Astrelis
Urban PPS hospital · Indianapolis, IN

INDIANA UNIVERSITY HEALTH

CCN 150056MARION CountyVoluntary non-profit - PrivateUrban (USDA RUCC)942 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Indianapolis, IN. It ran an operating loss of 2.3% in FY24 on $5565.0M of operating revenue. It held 74 days of cash on hand (67th percentile among Urban PPS hospitals on liquidity). Operating margin declined from 6.6% in FY20 to -2.3% in FY24. Including nonoperating items, the all-in result was positive at 17.1%.

Operating margin · FY24
-2.3%
1.6 pts vs FY23
vs Urban PPS hospitals36th pctl of 2,562 (FY24)
Days cash on hand · FY24
74d
all sources
11.6 days vs FY23
vs Urban PPS hospitals67th pctl of 2,354 (FY24)
Total operating revenue · FY24
$5.56B
355.7 $M vs FY23
vs Urban PPS hospitals100th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+17.1%
3.2 pts vs FY23
vs Urban PPS hospitals81st pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at INDIANA UNIVERSITY HEALTH is about $55.6M per year (1% of FY24 total operating revenue).

Where INDIANA UNIVERSITY HEALTH sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%INDIANA UNIVERSITY -2.337332124396222%-20%0%+20%Urban PPS hospital median +2.027429837815152%INDIANA UNIVERSITY -2.337332124396222%
One urban pps hospitalINDIANA UNIVERSITYUrban 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.

Operating margin
-2.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+17.1% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
74d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.21× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
62% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
65d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue3,577,4183,924,9824,249,619
Other operating revenue1,114,7981,284,3231,315,379
Total operating revenue4,692,2155,209,3055,564,999
Total operating expenses4,952,0315,249,6025,695,071
Operating income(259,816)(40,297)(130,072)
Operating margin %-5.5%-0.8%-2.3%
Investment income(623,622)795,038757,386
Other non-operating, net566,918578,777543,907
Net income(316,520)1,333,5181,171,221
Net income %-6.8%+20.3%+17.1%
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 942-bed hospital at 71% occupancy 53% 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
71.1%
Verified fact2024
HCRIS WS S-3
Average daily census
671.22
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
942
Verified fact2024
HCRIS WS S-3
Annual discharges
48,033
Verified fact2024
HCRIS WS S-3
Average length of stay
5.1d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
52.6%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
9,550
Verified fact2024
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$209.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.365
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.3%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.05
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.050317
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+6.6%-13.0%-5.5%-0.8%-2.3%FY20FY21FY22FY23FY24
Days cash on hand
227 days59 days60 days86 days74 daysFY20FY21FY22FY23FY24

The county this hospital serves

MARION County, IN · metro, 1M+ population
Median household income
$63.5K
vs $82.1K US · $59.7K rural median
Poverty rate
15.1%
vs 12.5% US · 14.3% rural median
Uninsured
9.0%
vs 8.6% US · 8.4% rural median
Age 65+
12.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.5% of county personal income is Medicare/Medicaid medical benefits; 16.8% arrives as government transfers (BEA, 2022).

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