As of the July, 2022, release via CMS
MONUMENT HEALTH CUSTER HOSPITAL
- CMS id: 431323
- 1220 MONTGOMERY STREET, CUSTER SD 57730. County: CUSTER
- System: MONUMENT HEALTH
- CBSA: Rural South Dakota
The 87-bed, CAH hospital had $-7,216,342 in net service to patients*, with a total profit margin of -15.43566% in fiscal year 2021, the latest year available.
It spent 2.07% of its operating expenses on uncompensated care and reported $0 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 |
nfp | nfp | nfp | nfp | nfp |
| Acute beds Median |
11 23 |
11 23 |
11 23 |
11 23 |
11 23 |
| Total beds Median |
87 25 |
87 25 |
87 25 |
87 25 |
87 25 |
| FTEs Median |
183.12 149.18 |
172.32 151.6 |
157.88 151.58 |
155.89 152.78 |
160.32 151.99 |
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 |
18,528,342 19,395,819 |
19,092,294 19,790,685 |
19,203,110 20,891,573 |
20,137,248 20,752,910 |
22,142,628 22,925,976 |
| Operating expenses Median |
24,680,411 21,082,256 |
24,520,620 21,740,728 |
23,939,414 22,449,917 |
26,784,545 23,028,561 |
29,358,970 24,906,213 |
| Net income from service 2 patients (NS2P) ? Median |
-6,152,069 -1,166,928 |
-5,428,326 -1,178,891 |
-4,736,304 -1,189,234 |
-6,647,297 -1,989,193 |
-7,216,342 -1,175,562 |
| NS2P margin ? Median |
-33.20% -6.37 |
-28.43% -6.47 |
-24.66% -6.58 |
-33.01% -10.52 |
-32.59% -5.81 |
Range* of Net Service to Patient (NS2P) margins
= NS2P margin for MONUMENT HEALTH CUSTER 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 |
2,152,013 1,517,926 |
2,682,289 1,554,100 |
2,487,415 1,708,825 |
5,799,947 3,606,354 |
3,290,561 4,946,640 |
| Total income ? Median |
-4,000,056 445,049 |
-2,746,037 379,292 |
-2,248,889 655,032 |
-847,350 1,453,054 |
-3,925,781 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 |
-4,000,056 309,249 |
-2,746,037 305,537 |
-2,248,889 515,321.5 |
-847,350 1,282,423 |
-3,925,781 3,678,491 |
| Net margin Median |
-19.34230% 1.7% |
-12.61120% 1.61% |
-10.36807% 2.36% |
-3.26693% 5.41% |
-15.43566% 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 MONUMENT HEALTH CUSTER 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 |
2,611,449 1,512,374 |
2,311,801 1,478,094 |
2,124,411 1,365,460 |
1,756,175 1,289,169 |
1,668,483 1,354,214 |
| All outpatient revenue Median Click here to show/hide details |
3,897,588 4,108,627 |
4,389,583 4,367,646 |
4,418,849 4,566,928 |
4,531,154 4,517,324 |
4,867,581 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 |
174,069 553,475.5 |
136,697 567,149 |
32,093 599,174.5 |
0 641,417 |
0 631,057 |
| Charity care Median |
1,125,247 190,496 |
806,051 225,101 |
159,967 238,624 |
207,234 260,478.5 |
173,858 225,887 |
| Uncompensated care (UCC) Median |
1,932,664 860,218.5 |
1,734,366 933,428 |
1,005,058 986,290 |
980,079 998,939 |
607,571 871,713 |
| UCC as a % of operating expenses Median |
7.83% 3.77 |
7.07% 3.82 |
4.20% 3.7 |
3.66% 3.74 |
2.07% 3.04 |
| Total shortfall/UCC Median |
2,106,733 1,405,482 |
1,871,063 1,525,979 |
1,037,151 1,576,055 |
980,079 1,691,815 |
607,571 1,476,802 |
Labor costs
| 2017 | 2018 | 2019 | 2020 | 2021 | |
|---|---|---|---|---|---|
| Total salaries Median |
10,430,867 8,521,101 |
10,155,531 8,786,419 |
10,516,187 9,086,354 |
10,983,415 9,512,636 |
12,249,844 9,933,360 |
| Salaries as a % of operating expenses Median |
42.26 42.53 |
41.42 42.58 |
43.93 42.62 |
41.01 42.72 |
41.72 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
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.