As of the July, 2022, release via CMS

MERITUS MEDICAL CENTER

CMS id: 210001
11116 MEDICAL CAMPUS ROAD, HAGERSTOWN MD 21742. County: WASHINGTON
System: --
CBSA: Hagerstown-Martinsburg, MD-WV

The 274-bed, acute-care hospital had $41,578,229 in net service to patients*, with a total profit margin of 25.05029% in fiscal year 2021, the latest year available.
It spent 0.00% 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	196 118	209 118	237 119.5	225 118	250 119
Total beds Median	247 162	257 162	254 162	254 162	274 163.5
FTEs Median	1,559.10 788.06	1,581.50 793.42	1,779.37 806.03	1,867.59 787.61	1,858.80 804.34

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	319,198,713 150,932,746	323,835,910 158,950,878	321,340,389 168,696,998	314,200,752 163,454,693	381,606,121 186,589,412
Operating expenses Median	309,163,915 149,311,209	314,735,208 156,110,414	331,754,363 164,890,568	326,392,328 166,516,854	340,027,892 180,120,888
Net income from service 2 patients (NS2P) ? Median	10,034,798 -964,173	9,100,702 -643,601.5	-10,413,974 -116,254	-12,191,576 -5,025,862	41,578,229 -1,284,564
NS2P margin ? Median	3.14% -0.62	2.81% -0.29	-3.24% 0.18	-3.88% -5.07	10.90% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERITUS 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	30,386,184 5,089,215	20,511,124 4,572,541	22,884,717 5,268,134	31,775,962 13,092,619	72,106,729 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	90,843 206,870.5	31,622 194,343	1,342 249,496
⊳ Line 7: Investments ? ⊳ Median	24,974,786 299,524	6,892,578 188,688.5	3,498,895 370,813	4,541,109 309,361.5	44,310,176 375,329
⊳ 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	347,856	403,461	442,105
⊳ 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	2,045,644	2,021,688	2,020,390	1,615,724	1,238,950
⊳ Line 15: Revenue from rental of living quarters	72,902	72,902	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	62,098	172,376	104,809	46,582	61,970
⊳ 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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	73,044	74,459	73,044
⊳ 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	3,230,754	11,351,580	16,748,880	25,063,005	25,979,142
Total income ? Median	40,420,982 6,586,430	29,611,826 6,767,106	12,470,743 8,419,950	19,584,386 8,094,175	113,684,958 15,162,888
Non-operating expenses Median	2,159,496 146,289.5	221,006 164,857	69,704 89,880.5	914,302 106,761	28,567 31,473.5
Net income Median	38,261,486 6,043,842	29,390,820 5,845,112	12,401,039 7,606,259	18,670,084 7,283,041	113,656,391 14,957,241
Net margin Median	10.94483% 4.62%	8.53523% 4.42%	3.60260% 5.16%	5.39634% 5.2%	25.05029% 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 MERITUS 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	91,737,010 23,241,334	93,088,294 23,709,545	92,322,326 24,248,380	90,909,210 22,858,541	104,097,603 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	91,737,010 21,577,146	93,088,294 22,041,594	92,322,326 22,722,063	90,909,210 21,570,441	104,097,603 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	47,246,085 11,160,864	50,067,137 11,987,345	53,944,364 12,926,866	52,853,771 11,884,480	61,843,045 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	45,344,424 10,918,923	48,289,248 11,706,976	51,725,276 12,615,917	50,484,108 11,458,116	58,974,161 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,901,661 1,282,808	1,777,889 1,407,728	2,219,088 1,341,512	2,369,663 1,407,046	2,868,884 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	905,025 3,360,806	1,832,413 3,508,953
Disproportionate-share hospital (DSH) Median	1,632,268 594,888	2,005,563 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	8,545,801 582,572	8,879,911 538,116	7,384,920 212,434	59,069 126,559	90,967 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	3,064,239 2,654,636	2,816,034 2,940,659	2,538,223 3,380,215	3,076,422 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	12,594,979 5,147,790	13,871,597 5,337,617	12,465,898 5,711,082	13,260,430 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	4.07% 3.24	4.41% 3.12	3.76% 3.21	4.06% 3.3	0.00% 2.86
Total shortfall/UCC Median	12,594,979 9,489,989	13,871,597 9,424,297	12,465,898 10,120,158	13,260,430 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	103,650,589 52,142,039	108,124,566 54,485,252	120,884,326 57,395,589	127,964,373 58,830,919	137,122,476 61,722,907
Salaries as a % of operating expenses Median	33.53 36.68	34.35 36.56	36.44 36.37	39.21 35.93	40.33 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	8,725,054 1,449,244	7,068,827 1,475,986	5,827,210 1,563,078	5,510,875 1,721,954	14,702,168 2,991,828
Contract hours, direct-care Median	193,274.63 22,725	194,198.30 23,018.5	135,818.00 24,503.48	126,875.00 25,026.5	186,598.00 33,786
Contract wages, direct-care Median	45.14 64.67	36.40 64.53	42.90 65.06	43.44 68.97	78.79 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.