As of the July, 2022, release via CMS

MEMORIAL HOSPITAL OF SOUTH BEND INC

CMS id: 150058
615 N MICHIGAN ST, SOUTH BEND IN 46601. County: ST. JOSEPH
System: BEACON HEALTH SYSTEM
CBSA: South Bend-Mishawaka, IN-MI

The 449-bed, acute-care hospital had $86,954,411 in net service to patients*, with a total profit margin of 19.49219% in fiscal year 2020, the latest year available.
It spent 2.64% of its operating expenses on uncompensated care and reported $4,321 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	303 118	315 118	301 119.5	348 118	-- 119
Total beds Median	423 162	435 162	409 162	449 162	-- 163.5
FTEs Median	2,298.57 788.06	2,347.81 793.42	2,474.33 806.03	2,311.76 787.61	-- 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	493,707,207 150,932,746	543,838,213 158,950,878	538,887,329 168,696,998	555,055,960 163,454,693	-- 186,589,412
Operating expenses Median	423,219,473 149,311,209	447,626,907 156,110,414	473,238,898 164,890,568	468,101,549 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	70,487,734 -964,173	96,211,306 -643,601.5	65,648,431 -116,254	86,954,411 -5,025,862	-- -1,284,564
NS2P margin ? Median	14.28% -0.62	17.69% -0.29	12.18% 0.18	15.67% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEMORIAL HOSPITAL OF SOUTH BEND INC 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	20,149,740 5,089,215	22,265,441 4,572,541	24,827,993 5,268,134	31,027,000 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	785,507 299,524	122,439 188,688.5	182,275 370,813	418,000 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	--
⊳ Line 11: Rebates and refunds of expenses	1,220,953	1,583,399	1,589,630	0	--
⊳ Line 12: Parking lot receipts	315,288	324,563	319,055	221,906	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,367,322	1,617,322	1,617,322	1,350,203	--
⊳ 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	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	0	0	0	0	--
⊳ Line 22: Rental of hospital space	0	0	0	0	--
⊳ Line 23: Gov appropriations ? ⊳ Median	2,328,949 1,017,693	2,458,789 983,261.5	2,303,901 1,173,286	2,022,696 1,987,202	-- 1,597,664
⊳ Sum Line 24	14,131,721	16,158,929	18,815,810	27,014,195	--
Total income ? Median	90,637,474 6,586,430	118,476,747 6,767,106	90,476,424 8,419,950	117,981,411 8,094,175	-- 15,162,888
Non-operating expenses Median	-6,895,526 146,289.5	-1,628,253 164,857	1,075,385 89,880.5	3,741,000 106,761	-- 31,473.5
Net income Median	97,533,000 6,043,842	120,105,000 5,845,112	89,401,039 7,606,259	114,240,411 7,283,041	-- 14,957,241
Net margin Median	18.98057% 4.62%	21.21608% 4.42%	15.85925% 5.16%	19.49219% 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 MEMORIAL HOSPITAL OF SOUTH BEND INC 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	64,868,357 23,241,334	68,256,994 23,709,545	64,227,331 24,248,380	59,159,819 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	61,824,376 21,577,146	65,421,455 22,041,594	61,649,157 22,722,063	56,827,965 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	1,316,813 1,845,420	931,075 1,757,392	822,972 1,738,842	289,929 1,510,463	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,727,168 3,535,627	1,904,464 3,746,588	1,755,202 3,782,288	2,041,925 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	28,188,653 11,160,864	30,335,225 11,987,345	30,492,908 12,926,866	27,474,435 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	28,188,653 10,918,923	30,335,225 11,706,976	30,492,908 12,615,917	27,474,435 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	2,522,944 3,284,314	2,622,228 3,250,551	2,518,170 3,386,837	2,273,204 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	2,662,106 594,888	2,568,953 595,761	2,573,882 577,894	2,595,718 542,168	-- 549,667
Outlier Median	2,883,333 582,572	3,433,653 538,116	744,427 212,434	461,552 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	42,336 3,662,910	7,004,213 3,730,911	226,422 4,081,319	4,321 4,643,908	-- 4,389,147
Charity care Median	4,259,484 2,654,636	5,646,090 2,940,659	10,006,616 3,380,215	5,758,647 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	11,155,175 5,147,790	13,524,485 5,337,617	19,332,695 5,711,082	12,379,088 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	2.64% 3.24	3.02% 3.12	4.09% 3.21	2.64% 3.3	--% 2.86
Total shortfall/UCC Median	11,197,511 9,489,989	20,528,698 9,424,297	19,559,117 10,120,158	12,383,409 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	138,801,720 52,142,039	147,259,041 54,485,252	151,742,666 57,395,589	150,569,414 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	32.80 36.68	32.90 36.56	32.06 36.37	32.17 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	4,823,482 1,449,244	7,660,777 1,475,986	15,370,891 1,563,078	11,451,706 1,721,954	-- 2,991,828
Contract hours, direct-care Median	68,751.00 22,725	110,536.00 23,018.5	223,955.00 24,503.48	162,496.00 25,026.5	-- 33,786
Contract wages, direct-care Median	70.16 64.67	69.31 64.53	68.63 65.06	70.47 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.