As of the July, 2022, release via CMS

OTTUMWA REGIONAL HEALTH CENTER

CMS id: 160089
1001 PENNSYLVANIA, OTTUMWA IA 52501. County: WAPELLO
System: LIFEPOINT
CBSA: Ottumwa, IA

The 120-bed, acute-care hospital had $-5,853,655 in net service to patients*, with a total profit margin of 3.99042% in fiscal year 2021, the latest year available.
It spent 2.45% of its operating expenses on uncompensated care and reported $3,086,576 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	77 118	77 118	77 119.5	77 118	77 119
Total beds Median	120 162	120 162	120 162	120 162	120 163.5
FTEs Median	408.01 788.06	436.82 793.42	416.06 806.03	394.37 787.61	473.15 804.34

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	75,086,903 150,932,746	78,354,136 158,950,878	78,346,775 168,696,998	75,954,727 163,454,693	86,128,770 186,589,412
Operating expenses Median	74,339,496 149,311,209	78,420,106 156,110,414	74,621,030 164,890,568	70,937,939 166,516,854	91,982,425 180,120,888
Net income from service 2 patients (NS2P) ? Median	747,407 -964,173	-65,970 -643,601.5	3,725,745 -116,254	5,016,788 -5,025,862	-5,853,655 -1,284,564
NS2P margin ? Median	1.00% -0.62	-0.08% -0.29	4.76% 0.18	6.60% -5.07	-6.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OTTUMWA REGIONAL HEALTH 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	732,055 5,089,215	395,714 4,572,541	297,825 5,268,134	-3,946,743 13,092,619	9,676,695 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	16,752	19,538	16,760	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	244,392	260,206	237,610	0	79,600
⊳ 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	19	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	9,763	3,231	2,609	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	0	0	0	0	-4,167
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	128,447	11,291	1,550	0	42,811
⊳ 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	332,701	101,429	39,296	-3,946,743	9,558,451
Total income ? Median	1,479,462 6,586,430	329,744 6,767,106	4,023,570 8,419,950	1,070,045 8,094,175	3,823,040 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	1,479,462 6,043,842	329,744 5,845,112	4,023,570 7,606,259	1,070,045 7,283,041	3,823,040 14,957,241
Net margin Median	1.95131% 4.62%	0.41872% 4.42%	5.11614% 5.16%	1.48601% 5.2%	3.99042% 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 OTTUMWA REGIONAL HEALTH 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	16,617,161 23,241,334	17,552,591 23,709,545	15,655,765 24,248,380	13,908,076 22,858,541	13,526,978 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	10,173,883 21,577,146	11,995,900 22,041,594	10,154,048 22,722,063	8,854,160 21,570,441	8,772,446 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	1,819,044 1,845,420	948,340 1,757,392	965,042 1,738,842	708,271 1,510,463	394,872 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,624,234 3,535,627	4,608,351 3,746,588	4,536,675 3,782,288	4,345,645 3,865,578	4,359,660 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	9,340,588 11,160,864	11,384,000 11,987,345	10,569,430 12,926,866	9,444,294 11,884,480	8,096,529 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	8,704,437 10,918,923	10,753,919 11,706,976	10,383,849 12,615,917	9,444,294 11,458,116	8,096,529 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	636,151 1,282,808	630,081 1,407,728	185,581 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	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	379,723 594,888	348,442 595,761	308,185 577,894	211,009 542,168	223,787 549,667
Outlier Median	316,235 582,572	298,833 538,116	200,602 212,434	109,399 126,559	25,012 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,971,790 3,662,910	4,622,311 3,730,911	3,319,606 4,081,319	3,212,310 4,643,908	3,086,576 4,389,147
Charity care Median	264,463 2,654,636	424,860 2,940,659	514,108 3,380,215	868,480 3,488,738	1,130,100 3,233,405
Uncompensated care (UCC) Median	1,437,947 5,147,790	1,851,804 5,337,617	2,018,848 5,711,082	1,767,182 5,923,418	2,252,631 5,508,107
UCC as a % of operating expenses Median	1.93% 3.24	2.36% 3.12	2.71% 3.21	2.49% 3.3	2.45% 2.86
Total shortfall/UCC Median	5,409,737 9,489,989	6,474,115 9,424,297	5,338,454 10,120,158	4,979,492 11,171,337	5,339,207 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	22,987,792 52,142,039	23,290,970 54,485,252	22,267,107 57,395,589	22,239,157 58,830,919	33,584,243 61,722,907
Salaries as a % of operating expenses Median	30.92 36.68	29.70 36.56	29.84 36.37	31.35 35.93	36.92 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	1,834,141 1,449,244	2,487,946 1,475,986	2,541,833 1,563,078	2,788,345 1,721,954	2,390,608 2,991,828
Contract hours, direct-care Median	36,987.00 22,725	51,136.00 23,018.5	63,892.53 24,503.48	51,937.46 25,026.5	36,050.00 33,786
Contract wages, direct-care Median	49.59 64.67	48.65 64.53	39.78 65.06	53.69 68.97	66.31 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.