As of the July, 2022, release via CMS

ANDERSON HOSPITAL

CMS id: 140289
6800 STATE ROUTE 162, MARYVILLE IL 62062. County: MADISON
System: ANDERSON HEALTHCARE
CBSA: St. Louis, MO-IL

The 120-bed, acute-care hospital had $14,920,727 in net service to patients*, with a total profit margin of 22.03234% in fiscal year 2021, the latest year available.
It spent 4.34% of its operating expenses on uncompensated care and reported $5,286,833 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	106 118	106 118	106 119.5	106 118	108 119
Total beds Median	154 162	154 162	154 162	154 162	120 163.5
FTEs Median	928.83 788.06	999.67 793.42	942.13 806.03	947.05 787.61	916.00 804.34

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	145,274,944 150,932,746	152,491,509 158,950,878	161,656,051 168,696,998	151,801,325 163,454,693	170,085,211 186,589,412
Operating expenses Median	129,476,738 149,311,209	140,210,104 156,110,414	147,546,957 164,890,568	149,805,148 166,516,854	155,164,484 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,798,206 -964,173	12,281,405 -643,601.5	14,109,094 -116,254	1,996,177 -5,025,862	14,920,727 -1,284,564
NS2P margin ? Median	10.87% -0.62	8.05% -0.29	8.73% 0.18	1.31% -5.07	8.77% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ANDERSON 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	13,022,785 5,089,215	-2,651,066 4,572,541	19,206,878 5,268,134	20,448,234 13,092,619	28,946,146 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	10,763,674 299,524	-4,955,210 188,688.5	17,612,484 370,813	12,518,008 309,361.5	14,055,610 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5	0	62	-70	-37
⊳ Line 11: Rebates and refunds of expenses	1,502	0	0	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	0	0	0	0	0
⊳ 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	104,435	103,486	69,871	60,410	64,316
⊳ 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	0	0	1,818	0	220
⊳ Line 22: Rental of hospital space	1,110,995	1,070,798	1,013,708	1,103,155	1,126,755
⊳ 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	1,042,174	1,129,860	508,935	6,766,731	13,699,282
Total income ? Median	28,820,991 6,586,430	9,630,339 6,767,106	33,315,972 8,419,950	22,444,411 8,094,175	43,866,873 15,162,888
Non-operating expenses Median	60,324 146,289.5	201,635 164,857	62,631 89,880.5	81,636 106,761	15,617 31,473.5
Net income Median	28,760,667 6,043,842	9,428,704 5,845,112	33,253,341 7,606,259	22,362,775 7,283,041	43,851,256 14,957,241
Net margin Median	18.16872% 4.62%	6.29250% 4.42%	18.38594% 5.16%	12.98278% 5.2%	22.03234% 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 ANDERSON 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	23,752,307 23,241,334	23,692,587 23,709,545	24,608,597 24,248,380	22,763,311 22,858,541	19,920,781 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	19,996,699 21,577,146	18,847,392 22,041,594	19,904,701 22,722,063	18,587,842 21,570,441	18,243,715 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	3,755,608 3,535,627	4,845,195 3,746,588	4,703,896 3,782,288	4,175,469 3,865,578	1,677,066 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	12,170,270 11,160,864	14,100,022 11,987,345	16,011,761 12,926,866	15,077,921 11,884,480	14,248,081 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	11,486,820 10,918,923	13,481,656 11,706,976	15,286,615 12,615,917	14,333,200 11,458,116	13,494,612 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	683,450 1,282,808	618,366 1,407,728	725,146 1,341,512	744,721 1,407,046	753,469 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	262,856 594,888	275,131 595,761	238,187 577,894	315,809 542,168	332,896 549,667
Outlier Median	442,406 582,572	190,710 538,116	34,453 212,434	62,598 126,559	84,251 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	4,074,331 3,730,911	1,499,051 4,081,319	2,233,204 4,643,908	5,286,833 4,389,147
Charity care Median	4,401,545 2,654,636	3,544,660 2,940,659	3,618,575 3,380,215	5,526,997 3,488,738	4,942,285 3,233,405
Uncompensated care (UCC) Median	5,973,433 5,147,790	4,994,899 5,337,617	4,924,541 5,711,082	7,571,924 5,923,418	6,729,854 5,508,107
UCC as a % of operating expenses Median	4.61% 3.24	3.56% 3.12	3.34% 3.21	5.05% 3.3	4.34% 2.86
Total shortfall/UCC Median	5,973,433 9,489,989	9,069,230 9,424,297	6,423,592 10,120,158	9,805,128 11,171,337	12,016,687 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	52,142,039 52,142,039	54,060,723 54,485,252	57,377,083 57,395,589	56,722,626 58,830,919	59,840,426 61,722,907
Salaries as a % of operating expenses Median	40.27 36.68	38.56 36.56	38.89 36.37	37.86 35.93	38.57 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	272,267 1,449,244	571,354 1,475,986	269,888 1,563,078	683,295 1,721,954	826,545 2,991,828
Contract hours, direct-care Median	7,426.50 22,725	12,256.00 23,018.5	8,134.00 24,503.48	8,589.32 25,026.5	5,466.99 33,786
Contract wages, direct-care Median	36.66 64.67	46.62 64.53	33.18 65.06	79.55 68.97	151.19 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.