As of the July, 2022, release via CMS

HUNTSVILLE HOSPITAL

CMS id: 010039
101 SIVLEY ROAD, HUNTSVILLE AL 35801. County: MADISON
System: HEALTHGROUP OF ALABAMA
CBSA: Huntsville, AL

The 943-bed, acute-care hospital had $-43,746,059 in net service to patients*, with a total profit margin of 9.89267% in fiscal year 2021, the latest year available.
It spent 5.10% of its operating expenses on uncompensated care and reported $282,960 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care 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	703 118	683 118	713 119.5	711 118	724 119
Total beds Median	903 162	879 162	912 162	922 162	943 163.5
FTEs Median	6,038.00 788.06	6,734.21 793.42	6,738.25 806.03	6,564.85 787.61	6,977.99 804.34

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

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, 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).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	902,810,931 150,932,746	979,683,478 158,950,878	1,006,127,983 168,696,998	1,262,807,736 163,454,693	1,060,580,269 186,589,412
Operating expenses Median	913,935,681 149,311,209	1,002,449,578 156,110,414	1,085,416,118 164,890,568	1,352,095,518 166,516,854	1,104,326,328 180,120,888
Net income from service 2 patients (NS2P) ? Median	-11,124,750 -964,173	-22,766,100 -643,601.5	-79,288,135 -116,254	-89,287,782 -5,025,862	-43,746,059 -1,284,564
NS2P margin ? Median	-1.23% -0.62	-2.32% -0.29	-7.88% 0.18	-7.07% -5.07	-4.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HUNTSVILLE HOSPITAL compared to all** acute-care 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 acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	90,224,922 5,089,215	98,597,162 4,572,541	158,077,014 5,268,134	198,180,784 13,092,619	164,987,479 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,004,644 224,999	3,467,400 199,009	3,226,839 206,870.5	3,774,401 194,343	5,548,803 249,496
⊳ Line 7: Investments ? ⊳ Median	9,202,353 299,524	11,068,355 188,688.5	54,258,162 370,813	41,805,146 309,361.5	16,537,717 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	266,492	326,497	313,185	200,303	176,396
⊳ Line 11: Rebates and refunds of expenses	0	0	0	21,406	24,809
⊳ Line 12: Parking lot receipts	1,054,795	1,017,734	979,383	764,338	457,993
⊳ Line 13: Revenue from laundry and linen service	136,075	125,417	15,600	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	8,710,225	8,785,606	9,369,474	8,052,827	6,333,790
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	9,112	775,350	13,619	16,554	3,393
⊳ Line 18: Revenue from sale of medical records and abstracts	63,504	22,824	32,137	11,767	33,313
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,041,138	1,050,733	1,063,043	939,151	863,488
⊳ Line 21: Rental of vending machines	81,762	119,848	49,103	43,618	58,403
⊳ Line 22: Rental of hospital space	14,893,281	15,550,979	14,640,032	13,351,156	4,177,874
⊳ Line 23: Gov appropriations ? ⊳ Median	35,799,438 1,017,693	38,242,808 983,261.5	52,544,455 1,173,286	71,612,707 1,987,202	85,058,624 1,597,664
⊳ Sum Line 24	15,838,092	17,922,380	21,419,311	57,479,721	45,611,858
Total income ? Median	79,100,172 6,586,430	75,831,062 6,767,106	78,788,879 8,419,950	108,893,002 8,094,175	121,241,420 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	79,100,172 6,043,842	75,831,062 5,845,112	78,788,879 7,606,259	108,893,002 7,283,041	121,241,420 14,957,241
Net margin Median	7.96549% 4.62%	7.03259% 4.42%	6.76761% 5.16%	7.45338% 5.2%	9.89267% 9.25%

* 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 HUNTSVILLE HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	178,149,416 23,241,334	173,829,127 23,709,545	170,815,776 24,248,380	168,173,203 22,858,541	172,112,522 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	176,353,580 21,577,146	171,966,379 22,041,594	169,054,130 22,722,063	166,204,145 21,570,441	170,684,834 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	1,795,836 1,845,420	1,862,748 1,757,392	1,761,646 1,738,842	1,969,058 1,510,463	1,427,688 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	88,941,880 11,160,864	88,717,514 11,987,345	88,789,763 12,926,866	84,159,380 11,884,480	80,464,610 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	88,819,580 10,918,923	88,649,537 11,706,976	88,688,033 12,615,917	84,153,008 11,458,116	80,464,610 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	122,300 618,038	67,977 697,279	101,730 690,232	6,372 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	7,351,423 3,284,314	6,347,787 3,250,551	6,972,873 3,386,837	6,544,434 3,360,806	6,968,580 3,508,953
Disproportionate-share hospital (DSH) Median	3,776,048 594,888	3,653,512 595,761	3,863,465 577,894	3,612,718 542,168	3,066,680 549,667
Outlier Median	6,483,744 582,572	6,151,080 538,116	6,455,922 212,434	1,279,984 126,559	1,350,336 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	120,583 3,662,910	190,308 3,730,911	105,353 4,081,319	40,622 4,643,908	282,960 4,389,147
Charity care Median	12,962,335 2,654,636	25,434,047 2,940,659	22,344,083 3,380,215	15,338,935 3,488,738	19,879,537 3,233,405
Uncompensated care (UCC) Median	58,056,986 5,147,790	68,694,672 5,337,617	71,730,014 5,711,082	62,117,665 5,923,418	56,345,438 5,508,107
UCC as a % of operating expenses Median	6.35% 3.24	6.85% 3.12	6.61% 3.21	4.59% 3.3	5.10% 2.86
Total shortfall/UCC Median	58,177,569 9,489,989	68,884,980 9,424,297	71,835,367 10,120,158	62,158,287 11,171,337	56,628,398 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	384,989,565 52,142,039	434,709,420 54,485,252	471,778,812 57,395,589	470,663,028 58,830,919	505,730,556 61,722,907
Salaries as a % of operating expenses Median	42.12 36.68	43.36 36.56	43.47 36.37	34.81 35.93	45.80 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	3,979,654 1,251,927	4,086,315 1,186,494	4,157,462 1,204,885	4,219,662 1,279,653	4,364,562 1,469,317
Contract adjusted salaries, direct-care Median	3,979,654 1,449,244	4,086,315 1,475,986	4,157,462 1,563,078	4,219,662 1,721,954	4,364,562 2,991,828
Contract hours, direct-care Median	122,327.00 22,725	126,605.00 23,018.5	125,903.00 24,503.48	125,939.00 25,026.5	127,811.00 33,786
Contract wages, direct-care Median	32.53 64.67	32.28 64.53	33.02 65.06	33.51 68.97	34.15 88.94

* 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.