A hospital in Boys Town, NE. It ran an operating loss of 18.3% in FY24 on $221.1M of operating revenue. It held 15 days of cash on hand (28th percentile among Children's hospitals on liquidity). Operating margin declined from -13.9% in FY20 to -18.3% in FY24, though it rose 1.1 points in the most recent year.
Operating margin · FY24
-18.3%
vs Children's hospitals9th pctl of 66 (FY24)
Days cash on hand · FY24
15d
all sources
vs Children's hospitals28th pctl of 60 (FY24)
Total operating revenue · FY24
$221.1M
vs Children's hospitals21st pctl of 68 (FY24)
Total margin · incl. nonoperating · FY24
-11.9%
vs Children's hospitals5th 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 BOYS TOWN NATIONAL RESEARCH HOSPITAL is about $2.2M per year (1% of FY24 total operating revenue).
Where BOYS TOWN NATIONAL 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 hospitalBOYS TOWNChildren'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
173,148
185,444
203,203
Other operating revenue
8,934
19,310
17,918
Total operating revenue
182,082
204,753
221,121
Total operating expenses
223,510
244,466
261,649
Operating income
(41,427)
(39,713)
(40,528)
Operating margin %
-22.8%
-19.4%
-18.3%
Grants & contributions
670
262
4,459
Investment income
624
929
873
Other non-operating, net
1,370
10,349
7,338
Net income
(38,763)
(28,173)
(27,858)
Net income %
-21.0%
-13.0%
-11.9%
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 46-bed hospital at 16% occupancy 94% 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
16.3%
Verified fact2024
HCRIS WS S-3
Average daily census
7.53
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
46
Verified fact2024
HCRIS WS S-3
Annual discharges
837
Verified fact2024
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
94.0%
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
DOUGLAS County, NE · metro, 250K–1M
Median household income
$79.1K
vs $82.1K US
Poverty rate
11.2%
vs 12.5% US
Uninsured
8.7%
vs 8.6% US
Age 65+
13.8%
vs 16.8% US
Fair or poor health
15.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.0% of county personal income is Medicare/Medicaid medical benefits; 12.3% arrives as government transfers (BEA, 2022).
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