Psychiatric hospital · Indianapolis, IN
OPTIONS BEHAVIORAL HEALTH SYSTEM
Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Indianapolis, IN. It ran an operating loss of 51.5% in FY25 on $10.1M of operating revenue. It held -10 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool. 6 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited.
Operating margin · FY25
-51.5%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Days cash on hand · FY25
-10d
all sources
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Total operating revenue · FY25
$10.1M
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
Total margin · incl. nonoperating · FY25
-51.5%
Astrelis calculation · as-filed inputs
not ranked: no valid same-year pool for this metric (needs n ≥ 25 and ≥ 50% of the cohort's filers at FY25)
One point of operating margin at OPTIONS BEHAVIORAL HEALTH SYSTEM is about $101K per year (1% of FY25 total operating revenue).
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRatios 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Operating margin
-51.5% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
-51.5% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
-10d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
Astrelis calculation unavailable — the filed balance sheet does not reconcile as filed (statement values shown unchanged)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
| Line item | FY23 | FY24 | FY25 |
|---|---|---|---|
| Patient revenue | 28,986 | 26,560 | 10,117 |
| Other operating revenue | — | — | 1 |
| Total operating revenue | 28,986 | 26,560 | 10,119 |
| Total operating expenses | 22,793 | 19,811 | 15,333 |
| Operating income | 6,193 | 6,749 | (5,215) |
| Operating margin % | +21.4% | +25.4% | -51.5% |
| Other non-operating, net | 6 | 8 | 3 |
| Net income | 6,199 | 6,757 | (5,212) |
| Net income % | +21.4% | +25.4% | -51.5% |
— = Not reported in source for that year.
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
Display states. FY25 · Days cash on hand: -10 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY24 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY23 · Days cash on hand: -0 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY22 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY21 · Days cash on hand: -1 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY20 · Days cash on hand: -2 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reportingA 84-bed psychiatric hospital running at 38% occupancy, where the average stay runs 6.9 days, and operating cost runs $1,771 per patient day.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
37.8%
HCRIS WS S-3
Average daily census
31.84
HCRIS WS S-3
Staffed beds (acute)
84
HCRIS WS S-3
Annual discharges
1,252
HCRIS WS S-3
Average length of stay
7 days
HCRIS WS S-3
Cost per patient day
$1,771
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$12,247
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
2.6%
HCRIS WS G-2 L28
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
FY25 days cash on hand is an Astrelis calculation outside expected range: charted at the boundary arrow, shown at its actual value in the tiles, and included in peer statistics.
The county this hospital serves
MARION County, IN · metro, 1M+ population
Median household income
$63.5K
vs $82.1K US
Poverty rate
15.1%
vs 12.5% US
Uninsured
9.0%
vs 8.6% US
Age 65+
12.9%
vs 16.8% US
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).
Illustrative advocacy scenario: what this hospital means to Marion County
Illustrative estimate · FY25 cost reportDirect annual spending
$15.3M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$35.3M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin (as filed)FY25Astrelis calculation
-51.5% operating margin in FY25.
The Board Briefing
What changed, what matters, and what your board should ask — every figure sourced to the public record.
Reserve The Board Briefing →The Board Briefing
The record's final filed years, benchmarked against the peer pools of their own era and labeled so on every exhibit.
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