As of the July, 2022, release via CMS


HARLAN COUNTY HEALTH SYSTEM


  • CMS id: 281300
  • 717 NORTH BROWN, ALMA NE 68920. County: HARLAN
  • System: --
  • CBSA: Rural Nebraska

The 19-bed, CAH hospital had $-1,079,373 in net service to patients*, with a total profit margin of 16.75917% in fiscal year 2020, the latest year available.
It spent 2.40% of its operating expenses on uncompensated care and reported $145,855 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 --
Ownership
gov gov gov gov --
Acute beds
Median
19
23
19
23
19
23
19
23
--
23
Total beds
Median
19
25
19
25
19
25
19
25
--
25
FTEs
Median
69.31
149.18
67.28
151.6
67.28
151.58
57.97
152.78
--
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
8,439,509
19,395,819
9,020,693
19,790,685
9,713,607
20,891,573
9,357,762
20,752,910
--
22,925,976
Operating expenses
Median
9,538,313
21,082,256
10,041,353
21,740,728
10,290,622
22,449,917
10,437,135
23,028,561
--
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-1,098,804
-1,166,928
-1,020,660
-1,178,891
-577,015
-1,189,234
-1,079,373
-1,989,193
--
-1,175,562
NS2P margin ?
Median
-13.02%
-6.37
-11.31%
-6.47
-5.94%
-6.58
-11.53%
-10.52
--%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HARLAN COUNTY HEALTH SYSTEM 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
808,411
1,517,926
1,199,835
1,554,100
612,171
1,708,825
3,669,136
3,606,354
--
4,946,640
Total income ?
Median
-290,393
445,049
179,175
379,292
35,156
655,032
2,589,763
1,453,054
--
3,734,026
Non-operating expenses
Median
46,668
56,329
44,009
45,230
40,423
61,507
406,563
80,747
--
39,130
Net income
Median
-337,061
309,249
135,166
305,537
-5,267
515,321.5
2,183,200
1,282,423
--
3,678,491
Net margin
Median
-3.64472%
1.7%
1.32250%
1.61%
-0.05101%
2.36%
16.75917%
5.41%
--%
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 HARLAN COUNTY HEALTH SYSTEM 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
403,349
1,512,374
612,316
1,478,094
680,218
1,365,460
557,498
1,289,169
--
1,354,214
All outpatient revenue
Median
Click here to show/hide details
3,311,462
4,108,627
3,460,773
4,367,646
3,659,357
4,566,928
3,957,966
4,517,324
--
4,554,272

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
--
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
--
--
Outlier
Median
0
4,679
0
5,256
0
5,165.5
0
6,341
--
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
113,815
553,475.5
96,766
567,149
132,510
599,174.5
145,855
641,417
--
631,057
Charity care
Median
1,609
190,496
2,205
225,101
5,819
238,624
60
260,478.5
--
225,887
Uncompensated care (UCC)
Median
137,891
860,218.5
248,838
933,428
245,892
986,290
250,373
998,939
--
871,713
UCC as a %
of operating expenses
Median
1.45%
3.77
2.48%
3.82
2.39%
3.7
2.40%
3.74
--%
3.04
Total shortfall/UCC
Median
251,706
1,405,482
345,604
1,525,979
378,402
1,576,055
396,228
1,691,815
--
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
3,877,871
8,521,101
3,991,202
8,786,419
4,081,476
9,086,354
3,870,352
9,512,636
--
9,933,360
Salaries as a % of operating expenses
Median
41.19
42.53
40.68
42.58
40.61
42.62
37.81
42.72
--
42.27
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
--
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
--
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
--
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
--
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
--
--

* in an approved program


Return to top

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.