As of the July, 2022, release via CMS

SCHNECK MEDICAL CENTER

CMS id: 150065
411 WEST TIPTON STREET, SEYMOUR IN 47274. County: JACKSON
System: --
CBSA: Seymour, IN

The 83-bed, acute-care hospital had $18,256,414 in net service to patients*, with a total profit margin of 18.94327% in fiscal year 2021, the latest year available.
It spent 2.05% of its operating expenses on uncompensated care and reported $1,514,417 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	85 118	84 118	78 119.5	78 118	63 119
Total beds Median	93 162	93 162	87 162	87 162	83 163.5
FTEs Median	843.65 788.06	865.79 793.42	884.09 806.03	864.54 787.61	877.38 804.34

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	140,783,455 150,932,746	143,103,909 158,950,878	160,412,737 168,696,998	164,123,409 163,454,693	187,997,702 186,589,412
Operating expenses Median	137,445,111 149,311,209	144,098,160 156,110,414	157,768,550 164,890,568	161,840,849 166,516,854	169,741,288 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,338,344 -964,173	-994,251 -643,601.5	2,644,187 -116,254	2,282,560 -5,025,862	18,256,414 -1,284,564
NS2P margin ? Median	2.37% -0.62	-0.69% -0.29	1.65% 0.18	1.39% -5.07	9.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SCHNECK MEDICAL CENTER 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	16,025,821 5,089,215	1,902,696 4,572,541	24,078,043 5,268,134	24,310,672 13,092,619	21,412,791 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	385,858 224,999	264,340 199,009	-159,604 206,870.5	-106,297 194,343	308,700 249,496
⊳ Line 7: Investments ? ⊳ Median	11,560,490 299,524	-4,485,562 188,688.5	15,964,065 370,813	11,397,343 309,361.5	11,447,169 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	60,657	69,794	51,875	68,361	68,126
⊳ Line 11: Rebates and refunds of expenses	0	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	418,056	437,911	460,276	343,052	387,538
⊳ Line 15: Revenue from rental of living quarters	620,491	612,062	628,746	639,048	548,432
⊳ 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	165,933	171,341	251,900	221,375	221,018
⊳ Line 18: Revenue from sale of medical records and abstracts	20,553	19,647	26,753	18,149	12,567
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	5,280	4,220	3,800	3,800	5,200
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	6,704	5,621	5,829	2,296	302
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	74,671	88,947	91,665	104,980	74,590
⊳ 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	2,699,982	4,707,011	6,748,862	11,610,062	8,337,831
Total income ? Median	19,364,165 6,586,430	908,445 6,767,106	26,722,230 8,419,950	26,593,232 8,094,175	39,669,205 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	19,364,165 6,043,842	908,445 5,845,112	26,722,230 7,606,259	26,593,232 7,283,041	39,669,205 14,957,241
Net margin Median	12.34886% 4.62%	0.62649% 4.42%	14.48432% 5.16%	14.11275% 5.2%	18.94327% 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 SCHNECK MEDICAL CENTER 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	9,015,838 23,241,334	9,440,077 23,709,545	10,454,659 24,248,380	10,075,651 22,858,541	8,687,305 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	9,015,838 21,577,146	9,440,077 22,041,594	10,454,659 22,722,063	10,075,651 21,570,441	8,687,305 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	12,284,797 11,160,864	13,561,885 11,987,345	14,095,937 12,926,866	14,362,368 11,884,480	15,778,363 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	11,498,994 10,918,923	12,686,611 11,706,976	13,192,400 12,615,917	13,388,599 11,458,116	14,819,407 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	785,803 1,282,808	875,274 1,407,728	903,537 1,341,512	973,769 1,407,046	958,956 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	215,366 594,888	212,843 595,761	224,625 577,894	211,650 542,168	147,916 549,667
Outlier Median	693,111 582,572	505,084 538,116	212,519 212,434	284,975 126,559	335,249 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,266,765 3,662,910	0 3,730,911	901,934 4,081,319	2,395,864 4,643,908	1,514,417 4,389,147
Charity care Median	2,501,330 2,654,636	1,895,870 2,940,659	3,187,184 3,380,215	2,236,250 3,488,738	1,089,919 3,233,405
Uncompensated care (UCC) Median	7,001,600 5,147,790	5,339,521 5,337,617	6,138,881 5,711,082	4,747,408 5,923,418	3,479,704 5,508,107
UCC as a % of operating expenses Median	5.09% 3.24	3.71% 3.12	3.89% 3.21	2.93% 3.3	2.05% 2.86
Total shortfall/UCC Median	11,268,365 9,489,989	5,339,521 9,424,297	7,040,815 10,120,158	7,143,272 11,171,337	4,994,121 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	60,836,103 52,142,039	64,499,578 54,485,252	71,244,180 57,395,589	71,712,208 58,830,919	77,136,555 61,722,907
Salaries as a % of operating expenses Median	44.26 36.68	44.76 36.56	45.16 36.37	44.31 35.93	45.44 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	1,114,707 1,449,244	720,808 1,475,986	117,513 1,563,078	566,684 1,721,954	3,436,782 2,991,828
Contract hours, direct-care Median	13,842.92 22,725	10,405.10 23,018.5	1,667.50 24,503.48	4,730.27 25,026.5	29,969.22 33,786
Contract wages, direct-care Median	80.53 64.67	69.27 64.53	70.47 65.06	119.80 68.97	114.68 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.