Velarion Records

Short-term acute care hospital · Council Bluffs, Iowa · 141 beds · CMS certification number 160028

CHI Health Mercy Council Bluffs

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS July 28, 2026. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$122.3M
$122,316,646 · G-3 line 3
Operating expenses
$127.2M
$127,184,510 · G-3 line 4
Result from patient care
−$4.9M
−$4,867,864 · G-3 line 5
Margin on patient care
−4.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $45.2M in its first year on file (1997) to $122.3M in 2025.
  • Its result from patient care: −$14.6M (2023), −$11.9M (2024), −$4.9M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 4.6% of its inpatient days and Medicare for 20.2%.
  • CHI NEBRASKA holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
settled
$45.2M
$41.0M
1998
settled
$42.4M
$42.8M
1999
reopened
$40.4M
$40.7M
2000
settled with audit
$39.7M
$41.1M
2001
reopened
$42.4M
$45.6M
2002
reopened
$46.2M
$51.3M
2003
reopened
$53.4M
$51.8M
2004
reopened
$63.7M
$62.9M
2005
reopened
$79.9M
$79.0M
2006
reopened
$92.3M
$91.2M
2007
reopened
$102.8M
$98.8M
2008
reopened
$104.2M
$105.9M
2009
reopened
$102.2M
$112.0M
2010
reopened
$110.0M
$105.3M
2011
reopened
$111.8M
$107.9M
2012
reopened
$118.9M
$95.8M
2013
reopened
$127.5M
$111.3M
2014
reopened
$111.0M
$100.1M
2015
reopened
$106.6M
$75.7M
2016
settled
$100.6M
$90.3M
2017
settled
$91.9M
$91.1M
2018
settled
$95.2M
$89.9M
2019
settled
$91.6M
$91.1M
2020
settled
$90.0M
$90.6M
2021
settled
$94.8M
$99.5M
2022
settled
$97.2M
$105.6M
2023
settled
$98.5M
$113.1M
2024
settled
$113.9M
$125.8M
2025
as submitted
$122.3M
$127.2M

Beside its peers

Short-term acute care hospitals in Iowa with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
CHI Health Mercy Council Bluffs141$122,316,646$127,184,510−4.0%
Methodist Jennie Edmundson, Council Bluffs117$165,581,238$162,063,5182.1%
Mary Greeley Medical Center, Ames150$259,441,338$256,853,1621.0%
Mercyone Dubuque Medical Center, Dubuque142$169,941,430$202,908,020−19.4%
Mercyone Siouxland Medical Center, Sioux City115$156,293,161$204,680,134−31.0%
Mercyone Waterloo Medical Center, Waterloo137$371,084,060$389,275,740−4.9%

Patients and payers

Discharges
6,510
S-3 line 14, col 15
Inpatient days
28,483
S-3 line 14, col 8
Beds in use, on an average day
78.3
days ÷ days in year
Occupancy
55.3%
days ÷ bed days
Medicare share of days
20.2%
S-3 cols 6 ÷ 8
Medicaid share of days
4.6%
S-3 cols 7 ÷ 8

Who owns it

  • CHI NEBRASKA100%
  • COMMONSPIRIT HEALTH100%

Related organizations on its own cost report: COMMONSPIRIT, home office; CHI HEALTH, management.

Other hospitals with the same owner: Yavapai Regional Medical Center (AZ), St. Joseph's Hospital and Medical Center (AZ), Chandler Regional Medical Center (AZ), Mercy Gilbert Medical Center (AZ), Dignity Health Arizona General Hospital (AZ), Dignity Health Arizona General Hospital (AZ), CHI St. Vincent Infirmary (AR), CHI St. Vincent Hospital Hot Springs (AR), St. Vincent Medical Center North (AR), CHI St. Vincent Morrilton (AR).

Type of control on its cost report: voluntary nonprofit, church.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Follow this hospital, free

We send this record now and tell you when it files again.

More short-term acute care hospitals in Iowa

From the publisher of Velarion Records

Velarion Intel

Independent Decision-Grade Intelligence

Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.

See what Intel shows

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 160028. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read July 28, 2026.