A hospital in Iowa City, IA. It ran an operating loss of 27.5% in FY25 on $148.9M of operating revenue. It held 304 days of cash on hand (91st percentile among Urban PPS hospitals on liquidity). Operating margin declined from -3.2% in FY21 to -27.5% in FY25.
Operating margin · FY25
-27.5%
vs Urban PPS hospitals7th pctl of 1,475 (FY25)
Days cash on hand · FY25
304d
all sources
vs Urban PPS hospitals91st pctl of 1,386 (FY25)
Total operating revenue · FY25
$148.9M
vs Urban PPS hospitals30th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-25.9%
vs Urban PPS hospitals3rd pctl of 1,475 (FY25)
One point of operating margin at UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN is about $1.5M per year (1% of FY25 total operating revenue).
Where UNIVERSITY OF IOWA sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 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 +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalUNIVERSITY OFUrban 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
144,590
77,992
148,785
Other operating revenue
10,145
14,799
156
Total operating revenue
154,734
92,791
148,941
Total operating expenses
185,244
114,864
189,901
Operating income
(30,509)
(22,073)
(40,960)
Operating margin %
-19.7%
-23.8%
-27.5%
Grants & contributions
(12)
—
—
Investment income
(1,158)
(19,519)
51
Other non-operating, net
586
(630)
1,902
Net income
(31,093)
(42,222)
(39,007)
Net income %
-20.2%
-58.1%
-25.9%
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 152-bed hospital at 27% occupancy 64% 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
26.9%
Verified fact2025
HCRIS WS S-3
Average daily census
41.08
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
152
Verified fact2025
HCRIS WS S-3
Annual discharges
5,141
Verified fact2025
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
64.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
535.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
27.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.99
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.979728
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
JOHNSON County, IA
Median household income
$74.7K
vs $82.1K US · $59.7K rural median
Poverty rate
16.7%
vs 12.5% US · 14.3% rural median
Uninsured
5.1%
vs 8.6% US · 8.4% rural median
Age 65+
12.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.1% of county personal income is Medicare/Medicaid medical benefits; 13.3% arrives as government transfers (BEA, 2022).
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