As of the July, 2022, release via CMS

SUSAN B. ALLEN MEMORIAL HOSPITAL

CMS id: 170017
720 W. CENTRAL, EL DORADO KS 67042. County: BUTLER
System: --
CBSA: Wichita, KS

The 20-bed, acute-care hospital had $-3,108,309 in net service to patients*, with a total profit margin of 3.46512% in fiscal year 2021, the latest year available.
It spent 5.02% of its operating expenses on uncompensated care and reported $686,343 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	47 118	47 118	24 119.5	18 118	18 119
Total beds Median	53 162	53 162	26 162	20 162	20 163.5
FTEs Median	362.64 788.06	349.67 793.42	326.80 806.03	240.80 787.61	231.10 804.34

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	44,394,620 150,932,746	50,788,150 158,950,878	38,372,363 168,696,998	31,057,018 163,454,693	34,843,012 186,589,412
Operating expenses Median	54,469,481 149,311,209	51,762,783 156,110,414	50,490,594 164,890,568	38,084,100 166,516,854	37,951,321 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,074,861 -964,173	-974,633 -643,601.5	-12,118,231 -116,254	-7,027,082 -5,025,862	-3,108,309 -1,284,564
NS2P margin ? Median	-22.69% -0.62	-1.92% -0.29	-31.58% 0.18	-22.63% -5.07	-8.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SUSAN B. ALLEN MEMORIAL 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	5,077,993 5,089,215	1,053,739 4,572,541	4,480,876 5,268,134	11,039,306 13,092,619	4,470,571 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	59,472 224,999	100,000 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,712,585 299,524	-393,918 188,688.5	2,631,948 370,813	1,717,770 309,361.5	1,463,213 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	749	2,857	1,466	427
⊳ Line 11: Rebates and refunds of expenses	45,427	4,930	27,593	203	127
⊳ 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	246,902	276,957	248,537	150,677	184,281
⊳ 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	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	2,671	2,673	1,829	1,192	1,362
⊳ Line 22: Rental of hospital space	493,420	558,129	618,421	737,346	739,357
⊳ 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	517,516	504,219	949,691	8,430,652	2,081,804
Total income ? Median	-4,996,868 6,586,430	79,106 6,767,106	-7,637,355 8,419,950	4,012,224 8,094,175	1,362,262 15,162,888
Non-operating expenses Median	4,763,971 146,289.5	6,261,924 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-9,760,839 6,043,842	-6,182,818 5,845,112	-7,637,355 7,606,259	4,012,224 7,283,041	1,362,262 14,957,241
Net margin Median	-19.72978% 4.62%	-11.92630% 4.42%	-17.82212% 5.16%	9.53106% 5.2%	3.46512% 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 SUSAN B. ALLEN MEMORIAL 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	6,781,799 23,241,334	6,185,282 23,709,545	5,051,278 24,248,380	3,998,864 22,858,541	3,913,979 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	6,781,799 21,577,146	6,185,282 22,041,594	5,051,278 22,722,063	3,998,864 21,570,441	3,913,979 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	6,729,939 11,160,864	6,412,235 11,987,345	6,011,027 12,926,866	4,463,738 11,884,480	5,104,529 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	5,950,326 10,918,923	5,474,620 11,706,976	4,848,115 12,615,917	3,835,184 11,458,116	4,160,681 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	779,613 1,282,808	937,615 1,407,728	1,162,912 1,341,512	628,554 1,407,046	943,848 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	67,398 594,888	45,472 595,761	59,459 577,894	46,344 542,168	30,993 549,667
Outlier Median	105,532 582,572	102,946 538,116	62,690 212,434	100,180 126,559	133,101 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	223,392 3,662,910	0 3,730,911	2,480,482 4,081,319	603,086 4,643,908	686,343 4,389,147
Charity care Median	1,228,182 2,654,636	951,750 2,940,659	621,344 3,380,215	705,049 3,488,738	869,904 3,233,405
Uncompensated care (UCC) Median	2,356,973 5,147,790	4,031,955 5,337,617	2,115,445 5,711,082	2,488,096 5,923,418	1,905,649 5,508,107
UCC as a % of operating expenses Median	4.33% 3.24	7.79% 3.12	4.19% 3.21	6.53% 3.3	5.02% 2.86
Total shortfall/UCC Median	2,580,365 9,489,989	4,031,955 9,424,297	4,595,927 10,120,158	3,091,182 11,171,337	2,591,992 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	23,046,427 52,142,039	21,420,645 54,485,252	19,197,804 57,395,589	15,071,019 58,830,919	15,497,774 61,722,907
Salaries as a % of operating expenses Median	42.31 36.68	41.38 36.56	38.02 36.37	39.57 35.93	40.84 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	1,259,490 1,449,244	1,344,906 1,475,986	410,823 1,563,078	977,610 1,721,954	1,427,260 2,991,828
Contract hours, direct-care Median	15,962.00 22,725	30,137.00 23,018.5	11,675.00 24,503.48	15,386.00 25,026.5	22,552.00 33,786
Contract wages, direct-care Median	78.91 64.67	44.63 64.53	35.19 65.06	63.54 68.97	63.29 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.