What Health & Hospital Corporation of Marion County (HHC) does

Health & Hospital Corporation of Marion County (HHC) is a municipal corporation and political subdivision of the State of Indiana, established in 1951 under Indiana Code 16-22-8 and headquartered at 3838 North Rural Street, Indianapolis. HHC operates as one of America's largest safety-net health systems, delivering an integrated portfolio of public health, acute care, long-term care, and emergency medical services to Marion County residents and select populations across Central Indiana. The organization is governed by a seven-member Board of Trustees appointed by the Mayor of Indianapolis, City-County Council, and County Commissioners, and is led by President & CEO Paul Babcock following the August 2020 resignation of Matthew Gutwein.

HHC's operating model is organized across five core subsidiaries: Marion County Public Health Department (immunizations, disease control, WIC, environmental health, district offices), Eskenazi Health (a 333-bed hospital with Indiana's only verified adult burn center and first adult Level I trauma center, the Sandra Eskenazi Mental Health Center, and 30+ outpatient facilities), Eskenazi Health Foundation (philanthropy, anchored by a $40 million gift from Sidney and Lois Eskenazi), Indianapolis Emergency Medical Services (citywide primary EMS provider), and the Long Term Care Division (74 skilled nursing facilities with 7,885 licensed beds, 5 assisted living communities, and 294 independent living units, operated under partnership with American Senior Communities). Supporting programs include Covering Kids & Families (insurance enrollment across nine counties), E.M.P.O.W.E.R. / Reclaiming the Village (mental wellness and literacy), and Young Families of Indiana Network (Future Promises school-based program for pregnant and parenting teens).

Revenue is generated through healthcare service reimbursements (Medicaid, Medicare, Hoosier Healthwise, Healthy Indiana Plan), municipal and state governmental appropriations, public health program grants, and philanthropic contributions through the Eskenazi Health Foundation. Distribution is delivered through the Eskenazi Health hospital and ambulatory network, MCPHD district clinics, school-based health centers in four Indianapolis public high schools, IEMS, the LTC facility portfolio across Indiana, and community outreach programs. Technology infrastructure consists of Electronic Medical Records (EMR) and nurse-call systems across LTC facilities. HHC holds Joint Commission accreditation, HIPAA compliance, LEED Gold certification (2015, Eskenazi Hospital), and 107 AHCA/NCAL quality awards (68 Bronze, 39 Silver) as of 2025, and serves more than 1 million outpatient visits annually and 6,500+ LTC residents.

Name

Health & Hospital Corporation of Marion County (HHC)

Legal name

Health & Hospital Corporation of Marion County

Website

https://hhcorp.org

Company type

Private

Founded year

1951

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Health & Hospital Corporation of Marion County is an Indiana municipal corporation operating one of America's largest safety-net health systems, providing public health, acute care, long-term care, and emergency medical services across Indianapolis and Central Indiana.

Ownership category

akta.pro rank

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices17 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D

Revenue model

1. Healthcare Services Reimbursement: Revenue from Medicaid, Medicare, and other health insurance reimbursements for patient care services provided across Eskenazi Health hospital, outpatient clinics, and Long Term Care facilities
2. Municipal Government Funding: Governmental funding as a political subdivision of the State of Indiana, established by Indiana Code 16-22-8, governed by a seven-member Board of Trustees
3. Public Health Programs: Grants and public health program funding for community health initiatives, disease prevention, and health education programs
4. Charitable Donations: Philanthropic contributions through Eskenazi Health Foundation, including the $40 million gift from Sidney and Lois Eskenazi

Go-to-market motion2 records

Distribution channels6 records

Marketing channels5 records

Core offering

Health & Hospital Corporation of Marion County (HHC) operates as a municipal healthcare corporation providing public health services, hospital care, long-term care, and emergency medical services to Marion County residents. Its divisions include Marion County Public Health Department, Eskenazi Health (333-bed hospital with Level I trauma center), Long Term Care Division (74 skilled nursing facilities), Indianapolis EMS, and community outreach programs such as Covering Kids & Families and E.M.P.O.W.E.R.

Product overview

HHC operates as a municipal healthcare corporation with three main divisions: Marion County Public Health Department (public health services including immunizations, disease control, and WIC programs), Eskenazi Health (a safety net healthcare system with hospital, trauma center, and 30+ clinics), and Long Term Care Division (74 skilled nursing facilities, 5 assisted living communities, and memory care units). The corporation also runs community programs including Covering Kids & Families (insurance enrollment), E.M.P.O.W.E.R. (mental wellness and literacy), and Young Families of Indiana Network (support for pregnant/parenting teens). Indianapolis Emergency Medical Services operates as the city's primary EMS provider. Together these services form an integrated healthcare ecosystem serving Marion County residents across all life stages.

