As of the July, 2022, release via CMS

MCPHERSON HOSPITAL INC.

CMS id: 170105
1000 HOSPITAL DRIVE, MCPHERSON KS 67460. County: MCPHERSON
System: --
CBSA: McPherson, KS

The 37-bed, acute-care hospital had $-5,565,008 in net service to patients*, with a total profit margin of 13.20140% in fiscal year 2021, the latest year available.
It spent 4.23% of its operating expenses on uncompensated care and reported $900,514 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	27 118	28 118	30 119.5	30 118	30 119
Total beds Median	34 162	35 162	37 162	37 162	37 163.5
FTEs Median	267.81 788.06	253.95 793.42	256.73 806.03	267.36 787.61	285.29 804.34

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	26,513,752 150,932,746	26,034,134 158,950,878	28,329,725 168,696,998	28,238,998 163,454,693	31,548,366 186,589,412
Operating expenses Median	33,764,653 149,311,209	30,751,169 156,110,414	32,386,819 164,890,568	33,488,967 166,516,854	37,113,374 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,250,901 -964,173	-4,717,035 -643,601.5	-4,057,094 -116,254	-5,249,969 -5,025,862	-5,565,008 -1,284,564
NS2P margin ? Median	-27.35% -0.62	-18.12% -0.29	-14.32% 0.18	-18.59% -5.07	-17.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MCPHERSON HOSPITAL 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	3,319,747 5,089,215	3,286,969 4,572,541	3,594,824 5,268,134	3,652,248 13,092,619	11,209,665 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	97,087 224,999	134,720 199,009	165,894 206,870.5	143,700 194,343	251,755 249,496
⊳ Line 7: Investments ? ⊳ Median	23,638 299,524	23,758 188,688.5	30,828 370,813	29,502 309,361.5	9,652 375,329
⊳ 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	182,845	188,540	195,261	204,234	198,305
⊳ 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	13,791	6,802	65	11	6,707
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	54,641	54,766	78,238	56,921	9,815
⊳ Line 21: Rental of vending machines	926	977	593	498	353
⊳ Line 22: Rental of hospital space	43,684	35,574	42,690	66,476	72,602
⊳ Line 23: Gov appropriations ? ⊳ Median	2,717,112 1,017,693	2,713,800 983,261.5	3,012,935 1,173,286	2,973,534 1,987,202	3,008,412 1,597,664
⊳ Sum Line 24	186,023	128,032	68,320	177,372	7,652,064
Total income ? Median	-3,931,154 6,586,430	-1,430,066 6,767,106	-462,270 8,419,950	-1,597,721 8,094,175	5,644,657 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	-3,931,154 6,043,842	-1,430,066 5,845,112	-462,270 7,606,259	-1,597,721 7,283,041	5,644,657 14,957,241
Net margin Median	-13.17698% 4.62%	-4.87726% 4.42%	-1.44801% 5.16%	-5.00990% 5.2%	13.20140% 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 MCPHERSON HOSPITAL 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	3,789,782 23,241,334	4,281,654 23,709,545	4,229,708 24,248,380	3,545,435 22,858,541	4,024,713 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	3,789,782 21,577,146	4,281,654 22,041,594	4,229,708 22,722,063	3,545,435 21,570,441	4,024,713 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	2,416,732 11,160,864	2,411,777 11,987,345	2,475,172 12,926,866	3,759,884 11,884,480	5,515,389 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	2,416,732 10,918,923	2,411,777 11,706,976	2,475,172 12,615,917	2,698,625 11,458,116	3,121,273 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	1,061,259 684,010	2,394,116 670,558
⊳ 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	0 594,888	0 595,761	0 577,894	23,688 542,168	15,061 549,667
Outlier Median	38,597 582,572	36,602 538,116	19,515 212,434	2,723 126,559	6,185 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	257,327 3,662,910	883,209 3,730,911	798,765 4,081,319	591,784 4,643,908	900,514 4,389,147
Charity care Median	823,719 2,654,636	118,946 2,940,659	155,917 3,380,215	116,317 3,488,738	132,465 3,233,405
Uncompensated care (UCC) Median	1,486,133 5,147,790	691,606 5,337,617	831,358 5,711,082	1,136,720 5,923,418	1,570,044 5,508,107
UCC as a % of operating expenses Median	4.40% 3.24	2.25% 3.12	2.57% 3.21	3.39% 3.3	4.23% 2.86
Total shortfall/UCC Median	1,743,460 9,489,989	1,574,815 9,424,297	1,630,123 10,120,158	1,728,504 11,171,337	2,470,558 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	15,242,901 52,142,039	15,291,290 54,485,252	15,878,506 57,395,589	16,339,011 58,830,919	18,573,099 61,722,907
Salaries as a % of operating expenses Median	45.14 36.68	49.73 36.56	49.03 36.37	48.79 35.93	50.04 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	1,000,920 1,449,244	1,121,041 1,475,986	1,683,157 1,563,078	706,761 1,721,954	1,830,641 2,991,828
Contract hours, direct-care Median	15,728.00 22,725	20,636.00 23,018.5	33,617.00 24,503.48	14,161.49 25,026.5	34,805.00 33,786
Contract wages, direct-care Median	63.64 64.67	54.32 64.53	50.07 65.06	49.91 68.97	52.60 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.