Astrelis
Children's hospital · Columbus, OH

NATIONWIDE CHILDREN'S HOSPITAL

CCN 363305FRANKLIN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)369 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Columbus, OH. It ran an operating surplus of 11.4% in FY24 on $2573.1M of operating revenue. It held 728 days of cash on hand (94th percentile of 64 Children's hospitals on liquidity, FY24 pool). Operating margin improved from 6.5% in FY20 to 11.4% in FY24.

Operating margin · FY24
+11.4%
Astrelis calculation · as-filed inputs
1.9 pts vs FY23
vs Children's hospitals70th 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
728d
all sources
Astrelis calculation · as-filed inputs
24 days vs FY23
vs Children's hospitals94th 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
$2.57B
Astrelis calculation · as-filed inputs
$220.8M vs FY23
vs Children's hospitals91st 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
+27.8%
Astrelis calculation · as-filed inputs
0.1 pts vs FY23
vs Children's hospitals89th 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 NATIONWIDE CHILDREN'S HOSPITAL is about $25.7M per year (1% of FY24 total operating revenue).

Where NATIONWIDE CHILDREN'S HOSPITAL 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.

-20%-10%0%+10%+20%Children's hospital median +5.6%NATIONWIDE CHILDREN'S +11.4%-20%0%+20%Children's hospital median +5.6%NATIONWIDE CHILDREN'S +11.4%
One children's hospitalNATIONWIDE CHILDREN'SChildren'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.

Operating margin
+11.4% (FY24)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+27.8% (FY24)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
728d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
2.35× (FY24)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
76% (FY24)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
58d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue2,048,6612,328,3802,485,337
Other operating revenue107,46923,90387,723
Total operating revenue2,156,1302,352,2832,573,060
Total operating expenses1,883,0892,127,3372,279,158
Operating income273,040224,946293,902
Operating margin %+12.7%+9.6%+11.4%
Investment income97,96890,80293,223
Other non-operating, net(501,809)501,079492,601
Net income(130,801)816,827879,726
Net income %-7.5%+27.7%+27.8%
— = Not reported in source for that year.
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 369-bed children's hospital running at 59% occupancy, where operating cost runs $113,799 per discharge (unadjusted), and 50% 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
59.4%
Reported value2024
HCRIS WS S-3
Average daily census
219.83
Reported value2024
HCRIS WS S-3
Staffed beds (acute)
369
Reported value2024
HCRIS WS S-3
Annual discharges
20,028
Reported value2024
HCRIS WS S-3
Average length of stay
4 days
Reported value2024
HCRIS WS S-3
Cost per patient day
$28,405
Astrelis calculation2024
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$113,799
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
49.9%
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
+6.5%+13.4%+12.7%+9.6%+11.4%FY20FY21FY22FY23FY24
Days cash on hand
817 days854 days718 days705 days728 daysFY20FY21FY22FY23FY24

The county this hospital serves

FRANKLIN County, OH · metro, 1M+ population
Median household income
$73.8K
vs $82.1K US
Poverty rate
14.5%
vs 12.5% US
Uninsured
8.4%
vs 8.6% US
Age 65+
12.7%
vs 16.8% US
Fair or poor health
18.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.7% of county personal income is Medicare/Medicaid medical benefits; 16.4% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Franklin County

Illustrative estimate · FY24 cost report
Direct annual spending
$2.28B
total operating expense · Reported value, not a local-capture estimate
Economic activity
$5.24B
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

11.4% operating margin — 70th percentile of 66 peers (FY24 pool).

The Board Briefing

Operating margin improved 1.9 points vs FY23 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

5.8 points above the cohort median — at current revenue, approximately $149.2M more operating income than the median rate.

(11.4% facility vs 5.6% peer median) = 5.8 points above the median × $2573.1M revenue ≈ $149.2M more operating income than the median rate
Reserve Performance Benchmark Report →
How we calculated this

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.

Report coverage: Limited Facility Benchmark. 12 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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