A hospital in San Antonio, TX. It ran an operating surplus of 7.4% in FY25 on $502.5M of operating revenue. It held 0 days of cash on hand (0th percentile among Children's hospitals on liquidity). Operating margin improved from -4.7% in FY21 to 7.4% in FY25.
Operating margin · FY25
+7.4%
▲ 6.8 pts vs FY24
vs Children's hospitals63rd pctl of 38 (FY25)
Days cash on hand · FY25
0d
all sources
▼ 0.0 days vs FY24
vs Children's hospitals0th pctl of 37 (FY25)
Total operating revenue · FY25
$502.5M
▲ 70.7 $M vs FY24
vs Children's hospitals41st pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+9.4%
▲ 6.1 pts vs FY24
vs Children's hospitals42nd pctl of 38 (FY25)
One point of operating margin at CHILDREN'S HOSPITAL OF SAN ANTONIO is about $5.0M per year (1% of FY25 total operating revenue).
Where CHILDREN'S HOSPITAL OF 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.
One children's hospitalCHILDREN'S HOSPITALChildren'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
FY23
FY24
FY25
Patient revenue
376,532
431,503
501,543
Other operating revenue
530
269
925
Total operating revenue
377,061
431,771
502,468
Total operating expenses
387,010
429,155
465,046
Operating income
(9,948)
2,616
37,423
Operating margin %
-2.6%
+0.6%
+7.4%
Grants & contributions
12,357
9,997
10,308
Other non-operating, net
638
2,004
276
Net income
3,047
14,617
48,007
Net income %
+0.8%
+3.3%
+9.4%
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 108-bed hospital at 46% 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
46.2%
Verified fact2025
HCRIS WS S-3
Average daily census
50.03
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
108
Verified fact2025
HCRIS WS S-3
Annual discharges
7,466
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
49.3%
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 · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
BEXAR County, TX
Median household income
$70.6K
vs $82.1K US
Poverty rate
14.7%
vs 12.5% US
Uninsured
15.9%
vs 8.6% US
Age 65+
12.7%
vs 16.8% US
Fair or poor health
22.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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