As of the July, 2022, release via CMS

JENNIE STUART MEDICAL CENTER

CMS id: 180051
320 WEST 18TH STREET, HOPKINSVILLE KY 42240. County: CHRISTIAN
System: --
CBSA: Clarksville, TN-KY

The 135-bed, acute-care hospital had $17,630,806 in net service to patients*, with a total profit margin of 10.75219% in fiscal year 2021, the latest year available.
It spent 1.78% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	170 118	111 118	99 119.5	99 118	99 119
Total beds Median	194 162	133 162	133 162	135 162	135 163.5
FTEs Median	785.68 788.06	756.70 793.42	813.89 806.03	750.92 787.61	787.57 804.34

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	125,127,397 150,932,746	126,034,761 158,950,878	141,808,751 168,696,998	137,526,457 163,454,693	174,072,489 186,589,412
Operating expenses Median	128,467,998 149,311,209	126,842,954 156,110,414	135,838,401 164,890,568	139,332,755 166,516,854	156,441,683 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,340,601 -964,173	-808,193 -643,601.5	5,970,350 -116,254	-1,806,298 -5,025,862	17,630,806 -1,284,564
NS2P margin ? Median	-2.67% -0.62	-0.64% -0.29	4.21% 0.18	-1.31% -5.07	10.13% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JENNIE STUART 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	8,741,025 5,089,215	420,366 4,572,541	1,557,443 5,268,134	14,864,249 13,092,619	1,216,605 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,120 224,999	42,909 199,009	376,305 206,870.5	61,334 194,343	41,783 249,496
⊳ Line 7: Investments ? ⊳ Median	208,677 299,524	475,610 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	847	0	0
⊳ Line 11: Rebates and refunds of expenses	45,231	39,417	69,503	121,428	50,993
⊳ 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	467,475	348,641	397,760	266,304	256,651
⊳ 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	19,859	11,592	5,294	0	0
⊳ Line 21: Rental of vending machines	20,546	12,491	0	0	0
⊳ Line 22: Rental of hospital space	810,623	804,134	463,148	254,651	93,262
⊳ 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	7,163,494	-1,314,428	244,586	14,160,532	773,916
Total income ? Median	5,400,424 6,586,430	-387,827 6,767,106	7,527,793 8,419,950	13,057,951 8,094,175	18,847,411 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	5,400,424 6,043,842	-387,827 5,845,112	7,527,793 7,606,259	13,057,951 7,283,041	18,847,411 14,957,241
Net margin Median	4.03413% 4.62%	-0.30669% 4.42%	5.25074% 5.16%	8.56873% 5.2%	10.75219% 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 JENNIE STUART 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	16,380,933 23,241,334	14,271,150 23,709,545	15,529,696 24,248,380	14,144,029 22,858,541	13,866,064 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	16,380,933 21,577,146	14,271,150 22,041,594	14,700,357 22,722,063	13,877,938 21,570,441	13,508,266 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	829,339 1,738,842	266,091 1,510,463	357,798 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	14,760,110 11,160,864	15,642,017 11,987,345	18,009,496 12,926,866	17,730,879 11,884,480	17,170,483 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	13,998,284 10,918,923	15,122,866 11,706,976	17,298,792 12,615,917	17,077,529 11,458,116	16,736,231 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	761,826 1,282,808	519,151 1,407,728	710,704 1,341,512	653,350 1,407,046	434,252 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	381,332 594,888	343,571 595,761	358,958 577,894	326,265 542,168	312,425 549,667
Outlier Median	196,278 582,572	215,207 538,116	77,067 212,434	66,640 126,559	150,413 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,036,754 3,662,910	899,680 3,730,911	1,227,564 4,081,319	2,680,689 4,643,908	0 4,389,147
Charity care Median	1,221,794 2,654,636	932,039 2,940,659	1,386,782 3,380,215	1,860,490 3,488,738	813,509 3,233,405
Uncompensated care (UCC) Median	2,638,834 5,147,790	1,832,677 5,337,617	3,792,255 5,711,082	3,336,257 5,923,418	2,780,864 5,508,107
UCC as a % of operating expenses Median	2.05% 3.24	1.44% 3.12	2.79% 3.21	2.39% 3.3	1.78% 2.86
Total shortfall/UCC Median	4,675,588 9,489,989	2,732,357 9,424,297	5,019,819 10,120,158	6,016,946 11,171,337	2,780,864 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	50,787,542 52,142,039	50,114,350 54,485,252	54,827,965 57,395,589	55,486,771 58,830,919	61,238,509 61,722,907
Salaries as a % of operating expenses Median	39.53 36.68	39.51 36.56	40.36 36.37	39.82 35.93	39.14 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	3,044,682 1,449,244	2,046,392 1,475,986	2,523,779 1,563,078	3,037,400 1,721,954	2,890,374 2,991,828
Contract hours, direct-care Median	40,639.35 22,725	49,826.14 23,018.5	57,032.63 24,503.48	35,021.61 25,026.5	28,045.02 33,786
Contract wages, direct-care Median	74.92 64.67	41.07 64.53	44.25 65.06	86.73 68.97	103.06 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.