As of the July, 2022, release via CMS

INTERMOUNTAIN MEDICAL CENTER

CMS id: 460010
5121 S COTTONWOOD ST, MURRAY UT 84157. County: SALT LAKE
System: IHC HEALTH SERVICES INC.
CBSA: Salt Lake City, UT

The 510-bed, acute-care hospital had $167,509,063 in net service to patients*, with a total profit margin of 14.94588% in fiscal year 2021, the latest year available.
It spent 3.91% of its operating expenses on uncompensated care and reported $0 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	340 118	340 118	342 119.5	342 118	342 119
Total beds Median	508 162	502 162	502 162	502 162	510 163.5
FTEs Median	3,620.44 788.06	3,557.72 793.42	3,582.38 806.03	3,440.13 787.61	3,284.71 804.34

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	916,264,520 150,932,746	986,721,033 158,950,878	1,041,653,600 168,696,998	1,030,403,802 163,454,693	1,186,935,691 186,589,412
Operating expenses Median	846,608,806 149,311,209	893,294,261 156,110,414	945,972,729 164,890,568	964,143,716 166,516,854	1,019,426,628 180,120,888
Net income from service 2 patients (NS2P) ? Median	69,655,714 -964,173	93,426,772 -643,601.5	95,680,871 -116,254	66,260,086 -5,025,862	167,509,063 -1,284,564
NS2P margin ? Median	7.60% -0.62	9.47% -0.29	9.19% 0.18	6.43% -5.07	14.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for INTERMOUNTAIN 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	21,266,953 5,089,215	18,681,592 4,572,541	17,559,149 5,268,134	41,400,938 13,092,619	11,644,908 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	50 249,496
⊳ Line 7: Investments ? ⊳ Median	-4,518 299,524	828 188,688.5	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	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,346,746	3,267,979	2,879,665	1,858,762	2,118,010
⊳ 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	740,705	737,282	725,832	442,467	600,620
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	65,694	54,219	48,565	3,137	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	2,889,973	2,864,722	2,910,724	2,724,058	2,864,207
⊳ 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	14,228,353	11,756,562	10,994,363	36,372,514	6,062,021
Total income ? Median	90,922,667 6,586,430	112,108,364 6,767,106	113,240,020 8,419,950	107,661,024 8,094,175	179,153,971 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	1,059,558 89,880.5	684,244 106,761	15,553 31,473.5
Net income Median	90,922,667 6,043,842	112,108,364 5,845,112	112,180,462 7,606,259	106,976,780 7,283,041	179,138,418 14,957,241
Net margin Median	9.69809% 4.62%	11.15059% 4.42%	10.59093% 5.16%	9.98100% 5.2%	14.94588% 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 INTERMOUNTAIN 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	100,303,333 23,241,334	107,407,407 23,709,545	113,005,228 24,248,380	111,745,494 22,858,541	131,804,507 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	98,070,835 21,577,146	104,351,560 22,041,594	109,719,727 22,722,063	108,661,410 21,570,441	128,049,037 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,232,498 3,535,627	3,055,847 3,746,588	3,285,501 3,782,288	3,084,084 3,865,578	3,755,470 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	40,386,228 11,160,864	46,726,689 11,987,345	48,581,264 12,926,866	45,166,447 11,884,480	49,705,643 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	40,386,228 10,918,923	46,726,689 11,706,976	48,581,264 12,615,917	45,166,447 11,458,116	49,705,643 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	7,068,001 3,284,314	7,298,136 3,250,551	7,468,398 3,386,837	6,695,524 3,360,806	7,528,309 3,508,953
Disproportionate-share hospital (DSH) Median	960,065 594,888	977,135 595,761	1,237,612 577,894	948,075 542,168	1,788,237 549,667
Outlier Median	4,387,923 582,572	4,462,952 538,116	486,619 212,434	380,321 126,559	572,454 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	31,190,984 2,654,636	36,757,324 2,940,659	34,493,912 3,380,215	28,772,295 3,488,738	27,549,398 3,233,405
Uncompensated care (UCC) Median	49,891,121 5,147,790	57,741,328 5,337,617	54,355,403 5,711,082	46,355,208 5,923,418	39,850,571 5,508,107
UCC as a % of operating expenses Median	5.89% 3.24	6.46% 3.12	5.75% 3.21	4.81% 3.3	3.91% 2.86
Total shortfall/UCC Median	49,891,121 9,489,989	57,741,328 9,424,297	54,355,403 10,120,158	46,355,208 11,171,337	39,850,571 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	256,310,646 52,142,039	257,004,014 54,485,252	269,515,523 57,395,589	270,651,192 58,830,919	283,061,007 61,722,907
Salaries as a % of operating expenses Median	30.00 36.68	28.33 36.56	27.97 36.37	27.62 35.93	27.25 35.24
Intern, resident salaries* Median	1,240,751 2,598,592	1,212,652 2,686,824	1,209,580 2,753,773	1,567,039 2,937,156	1,759,393 2,909,848
Contract intern, resident salaries* Median	4,859,225 1,251,927	4,785,033 1,186,494	4,842,362 1,204,885	5,133,325 1,279,653	5,000,528 1,469,317
Contract adjusted salaries, direct-care Median	9,627,969 1,449,244	6,560,082 1,475,986	6,902,916 1,563,078	9,620,382 1,721,954	19,174,955 2,991,828
Contract hours, direct-care Median	240,341.00 22,725	187,312.00 23,018.5	189,214.00 24,503.48	209,737.00 25,026.5	236,701.00 33,786
Contract wages, direct-care Median	40.06 64.67	35.02 64.53	36.48 65.06	45.87 68.97	81.01 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.