Astrelis
Children's hospital · Omaha, NE

CHILDREN'S NEBRASKA

CCN 283301DOUGLAS CountyVoluntary non-profit - PrivateUrban (USDA RUCC)107 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Omaha, NE. It ran an operating surplus of 6.1% in FY24 on $711.8M of operating revenue. It held 56 days of cash on hand (33rd percentile among Children's hospitals on liquidity). Operating margin improved from 4.1% in FY20 to 6.1% in FY24.

Operating margin · FY24
+6.1%
11.1 pts vs FY23
vs Children's hospitals52nd pctl of 66 (FY24)
Days cash on hand · FY24
56d
all sources
12.9 days vs FY23
vs Children's hospitals33rd pctl of 60 (FY24)
Total operating revenue · FY24
$711.8M
149.7 $M vs FY23
vs Children's hospitals47th pctl of 68 (FY24)
Total margin · incl. nonoperating · FY24
+9.2%
10.2 pts vs FY23
vs Children's hospitals47th 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 NEBRASKA is about $7.1M per year (1% of FY24 total operating revenue).

Where CHILDREN'S NEBRASKA 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 NEBRASKA +6.120175696645967%-20%0%+20%Children's hospital median +5.572969972789766%CHILDREN'S NEBRASKA +6.120175696645967%
One children's hospitalCHILDREN'S NEBRASKAChildren'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
+6.1% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+9.2% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
56d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.81× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
66% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
66d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue501,071562,236711,671
Other operating revenue131(158)147
Total operating revenue501,203562,079711,818
Total operating expenses552,602589,985668,253
Operating income(51,399)(27,906)43,565
Operating margin %-10.3%-5.0%+6.1%
Grants & contributions6,1944,9755,234
Other non-operating, net15,34817,24919,033
Net income(29,857)(5,682)67,832
Net income %-5.7%-1.0%+9.2%
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 107-bed hospital at 42% occupancy 49% 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
42.4%
Verified fact2024
HCRIS WS S-3
Average daily census
45.55
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
107
Verified fact2024
HCRIS WS S-3
Annual discharges
4,959
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
48.5%
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
+4.1%+2.8%-10.3%-5.0%+6.1%FY20FY21FY22FY23FY24
Days cash on hand
128 days134 days44 days69 days56 daysFY20FY21FY22FY23FY24

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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