As of the July, 2022, release via CMS

MADISON MEMORIAL HOSPITAL

CMS id: 130025
450 EAST MAIN ST, REXBURG ID 83440. County: MADISON
System: --
CBSA: Rexburg, ID

The 65-bed, acute-care hospital had $2,321,925 in net service to patients*, with a total profit margin of 5.92264% in fiscal year 2021, the latest year available.
It spent 1.97% of its operating expenses on uncompensated care and reported $53,867 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	49 118	49 118	49 119.5	47 118	47 119
Total beds Median	67 162	67 162	67 162	65 162	65 163.5
FTEs Median	416.88 788.06	418.77 793.42	433.48 806.03	500.87 787.61	519.87 804.34

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	64,755,093 150,932,746	72,754,388 158,950,878	86,324,045 168,696,998	83,762,791 163,454,693	90,705,821 186,589,412
Operating expenses Median	61,824,347 149,311,209	67,570,963 156,110,414	80,432,346 164,890,568	85,048,663 166,516,854	88,383,896 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,930,746 -964,173	5,183,425 -643,601.5	5,891,699 -116,254	-1,285,872 -5,025,862	2,321,925 -1,284,564
NS2P margin ? Median	4.53% -0.62	7.12% -0.29	6.83% 0.18	-1.54% -5.07	2.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MADISON 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	597,327 5,089,215	462,532 4,572,541	2,708,081 5,268,134	8,469,707 13,092,619	3,242,283 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,729 224,999	12,986 199,009	86,904 206,870.5	102,457 194,343	111,643 249,496
⊳ Line 7: Investments ? ⊳ Median	168,471 299,524	180,574 188,688.5	703,407 370,813	537,629 309,361.5	235,166 375,329
⊳ 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	0	0	0	137,946	86,275
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	4,243	585	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	453,723	444,781	462,943	383,611	314,678
⊳ 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	104,475	189,996	317,099	616,933	1,550,931
⊳ Line 18: Revenue from sale of medical records and abstracts	6,758	7,208	5,137	5,250	11,194
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	24,938	6,733	14,290	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	164,157
⊳ 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	-165,767	-383,989	1,117,716	6,685,881	768,239
Total income ? Median	3,528,073 6,586,430	5,645,957 6,767,106	8,599,780 8,419,950	7,183,835 8,094,175	5,564,208 15,162,888
Non-operating expenses Median	2,429,620 146,289.5	3,483,189 164,857	158,766 89,880.5	30,815 106,761	0 31,473.5
Net income Median	1,098,453 6,043,842	2,162,768 5,845,112	8,441,014 7,606,259	7,153,020 7,283,041	5,564,208 14,957,241
Net margin Median	1.68081% 4.62%	2.95392% 4.42%	9.48086% 5.16%	7.75542% 5.2%	5.92264% 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 MADISON 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	5,625,915 23,241,334	5,633,147 23,709,545	5,063,032 24,248,380	4,339,469 22,858,541	4,061,959 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	5,625,915 21,577,146	5,633,147 22,041,594	5,063,032 22,722,063	4,339,469 21,570,441	4,061,959 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	3,529,208 11,160,864	4,700,892 11,987,345	5,526,373 12,926,866	5,973,097 11,884,480	6,989,641 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	3,529,208 10,918,923	4,700,892 11,706,976	5,526,373 12,615,917	5,973,097 11,458,116	6,989,641 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	8,168 3,360,806	47,846 3,508,953
Disproportionate-share hospital (DSH) Median	106,219 594,888	112,902 595,761	110,012 577,894	89,463 542,168	84,454 549,667
Outlier Median	365,235 582,572	145,230 538,116	117,756 212,434	80,281 126,559	76,985 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	74,110 3,662,910	198,502 3,730,911	60,151 4,081,319	15,983 4,643,908	53,867 4,389,147
Charity care Median	229,704 2,654,636	192,996 2,940,659	103,049 3,380,215	246,376 3,488,738	176,923 3,233,405
Uncompensated care (UCC) Median	1,509,127 5,147,790	1,770,312 5,337,617	1,663,678 5,711,082	1,452,721 5,923,418	1,740,406 5,508,107
UCC as a % of operating expenses Median	2.44% 3.24	2.62% 3.12	2.07% 3.21	1.71% 3.3	1.97% 2.86
Total shortfall/UCC Median	1,583,237 9,489,989	1,968,814 9,424,297	1,723,829 10,120,158	1,468,704 11,171,337	1,794,273 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	23,819,745 52,142,039	24,034,600 54,485,252	27,016,422 57,395,589	32,826,037 58,830,919	33,608,111 61,722,907
Salaries as a % of operating expenses Median	38.53 36.68	35.57 36.56	33.59 36.37	38.60 35.93	38.03 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	934,161 1,449,244	984,129 1,475,986	1,142,180 1,563,078	1,100,004 1,721,954	2,307,246 2,991,828
Contract hours, direct-care Median	19,031.00 22,725	17,865.00 23,018.5	24,714.00 24,503.48	24,522.00 25,026.5	39,652.00 33,786
Contract wages, direct-care Median	49.09 64.67	55.09 64.53	46.22 65.06	44.86 68.97	58.19 88.94

* in an approved program

Return to top

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.