Differentiator

Problem solved

Functional benefit

Brands

• Eskenazi Health: One of America's largest safety net health systems providing care through more than 1 million outpatient visits annually, including a 333-bed hospital, Level I trauma center, and over 30 primary and mental health facilities.
• Auguste's Cottage Memory Care Units

Products and services

• Marion County Public Health Department
• Eskenazi Health
• Long Term Care Division
• Indianapolis Emergency Medical Services
• Covering Kids & Families
• E.M.P.O.W.E.R. (Reclaiming the Village)
• Young Families of Indiana Network

Named customers6 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• American Senior Communities (ASC)coreStrategic or Co-development PartnerHHC partners with American Senior Communities to manage a large portfolio of long-term care facilities across Indiana. ASC handles day-to-day operations while HHC provides strategic oversight through its LTC Division. HHC and ASC collaborate on quality reviews, action plans, and policy revisions. The partnership encompasses 74 skilled nursing facilities with 7,885 licensed beds, 5 assisted living communities with 343 licensed beds, and 294 independent living units.
• Indiana University School of MedicinecoreStrategic or Co-development PartnerPhysicians of the Indiana University School of Medicine provide comprehensive primary and specialty care services within Eskenazi Health hospital and facilities. This academic partnership provides teaching and training functions alongside patient care.
• Indianapolis-area HospitalscoreStrategic or Co-development PartnerHHC Long Term Care facilities maintain outstanding care coordination and transfer agreements with all Indianapolis-area hospitals as well as providers throughout the state. Many facilities also provide training for local law enforcement and first responders in dementia care.
• Marion County Public Safety PartnersminorStrategic or Co-development PartnerHHC facilities partner with local law enforcement and first responders to provide training in dementia care and communication strategies for individuals living with Alzheimer's and dementia diseases.
• Ryan White/HIV Services Regional PartnersminorStrategic or Co-development PartnerRyan White/HIV Services Program funds community partners to provide HIV services to enrolled clients residing in Boone, Brown, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, Putnam and Shelby counties of Indiana.

Scale indicators12 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Parkland Health: Dallas County's public hospital district providing Level I trauma, burn care, outpatient, and community health services to underserved populations, closely mirroring HHC's Eskenazi Health safety-net role and burn center.
• NYC Health + Hospitals: The largest public hospital system in the United States, operating safety-net hospitals, long-term care, and community health programs across New York City under a public authority structure directly analogous to HHC's municipal corporation model.
• Harris Health System: Harris County (Houston, TX) public hospital district operating safety-net hospital, community clinics, and a Level I trauma center with similar payer mix and mission to HHC.
• Cook County Health: Illinois county-owned safety-net health system operating Stroger Hospital, outpatient clinics, and public health services for Cook County—a near-perfect structural analog to HHC's Marion County municipal corporation model.
• American Senior Communities: Indiana-based operator managing HHC's entire 74-facility, 7,885-bed skilled nursing portfolio, plus its own Indiana senior living facilities. Most operationally entangled peer given the partnership structure.
• L.A. County Department of Health Services: Los Angeles County's public health system operating hospitals, ambulatory care, and public health programs across LA County, structurally comparable to HHC's integrated public-health-plus-hospital model.

Broad incumbents

• Brookdale Senior Living: Largest operator of senior living communities in the US, including assisted living, independent living, and memory care—a relevant scale benchmark for HHC's 5 assisted living communities, 294 independent living units, and 45 memory care units.
• Ascension Health: Large national Catholic non-profit health system operating hospitals and long-term care across multiple states with safety-net exposure, comparable in scope and service breadth to HHC's integrated delivery network.
• CommonSpirit Health: One of the largest US non-profit health systems formed from the Dignity Health–CHI merger, operating hospitals, clinics, and senior care with significant safety-net exposure, broadly comparable to HHC's multi-division structure.

Regional players

• Indiana University Health: Indiana's largest non-profit health system and academic medical partner to Eskenazi Health via the Indiana University School of Medicine; operates statewide and competes for the same Indianapolis patient pool.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/Marion_Health
• Instagraminstagram.com/yfin_indy

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 records

Subsidiaries5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Health & Hospital Corporation of Marion County (HHC)