A hospital in Iowa City, IA. It ran an operating loss of 16.2% in FY25 on $2660.2M of operating revenue. It held 243 days of cash on hand (87th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -22.5% in FY21 to -16.2% in FY25, though it fell 10.5 points in the most recent year. Including nonoperating items, the all-in result was positive at 12.6%.
Operating margin · FY25
-16.2%
▼ 10.5 pts vs FY24
vs Urban PPS hospitals13th pctl of 1,475 (FY25)
Days cash on hand · FY25
243d
all sources
▼ 42.0 days vs FY24
vs Urban PPS hospitals87th pctl of 1,386 (FY25)
Total operating revenue · FY25
$2.66B
▲ 182.5 $M vs FY24
vs Urban PPS hospitals97th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+12.6%
▼ 4.6 pts vs FY24
vs Urban PPS hospitals71st pctl of 1,475 (FY25)
One point of operating margin at UNIVERSITY OF IOWA HOSPITAL & CLINICS is about $26.6M 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
2,250,178
2,461,402
2,642,499
Other operating revenue
14,927
16,368
17,725
Total operating revenue
2,265,105
2,477,770
2,660,224
Total operating expenses
2,435,261
2,617,321
3,090,614
Operating income
(170,156)
(139,551)
(430,390)
Operating margin %
-7.5%
-5.6%
-16.2%
Investment income
67,144
128,817
142,918
Other non-operating, net
555,503
556,326
734,492
Net income
452,491
545,592
447,020
Net income %
+15.7%
+17.2%
+12.6%
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 527-bed hospital at 79% occupancy 56% 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
79.4%
Verified fact2025
HCRIS WS S-3
Average daily census
419.70
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
527
Verified fact2025
HCRIS WS S-3
Annual discharges
33,861
Verified fact2025
HCRIS WS S-3
Average length of stay
4.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
56.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
10,620
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
28.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.447
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.5%
Better 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)
1.250934
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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