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FonteumPublic-records evidence

Iowa Hospital Margin Gap(2024)

This state view compares hospital operating margins reported through CMS HCRIS cost reports. The table separates the highest and lowest finite operating margins in the latest reconciled issuance period, while the summary reports the state median because extreme self-reported values can distort an average. A distress flag means an operating margin below negative five percent under the published hospital-margin methodology; it is not a rating of care quality, solvency, or future performance. Missing values stay missing, and the page withholds live figures when its paginated row read does not reconcile with the period count. Use the CCN to return to the federal source record, review the methodology before comparing states, and treat every figure as a dated public-record observation rather than a current financial statement.

122
Hospitals
-0.3%
State median op margin
-13.8%
National avg
41
In distress (< −5%)

Highest Operating Margin

CCNHospitalOp Marginvs National
160045ST. LUKES METHODIST HOSPITAL+32.4%+46.3%
163025MERCYONE REHABILITATION HOSPITAL DES+22.2%+36.0%
160082IOWA METHODIST MEDICAL CENTER+21.5%+35.4%
161329JACKSON COUNTY PUBLIC HOSPITAL+18.6%+32.4%
161338MERCYONE OELWEIN MEDICAL CENTER+17.2%+31.1%
161381SANFORD MEDICAL CENTER SHELDON+15.1%+28.9%
160146ST. LUKES REGL MEDICAL CENTER+14.0%+27.8%
161303GRUNDY COUNTY MEM. HOSPITAL+13.7%+27.5%
160117THE FINLEY HOSPITAL+13.5%+27.3%
160013TRINITY MUSCATINE+13.4%+27.2%

Lowest Operating Margin

CCNHospitalOp MarginDistress
161300MERCYONE PRIMGHAR MEDICAL CENTER-85.2%Distress
163026EASTERN IOWA REHABILITATION HOSPITAL-63.6%Distress
161360ORANGE CITY MUNICIPAL HOSPITAL-35.4%Distress
160153MERCYONE SIOUXLAND MEDICAL CENTER-31.0%Distress
160064MERCYONE NORTH IOWA MEDICAL CENTER-28.5%Distress
161310ADAIR COUNTY MEMORIAL HOSPITAL-28.4%Distress
160029UNIVERSITY OF IOWA HEALTH CARE MEDIC-27.6%Distress
161358WAYNE COUNTY HOSPITAL-24.6%Distress
160083MERCY MEDICAL CENTER-DES MOINES-24.5%Distress
160089OTTUMWA REGIONAL HEALTH CENTER-23.7%Distress

Fonteum does not independently rate or rank hospitals. This index reflects CMS-published self-reported financial data from HCRIS form 2552-10. Data is public domain per 17 U.S.C. § 105.

What’s on file, by the numbers

Platform snapshot · 2026-09-10

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
11fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

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Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

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Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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