As of the July, 2022, release via CMS

REID HOSPITAL & HEALTH CARE SERVICES

CMS id: 150048
1401 CHESTER BOULEVARD, RICHMOND IN 47374. County: WAYNE
System: REID HOME OFFICE
CBSA: Richmond, IN

The 241-bed, acute-care hospital had $128,544,666 in net service to patients*, with a total profit margin of 36.75128% in fiscal year 2020, the latest year available.
It spent 2.26% 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	--
Ownership	nfp	nfp	nfp	nfp	--
Acute beds Median	133 118	133 118	133 119.5	163 118	-- 119
Total beds Median	221 162	221 162	221 162	241 162	-- 163.5
FTEs Median	2,287.77 788.06	2,497.06 793.42	1,467.81 806.03	1,665.22 787.61	-- 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	414,704,703 150,932,746	432,155,977 158,950,878	420,404,907 168,696,998	442,937,053 163,454,693	-- 186,589,412
Operating expenses Median	429,973,158 149,311,209	475,249,474 156,110,414	281,251,567 164,890,568	314,392,387 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-15,268,455 -964,173	-43,093,497 -643,601.5	139,153,340 -116,254	128,544,666 -5,025,862	-- -1,284,564
NS2P margin ? Median	-3.68% -0.62	-9.97% -0.29	33.10% 0.18	29.02% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for REID HOSPITAL & HEALTH CARE SERVICES 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	58,529,189 5,089,215	15,469,635 4,572,541	67,241,343 5,268,134	54,136,040 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,223,124 224,999	2,760,000 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	39,840,090 299,524	-5,972,027 188,688.5	55,170,508 370,813	38,424,437 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	137,116	9,364	0	0	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	299,045	357,518	396,923	364,409	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,596,663	3,712,515	3,940,191	3,386,926	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	18,000	18,000	20,000	8,500	--
⊳ Line 18: Revenue from sale of medical records and abstracts	32,171	52,949	300	349	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	44,750	44,230	68,434	61,874	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	31,221	15,339	13,739	6,132	--
⊳ Line 22: Rental of hospital space	6,519,733	6,392,370	6,294,493	6,748,637	--
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	3,787,276	8,079,377	1,336,755	5,134,776	--
Total income ? Median	43,260,734 6,586,430	-27,623,862 6,767,106	206,394,683 8,419,950	182,680,706 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	43,260,734 6,043,842	-27,623,862 5,845,112	206,394,683 7,606,259	182,680,706 7,283,041	-- 14,957,241
Net margin Median	9.14151% 4.62%	-6.17120% 4.42%	42.32467% 5.16%	36.75128% 5.2%	--% 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 REID HOSPITAL & HEALTH CARE SERVICES 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	77,828,696 23,241,334	80,656,195 23,709,545	83,239,323 24,248,380	85,497,903 22,858,541	-- 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	68,955,644 21,577,146	71,589,654 22,041,594	73,094,976 22,722,063	75,894,118 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	6,000,344 1,845,420	5,291,857 1,757,392	5,580,676 1,738,842	4,624,828 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,872,708 3,535,627	3,774,684 3,746,588	4,563,671 3,782,288	4,978,957 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	48,693,353 11,160,864	49,255,006 11,987,345	53,049,249 12,926,866	52,891,250 11,884,480	-- 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	48,693,353 10,918,923	49,255,006 11,706,976	53,049,249 12,615,917	52,891,250 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	2,069,421 3,284,314	3,255,011 3,250,551	3,685,246 3,386,837	3,654,976 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,370,319 594,888	1,371,456 595,761	1,301,189 577,894	1,467,874 542,168	-- 549,667
Outlier Median	879,115 582,572	1,063,128 538,116	360,724 212,434	230,244 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,691,225 3,662,910	11,202,948 3,730,911	0 4,081,319	0 4,643,908	-- 4,389,147
Charity care Median	7,855,497 2,654,636	5,271,732 2,940,659	2,776,334 3,380,215	3,103,295 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	16,470,030 5,147,790	6,160,908 5,337,617	3,495,785 5,711,082	7,095,620 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	3.83% 3.24	1.30% 3.12	1.24% 3.21	2.26% 3.3	--% 2.86
Total shortfall/UCC Median	33,161,255 9,489,989	17,363,856 9,424,297	3,495,785 10,120,158	7,095,620 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	162,742,940 52,142,039	176,294,574 54,485,252	86,913,294 57,395,589	103,340,784 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	37.85 36.68	37.10 36.56	30.90 36.37	32.87 35.93	-- 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	5,903,299 1,449,244	6,045,841 1,475,986	7,786,701 1,563,078	8,202,333 1,721,954	-- 2,991,828
Contract hours, direct-care Median	122,657.62 22,725	125,138.14 23,018.5	137,085.66 24,503.48	133,910.36 25,026.5	-- 33,786
Contract wages, direct-care Median	48.13 64.67	48.31 64.53	56.80 65.06	61.25 68.97	-- 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.