As of the July, 2022, release via CMS

UNIVERSITY OF IOWA HOSP & CLINICS

CMS id: 160058
200 HAWKINS DRIVE, IOWA CITY IA 52242. County: JOHNSON
System: --
CBSA: Iowa City, IA

The 796-bed, acute-care hospital had $23,524,402 in net service to patients*, with a total profit margin of 9.74853% in fiscal year 2021, the latest year available.
It spent 1.27% of its operating expenses on uncompensated care and reported $12,329,697 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	440 118	472 118	497 119.5	495 118	504 119
Total beds Median	728 162	772 162	789 162	787 162	796 163.5
FTEs Median	8,162.62 788.06	8,427.83 793.42	8,581.35 806.03	9,124.26 787.61	9,158.11 804.34

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	1,419,110,691 150,932,746	1,500,142,904 158,950,878	1,737,702,383 168,696,998	1,888,409,951 163,454,693	2,111,110,331 186,589,412
Operating expenses Median	1,487,121,045 149,311,209	1,625,793,964 156,110,414	1,761,099,730 164,890,568	1,896,601,441 166,516,854	2,087,585,929 180,120,888
Net income from service 2 patients (NS2P) ? Median	-68,010,354 -964,173	-125,651,060 -643,601.5	-23,397,347 -116,254	-8,191,490 -5,025,862	23,524,402 -1,284,564
NS2P margin ? Median	-4.79% -0.62	-8.38% -0.29	-1.35% 0.18	-0.43% -5.07	1.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY OF IOWA HOSP & CLINICS 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	110,904,165 5,089,215	194,169,431 4,572,541	153,806,886 5,268,134	118,266,975 13,092,619	201,966,511 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	31,289,567 224,999	118,586,164 199,009	43,807,268 206,870.5	10,302 194,343	50,714 249,496
⊳ Line 7: Investments ? ⊳ Median	24,099,751 299,524	24,413,337 188,688.5	56,140,503 370,813	35,391,114 309,361.5	116,428,273 375,329
⊳ 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	10,156,715	10,273,111	10,859,197	9,552,508	7,366,755
⊳ 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	-67	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,120,973	829,203	732,657	773,581	747,632
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	44,237,226	40,067,616	42,267,261	72,539,470	77,373,137
Total income ? Median	42,893,811 6,586,430	68,518,371 6,767,106	130,409,539 8,419,950	110,075,485 8,094,175	225,490,913 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	42,893,811 6,043,842	68,518,371 5,845,112	130,409,539 7,606,259	110,075,485 7,283,041	225,490,913 14,957,241
Net margin Median	2.80349% 4.62%	4.04402% 4.42%	6.89447% 5.16%	5.48546% 5.2%	9.74853% 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 UNIVERSITY OF IOWA HOSP & CLINICS 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	218,537,048 23,241,334	230,102,060 23,709,545	237,721,388 24,248,380	216,259,834 22,858,541	221,996,792 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	211,824,591 21,577,146	223,440,414 22,041,594	231,312,074 22,722,063	209,976,864 21,570,441	217,736,143 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	6,712,457 1,845,420	6,661,646 1,757,392	6,409,314 1,738,842	6,282,970 1,510,463	4,260,649 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	114,944,695 11,160,864	123,970,424 11,987,345	134,750,156 12,926,866	140,931,873 11,884,480	160,030,131 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	114,944,695 10,918,923	123,970,424 11,706,976	134,750,156 12,615,917	140,931,873 11,458,116	160,030,131 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 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	45,763,555 3,284,314	46,416,123 3,250,551	47,562,108 3,386,837	43,690,363 3,360,806	43,795,495 3,508,953
Disproportionate-share hospital (DSH) Median	6,767,218 594,888	6,890,183 595,761	7,347,114 577,894	6,569,741 542,168	6,431,687 549,667
Outlier Median	9,245,708 582,572	11,536,168 538,116	13,981,175 212,434	2,088,512 126,559	1,800,035 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,718,324 3,662,910	18,824,090 3,730,911	28,859,135 4,081,319	5,935,504 4,643,908	12,329,697 4,389,147
Charity care Median	31,187,500 2,654,636	12,273,589 2,940,659	13,974,574 3,380,215	13,803,621 3,488,738	15,830,627 3,233,405
Uncompensated care (UCC) Median	40,197,807 5,147,790	24,878,644 5,337,617	23,895,729 5,711,082	21,389,052 5,923,418	26,479,968 5,508,107
UCC as a % of operating expenses Median	2.70% 3.24	1.53% 3.12	1.36% 3.21	1.13% 3.3	1.27% 2.86
Total shortfall/UCC Median	57,916,131 9,489,989	43,702,734 9,424,297	52,754,864 10,120,158	27,324,556 11,171,337	38,809,665 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	526,204,779 52,142,039	542,770,166 54,485,252	546,917,234 57,395,589	587,834,094 58,830,919	609,912,066 61,722,907
Salaries as a % of operating expenses Median	35.40 36.68	33.43 36.56	31.25 36.37	31.02 35.93	29.24 35.24
Intern, resident salaries* Median	27,983,946 2,598,592	29,861,172 2,686,824	30,265,204 2,753,773	31,873,288 2,937,156	31,977,322 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	23,292,618 1,449,244	15,576,219 1,475,986	7,287,429 1,563,078	9,769,992 1,721,954	15,221,653 2,991,828
Contract hours, direct-care Median	326,822.54 22,725	198,949.00 23,018.5	102,161.00 24,503.48	123,037.80 25,026.5	152,466.70 33,786
Contract wages, direct-care Median	71.27 64.67	78.29 64.53	71.33 65.06	79.41 68.97	99.84 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.