A hospital in Cleveland, OH. It ran an operating loss of 18.0% in FY24 on $7785.7M of operating revenue. It held 309 days of cash on hand (92nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from -15.9% in FY20 to -18.0% in FY24. Including nonoperating items, the all-in result was positive at 4.5%.
Operating margin · FY24
-18.0%
▼ 2.7 pts vs FY23
vs Urban PPS hospitals10th pctl of 2,562 (FY24)
Days cash on hand · FY24
309d
all sources
▼ 17.7 days vs FY23
vs Urban PPS hospitals92nd pctl of 2,354 (FY24)
Total operating revenue · FY24
$7.79B
▲ 563.1 $M vs FY23
vs Urban PPS hospitals100th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+4.5%
▼ 2.6 pts vs FY23
vs Urban PPS hospitals46th 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 CLEVELAND CLINIC is about $77.9M per year (1% of FY24 total operating revenue).
Where CLEVELAND CLINIC 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.
One urban pps hospitalCLEVELAND CLINICUrban 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
FY22
FY23
FY24
Patient revenue
6,378,833
6,960,528
7,426,527
Other operating revenue
184,001
262,063
359,169
Total operating revenue
6,562,834
7,222,591
7,785,696
Total operating expenses
7,507,485
8,323,986
9,185,632
Operating income
(944,651)
(1,101,395)
(1,399,936)
Operating margin %
-14.4%
-15.2%
-18.0%
Grants & contributions
79,886
110,234
132,171
Investment income
37,951
62,654
73,882
Other non-operating, net
284,062
1,563,214
1,621,705
Net income
(542,752)
634,707
427,822
Net income %
-7.8%
+7.1%
+4.5%
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 1000-bed hospital at 85% occupancy 75% 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
84.7%
Verified fact2024
HCRIS WS S-3
Average daily census
828.04
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
1,000
Verified fact2024
HCRIS WS S-3
Annual discharges
53,780
Verified fact2024
HCRIS WS S-3
Average length of stay
5.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
75.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
28,285
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.9%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$128.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.45
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
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.508322
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
CUYAHOGA County, OH · metro, 1M+ population
Median household income
$62.8K
vs $82.1K US · $59.7K rural median
Poverty rate
16.2%
vs 12.5% US · 14.3% rural median
Uninsured
5.5%
vs 8.6% US · 8.4% rural median
Age 65+
19.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.1% of county personal income is Medicare/Medicaid medical benefits; 20.6% arrives as government transfers (BEA, 2022).
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