As of the July, 2022, release via CMS

HURLEY MEDICAL CENTER

CMS id: 230132
ONE HURLEY PLAZA, FLINT MI 48503. County: GENESEE
System: --
CBSA: Flint, MI

The 418-bed, acute-care hospital had $-9,960,522 in net service to patients*, with a total profit margin of 8.16083% in fiscal year 2021, the latest year available.
It spent 1.36% of its operating expenses on uncompensated care and reported $1,025,320 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	gov	gov	gov	gov	gov
Acute beds Median	256 118	256 118	256 119.5	253 118	253 119
Total beds Median	418 162	418 162	418 162	418 162	418 163.5
FTEs Median	2,696.61 788.06	2,694.11 793.42	2,627.80 806.03	2,604.61 787.61	2,360.89 804.34

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	414,807,485 150,932,746	394,624,387 158,950,878	415,316,681 168,696,998	394,924,760 163,454,693	410,737,127 186,589,412
Operating expenses Median	434,731,528 149,311,209	423,226,031 156,110,414	446,452,105 164,890,568	434,083,921 166,516,854	420,697,649 180,120,888
Net income from service 2 patients (NS2P) ? Median	-19,924,043 -964,173	-28,601,644 -643,601.5	-31,135,424 -116,254	-39,159,161 -5,025,862	-9,960,522 -1,284,564
NS2P margin ? Median	-4.80% -0.62	-7.25% -0.29	-7.50% 0.18	-9.92% -5.07	-2.43% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HURLEY 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	34,542,161 5,089,215	35,335,375 4,572,541	49,858,751 5,268,134	63,617,542 13,092,619	52,046,932 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,595,217 224,999	4,535,395 199,009	4,088,967 206,870.5	3,051,606 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-1,118,682 299,524	-220,678 188,688.5	9,155,091 370,813	10,973,634 309,361.5	0 375,329
⊳ 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	448,882	450,780	700,356	1,133,053	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	1,806,440	1,751,261	1,757,868	1,554,315	0
⊳ Line 15: Revenue from rental of living quarters	62,124	61,784	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	30,144	24,311	10,105	7,611	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	63,538	22,873	25,985	15,859	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	144,244	113,251	158,201	320,683	0
⊳ Line 22: Rental of hospital space	492,442	575,674	483,262	498,423	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	30,001,986	28,005,482	33,466,618	46,050,360	52,046,932
Total income ? Median	14,618,118 6,586,430	6,733,731 6,767,106	18,723,327 8,419,950	24,458,381 8,094,175	42,086,410 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	4,319,389 31,473.5
Net income Median	14,618,118 6,043,842	6,733,731 5,845,112	18,723,327 7,606,259	24,458,381 7,283,041	37,767,021 14,957,241
Net margin Median	3.25317% 4.62%	1.56613% 4.42%	4.02500% 5.16%	5.33394% 5.2%	8.16083% 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 HURLEY 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	77,597,151 23,241,334	71,999,310 23,709,545	63,342,088 24,248,380	54,032,873 22,858,541	51,507,302 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	72,862,963 21,577,146	67,302,170 22,041,594	59,179,581 22,722,063	49,668,030 21,570,441	47,301,598 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	3,307,674 1,845,420	2,805,666 1,757,392	2,416,572 1,738,842	2,163,431 1,510,463	1,837,244 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,426,514 3,535,627	1,891,474 3,746,588	1,745,935 3,782,288	2,201,412 3,865,578	2,368,460 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	16,938,953 11,160,864	15,616,297 11,987,345	15,387,762 12,926,866	13,836,916 11,884,480	11,226,724 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	16,938,953 10,918,923	15,616,297 11,706,976	15,387,762 12,615,917	13,836,916 11,458,116	11,226,724 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	11,741,824 3,284,314	11,400,252 3,250,551	10,636,552 3,386,837	9,859,551 3,360,806	9,546,701 3,508,953
Disproportionate-share hospital (DSH) Median	4,704,881 594,888	4,117,940 595,761	3,511,905 577,894	2,957,499 542,168	2,741,235 549,667
Outlier Median	1,857,096 582,572	1,968,368 538,116	2,053,437 212,434	134,950 126,559	125,719 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,945,662 3,662,910	9,625,209 3,730,911	1,381,114 4,081,319	6,418,483 4,643,908	1,025,320 4,389,147
Charity care Median	3,617,643 2,654,636	2,734,009 2,940,659	3,546,720 3,380,215	5,488,372 3,488,738	3,573,803 3,233,405
Uncompensated care (UCC) Median	5,843,741 5,147,790	6,023,251 5,337,617	6,218,468 5,711,082	8,711,177 5,923,418	5,723,142 5,508,107
UCC as a % of operating expenses Median	1.34% 3.24	1.42% 3.12	1.39% 3.21	2.01% 3.3	1.36% 2.86
Total shortfall/UCC Median	13,789,403 9,489,989	15,648,460 9,424,297	7,599,582 10,120,158	15,129,660 11,171,337	6,748,462 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	175,056,009 52,142,039	171,031,543 54,485,252	175,900,428 57,395,589	171,035,526 58,830,919	168,952,183 61,722,907
Salaries as a % of operating expenses Median	39.80 36.68	39.96 36.56	39.01 36.37	39.00 35.93	39.87 35.24
Intern, resident salaries* Median	4,742,874 2,598,592	4,921,836 2,686,824	5,122,813 2,753,773	5,334,159 2,937,156	5,351,912 2,909,848
Contract intern, resident salaries* Median	1,094,699 1,251,927	1,163,818 1,186,494	1,171,467 1,204,885	1,162,359 1,279,653	1,168,858 1,469,317
Contract adjusted salaries, direct-care Median	5,206,438 1,449,244	5,879,134 1,475,986	6,995,953 1,563,078	6,013,310 1,721,954	5,189,115 2,991,828
Contract hours, direct-care Median	95,704.00 22,725	103,290.28 23,018.5	114,303.00 24,503.48	101,047.00 25,026.5	82,771.74 33,786
Contract wages, direct-care Median	54.40 64.67	56.92 64.53	61.21 65.06	59.51 68.97	62.69 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.