As of the July, 2022, release via CMS

MEMORIAL HOSPITAL WEST

CMS id: 100281
703 N. FLAMINGO ROAD, PEMBROKE PINES FL 33028. County: BROWARD
System: MEMORIAL REGIONAL HOSPITAL
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 486-bed, acute-care hospital had $52,397,191 in net service to patients*, with a total profit margin of 16.11949% in fiscal year 2021, the latest year available.
It spent 5.89% 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	314 118	394 118	434 119.5	434 118	434 119
Total beds Median	366 162	446 162	486 162	486 162	486 163.5
FTEs Median	2,262.70 788.06	2,352.90 793.42	2,446.13 806.03	2,570.50 787.61	2,522.30 804.34

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	505,181,278 150,932,746	523,122,518 158,950,878	576,125,876 168,696,998	565,340,829 163,454,693	616,154,940 186,589,412
Operating expenses Median	411,547,672 149,311,209	444,689,884 156,110,414	486,982,864 164,890,568	508,925,662 166,516,854	563,757,749 180,120,888
Net income from service 2 patients (NS2P) ? Median	93,633,606 -964,173	78,432,634 -643,601.5	89,143,012 -116,254	56,415,167 -5,025,862	52,397,191 -1,284,564
NS2P margin ? Median	18.53% -0.62	14.99% -0.29	15.47% 0.18	9.98% -5.07	8.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEMORIAL HOSPITAL WEST 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	5,631,521 5,089,215	13,645,951 4,572,541	6,570,390 5,268,134	16,619,694 13,092,619	55,941,270 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	296,880 224,999	133,891 199,009	85,222 206,870.5	425,446 194,343	43,019 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	1,109,150	1,330,962	2,022,374	1,190,940	2,534,059
⊳ 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	1,475,841	1,562,727	1,803,858	1,905,044	1,064,726
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	14	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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	5,590	0	28,561	25,758	311
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-68,599	0	0	0	0
⊳ Line 21: Rental of vending machines	26,981	31,264	26,981	26,981	8,440
⊳ Line 22: Rental of hospital space	0	104,430	107,996	61,009	95,455
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	12,079,549 1,597,664
⊳ Sum Line 24	2,785,664	10,482,677	2,495,398	12,984,516	40,115,711
Total income ? Median	99,265,127 6,586,430	92,078,585 6,767,106	95,713,402 8,419,950	73,034,861 8,094,175	108,338,461 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	99,265,127 6,043,842	92,078,585 5,845,112	95,713,402 7,606,259	73,034,861 7,283,041	108,338,461 14,957,241
Net margin Median	19.43278% 4.62%	17.15425% 4.42%	16.42595% 5.16%	12.54980% 5.2%	16.11949% 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 MEMORIAL HOSPITAL WEST 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	43,907,819 23,241,334	45,361,413 23,709,545	48,300,527 24,248,380	50,147,764 22,858,541	54,838,618 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	43,907,819 21,577,146	45,361,413 22,041,594	48,300,527 22,722,063	50,147,764 21,570,441	54,838,618 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	22,659,004 11,160,864	26,660,616 11,987,345	23,035,043 12,926,866	27,108,270 11,884,480	22,113,619 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	22,659,004 10,918,923	26,660,616 11,706,976	23,035,043 12,615,917	27,108,270 11,458,116	22,113,619 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	0 618,038	0 697,279	0 690,232	0 684,010	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	0 3,284,314	22,104 3,250,551	325,362 3,386,837	3,929,699 3,360,806	5,957,086 3,508,953
Disproportionate-share hospital (DSH) Median	1,296,902 594,888	1,387,916 595,761	2,478,382 577,894	2,019,561 542,168	1,210,362 549,667
Outlier Median	2,644,938 582,572	2,055,100 538,116	2,674,060 212,434	224,475 126,559	373,236 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,477,246 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	13,459,228 2,654,636	26,831,142 2,940,659	21,858,444 3,380,215	24,022,362 3,488,738	32,850,200 3,233,405
Uncompensated care (UCC) Median	27,533,398 5,147,790	39,358,103 5,337,617	29,908,006 5,711,082	30,853,683 5,923,418	33,225,869 5,508,107
UCC as a % of operating expenses Median	6.69% 3.24	8.85% 3.12	6.14% 3.21	6.06% 3.3	5.89% 2.86
Total shortfall/UCC Median	31,010,644 9,489,989	39,358,103 9,424,297	29,908,006 10,120,158	30,853,683 11,171,337	33,225,869 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	165,849,659 52,142,039	175,503,803 54,485,252	186,519,143 57,395,589	198,538,752 58,830,919	218,854,298 61,722,907
Salaries as a % of operating expenses Median	40.30 36.68	39.47 36.56	38.30 36.37	39.01 35.93	38.82 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	2,405,631 2,753,773	4,047,970 2,937,156	6,347,742 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	1,184,321 1,449,244	852,575 1,475,986	1,289,104 1,563,078	1,555,518 1,721,954	1,480,531 2,991,828
Contract hours, direct-care Median	69,964.43 22,725	50,588.00 23,018.5	52,949.57 24,503.48	53,555.17 25,026.5	110,688.25 33,786
Contract wages, direct-care Median	16.93 64.67	16.85 64.53	24.35 65.06	29.05 68.97	13.38 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.