As of the July, 2022, release via CMS

GARRETT COUNTY MEMORIAL HOSPITAL

CMS id: 210017
251 NORTH FOURTH ST., OAKLAND MD 21550. County: GARRETT
System: --
CBSA: Rural Maryland

The 36-bed, acute-care hospital had $-5,328,450 in net service to patients*, with a total profit margin of 12.24549% in fiscal year 2021, the latest year available.
It spent 7.43% of its operating expenses on uncompensated care and reported $156,384 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	25 118	25 118	25 119.5	24 118	24 119
Total beds Median	37 162	37 162	37 162	36 162	36 163.5
FTEs Median	371.61 788.06	388.10 793.42	397.26 806.03	412.70 787.61	438.60 804.34

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	48,104,383 150,932,746	50,195,770 158,950,878	54,593,442 168,696,998	55,429,330 163,454,693	61,860,209 186,589,412
Operating expenses Median	46,818,203 149,311,209	51,150,259 156,110,414	49,273,757 164,890,568	59,430,927 166,516,854	67,188,659 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,286,180 -964,173	-954,489 -643,601.5	5,319,685 -116,254	-4,001,597 -5,025,862	-5,328,450 -1,284,564
NS2P margin ? Median	2.67% -0.62	-1.90% -0.29	9.74% 0.18	-7.22% -5.07	-8.61% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GARRETT COUNTY 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	-2,010,856 5,089,215	3,624,864 4,572,541	-5,686,416 5,268,134	-1,498,080 13,092,619	14,704,125 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	422,016 224,999	236,434 199,009	77,089 206,870.5	267,073 194,343	89,103 249,496
⊳ Line 7: Investments ? ⊳ Median	429,564 299,524	616,334 188,688.5	579,185 370,813	1,125,838 309,361.5	1,112,151 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	17,317	14,212	12,415	6,186	5,124
⊳ Line 11: Rebates and refunds of expenses	35	1,100	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	138,539	149,626	143,870	148,334	142,021
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	11,249	444	12,122	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	3,357	1,586	1,924	305	850
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	275,117	249,412	218,425	132,520	133,958
⊳ Line 21: Rental of vending machines	0	11	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	314,290 1,987,202	308,238 1,597,664
⊳ Sum Line 24	-3,308,050	2,355,705	-6,731,446	-3,492,626	12,912,680
Total income ? Median	-724,676 6,586,430	2,670,375 6,767,106	-366,731 8,419,950	-5,499,677 8,094,175	9,375,675 15,162,888
Non-operating expenses Median	142,954 146,289.5	122,110 164,857	50,582 89,880.5	21 106,761	0 31,473.5
Net income Median	-867,630 6,043,842	2,548,265 5,845,112	-417,313 7,606,259	-5,499,698 7,283,041	9,375,675 14,957,241
Net margin Median	-1.88233% 4.62%	4.73474% 4.42%	-0.85328% 5.16%	-10.19761% 5.2%	12.24549% 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 GARRETT COUNTY 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	10,948,171 23,241,334	11,655,694 23,709,545	11,707,224 24,248,380	8,610,409 22,858,541	10,350,764 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	9,960,724 21,577,146	10,764,047 22,041,594	10,705,945 22,722,063	7,738,436 21,570,441	9,500,878 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	987,447 1,203,033	891,647 1,215,295	1,001,279 1,313,657	871,973 1,365,298	849,886 1,179,746
All outpatient revenue Median Click here to show/hide details	11,930,937 11,160,864	13,318,969 11,987,345	16,159,338 12,926,866	15,265,718 11,884,480	16,584,617 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	11,930,937 10,918,923	13,318,969 11,706,976	16,159,338 12,615,917	15,265,718 11,458,116	16,584,617 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	196,172 594,888	209,244 595,761	189,896 577,894	136,873 542,168	165,120 549,667
Outlier Median	0 582,572	0 538,116	0 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,067,168 3,662,910	264,330 3,730,911	0 4,081,319	1,748,395 4,643,908	156,384 4,389,147
Charity care Median	1,135,081 2,654,636	4,129,220 2,940,659	4,782,801 3,380,215	4,875,884 3,488,738	4,120,912 3,233,405
Uncompensated care (UCC) Median	2,155,551 5,147,790	5,021,924 5,337,617	5,765,602 5,711,082	5,439,776 5,923,418	4,991,677 5,508,107
UCC as a % of operating expenses Median	4.60% 3.24	9.82% 3.12	11.70% 3.21	9.15% 3.3	7.43% 2.86
Total shortfall/UCC Median	3,222,719 9,489,989	5,286,254 9,424,297	5,765,602 10,120,158	7,188,171 11,171,337	5,148,061 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	21,392,440 52,142,039	22,867,085 54,485,252	24,799,361 57,395,589	25,950,781 58,830,919	28,896,241 61,722,907
Salaries as a % of operating expenses Median	40.52 36.68	38.85 36.56	43.15 36.37	43.67 35.93	43.01 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	502,236 1,449,244	0 1,475,986	918,873 1,563,078	454,720 1,721,954	930,708 2,991,828
Contract hours, direct-care Median	12,492.18 22,725	0.00 23,018.5	15,322.95 24,503.48	6,777.27 25,026.5	8,863.99 33,786
Contract wages, direct-care Median	40.20 64.67	0.00 64.53	59.97 65.06	67.09 68.97	105.00 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.