As of the July, 2022, release via CMS

MEDSTAR SOUTHERN MARYLAND HOSPITAL C

CMS id: 210062
7503 SURRATTS ROAD, CLINTON MD 20735. County: PRINCE GEORGE'S
System: MEDSTAR HEALTH INC
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 178-bed, acute-care hospital had $-11,988,746 in net service to patients*, with a total profit margin of -1.70186% in fiscal year 2021, the latest year available.
It spent 3.08% 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	forprofit	forprofit	nfp	nfp	nfp
Acute beds Median	174 118	164 118	158 119.5	160 118	160 119
Total beds Median	192 162	182 162	176 162	178 162	178 163.5
FTEs Median	1,037.98 788.06	965.85 793.42	1,040.22 806.03	1,051.70 787.61	984.78 804.34

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	237,427,967 150,932,746	235,394,390 158,950,878	235,923,221 168,696,998	244,302,777 163,454,693	254,641,293 186,589,412
Operating expenses Median	243,457,184 149,311,209	247,512,594 156,110,414	246,791,028 164,890,568	240,239,453 166,516,854	266,630,039 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,029,217 -964,173	-12,118,204 -643,601.5	-10,867,807 -116,254	4,063,324 -5,025,862	-11,988,746 -1,284,564
NS2P margin ? Median	-2.54% -0.62	-5.15% -0.29	-4.61% 0.18	1.66% -5.07	-4.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDSTAR SOUTHERN MARYLAND HOSPITAL C 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	10,692,858 5,089,215	1,946,730 4,572,541	2,853,793 5,268,134	7,761,581 13,092,619	7,527,013 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	55,645 224,999	34,383 199,009	23,398 206,870.5	101,805 194,343	47,832 249,496
⊳ Line 7: Investments ? ⊳ Median	34,372 299,524	61,893 188,688.5	1,755 370,813	6,989 309,361.5	9,289 375,329
⊳ 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	469,415	466,000	422,044	451,053	413,118
⊳ 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	641,565	618,216	232,460	12,161	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	10,485
⊳ Line 18: Revenue from sale of medical records and abstracts	1,558	155	470	0	3,449
⊳ 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	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	1,528,311 1,017,693	245,018 983,261.5	0 1,173,286	327,139 1,987,202	0 1,597,664
⊳ Sum Line 24	7,961,992	521,065	2,173,666	6,862,434	7,042,840
Total income ? Median	4,663,641 6,586,430	-10,171,474 6,767,106	-8,014,014 8,419,950	11,824,905 8,094,175	-4,461,733 15,162,888
Non-operating expenses Median	0 146,289.5	512 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	4,663,641 6,043,842	-10,171,986 5,845,112	-8,014,014 7,606,259	11,824,905 7,283,041	-4,461,733 14,957,241
Net margin Median	1.87958% 4.62%	-4.28581% 4.42%	-3.35628% 5.16%	4.69122% 5.2%	-1.70186% 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 MEDSTAR SOUTHERN MARYLAND HOSPITAL C 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	45,630,101 23,241,334	44,456,670 23,709,545	46,671,018 24,248,380	43,164,792 22,858,541	46,408,810 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	45,630,101 21,577,146	44,456,670 22,041,594	46,671,018 22,722,063	43,164,792 21,570,441	46,408,810 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	41,609,020 11,160,864	19,093,728 11,987,345	22,182,314 12,926,866	20,814,317 11,884,480	21,832,459 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	41,609,020 10,918,923	19,093,728 11,706,976	22,182,314 12,615,917	20,814,317 11,458,116	21,832,459 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	1,540,745 594,888	1,435,245 595,761	1,573,799 577,894	1,336,919 542,168	1,464,502 549,667
Outlier Median	2,201,549 582,572	2,116,399 538,116	2,172,947 212,434	92,561 126,559	91,231 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	558,310 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	1,678,788 2,654,636	3,303,964 2,940,659	3,937,877 3,380,215	3,528,419 3,488,738	3,642,968 3,233,405
Uncompensated care (UCC) Median	8,991,606 5,147,790	11,276,909 5,337,617	10,425,113 5,711,082	9,927,142 5,923,418	8,205,811 5,508,107
UCC as a % of operating expenses Median	3.69% 3.24	4.56% 3.12	4.22% 3.21	4.13% 3.3	3.08% 2.86
Total shortfall/UCC Median	8,991,606 9,489,989	11,835,219 9,424,297	10,425,113 10,120,158	9,927,142 11,171,337	8,205,811 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	83,959,187 52,142,039	81,039,984 54,485,252	78,344,585 57,395,589	84,601,817 58,830,919	90,098,697 61,722,907
Salaries as a % of operating expenses Median	34.49 36.68	32.74 36.56	31.75 36.37	35.22 35.93	33.79 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	7,891,169 1,449,244	12,226,169 1,475,986	16,656,922 1,563,078	20,618,965 1,721,954	32,536,081 2,991,828
Contract hours, direct-care Median	119,121.00 22,725	152,903.00 23,018.5	195,250.00 24,503.48	225,472.00 25,026.5	309,838.00 33,786
Contract wages, direct-care Median	66.24 64.67	79.96 64.53	85.31 65.06	91.45 68.97	105.01 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.