As of the July, 2022, release via CMS

MEMORIAL HOSPITAL MIRAMAR

CMS id: 100285
1901 SW 172ND AVENUE, MIRAMAR FL 33029. County: BROWARD
System: MEMORIAL REGIONAL HOSPITAL
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 178-bed, acute-care hospital had $39,020,068 in net service to patients*, with a total profit margin of 24.37469% in fiscal year 2021, the latest year available.
It spent 6.89% 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	144 118	144 118	144 119.5	144 118	144 119
Total beds Median	178 162	178 162	178 162	178 162	178 163.5
FTEs Median	898.50 788.06	926.30 793.42	911.76 806.03	918.30 787.61	910.80 804.34

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	183,875,533 150,932,746	190,045,587 158,950,878	198,150,687 168,696,998	187,501,618 163,454,693	227,602,957 186,589,412
Operating expenses Median	149,311,209 149,311,209	157,865,223 156,110,414	158,790,010 164,890,568	163,930,418 166,516,854	188,582,889 180,120,888
Net income from service 2 patients (NS2P) ? Median	34,564,324 -964,173	32,180,364 -643,601.5	39,360,677 -116,254	23,571,200 -5,025,862	39,020,068 -1,284,564
NS2P margin ? Median	18.80% -0.62	16.93% -0.29	19.86% 0.18	12.57% -5.07	17.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEMORIAL HOSPITAL MIRAMAR 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	1,209,223 5,089,215	2,786,766 4,572,541	1,316,646 5,268,134	4,155,306 13,092,619	21,761,838 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	8,099 224,999	20,425 199,009	420 206,870.5	850 194,343	114,320 249,496
⊳ 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	423,950	530,170	707,188	432,200	867,984
⊳ 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	817,044	845,981	856,571	832,758	602,106
⊳ 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	0	205	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	33,332	0	28,231	24,815	4,544
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	25,145	29,136	25,145	25,145	7,798
⊳ 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	-98,347	1,360,849	-300,909	2,839,538	20,165,086
Total income ? Median	35,773,547 6,586,430	34,967,130 6,767,106	40,677,323 8,419,950	27,726,506 8,094,175	60,781,906 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	35,773,547 6,043,842	34,967,130 5,845,112	40,677,323 7,606,259	27,726,506 7,283,041	60,781,906 14,957,241
Net margin Median	19.32820% 4.62%	18.13344% 4.42%	20.39297% 5.16%	14.46674% 5.2%	24.37469% 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 MIRAMAR 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	11,685,807 23,241,334	11,366,110 23,709,545	11,009,447 24,248,380	10,039,688 22,858,541	11,631,689 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	11,685,807 21,577,146	11,366,110 22,041,594	11,009,447 22,722,063	10,039,688 21,570,441	11,631,689 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	3,887,215 11,160,864	4,308,836 11,987,345	3,814,226 12,926,866	3,560,216 11,884,480	2,365,775 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	3,887,215 10,918,923	4,308,836 11,706,976	3,814,226 12,615,917	3,560,216 11,458,116	2,365,775 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	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	626,642 594,888	596,035 595,761	767,603 577,894	676,375 542,168	478,447 549,667
Outlier Median	219,504 582,572	258,571 538,116	270,160 212,434	89,684 126,559	120,174 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,550,902 3,662,910	214,531 3,730,911	49,824 4,081,319	527,045 4,643,908	0 4,389,147
Charity care Median	3,568,635 2,654,636	8,356,877 2,940,659	8,207,545 3,380,215	12,446,877 3,488,738	12,901,568 3,233,405
Uncompensated care (UCC) Median	19,006,430 5,147,790	15,671,400 5,337,617	13,240,781 5,711,082	16,371,955 5,923,418	12,984,928 5,508,107
UCC as a % of operating expenses Median	12.73% 3.24	9.93% 3.12	8.34% 3.21	9.99% 3.3	6.89% 2.86
Total shortfall/UCC Median	20,557,332 9,489,989	15,885,931 9,424,297	13,290,605 10,120,158	16,899,000 11,171,337	12,984,928 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	65,299,964 52,142,039	68,207,472 54,485,252	67,832,075 57,395,589	69,701,812 58,830,919	77,301,983 61,722,907
Salaries as a % of operating expenses Median	43.73 36.68	43.21 36.56	42.72 36.37	42.52 35.93	40.99 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	114,828 1,449,244	284,650 1,475,986	232,480 1,563,078	1,051,833 1,721,954	10,178,246 2,991,828
Contract hours, direct-care Median	7,828.16 22,725	12,809.06 23,018.5	9,603.11 24,503.48	19,597.00 25,026.5	81,274.25 33,786
Contract wages, direct-care Median	14.67 64.67	22.22 64.53	24.21 65.06	53.67 68.97	125.23 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.