Astrelis
Children's hospital · Houston, TX

TEXAS CHILDRENS HOSPITAL

CCN 453304HARRIS CountyVoluntary non-profit - PrivateUrban (USDA RUCC)627 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Houston, TX. It ran an operating loss of 11.6% in FY25 on $3437.6M of operating revenue. It held 364 days of cash on hand (70th percentile among Children's hospitals on liquidity). Operating margin improved from -26.4% in FY20 to -11.6% in FY25. Including nonoperating items, the all-in result was positive at 8.0%.

Operating margin · FY25
-11.6%
9.7 pts vs FY24
vs Children's hospitals21st pctl of 38 (FY25)
Days cash on hand · FY25
364d
all sources
22.2 days vs FY24
vs Children's hospitals70th pctl of 37 (FY25)
Total operating revenue · FY25
$3.44B
391.7 $M vs FY24
vs Children's hospitals95th pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+8.0%
7.8 pts vs FY24
vs Children's hospitals39th pctl of 38 (FY25)
One point of operating margin at TEXAS CHILDRENS HOSPITAL is about $34.4M per year (1% of FY25 total operating revenue).

Where TEXAS CHILDRENS HOSPITAL sits among Children's hospitals

Operating margin · FY25 pool · n = 38 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 +3.6%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Children's hospital median +3.6380552682669416%TEXAS CHILDRENS -11.62827844868746%-20%0%+20%Children's hospital median +3.6380552682669416%TEXAS CHILDRENS -11.62827844868746%
One children's hospitalTEXAS CHILDRENSChildren'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
-11.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+8.0% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
364d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.95× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
76% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
81d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue2,842,1233,045,9213,437,613
Total operating revenue2,842,1233,045,9213,437,613
Total operating expenses3,638,0373,694,7403,837,348
Operating income(795,914)(648,818)(399,735)
Operating margin %-28.0%-21.3%-11.6%
Grants & contributions58,91353,02257,537
Investment income13,24812,93819,576
Other non-operating, net820,284590,342656,718
Net income96,5317,484334,096
Net income %+2.6%+0.2%+8.0%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · 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 627-bed hospital at 63% occupancy 46% 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
62.5%
Verified fact2025
HCRIS WS S-3
Average daily census
372.72
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
627
Verified fact2025
HCRIS WS S-3
Annual discharges
31,845
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
46.0%
Verified fact2025
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 · 6 reporting years
Operating margin
-26.4%-24.9%-29.9%-28.0%-21.3%-11.6%FY20FY21FY22FY23FY24FY25
Days cash on hand
456 days531 days347 days328 days342 days364 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

HARRIS County, TX · metro, 1M+ population
Median household income
$73.1K
vs $82.1K US
Poverty rate
15.9%
vs 12.5% US
Uninsured
21.2%
vs 8.6% US
Age 65+
11.4%
vs 16.8% US
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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