As of the July, 2022, release via CMS


HOWARD COUNTY MEDICAL CENTER


  • CMS id: 281338
  • 1113 SHERMAN STREET, SAINT PAUL NE 68873. County: HOWARD
  • System: --
  • CBSA: Grand Island, NE

The 10-bed, CAH hospital had $-1,739,359 in net service to patients*, with a total profit margin of 16.30508% in fiscal year 2021, the latest year available.
It spent 2.49% of its operating expenses on uncompensated care and reported $195,854 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
10
23
10
23
10
23
Total beds
Median
16
25
16
25
10
25
10
25
10
25
FTEs
Median
124.24
149.18
118.91
151.6
116.81
151.58
111.78
152.78
110.86
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
16,487,170
19,395,819
16,220,158
19,790,685
16,028,658
20,891,573
17,036,909
20,752,910
18,466,287
22,925,976
Operating expenses
Median
17,654,098
21,082,256
16,771,893
21,740,728
17,451,311
22,449,917
18,170,189
23,028,561
20,205,646
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-1,166,928
-1,166,928
-551,735
-1,178,891
-1,422,653
-1,189,234
-1,133,280
-1,989,193
-1,739,359
-1,175,562
NS2P margin ?
Median
-7.08%
-6.37
-3.40%
-6.47
-8.88%
-6.58
-6.65%
-10.52
-9.42%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOWARD COUNTY MEDICAL CENTER 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
2,659,603
1,517,926
1,894,209
1,554,100
2,127,314
1,708,825
4,497,710
3,606,354
5,815,002
4,946,640
Total income ?
Median
1,492,675
445,049
1,342,474
379,292
704,661
655,032
3,364,430
1,453,054
4,075,643
3,734,026
Non-operating expenses
Median
2,522
56,329
2,062
45,230
0
61,507
0
80,747
116,560
39,130
Net income
Median
1,490,153
309,249
1,340,412
305,537
704,661
515,321.5
3,364,430
1,282,423
3,959,083
3,678,491
Net margin
Median
7.78279%
1.7%
7.39972%
1.61%
3.88115%
2.36%
15.62336%
5.41%
16.30508%
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 HOWARD COUNTY MEDICAL CENTER 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
1,789,181
1,512,374
1,514,352
1,478,094
1,351,954
1,365,460
1,188,835
1,289,169
1,158,048
1,354,214
All outpatient revenue
Median
Click here to show/hide details
5,186,146
4,108,627
5,521,638
4,367,646
5,683,506
4,566,928
5,645,977
4,517,324
6,070,687
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
0
4,679
0
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
0
553,475.5
0
567,149
91,309
599,174.5
84,803
641,417
195,854
631,057
Charity care
Median
132,051
190,496
158,554
225,101
74,598
238,624
79,538
260,478.5
134,401
225,887
Uncompensated care (UCC)
Median
578,757
860,218.5
595,399
933,428
662,764
986,290
538,555
998,939
502,965
871,713
UCC as a %
of operating expenses
Median
3.28%
3.77
3.55%
3.82
3.80%
3.7
2.96%
3.74
2.49%
3.04
Total shortfall/UCC
Median
578,757
1,405,482
595,399
1,525,979
754,073
1,576,055
623,358
1,691,815
698,819
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
7,592,711
8,521,101
7,588,199
8,786,419
7,705,320
9,086,354
7,654,769
9,512,636
8,302,404
9,933,360
Salaries as a % of operating expenses
Median
43.01
42.53
45.24
42.58
44.15
42.62
42.13
42.72
41.09
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.