As of the July, 2022, release via CMS

MARY GREELEY MEDICAL CENTER

CMS id: 160030
1111 DUFF AVENUE, AMES IA 50010. County: STORY
System: --
CBSA: Ames, IA

The 207-bed, acute-care hospital had $-1,314,582 in net service to patients*, with a total profit margin of 29.29490% in fiscal year 2021, the latest year available.
It spent 1.24% of its operating expenses on uncompensated care and reported $443,136 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	144 118	144 118	144 119.5	168 118	144 119
Total beds Median	202 162	207 162	207 162	231 162	207 163.5
FTEs Median	1,075.96 788.06	1,082.28 793.42	1,084.00 806.03	1,115.70 787.61	402.70 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	184,211,118 150,932,746	186,104,023 158,950,878	186,284,581 168,696,998	187,335,468 163,454,693	203,305,147 186,589,412
Operating expenses Median	182,259,773 149,311,209	185,166,639 156,110,414	185,981,377 164,890,568	194,263,569 166,516,854	204,619,729 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,951,345 -964,173	937,384 -643,601.5	303,204 -116,254	-6,928,101 -5,025,862	-1,314,582 -1,284,564
NS2P margin ? Median	1.06% -0.62	0.50% -0.29	0.16% 0.18	-3.70% -5.07	-0.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARY GREELEY MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	32,527,487 5,089,215	26,645,669 4,572,541	22,616,302 5,268,134	16,562,474 13,092,619	86,760,090 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,819,990 224,999	1,675,942 199,009	1,665,969 206,870.5	223,640 194,343	2,447,481 249,496
⊳ Line 7: Investments ? ⊳ Median	27,262,953 299,524	17,412,410 188,688.5	16,775,238 370,813	5,515,051 309,361.5	79,292,697 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	349,706	1,087,919	1,091,599	88,681	966,902
⊳ Line 15: Revenue from rental of living quarters	2,163	1,453	2,448	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	7,325	1,611,303	1,729,244	93,961	1,695,619
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	470,449	567,117	605,388	38,351	483,045
⊳ Line 21: Rental of vending machines	12,382	12,803	10,620	392	5,953
⊳ Line 22: Rental of hospital space	1,173,782	1,443,700	1,412,067	127,448	1,370,593
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	2,933,767 983,261.5	553,395 1,173,286	974,988 1,987,202	474,850 1,597,664
⊳ Sum Line 24	1,428,737	-100,745	-1,229,666	9,499,962	22,950
Total income ? Median	34,478,832 6,586,430	27,583,053 6,767,106	22,919,506 8,419,950	9,634,373 8,094,175	85,445,508 15,162,888
Non-operating expenses Median	0 146,289.5	475,443 164,857	519,623 89,880.5	52,870 106,761	471,174 31,473.5
Net income Median	34,478,832 6,043,842	27,107,610 5,845,112	22,399,883 7,606,259	9,581,503 7,283,041	84,974,334 14,957,241
Net margin Median	15.90803% 4.62%	12.74155% 4.42%	10.72273% 5.16%	4.69917% 5.2%	29.29490% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for MARY GREELEY MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	33,347,316 23,241,334	34,519,902 23,709,545	34,070,547 24,248,380	34,782,476 22,858,541	34,515,951 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	28,798,983 21,577,146	29,219,608 22,041,594	29,117,424 22,722,063	29,530,253 21,570,441	29,535,002 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	964,570 1,845,420	956,724 1,757,392	769,549 1,738,842	849,981 1,510,463	685,969 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,583,763 3,535,627	4,343,570 3,746,588	4,183,574 3,782,288	4,402,242 3,865,578	4,294,980 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	18,169,694 11,160,864	19,038,206 11,987,345	20,635,190 12,926,866	19,749,734 11,884,480	23,631,119 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	17,646,954 10,918,923	18,548,257 11,706,976	20,245,574 12,615,917	19,105,014 11,458,116	23,040,440 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	522,740 1,282,808	489,949 1,407,728	389,616 1,341,512	644,720 1,407,046	590,679 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	166,723 594,888	169,913 595,761	165,545 577,894	202,793 542,168	345,319 549,667
Outlier Median	1,633,427 582,572	1,241,377 538,116	1,341,845 212,434	295,284 126,559	218,846 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,901,590 3,662,910	4,153,654 3,730,911	5,948,309 4,081,319	1,874,363 4,643,908	443,136 4,389,147
Charity care Median	2,225,620 2,654,636	1,065,018 2,940,659	1,459,720 3,380,215	1,421,454 3,488,738	1,934,384 3,233,405
Uncompensated care (UCC) Median	3,034,054 5,147,790	2,211,440 5,337,617	2,685,778 5,711,082	2,561,133 5,923,418	2,533,176 5,508,107
UCC as a % of operating expenses Median	1.66% 3.24	1.19% 3.12	1.44% 3.21	1.32% 3.3	1.24% 2.86
Total shortfall/UCC Median	17,935,644 9,489,989	6,365,094 9,424,297	8,634,087 10,120,158	4,435,496 11,171,337	2,976,312 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,361,352 52,142,039	66,004,152 54,485,252	67,102,786 57,395,589	69,801,860 58,830,919	73,321,255 61,722,907
Salaries as a % of operating expenses Median	35.31 36.68	35.65 36.56	36.08 36.37	35.93 35.93	35.83 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,271,339 1,449,244	3,233,483 1,475,986	2,957,129 1,563,078	3,976,835 1,721,954	3,461,940 2,991,828
Contract hours, direct-care Median	26,146.00 22,725	32,365.00 23,018.5	34,976.00 24,503.48	46,970.00 25,026.5	47,005.00 33,786
Contract wages, direct-care Median	86.87 64.67	99.91 64.53	84.55 65.06	84.67 68.97	73.65 88.94

* in an approved program

Return to top

Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.