As of the July, 2022, release via CMS


COOK COUNTY HOSPITAL DISTRICT


  • CMS id: 241317
  • 515 5TH AVE W, GRAND MARAIS MN 55604. County: COOK
  • System: --
  • CBSA: Rural Minnesota

The 53-bed, CAH hospital had $-553,975 in net service to patients*, with a total profit margin of 15.81062% in fiscal year 2021, the latest year available.
It spent 2.02% of its operating expenses on uncompensated care and reported $246,162 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
16
23
16
23
16
23
16
23
16
23
Total beds
Median
53
25
53
25
53
25
53
25
53
25
FTEs
Median
104.44
149.18
122.21
151.6
112.93
151.58
134.57
152.78
121.14
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
14,667,312
19,395,819
16,558,390
19,790,685
17,475,472
20,891,573
17,651,071
20,752,910
19,502,228
22,925,976
Operating expenses
Median
17,062,617
21,082,256
19,441,114
21,740,728
20,205,994
22,449,917
19,399,665
23,028,561
20,056,203
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-2,395,305
-1,166,928
-2,882,724
-1,178,891
-2,730,522
-1,189,234
-1,748,594
-1,989,193
-553,975
-1,175,562
NS2P margin ?
Median
-16.33%
-6.37
-17.41%
-6.47
-15.62%
-6.58
-9.91%
-10.52
-2.84%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COOK COUNTY HOSPITAL DISTRICT 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
5,937,004
1,517,926
4,874,463
1,554,100
1,353,798
1,708,825
2,722,406
3,606,354
4,755,785
4,946,640
Total income ?
Median
3,541,699
445,049
1,991,739
379,292
-1,376,724
655,032
973,812
1,453,054
4,201,810
3,734,026
Non-operating expenses
Median
0
56,329
0
45,230
0
61,507
171,938
80,747
366,468
39,130
Net income
Median
3,541,699
309,249
1,991,739
305,537
-1,376,724
515,321.5
801,874
1,282,423
3,835,342
3,678,491
Net margin
Median
17.18911%
1.7%
9.29293%
1.61%
-7.31162%
2.36%
3.93587%
5.41%
15.81062%
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 COOK COUNTY HOSPITAL DISTRICT 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
759,787
1,512,374
473,001
1,478,094
636,593
1,365,460
732,985
1,289,169
899,331
1,354,214
All outpatient revenue
Median
Click here to show/hide details
2,460,997
4,108,627
2,846,479
4,367,646
3,451,556
4,566,928
3,631,175
4,517,324
3,573,941
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
899
4,679
1,571
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
912,844
553,475.5
885,188
567,149
336,596
599,174.5
286,193
641,417
246,162
631,057
Charity care
Median
83,098
190,496
107,099
225,101
51,921
238,624
65,613
260,478.5
74,795
225,887
Uncompensated care (UCC)
Median
225,065
860,218.5
390,488
933,428
223,167
986,290
243,397
998,939
405,817
871,713
UCC as a %
of operating expenses
Median
1.32%
3.77
2.01%
3.82
1.10%
3.7
1.25%
3.74
2.02%
3.04
Total shortfall/UCC
Median
1,137,909
1,405,482
1,275,676
1,525,979
559,763
1,576,055
529,590
1,691,815
651,979
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
6,180,697
8,521,101
6,809,460
8,786,419
6,941,334
9,086,354
7,051,598
9,512,636
7,028,367
9,933,360
Salaries as a % of operating expenses
Median
36.54
42.53
35.54
42.58
34.65
42.62
34.38
42.72
33.13
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.