As of the July, 2022, release via CMS

MCLAREN GREATER LANSING

CMS id: 230167
401 WEST GREENLAWN AVE., LANSING MI 48910. County: INGHAM
System: MCLAREN HEALTH CARE CORP
CBSA: Lansing-East Lansing, MI

The 249-bed, acute-care hospital had $-7,307,929 in net service to patients*, with a total profit margin of 9.30120% in fiscal year 2021, the latest year available.
It spent 1.46% of its operating expenses on uncompensated care and reported $6,311,458 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	238 118	240 118	224 119.5	221 118	221 119
Total beds Median	269 162	271 162	255 162	252 162	249 163.5
FTEs Median	1,806.00 788.06	1,852.00 793.42	1,863.00 806.03	1,827.72 787.61	1,853.29 804.34

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	344,240,740 150,932,746	339,749,668 158,950,878	350,253,626 168,696,998	332,248,700 163,454,693	374,476,314 186,589,412
Operating expenses Median	338,513,081 149,311,209	344,098,187 156,110,414	349,072,284 164,890,568	355,732,735 166,516,854	381,784,243 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,727,659 -964,173	-4,348,519 -643,601.5	1,181,342 -116,254	-23,484,035 -5,025,862	-7,307,929 -1,284,564
NS2P margin ? Median	1.66% -0.62	-1.28% -0.29	0.34% 0.18	-7.07% -5.07	-1.95% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MCLAREN GREATER LANSING 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	18,293,169 5,089,215	14,012,000 4,572,541	11,137,559 5,268,134	27,091,130 13,092,619	47,252,292 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	3,036,000 199,009	8,164,355 206,870.5	14,639,803 194,343	23,302,776 249,496
⊳ Line 7: Investments ? ⊳ Median	7,496,334 299,524	3,911,000 188,688.5	2,973,204 370,813	3,892,706 309,361.5	15,192,863 375,329
⊳ 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	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	0	0	0	0	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	0
⊳ 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	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	10,796,835	7,065,000	--	8,558,621	8,756,653
Total income ? Median	24,020,828 6,586,430	9,663,481 6,767,106	12,318,901 8,419,950	3,607,095 8,094,175	39,944,363 15,162,888
Non-operating expenses Median	2,816,603 146,289.5	0 164,857	60,115,555 89,880.5	2,793,401 106,761	718,558 31,473.5
Net income Median	21,204,225 6,043,842	9,663,481 5,845,112	-47,796,654 7,606,259	813,694 7,283,041	39,225,805 14,957,241
Net margin Median	5.84889% 4.62%	2.73164% 4.42%	-13.22574% 5.16%	0.22644% 5.2%	9.30120% 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 MCLAREN GREATER LANSING 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	67,110,373 23,241,334	60,181,659 23,709,545	61,794,246 24,248,380	50,267,851 22,858,541	44,445,567 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	65,001,826 21,577,146	58,791,446 22,041,594	60,021,553 22,722,063	48,842,578 21,570,441	43,044,235 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	2,108,547 1,845,420	1,390,213 1,757,392	1,772,693 1,738,842	1,425,273 1,510,463	1,401,332 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	46,753,533 11,160,864	40,489,406 11,987,345	48,131,792 12,926,866	39,429,486 11,884,480	37,014,460 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	46,753,533 10,918,923	40,489,406 11,706,976	48,131,792 12,615,917	39,429,486 11,458,116	37,014,460 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	11,517,587 3,284,314	10,422,770 3,250,551	11,129,768 3,386,837	9,805,974 3,360,806	9,464,887 3,508,953
Disproportionate-share hospital (DSH) Median	1,452,093 594,888	1,484,923 595,761	1,339,948 577,894	1,178,568 542,168	1,075,517 549,667
Outlier Median	1,584,763 582,572	1,360,220 538,116	492,523 212,434	395,629 126,559	267,471 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,179,384 3,662,910	9,386,725 3,730,911	586,878 4,081,319	6,945,679 4,643,908	6,311,458 4,389,147
Charity care Median	251,925 2,654,636	86,757 2,940,659	313,172 3,380,215	1,507,103 3,488,738	945,131 3,233,405
Uncompensated care (UCC) Median	5,407,841 5,147,790	6,026,175 5,337,617	5,389,354 5,711,082	7,087,573 5,923,418	5,563,108 5,508,107
UCC as a % of operating expenses Median	1.60% 3.24	1.75% 3.12	1.54% 3.21	1.99% 3.3	1.46% 2.86
Total shortfall/UCC Median	13,587,225 9,489,989	15,412,900 9,424,297	5,976,232 10,120,158	14,033,252 11,171,337	11,874,566 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	139,833,134 52,142,039	139,935,322 54,485,252	138,947,223 57,395,589	139,465,207 58,830,919	150,355,047 61,722,907
Salaries as a % of operating expenses Median	40.24 36.68	39.60 36.56	38.70 36.37	38.26 35.93	38.35 35.24
Intern, resident salaries* Median	5,936,632 2,598,592	6,192,081 2,686,824	5,896,318 2,753,773	6,305,545 2,937,156	7,365,514 2,909,848
Contract intern, resident salaries* Median	1,048,426 1,251,927	1,208,035 1,186,494	1,170,493 1,204,885	1,203,833 1,279,653	1,182,538 1,469,317
Contract adjusted salaries, direct-care Median	2,819,391 1,449,244	2,253,378 1,475,986	3,129,224 1,563,078	1,610,477 1,721,954	2,634,163 2,991,828
Contract hours, direct-care Median	55,491.00 22,725	39,765.00 23,018.5	52,602.00 24,503.48	24,100.00 25,026.5	40,189.00 33,786
Contract wages, direct-care Median	50.81 64.67	56.67 64.53	59.49 65.06	66.82 68.97	65.54 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.