As of the July, 2022, release via CMS

MURRAY CALLOWAY COUNTY HOSPITAL

CMS id: 180027
803 POPLAR STREET, MURRAY KY 42071. County: CALLOWAY
System: --
CBSA: Murray, KY

The 231-bed, acute-care hospital had $6,639,187 in net service to patients*, with a total profit margin of 19.84182% in fiscal year 2021, the latest year available.
It spent 1.50% of its operating expenses on uncompensated care and reported $0 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	118 118	89 118	89 119.5	89 118	89 119
Total beds Median	300 162	277 162	283 162	283 162	231 163.5
FTEs Median	962.75 788.06	1,008.30 793.42	977.11 806.03	869.93 787.61	823.32 804.34

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	117,587,925 150,932,746	125,331,908 158,950,878	125,396,678 168,696,998	130,935,667 163,454,693	149,921,266 186,589,412
Operating expenses Median	121,331,846 149,311,209	129,495,230 156,110,414	130,816,721 164,890,568	131,796,604 166,516,854	143,282,079 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,743,921 -964,173	-4,163,322 -643,601.5	-5,420,043 -116,254	-860,937 -5,025,862	6,639,187 -1,284,564
NS2P margin ? Median	-3.18% -0.62	-3.32% -0.29	-4.32% 0.18	-0.66% -5.07	4.43% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MURRAY CALLOWAY COUNTY 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	3,941,987 5,089,215	3,786,751 4,572,541	3,320,133 5,268,134	6,753,483 13,092,619	28,827,900 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	216,414 224,999	314,529 199,009	416,758 206,870.5	125,880 194,343	428,037 249,496
⊳ Line 7: Investments ? ⊳ Median	1,723,699 299,524	1,528,230 188,688.5	1,094,087 370,813	2,547,268 309,361.5	5,270,449 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	4,985	2,281	1,567	2,909	13,563
⊳ 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	0	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	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	2,599	1,983	1,421	33,052	39,188
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	338,422	311,425	211,684	240,108	198,505
⊳ 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	1,655,868	1,628,303	1,594,616	3,804,266	22,878,158
Total income ? Median	198,066 6,586,430	-376,571 6,767,106	-2,099,910 8,419,950	5,892,546 8,094,175	35,467,087 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	198,066 6,043,842	-376,571 5,845,112	-2,099,910 7,606,259	5,892,546 7,283,041	35,467,087 14,957,241
Net margin Median	0.16298% 4.62%	-0.29165% 4.42%	-1.63142% 5.16%	4.27960% 5.2%	19.84182% 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 MURRAY CALLOWAY COUNTY 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	18,416,185 23,241,334	19,962,478 23,709,545	19,822,737 24,248,380	19,324,553 22,858,541	21,473,953 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	12,179,446 21,577,146	12,189,217 22,041,594	11,365,650 22,722,063	12,701,212 21,570,441	15,354,515 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	1,325,833 1,757,392	1,837,074 1,738,842	1,441,212 1,510,463	1,708,239 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,414,064 3,535,627	2,927,413 3,746,588	2,685,170 3,782,288	2,176,709 3,865,578	2,220,629 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	3,822,675 1,203,033	3,520,015 1,215,295	3,934,843 1,313,657	3,005,420 1,365,298	2,190,570 1,179,746
All outpatient revenue Median Click here to show/hide details	11,545,801 11,160,864	11,958,536 11,987,345	12,679,507 12,926,866	11,258,850 11,884,480	11,893,672 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	11,545,801 10,918,923	11,958,536 11,706,976	12,679,507 12,615,917	11,258,850 11,458,116	11,893,672 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	299,133 594,888	305,750 595,761	235,270 577,894	254,978 542,168	240,184 549,667
Outlier Median	409,582 582,572	361,030 538,116	97,053 212,434	82,035 126,559	268,616 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,301,318 3,662,910	4,834,690 3,730,911	3,281,160 4,081,319	4,069,590 4,643,908	0 4,389,147
Charity care Median	573,898 2,654,636	311,631 2,940,659	436,853 3,380,215	553,458 3,488,738	614,274 3,233,405
Uncompensated care (UCC) Median	1,169,969 5,147,790	620,668 5,337,617	12,728,237 5,711,082	728,145 5,923,418	2,154,774 5,508,107
UCC as a % of operating expenses Median	0.96% 3.24	0.48% 3.12	9.73% 3.21	0.55% 3.3	1.50% 2.86
Total shortfall/UCC Median	8,471,287 9,489,989	5,455,358 9,424,297	16,009,397 10,120,158	4,797,735 11,171,337	2,154,774 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	48,858,493 52,142,039	51,898,032 54,485,252	52,962,501 57,395,589	52,795,052 58,830,919	56,197,995 61,722,907
Salaries as a % of operating expenses Median	40.27 36.68	40.08 36.56	40.49 36.37	40.06 35.93	39.22 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	230,950 1,449,244	271,434 1,475,986	242,448 1,563,078	1,629,929 1,721,954	2,305,120 2,991,828
Contract hours, direct-care Median	2,460.65 22,725	3,054.00 23,018.5	2,754.00 24,503.48	32,199.16 25,026.5	20,799.19 33,786
Contract wages, direct-care Median	93.86 64.67	88.88 64.53	88.03 65.06	50.62 68.97	110.83 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.