As of the July, 2022, release via CMS

IOWA METHODIST MEDICAL CENTER

CMS id: 160082
1200 PLEASANT STREET, DES MOINES IA 50309. County: POLK
System: CENTRAL IOWA HOSPITAL CORPORTION
CBSA: Des Moines-West Des Moines, IA

The 664-bed, acute-care hospital had $141,198,108 in net service to patients*, with a total profit margin of 24.44340% in fiscal year 2020, the latest year available.
It spent 1.84% of its operating expenses on uncompensated care and reported $12,050,220 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	367 118	372 118	503 119.5	505 118	-- 119
Total beds Median	479 162	484 162	657 162	664 162	-- 163.5
FTEs Median	2,735.88 788.06	2,821.93 793.42	3,453.68 806.03	3,872.21 787.61	-- 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	589,171,631 150,932,746	629,190,915 158,950,878	729,408,341 168,696,998	756,209,127 163,454,693	-- 186,589,412
Operating expenses Median	476,762,692 149,311,209	497,700,468 156,110,414	561,165,320 164,890,568	615,011,019 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	112,408,939 -964,173	131,490,447 -643,601.5	168,243,021 -116,254	141,198,108 -5,025,862	-- -1,284,564
NS2P margin ? Median	19.08% -0.62	20.90% -0.29	23.07% 0.18	18.67% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for IOWA METHODIST 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	42,026,834 5,089,215	45,497,409 4,572,541	45,711,345 5,268,134	57,764,835 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	22,227	11	0	0	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	114,567	79,288	101,234	99,180	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	292,792	367,301	372,308	223,729	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	61,380	87,568	115,526	93,395	--
⊳ Line 22: Rental of hospital space	292,783	290,862	409,506	528,131	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	41,243,085	44,672,379	44,712,771	56,820,400	--
Total income ? Median	154,435,773 6,586,430	176,987,856 6,767,106	213,954,366 8,419,950	198,962,943 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	154,435,773 6,043,842	176,987,856 5,845,112	213,954,366 7,606,259	198,962,943 7,283,041	-- 14,957,241
Net margin Median	24.46707% 4.62%	26.23254% 4.42%	27.60275% 5.16%	24.44340% 5.2%	--% 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 IOWA METHODIST 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	121,756,494 23,241,334	121,004,857 23,709,545	137,313,339 24,248,380	140,409,283 22,858,541	-- 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	117,993,542 21,577,146	116,532,968 22,041,594	131,742,801 22,722,063	130,824,900 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	391,126 1,738,842	1,828,741 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,762,952 3,535,627	4,471,889 3,746,588	5,179,412 3,782,288	7,755,642 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	29,644,495 11,160,864	32,328,622 11,987,345	38,415,314 12,926,866	44,151,891 11,884,480	-- 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	29,644,495 10,918,923	32,328,622 11,706,976	38,415,314 12,615,917	44,151,891 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	9,062,192 3,284,314	8,348,271 3,250,551	9,501,812 3,386,837	9,514,297 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	3,015,390 594,888	2,939,482 595,761	4,046,656 577,894	3,895,451 542,168	-- 549,667
Outlier Median	2,513,687 582,572	3,040,015 538,116	374,537 212,434	302,305 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	632,727 3,662,910	1,453,401 3,730,911	2,144,623 4,081,319	12,050,220 4,643,908	-- 4,389,147
Charity care Median	7,085,030 2,654,636	3,839,332 2,940,659	5,060,698 3,380,215	5,051,749 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	10,027,584 5,147,790	6,539,543 5,337,617	9,093,532 5,711,082	11,346,601 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	2.10% 3.24	1.31% 3.12	1.62% 3.21	1.84% 3.3	--% 2.86
Total shortfall/UCC Median	10,660,311 9,489,989	7,992,944 9,424,297	11,238,155 10,120,158	23,396,821 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	217,172,247 52,142,039	228,200,260 54,485,252	263,325,069 57,395,589	284,564,849 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	45.55 36.68	45.85 36.56	46.92 36.37	46.27 35.93	-- 35.24
Intern, resident salaries* Median	5,243,984 2,598,592	5,116,317 2,686,824	6,254,272 2,753,773	6,502,605 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	190,545 1,251,927	216,128 1,186,494	182,102 1,204,885	164,400 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	3,816,716 1,449,244	2,757,479 1,475,986	3,751,267 1,563,078	5,292,680 1,721,954	-- 2,991,828
Contract hours, direct-care Median	41,909.00 22,725	27,759.00 23,018.5	38,368.00 24,503.48	55,152.00 25,026.5	-- 33,786
Contract wages, direct-care Median	91.07 64.67	99.34 64.53	97.77 65.06	95.97 68.97	-- 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.