CLAY CountyGovernment - LocalUrban (USDA RUCC)255 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in North Kansas City, MO. It ran an operating surplus of 6.2% in FY25 on $697.7M of operating revenue. It held 194 days of cash on hand (83rd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 3.6% in FY21 to 6.2% in FY25.

Operating margin · FY25
+6.2%
1.8 pts vs FY24
vs Urban PPS hospitals64th pctl of 1,475 (FY25)
Days cash on hand · FY25
194d
all sources
2.5 days vs FY24
vs Urban PPS hospitals83rd pctl of 1,386 (FY25)
Total operating revenue · FY25
$697.7M
44.6 $M vs FY24
vs Urban PPS hospitals80th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+0.1%
0.6 pts vs FY24
vs Urban PPS hospitals27th pctl of 1,475 (FY25)
One point of operating margin at NORTH KANSAS CITY HOSPITAL is about $7.0M per year (1% of FY25 total operating revenue).

Where NORTH KANSAS CITY sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%NORTH KANSAS +6.15803984985823%-20%0%+20%Urban PPS hospital median +1.3311360264910879%NORTH KANSAS +6.15803984985823%
One urban pps hospitalNORTH KANSASUrban 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 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
+6.2% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+0.1% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
194d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.98× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
79% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
37d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue601,489651,169695,686
Other operating revenue1,9691,9102,028
Total operating revenue603,458653,079697,714
Total operating expenses554,975624,737654,748
Operating income48,48328,34242,966
Operating margin %+8.0%+4.3%+6.2%
Grants & contributions2,0062,0621,486
Investment income8,45320,26823,007
Other non-operating, net(39,295)(45,990)(66,805)
Net income19,6474,682654
Net income %+3.4%+0.7%+0.1%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 255-bed hospital at 56% occupancy 53% 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
55.8%
Verified fact2025
HCRIS WS S-3
Average daily census
142.67
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
255
Verified fact2025
HCRIS WS S-3
Annual discharges
19,711
Verified fact2025
HCRIS WS S-3
Average length of stay
2.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
53.1%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,005
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.409
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.03
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.210183
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+3.6%+7.9%+8.0%+4.3%+6.2%FY21FY22FY23FY24FY25
Days cash on hand
307 days227 days209 days197 days194 daysFY21FY22FY23FY24FY25

The county this hospital serves

CLAY County, MO
Median household income
$86.2K
vs $82.1K US · $59.7K rural median
Poverty rate
8.5%
vs 12.5% US · 14.3% rural median
Uninsured
7.3%
vs 8.6% US · 8.4% rural median
Age 65+
14.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 16.8% arrives as government transfers (BEA, 2022).

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