As of the July, 2022, release via CMS

MEMORIAL HOSP & HEALTH CARE CTR

CMS id: 150115
800 WEST 9TH STREET, JASPER IN 47546. County: DUBOIS
System: MEMORIAL HOSPITAL AND HEALTH CENTER
CBSA: Jasper, IN

The 137-bed, acute-care hospital had $63,719,087 in net service to patients*, with a total profit margin of 34.88322% in fiscal year 2021, the latest year available.
It spent 2.68% of its operating expenses on uncompensated care and reported $11,108,384 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	85 118	85 118	85 119.5	70 118	70 119
Total beds Median	158 162	152 162	152 162	137 162	137 163.5
FTEs Median	1,325.35 788.06	1,324.87 793.42	1,328.52 806.03	1,063.82 787.61	1,062.90 804.34

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	209,684,401 150,932,746	209,408,138 158,950,878	227,867,237 168,696,998	222,589,062 163,454,693	236,093,026 186,589,412
Operating expenses Median	213,196,508 149,311,209	212,712,454 156,110,414	225,666,890 164,890,568	161,691,227 166,516,854	172,373,939 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,512,107 -964,173	-3,304,316 -643,601.5	2,200,347 -116,254	60,897,835 -5,025,862	63,719,087 -1,284,564
NS2P margin ? Median	-1.67% -0.62	-1.58% -0.29	0.97% 0.18	27.36% -5.07	26.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEMORIAL HOSP & HEALTH CARE CTR 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	14,934,828 5,089,215	10,412,010 4,572,541	8,487,386 5,268,134	10,925,412 13,092,619	28,622,056 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	3,275,260 299,524	3,645,944 188,688.5	4,013,533 370,813	1,794,610 309,361.5	18,136,519 375,329
⊳ 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	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	690,024	664,817	646,343	612,460	569,834
⊳ 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	231,080	241,952	273,388	307,775	303,188
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	531	-2	302	-1	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	10,737,933	5,859,299	3,553,820	8,210,568	9,612,515
Total income ? Median	11,422,721 6,586,430	7,107,694 6,767,106	10,687,733 8,419,950	71,823,247 8,094,175	92,341,143 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	11,422,721 6,043,842	7,107,694 5,845,112	10,687,733 7,606,259	71,823,247 7,283,041	92,341,143 14,957,241
Net margin Median	5.08537% 4.62%	3.23341% 4.42%	4.52191% 5.16%	30.75751% 5.2%	34.88322% 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 HOSP & HEALTH CARE CTR 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	24,752,349 23,241,334	22,800,331 23,709,545	24,440,969 24,248,380	23,554,349 22,858,541	24,063,226 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	20,447,849 21,577,146	19,291,391 22,041,594	20,735,754 22,722,063	19,278,938 21,570,441	20,366,306 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	1,593,120 1,845,420	1,272,289 1,757,392	1,338,407 1,738,842	1,510,436 1,510,463	954,981 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,162,302 3,535,627	869,228 3,746,588	1,035,051 3,782,288	1,113,102 3,865,578	931,603 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	1,549,078 1,203,033	1,367,423 1,215,295	1,331,757 1,313,657	1,651,873 1,365,298	1,810,336 1,179,746
All outpatient revenue Median Click here to show/hide details	25,714,722 11,160,864	27,727,205 11,987,345	29,757,476 12,926,866	30,520,915 11,884,480	31,730,153 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	23,995,152 10,918,923	25,851,272 11,706,976	27,652,056 12,615,917	28,405,484 11,458,116	29,405,826 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,354,094 1,282,808	1,495,579 1,407,728	1,703,294 1,341,512	1,753,244 1,407,046	1,985,456 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	365,476 618,038	380,354 697,279	402,126 690,232	362,187 684,010	338,871 670,558
⊳ 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	641,839 3,360,806	1,433,693 3,508,953
Disproportionate-share hospital (DSH) Median	247,247 594,888	237,583 595,761	241,168 577,894	218,669 542,168	228,400 549,667
Outlier Median	226,808 582,572	195,650 538,116	112,422 212,434	87,582 126,559	117,795 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,516,719 3,662,910	6,986,604 3,730,911	10,487,141 4,081,319	0 4,643,908	11,108,384 4,389,147
Charity care Median	762,696 2,654,636	1,823,664 2,940,659	465,258 3,380,215	821,152 3,488,738	2,098,676 3,233,405
Uncompensated care (UCC) Median	3,927,663 5,147,790	5,188,590 5,337,617	3,412,971 5,711,082	3,875,969 5,923,418	4,618,840 5,508,107
UCC as a % of operating expenses Median	1.84% 3.24	2.44% 3.12	1.51% 3.21	2.40% 3.3	2.68% 2.86
Total shortfall/UCC Median	12,444,382 9,489,989	12,175,194 9,424,297	13,900,112 10,120,158	3,875,969 11,171,337	15,727,224 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	97,768,273 52,142,039	98,140,212 54,485,252	102,626,585 57,395,589	88,553,565 58,830,919	95,982,355 61,722,907
Salaries as a % of operating expenses Median	45.86 36.68	46.14 36.56	45.48 36.37	54.77 35.93	55.68 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	401,284 1,279,653	832,537 1,469,317
Contract adjusted salaries, direct-care Median	3,429,861 1,449,244	2,657,431 1,475,986	2,390,504 1,563,078	3,009,395 1,721,954	2,174,043 2,991,828
Contract hours, direct-care Median	72,084.00 22,725	48,807.00 23,018.5	45,219.00 24,503.48	52,218.00 25,026.5	42,063.00 33,786
Contract wages, direct-care Median	47.58 64.67	54.45 64.53	52.87 65.06	57.63 68.97	51.69 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.