As of the July, 2022, release via CMS

D W MCMILLAN MEMORIAL HOSPITAL

CMS id: 010099
1301 BELLEVILLE AVENUE, BREWTON AL 36427. County: ESCAMBIA
System: --
CBSA: Atmore, AL

The 46-bed, acute-care hospital had $-7,043,920 in net service to patients*, with a total profit margin of 5.85235% in fiscal year 2021, the latest year available.
It spent 5.59% 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 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	38 118	38 118	38 119.5	38 118	38 119
Total beds Median	46 162	46 162	46 162	46 162	46 163.5
FTEs Median	198.90 788.06	196.65 793.42	196.77 806.03	211.25 787.61	189.54 804.34

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	21,798,154 150,932,746	22,453,971 158,950,878	23,349,226 168,696,998	23,641,325 163,454,693	30,011,182 186,589,412
Operating expenses Median	24,960,295 149,311,209	24,802,629 156,110,414	25,887,478 164,890,568	29,259,123 166,516,854	37,055,102 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,162,141 -964,173	-2,348,658 -643,601.5	-2,538,252 -116,254	-5,617,798 -5,025,862	-7,043,920 -1,284,564
NS2P margin ? Median	-14.51% -0.62	-10.46% -0.29	-10.87% 0.18	-23.76% -5.07	-23.47% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for D W MCMILLAN MEMORIAL 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	4,761,473 5,089,215	3,878,494 4,572,541	4,191,556 5,268,134	4,861,927 13,092,619	11,343,938 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	524,444 224,999	553,580 199,009	421,574 206,870.5	477,390 194,343	232,390 249,496
⊳ Line 7: Investments ? ⊳ Median	144,616 299,524	138,258 188,688.5	205,938 370,813	103,469 309,361.5	13,948 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,284	12,266	28,168	13,145	102,743
⊳ Line 11: Rebates and refunds of expenses	42,467	14,457	66,813	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	135,388	124,606	107,708	73,706	75,162
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	17,862	17,385	11,140	10,021	12,684
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	5,187	5,053	6,046	5,645	4,643
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	3,889,225	3,012,889	3,344,169	4,178,551	10,902,368
Total income ? Median	1,599,332 6,586,430	1,529,836 6,767,106	1,653,304 8,419,950	-755,871 8,094,175	4,300,018 15,162,888
Non-operating expenses Median	1,492,234 146,289.5	1,414,858 164,857	1,634,805 89,880.5	1,313,200 106,761	1,879,770 31,473.5
Net income Median	107,098 6,043,842	114,978 5,845,112	18,499 7,606,259	-2,069,071 7,283,041	2,420,248 14,957,241
Net margin Median	0.40324% 4.62%	0.43664% 4.42%	0.06717% 5.16%	-7.25907% 5.2%	5.85235% 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 D W MCMILLAN MEMORIAL 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	3,966,580 23,241,334	3,807,644 23,709,545	4,112,034 24,248,380	3,575,709 22,858,541	3,725,914 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	3,966,580 21,577,146	3,807,644 22,041,594	4,112,034 22,722,063	3,575,709 21,570,441	3,725,914 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	4,233,885 11,160,864	4,012,651 11,987,345	3,795,233 12,926,866	3,759,320 11,884,480	3,604,242 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	3,856,185 10,918,923	3,593,698 11,706,976	3,381,709 12,615,917	3,467,279 11,458,116	3,395,120 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	377,700 618,038	418,953 697,279	413,524 690,232	292,041 684,010	209,122 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	81,881 594,888	78,215 595,761	80,683 577,894	64,992 542,168	50,919 549,667
Outlier Median	9,430 582,572	7,135 538,116	39,482 212,434	13,789 126,559	626 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	55,278 2,654,636	61,259 2,940,659	65,967 3,380,215	9,930 3,488,738	68,558 3,233,405
Uncompensated care (UCC) Median	2,087,914 5,147,790	1,913,391 5,337,617	1,829,580 5,711,082	1,039,545 5,923,418	2,071,331 5,508,107
UCC as a % of operating expenses Median	8.36% 3.24	7.71% 3.12	7.07% 3.21	3.55% 3.3	5.59% 2.86
Total shortfall/UCC Median	2,087,914 9,489,989	1,913,391 9,424,297	1,829,580 10,120,158	1,039,545 11,171,337	2,071,331 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	10,097,161 52,142,039	10,229,794 54,485,252	10,415,391 57,395,589	12,014,299 58,830,919	16,902,345 61,722,907
Salaries as a % of operating expenses Median	40.45 36.68	41.24 36.56	40.23 36.37	41.06 35.93	45.61 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	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	426,913 1,449,244	420,053 1,475,986	447,423 1,563,078	400,044 1,721,954	344,852 2,991,828
Contract hours, direct-care Median	10,983.43 22,725	11,636.19 23,018.5	16,946.49 24,503.48	13,945.20 25,026.5	8,585.71 33,786
Contract wages, direct-care Median	38.87 64.67	36.10 64.53	26.40 65.06	28.69 68.97	40.17 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.