As of the July, 2022, release via CMS

ST. LUKES METHODIST HOSPITAL

CMS id: 160045
1026 A AVENUE N.E., CEDAR RAPIDS IA 52406. County: LINN
System: ST. LUKES HEALTHCARE
CBSA: Cedar Rapids, IA

The 311-bed, acute-care hospital had $110,971,145 in net service to patients*, with a total profit margin of 10.11940% in fiscal year 2021, the latest year available.
It spent 1.72% of its operating expenses on uncompensated care and reported $3,043,330 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	255 118	254 118	258 119.5	293 118	232 119
Total beds Median	344 162	343 162	345 162	381 162	311 163.5
FTEs Median	1,987.84 788.06	2,013.20 793.42	1,963.21 806.03	1,944.02 787.61	1,927.24 804.34

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	342,035,685 150,932,746	361,590,301 158,950,878	362,059,324 168,696,998	318,750,010 163,454,693	368,343,560 186,589,412
Operating expenses Median	242,468,381 149,311,209	237,889,270 156,110,414	240,426,138 164,890,568	230,589,803 166,516,854	257,372,415 180,120,888
Net income from service 2 patients (NS2P) ? Median	99,567,304 -964,173	123,701,031 -643,601.5	121,633,186 -116,254	88,160,207 -5,025,862	110,971,145 -1,284,564
NS2P margin ? Median	29.11% -0.62	34.21% -0.29	33.59% 0.18	27.66% -5.07	30.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. LUKES METHODIST HOSPITAL 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	52,401,063 5,089,215	20,365,022 4,572,541	59,470,860 5,268,134	77,126,681 13,092,619	67,505,299 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	22,090,623 299,524	-8,071,162 188,688.5	26,305,285 370,813	16,948,973 309,361.5	29,065,658 375,329
⊳ 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	105,381	88,982	84,733	30,172	27,644
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	2,797,856	2,841,168	4,159,002
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	121,796	137,979	145,346	101,487	96,643
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	651,440	560,586	557,187	251,558	350,447
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	4,557,896	3,868,509	3,893,179	3,673,878	3,572,478
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	24,873,927	23,780,128	25,687,274	53,279,445	30,233,427
Total income ? Median	151,968,367 6,586,430	144,066,053 6,767,106	181,104,046 8,419,950	165,286,888 8,094,175	178,476,444 15,162,888
Non-operating expenses Median	106,602,046 146,289.5	122,776,191 164,857	123,108,050 89,880.5	125,778,551 106,761	134,371,145 31,473.5
Net income Median	45,366,321 6,043,842	21,289,862 5,845,112	57,995,996 7,606,259	39,508,337 7,283,041	44,105,299 14,957,241
Net margin Median	11.50155% 4.62%	5.57391% 4.42%	13.75844% 5.16%	9.97996% 5.2%	10.11940% 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 ST. LUKES METHODIST HOSPITAL 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	59,351,366 23,241,334	57,443,600 23,709,545	55,883,134 24,248,380	48,401,741 22,858,541	51,036,838 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	53,792,251 21,577,146	51,591,770 22,041,594	50,323,851 22,722,063	43,264,745 21,570,441	46,550,590 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	2,253,890 1,845,420	2,099,550 1,757,392	1,694,905 1,738,842	1,412,382 1,510,463	815,284 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,305,225 3,535,627	3,752,280 3,746,588	3,864,378 3,782,288	3,724,614 3,865,578	3,670,964 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	28,683,947 11,160,864	33,309,601 11,987,345	34,118,830 12,926,866	28,634,307 11,884,480	36,344,252 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	26,931,969 10,918,923	33,309,601 11,706,976	34,118,830 12,615,917	28,634,307 11,458,116	36,344,252 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,751,978 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 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	1,131,496 3,284,314	1,153,107 3,250,551	1,115,917 3,386,837	777,880 3,360,806	604,951 3,508,953
Disproportionate-share hospital (DSH) Median	2,430,434 594,888	2,172,739 595,761	2,288,696 577,894	1,939,844 542,168	1,964,702 549,667
Outlier Median	1,032,857 582,572	781,503 538,116	100,874 212,434	85,369 126,559	67,910 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	44,790 3,730,911	0 4,081,319	2,871,390 4,643,908	3,043,330 4,389,147
Charity care Median	3,912,451 2,654,636	2,610,198 2,940,659	2,633,602 3,380,215	2,131,839 3,488,738	1,929,463 3,233,405
Uncompensated care (UCC) Median	5,928,918 5,147,790	5,111,916 5,337,617	4,921,151 5,711,082	4,617,512 5,923,418	4,417,812 5,508,107
UCC as a % of operating expenses Median	2.45% 3.24	2.15% 3.12	2.05% 3.21	2.00% 3.3	1.72% 2.86
Total shortfall/UCC Median	5,928,918 9,489,989	5,156,706 9,424,297	4,921,151 10,120,158	7,488,902 11,171,337	7,461,142 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	91,020,140 52,142,039	107,373,670 54,485,252	109,299,281 57,395,589	108,855,715 58,830,919	116,081,542 61,722,907
Salaries as a % of operating expenses Median	37.54 36.68	45.14 36.56	45.46 36.37	47.21 35.93	45.10 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	1,725,517 1,449,244	2,144,404 1,475,986	1,696,426 1,563,078	2,905,641 1,721,954	4,384,455 2,991,828
Contract hours, direct-care Median	26,979.00 22,725	41,486.00 23,018.5	29,693.00 24,503.48	42,126.00 25,026.5	40,006.80 33,786
Contract wages, direct-care Median	63.96 64.67	51.69 64.53	57.13 65.06	68.98 68.97	109.59 88.94

* in an approved program

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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.