Astrelis
Children's hospital · Seattle, WA

SEATTLE CHILDREN'S HOSPITAL

CCN 503300KING CountyVoluntary non-profit - PrivateUrban (USDA RUCC)285 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Seattle, WA. It ran an operating surplus of 19.4% in FY25 on $2499.9M of operating revenue. It held 444 days of cash on hand (76th percentile among Children's hospitals on liquidity). Operating margin improved from 1.9% in FY20 to 19.4% in FY25.

Operating margin · FY25
+19.4%
6.5 pts vs FY24
vs Children's hospitals84th pctl of 38 (FY25)
Days cash on hand · FY25
444d
all sources
59.4 days vs FY24
vs Children's hospitals76th pctl of 37 (FY25)
Total operating revenue · FY25
$2.50B
354.7 $M vs FY24
vs Children's hospitals85th pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+16.2%
4.1 pts vs FY24
vs Children's hospitals66th pctl of 38 (FY25)
One point of operating margin at SEATTLE CHILDREN'S HOSPITAL is about $25.0M per year (1% of FY25 total operating revenue).

Where SEATTLE CHILDREN'S 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%SEATTLE CHILDREN'S +19.352277721529244%-20%0%+20%Children's hospital median +3.6380552682669416%SEATTLE CHILDREN'S +19.352277721529244%
One children's hospitalSEATTLE 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 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
+19.4% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+16.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
444d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.27× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
69% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
84d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,907,4632,108,3132,436,095
Other operating revenue35,32936,86063,823
Total operating revenue1,942,7922,145,1732,499,917
Total operating expenses1,799,6241,870,4072,016,126
Operating income143,168274,766483,791
Operating margin %+7.4%+12.8%+19.4%
Grants & contributions15,11910,09510,371
Other non-operating, net(51,978)4,967(57,211)
Net income106,309289,828436,951
Net income %+5.6%+13.4%+17.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 285-bed hospital at 77% occupancy 39% 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
77.1%
Verified fact2025
HCRIS WS S-3
Average daily census
220.25
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
285
Verified fact2025
HCRIS WS S-3
Annual discharges
12,445
Verified fact2025
HCRIS WS S-3
Average length of stay
6.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
39.1%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$-0.0M
Verified fact2023
HCRIS WS S-10 line 31
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
+1.9%+8.2%+7.5%+7.4%+12.8%+19.4%FY20FY21FY22FY23FY24FY25
Days cash on hand
425 days468 days408 days354 days384 days444 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

KING County, WA · metro, 1M+ population
Median household income
$122.1K
vs $82.1K US
Poverty rate
8.4%
vs 12.5% US
Uninsured
5.2%
vs 8.6% US
Age 65+
13.8%
vs 16.8% US
Fair or poor health
12.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 3.1% of county personal income is Medicare/Medicaid medical benefits; 7.8% arrives as government transfers (BEA, 2022).
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