As of the July, 2022, release via CMS

HARRISON MEMORIAL HOSPITAL

CMS id: 180079
1210 KY HIGHWAY 36 E, CYNTHIANA KY 41031. County: HARRISON
System: --
CBSA: Rural Kentucky

The 34-bed, acute-care hospital had $1,115,954 in net service to patients*, with a total profit margin of 6.81076% in fiscal year 2021, the latest year available.
It spent 17.31% 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	55 118	55 118	55 119.5	28 118	28 119
Total beds Median	61 162	61 162	61 162	34 162	34 163.5
FTEs Median	389.27 788.06	348.88 793.42	423.05 806.03	416.48 787.61	459.14 804.34

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	53,764,493 150,932,746	57,939,944 158,950,878	59,748,381 168,696,998	54,374,894 163,454,693	71,201,667 186,589,412
Operating expenses Median	53,052,520 149,311,209	59,049,527 156,110,414	61,371,821 164,890,568	62,416,551 166,516,854	70,085,713 180,120,888
Net income from service 2 patients (NS2P) ? Median	711,973 -964,173	-1,109,583 -643,601.5	-1,623,440 -116,254	-8,041,657 -5,025,862	1,115,954 -1,284,564
NS2P margin ? Median	1.32% -0.62	-1.92% -0.29	-2.72% 0.18	-14.79% -5.07	1.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HARRISON 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	1,381,852 5,089,215	1,557,858 4,572,541	1,921,825 5,268,134	14,173,404 13,092,619	4,031,151 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	40,619 224,999	55,116 199,009	62,100 206,870.5	100,486 194,343	1,532,400 249,496
⊳ Line 7: Investments ? ⊳ Median	367,419 299,524	70,072 188,688.5	521,707 370,813	395,859 309,361.5	91,973 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	135,434	195,622	133,562	161,304	182,281
⊳ 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	298,960	348,692	385,116	354,910	333,750
⊳ 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	5,184	5,867	7,795	6,940	7,176
⊳ 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	5,517	6,243	5,189	4,480	2,466
⊳ Line 22: Rental of hospital space	0	0	8,953	27,650	238,443
⊳ 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	528,719	876,246	797,403	13,121,775	1,642,662
Total income ? Median	2,093,825 6,586,430	448,275 6,767,106	298,385 8,419,950	6,131,747 8,094,175	5,147,105 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	34,286 106,761	23,178 31,473.5
Net income Median	2,093,825 6,043,842	448,275 5,845,112	298,385 7,606,259	6,097,461 7,283,041	5,123,927 14,957,241
Net margin Median	3.79685% 4.62%	0.75343% 4.42%	0.48384% 5.16%	8.89513% 5.2%	6.81076% 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 HARRISON 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	4,354,724 23,241,334	5,250,413 23,709,545	4,215,091 24,248,380	3,487,607 22,858,541	5,019,637 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	4,354,724 21,577,146	5,250,413 22,041,594	4,215,091 22,722,063	3,487,607 21,570,441	5,019,637 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	5,593,090 11,160,864	7,111,361 11,987,345	6,854,060 12,926,866	6,504,850 11,884,480	5,740,875 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	5,593,090 10,918,923	7,111,361 11,706,976	6,854,060 12,615,917	6,504,850 11,458,116	5,731,677 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	9,198 670,558
⊳ 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	138,725 594,888	114,425 595,761	165,236 577,894	101,122 542,168	135,120 549,667
Outlier Median	458,307 582,572	327,238 538,116	190,713 212,434	184,768 126,559	162,644 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	39,410 3,662,910	71,235 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	311,534 2,654,636	454,666 2,940,659	805,309 3,380,215	12,258,339 3,488,738	11,450,202 3,233,405
Uncompensated care (UCC) Median	1,070,654 5,147,790	1,197,330 5,337,617	2,084,583 5,711,082	12,774,264 5,923,418	12,134,865 5,508,107
UCC as a % of operating expenses Median	2.02% 3.24	2.03% 3.12	3.40% 3.21	20.47% 3.3	17.31% 2.86
Total shortfall/UCC Median	1,110,064 9,489,989	1,268,565 9,424,297	2,084,583 10,120,158	12,774,264 11,171,337	12,134,865 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,190,190 52,142,039	25,388,344 54,485,252	26,465,359 57,395,589	26,978,318 58,830,919	30,512,662 61,722,907
Salaries as a % of operating expenses Median	45.60 36.68	42.99 36.56	43.12 36.37	43.22 35.93	43.54 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	0 1,449,244	0 1,475,986	0 1,563,078	79,244 1,721,954	157,003 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	1,103.15 25,026.5	1,875.75 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	71.83 68.97	83.70 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.