As of the July, 2022, release via CMS


CASS COUNTY MEMORIAL HOSPITAL


  • CMS id: 161376
  • 1501 E 10TH ST, ATLANTIC IA 50022. County: CASS
  • System: --
  • CBSA: Rural Iowa

The 25-bed, CAH hospital had $-6,734,099 in net service to patients*, with a total profit margin of 9.25187% in fiscal year 2021, the latest year available.
It spent 1.03% of its operating expenses on uncompensated care and reported $1,167,565 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.


Note: Medians are from CAH 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
gov gov gov gov gov
Acute beds
Median
21
23
21
23
21
23
21
23
21
23
Total beds
Median
29
25
29
25
29
25
29
25
25
25
FTEs
Median
349.31
149.18
347.00
151.6
317.88
151.58
309.62
152.78
300.39
151.99

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
40,264,766
19,395,819
45,518,798
19,790,685
48,392,608
20,891,573
48,871,467
20,752,910
51,395,410
22,925,976
Operating expenses
Median
51,776,237
21,082,256
54,066,059
21,740,728
54,526,384
22,449,917
55,451,503
23,028,561
58,129,509
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-11,511,471
-1,166,928
-8,547,261
-1,178,891
-6,133,776
-1,189,234
-6,580,036
-1,989,193
-6,734,099
-1,175,562
NS2P margin ?
Median
-28.59%
-6.37
-18.78%
-6.47
-12.68%
-6.58
-13.46%
-10.52
-13.10%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CASS COUNTY MEMORIAL HOSPITAL compared to all** CAH 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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
11,068,397
1,517,926
9,486,869
1,554,100
8,516,749
1,708,825
14,309,433
3,606,354
12,660,465
4,946,640
Total income ?
Median
-443,074
445,049
939,608
379,292
2,382,973
655,032
7,729,397
1,453,054
5,926,366
3,734,026
Non-operating expenses
Median
0
56,329
0
45,230
0
61,507
0
80,747
0
39,130
Net income
Median
-443,074
309,249
939,608
305,537
2,382,973
515,321.5
7,729,397
1,282,423
5,926,366
3,678,491
Net margin
Median
-0.86313%
1.7%
1.70820%
1.61%
4.18731%
2.36%
12.23376%
5.41%
9.25187%
13.38%

* 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 CASS COUNTY MEMORIAL HOSPITAL compared to all** CAH hospitals, from CMS cost reports.
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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
3,589,952
1,512,374
4,325,477
1,478,094
4,783,165
1,365,460
4,578,701
1,289,169
3,988,967
1,354,214
All outpatient revenue
Median
Click here to show/hide details
11,478,817
4,108,627
12,945,136
4,367,646
13,374,406
4,566,928
13,294,133
4,517,324
14,920,344
4,554,272

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
38,053
4,679
35,409
5,256
1,900
5,165.5
10,142
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
2,359,661
553,475.5
2,108,136
567,149
671,569
599,174.5
1,682,515
641,417
1,167,565
631,057
Charity care
Median
76,847
190,496
76,211
225,101
107,223
238,624
58,073
260,478.5
62,131
225,887
Uncompensated care (UCC)
Median
960,113
860,218.5
1,459,443
933,428
603,806
986,290
898,834
998,939
600,958
871,713
UCC as a %
of operating expenses
Median
1.85%
3.77
2.70%
3.82
1.11%
3.7
1.62%
3.74
1.03%
3.04
Total shortfall/UCC
Median
3,319,774
1,405,482
3,567,579
1,525,979
1,275,375
1,576,055
2,581,349
1,691,815
1,768,523
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
19,064,932
8,521,101
22,039,079
8,786,419
22,260,973
9,086,354
23,317,588
9,512,636
24,612,762
9,933,360
Salaries as a % of operating expenses
Median
37.83
42.53
42.41
42.58
41.40
42.62
43.08
42.72
42.98
42.27
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.