As of the July, 2022, release via CMS

HUTCHINSON REGIONAL MEDICAL CENTER

CMS id: 170020
1701 EAST 23RD, HUTCHINSON KS 67502. County: RENO
System: --
CBSA: Hutchinson, KS

The 158-bed, acute-care hospital had $-12,945,054 in net service to patients*, with a total profit margin of 13.56779% in fiscal year 2021, the latest year available.
It spent 3.19% of its operating expenses on uncompensated care and reported $3,325,817 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	109 118	109 118	109 119.5	136 118	129 119
Total beds Median	170 162	170 162	152 162	179 162	158 163.5
FTEs Median	813.15 788.06	835.73 793.42	866.56 806.03	850.95 787.61	828.73 804.34

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	142,438,122 150,932,746	144,774,669 158,950,878	124,084,400 168,696,998	125,605,537 163,454,693	135,161,440 186,589,412
Operating expenses Median	123,177,681 149,311,209	151,872,047 156,110,414	142,251,104 164,890,568	139,207,575 166,516,854	148,106,494 180,120,888
Net income from service 2 patients (NS2P) ? Median	19,260,441 -964,173	-7,097,378 -643,601.5	-18,166,704 -116,254	-13,602,038 -5,025,862	-12,945,054 -1,284,564
NS2P margin ? Median	13.52% -0.62	-4.90% -0.29	-14.64% 0.18	-10.83% -5.07	-9.58% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HUTCHINSON REGIONAL 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	13,299,320 5,089,215	6,895,337 4,572,541	10,809,376 5,268,134	8,625,694 13,092,619	36,194,232 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	167,743 224,999	20,893 199,009	452,227 206,870.5	-13,966 194,343	2,168 249,496
⊳ Line 7: Investments ? ⊳ Median	5,817,482 299,524	5,011,798 188,688.5	4,673,945 370,813	2,099,933 309,361.5	22,730,114 375,329
⊳ 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	349	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	274,978	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	149,274	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	261,309	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	4,073	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	74,613	0	0	0	0
⊳ Line 22: Rental of hospital space	166,900	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	6,382,599	1,862,646	5,683,204	6,539,727	13,461,950
Total income ? Median	32,559,761 6,586,430	-202,041 6,767,106	-7,357,328 8,419,950	-4,976,344 8,094,175	23,249,178 15,162,888
Non-operating expenses Median	14,687,269 146,289.5	0 164,857	4,041 89,880.5	0 106,761	0 31,473.5
Net income Median	17,872,492 6,043,842	-202,041 5,845,112	-7,361,369 7,606,259	-4,976,344 7,283,041	23,249,178 14,957,241
Net margin Median	11.47604% 4.62%	-0.13321% 4.42%	-5.45716% 5.16%	-3.70729% 5.2%	13.56779% 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 HUTCHINSON REGIONAL 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	36,505,618 23,241,334	37,863,929 23,709,545	36,807,940 24,248,380	30,491,231 22,858,541	30,538,303 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	32,638,265 21,577,146	33,889,341 22,041,594	32,950,141 22,722,063	26,973,967 21,570,441	26,760,362 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	627,605 1,845,420	490,288 1,757,392	691,997 1,738,842	565,680 1,510,463	317,588 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,644,650 3,535,627	2,985,964 3,746,588	3,165,802 3,782,288	2,951,584 3,865,578	3,460,353 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	595,098 1,203,033	498,336 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	17,767,182 11,160,864	17,142,372 11,987,345	18,577,449 12,926,866	18,718,664 11,884,480	17,937,865 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	17,767,182 10,918,923	17,142,372 11,706,976	18,577,449 12,615,917	18,718,664 11,458,116	17,937,865 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 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	153,607 594,888	0 595,761	0 577,894	152,741 542,168	119,036 549,667
Outlier Median	1,008,175 582,572	849,192 538,116	449,718 212,434	261,818 126,559	356,526 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,516,572 3,662,910	6,150,605 3,730,911	2,196,047 4,081,319	5,730,385 4,643,908	3,325,817 4,389,147
Charity care Median	776,349 2,654,636	524,576 2,940,659	457,080 3,380,215	962,107 3,488,738	2,817,288 3,233,405
Uncompensated care (UCC) Median	4,932,609 5,147,790	6,718,076 5,337,617	7,191,066 5,711,082	6,578,143 5,923,418	4,731,536 5,508,107
UCC as a % of operating expenses Median	4.00% 3.24	4.42% 3.12	5.06% 3.21	4.73% 3.3	3.19% 2.86
Total shortfall/UCC Median	6,449,181 9,489,989	12,868,681 9,424,297	9,387,113 10,120,158	12,308,528 11,171,337	8,057,353 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	42,955,244 52,142,039	45,187,858 54,485,252	48,386,433 57,395,589	49,171,696 58,830,919	50,197,108 61,722,907
Salaries as a % of operating expenses Median	34.87 36.68	35.52 36.56	34.01 36.37	35.32 35.93	35.82 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	2,086,963 1,449,244	2,751,858 1,475,986	1,874,128 1,563,078	1,657,552 1,721,954	2,530,088 2,991,828
Contract hours, direct-care Median	37,037.00 22,725	45,424.62 23,018.5	29,324.00 24,503.48	27,728.00 25,026.5	30,110.00 33,786
Contract wages, direct-care Median	56.35 64.67	60.58 64.53	63.91 65.06	59.78 68.97	84.03 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.