A hospital in Houston, TX. It ran an operating surplus of 13.2% in FY25 on $448.5M of operating revenue. It held 58 days of cash on hand (62nd percentile among Urban PPS hospitals on liquidity). Operating margin improved from 4.8% in FY21 to 13.2% in FY25.
Operating margin · FY25
+13.2%
▲ 2.0 pts vs FY24
vs Urban PPS hospitals79th pctl of 1,475 (FY25)
Days cash on hand · FY25
58d
all sources
▼ 52.3 days vs FY24
vs Urban PPS hospitals62nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$448.5M
▲ 2.6 $M vs FY24
vs Urban PPS hospitals66th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+13.3%
▲ 2.0 pts vs FY24
vs Urban PPS hospitals72nd pctl of 1,475 (FY25)
One point of operating margin at HCA HOUSTON HEALTHCARE NORTHWEST is about $4.5M per year (1% of FY25 total operating revenue).
Where HCA HOUSTON HEALTHCARE 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.
One urban pps hospitalHCA HOUSTONUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
343,191
445,393
448,254
Other operating revenue
543
560
271
Total operating revenue
343,734
445,953
448,525
Total operating expenses
326,235
395,944
389,441
Operating income
17,499
50,010
59,084
Operating margin %
+5.1%
+11.2%
+13.2%
Other non-operating, net
361
639
637
Net income
17,860
50,649
59,721
Net income %
+5.2%
+11.3%
+13.3%
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 236-bed hospital at 78% occupancy 36% 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
77.6%
Verified fact2025
HCRIS WS S-3
Average daily census
174.69
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
236
Verified fact2025
HCRIS WS S-3
Annual discharges
16,601
Verified fact2025
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
36.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,213
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
19.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.07
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.138241
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
HARRIS County, TX
Median household income
$73.1K
vs $82.1K US · $59.7K rural median
Poverty rate
15.9%
vs 12.5% US · 14.3% rural median
Uninsured
21.2%
vs 8.6% US · 8.4% rural median
Age 65+
11.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.6% of county personal income is Medicare/Medicaid medical benefits; 12.9% arrives as government transfers (BEA, 2022).
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