Facts and Figures

At Health & Hospital Corporation of Marion County (HHC), along with our private-sector partner American Senior Communities (ASC), our goal is to improve the lives of elderly and chronically infirmed individuals in Indiana. We are proud of the quality of care and services we’ve provided to our valued residents since 2003.


  • HHC proudly serves more than 6,900 elderly and/or infirmed Hoosiers.
  • As part of our mission, we have always been eager to care for sicker, more complex residents. HHC’s average Case Mix Index (CMI), which indicates the level of acuity of our residents, is significantly higher than Indiana’s average CMI.
  • HHC cares for large numbers of residents who suffer from Alzheimer’s disease or dementia. Within our 65 Auguste’s Cottage Memory Care Units, HHC provides specialized dementia care to more than 1,400 Hoosiers, which is more than any other long-term care provider in Indiana.

Quality of Care

  • HHC facilities exceed state and national averages for CMS quality-rating measures.
  • The American Health Care Association and National Center for Assisted Living Quality Awards, based on the Baldridge Performance Excellence Program, provide a pathway for providers of long-term and post-acute care services to journey towards performance excellence. As of 2019:
    • Forty-one (41) HHC facilities have received the Bronze Award for Commitment to Quality.
    • Thirteen (13) HHC facilities have received the Silver Award for Achievement in Quality.
  • We invest twice the statewide average for capital improvements in our nursing homes.
  • In a continuing effort to improve our long-term care operations, HHC has added additional resources and personnel to its Long Term Care Division to further enhance its operations and the quality of resident care.
  • HHC provides additional licensed nurses (Resident Care Coordinators) and CNAs (Concierge CNAs) to facilities with high-acuity and high-volume patient populations to facilitate residents’ transition from hospital to skilled nursing facility and ensure their first 48 hours to two weeks after admission are optimal.
  • We excel at rehab-to-home, and in 2019, over 4,500 residents successfully returned to their homes following a stay in our rehabilitation facilities, known as Moving Forward Units.


  • More than 10,200 Hoosiers are employed at HHC-owned long-term care facilities.
  • HHC provides vocational training and career ladders for many workers in HHC/ASC sponsored programs.
  • The Opportunities to Nursing Education (O2NE) Program is a one-of-a-kind scholarship program that provides tuition, a reduced work schedule, and mentoring and assistance with life skills, among other supports.
    • The program provides a tremendous career path in nursing.
    • As of 2019, we successfully graduated 182 nurses (RNs and LPNs) and have experienced a high retention rate since 2008.
    • Many new nurse managers have emerged from this program to serve as clinical leaders, including 10 Directors of Nursing.
  • The Administrator-In-Training (AIT) program encourages professional growth by offering identified leaders an opportunity to become licensed health facility administrators (HFAs).
    • Following a six-month internship under the guidance of a qualified preceptor and completion of state and federal examinations, these individuals enter into further leadership training with ASC at skilled nursing facilities and then are promoted to Executive Director positions.
    • In 2020, we’ve budgeted $870,000 for 10 interns.
    • Twenty successful executive directors for HHC have participated in the program, and two have been promoted to regional vice presidents.
  • Training for persons to become Certified Nursing Assistants (CNAs) in 2019 helped 804 workers receive their certification; 84% were hired at our facilities.
  • HHC facility staff receive annual training in emergency preparedness in conjunction with local community partners and participate with local health care coalitions to assure our residents and the local community are prepared for natural and man-made disasters.
    • HHC maintains a stakeholder’s agreement with MESH Coalition, a nationally recognized health care coalition that provides ongoing training including table top exercises, workshops, seminars and, as needed, response support during an emergency event.
  • HHC employs three times as many full-time professional therapists as most other Indiana facilities.


  • Since 2003, HHC has invested several hundred million dollars to upgrade the physical environment of facilities. In addition to building, remodeling and refurbishing, upgrades include:
    • Emergency generators to enable full operation during a loss of power and provide for sheltering in place.
    • Over 3,500 resident electric beds (eliminating use of old crank style).
    • Updated state-of-the-art nurse-call systems.
    • Updated resident lift equipment to ensure all facilities have appropriate equipment for resident and staff safety.
    • Electronic medical records at all facilities.
    • Three locations renovated to full-service, memory-care facilities.
    • Four remodeled and equipped specialized pulmonary ventilator facilities.
  • Many HHC facilities also offer training for local law enforcement and first responders in dementia care and how to communicate with persons afflicted with these diseases.