As of the July, 2022, release via CMS


DE SMET MEMORIAL HOSPITAL


  • CMS id: 431332
  • 306 PRAIRIE AVE. SW, DE SMET SD 57231. County: KINGSBURY
  • System: AVERA QUEEN OF PEACE
  • CBSA: Rural South Dakota

The 6-bed, CAH hospital had $2,021,094 in net service to patients*, with a total profit margin of 26.80565% in fiscal year 2021, the latest year available.
It spent 1.32% 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
6
23
6
23
6
23
6
23
6
23
Total beds
Median
6
25
6
25
6
25
6
25
6
25
FTEs
Median
26.98
149.18
26.89
151.6
26.09
151.58
25.42
152.78
31.18
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
4,913,739
19,395,819
5,383,069
19,790,685
6,082,012
20,891,573
6,491,859
20,752,910
8,662,155
22,925,976
Operating expenses
Median
4,104,233
21,082,256
4,232,609
21,740,728
4,989,433
22,449,917
5,278,842
23,028,561
6,641,061
24,906,213
Net income from service 2 patients (NS2P) ?
Median
809,506
-1,166,928
1,150,460
-1,178,891
1,092,579
-1,189,234
1,213,017
-1,989,193
2,021,094
-1,175,562
NS2P margin ?
Median
16.47%
-6.37
21.37%
-6.47
17.96%
-6.58
18.69%
-10.52
23.33%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DE SMET 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
1,368,945
1,517,926
386,643
1,554,100
111,329
1,708,825
328,990
3,606,354
411,033
4,946,640
Total income ?
Median
2,178,451
445,049
1,537,103
379,292
1,203,908
655,032
1,542,007
1,453,054
2,432,127
3,734,026
Non-operating expenses
Median
0
56,329
40,065
45,230
0
61,507
0
80,747
0
39,130
Net income
Median
2,178,451
309,249
1,497,038
305,537
1,203,908
515,321.5
1,542,007
1,282,423
2,432,127
3,678,491
Net margin
Median
34.67389%
1.7%
25.94649%
1.61%
19.43875%
2.36%
22.60726%
5.41%
26.80565%
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 DE SMET 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
412,021
1,512,374
381,650
1,478,094
406,901
1,365,460
562,354
1,289,169
1,005,932
1,354,214
All outpatient revenue
Median
Click here to show/hide details
1,651,163
4,108,627
2,087,796
4,367,646
1,980,795
4,566,928
2,023,404
4,517,324
2,059,813
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
0
599,174.5
0
641,417
0
631,057
Charity care
Median
36,926
190,496
58,239
225,101
54,699
238,624
55,910
260,478.5
23,004
225,887
Uncompensated care (UCC)
Median
98,809
860,218.5
115,868
933,428
177,654
986,290
118,256
998,939
87,812
871,713
UCC as a %
of operating expenses
Median
2.41%
3.77
2.74%
3.82
3.56%
3.7
2.24%
3.74
1.32%
3.04
Total shortfall/UCC
Median
98,809
1,405,482
115,868
1,525,979
177,654
1,576,055
118,256
1,691,815
87,812
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
1,785,295
8,521,101
1,902,505
8,786,419
1,900,229
9,086,354
2,072,588
9,512,636
2,761,448
9,933,360
Salaries as a % of operating expenses
Median
43.50
42.53
44.95
42.58
38.09
42.62
40.29
42.72
43.13
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.