As of the July, 2022, release via CMS

MARQUETTE GENERAL HOSPITAL

CMS id: 230054
850 W BARAGA, MARQUETTE MI 49855. County: MARQUETTE
System: LIFEPOINT HEALTH
CBSA: Marquette, MI

The 222-bed, acute-care hospital had $-2,593,427 in net service to patients*, with a total profit margin of 8.92005% in fiscal year 2021, the latest year available.
It spent 0.48% 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	forprofit	forprofit	forprofit
Acute beds Median	208 118	208 118	201 119.5	120 118	120 119
Total beds Median	307 162	307 162	301 162	222 162	222 163.5
FTEs Median	1,883.14 788.06	1,614.12 793.42	1,608.45 806.03	1,565.21 787.61	1,546.83 804.34

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	331,575,030 150,932,746	327,001,853 158,950,878	327,810,273 168,696,998	320,007,106 163,454,693	360,114,881 186,589,412
Operating expenses Median	333,413,854 149,311,209	360,429,969 156,110,414	335,559,876 164,890,568	347,874,162 166,516,854	362,708,308 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,838,824 -964,173	-33,428,116 -643,601.5	-7,749,603 -116,254	-27,867,056 -5,025,862	-2,593,427 -1,284,564
NS2P margin ? Median	-0.55% -0.62	-10.22% -0.29	-2.36% 0.18	-8.71% -5.07	-0.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MARQUETTE GENERAL 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	20,690,602 5,089,215	14,944,448 4,572,541	17,474,116 5,268,134	21,942,236 13,092,619	38,115,794 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	10,110,992 370,813	13,238,453 309,361.5	10,735,883 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	42,276	30,796	0
⊳ 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	205,610	330,075	162,680
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	1,515,053	1,572,943	981,543
⊳ 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	155,682	132,704	125,091
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	-1,414	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	74,307	70,771	99,992
⊳ Line 21: Rental of vending machines	0	0	17,259	6,332	3,913
⊳ 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	0 1,987,202	0 1,597,664
⊳ Sum Line 24	20,690,602	14,944,448	5,352,937	6,561,576	26,006,692
Total income ? Median	18,851,778 6,586,430	-18,483,668 6,767,106	9,724,513 8,419,950	-5,924,820 8,094,175	35,522,367 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	18,851,778 6,043,842	-18,483,668 5,845,112	9,724,513 7,606,259	-5,924,820 7,283,041	35,522,367 14,957,241
Net margin Median	5.35158% 4.62%	-5.40543% 4.42%	2.81638% 5.16%	-1.73266% 5.2%	8.92005% 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 MARQUETTE GENERAL 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	59,527,851 23,241,334	57,105,790 23,709,545	56,540,064 24,248,380	54,417,547 22,858,541	54,925,185 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	53,387,398 21,577,146	52,149,509 22,041,594	51,930,161 22,722,063	50,032,428 21,570,441	50,013,707 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	1,657,421 1,845,420	1,595,577 1,757,392	1,334,993 1,738,842	1,130,861 1,510,463	853,635 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,483,032 3,535,627	3,360,704 3,746,588	3,274,910 3,782,288	3,254,258 3,865,578	4,057,843 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	28,392,935 11,160,864	24,716,204 11,987,345	24,080,667 12,926,866	26,128,541 11,884,480	26,469,803 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	25,668,959 10,918,923	24,716,204 11,706,976	24,080,667 12,615,917	26,128,541 11,458,116	26,469,803 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,723,976 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	1,933,946 3,284,314	1,962,197 3,250,551	2,035,195 3,386,837	2,124,570 3,360,806	2,506,637 3,508,953
Disproportionate-share hospital (DSH) Median	1,010,870 594,888	841,810 595,761	936,006 577,894	748,571 542,168	791,031 549,667
Outlier Median	656,754 582,572	895,219 538,116	386,725 212,434	128,507 126,559	160,865 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	3,303,764 4,643,908	0 4,389,147
Charity care Median	196,638 2,654,636	132,467 2,940,659	270,737 3,380,215	382,009 3,488,738	393,340 3,233,405
Uncompensated care (UCC) Median	1,737,236 5,147,790	1,407,831 5,337,617	2,111,360 5,711,082	1,098,002 5,923,418	1,726,382 5,508,107
UCC as a % of operating expenses Median	0.52% 3.24	0.39% 3.12	0.63% 3.21	0.32% 3.3	0.48% 2.86
Total shortfall/UCC Median	1,737,236 9,489,989	1,407,831 9,424,297	2,111,360 10,120,158	4,401,766 11,171,337	1,726,382 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	126,121,261 52,142,039	112,751,394 54,485,252	111,181,539 57,395,589	108,429,749 58,830,919	108,243,997 61,722,907
Salaries as a % of operating expenses Median	39.16 36.68	30.57 36.56	33.58 36.37	30.93 35.93	30.64 35.24
Intern, resident salaries* Median	1,555,897 2,598,592	1,049,433 2,686,824	595,540 2,753,773	600,807 2,937,156	605,842 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	5,200,704 1,449,244	6,435,781 1,475,986	7,036,654 1,563,078	6,414,216 1,721,954	3,939,993 2,991,828
Contract hours, direct-care Median	78,207.00 22,725	108,784.00 23,018.5	94,019.00 24,503.48	57,780.00 25,026.5	46,368.00 33,786
Contract wages, direct-care Median	66.50 64.67	59.16 64.53	74.84 65.06	111.01 68.97	84.97 88.94

* in an approved program

Return to top

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.