As of the July, 2022, release via CMS

NORTH MEMORIAL HEALTH CARE

CMS id: 240001
3300 OAKDAVE AVENUE NORTH, ROBBINSDALE MN 55422. County: HENNEPIN
System: NORTH MEMORIAL HEALTH
CBSA: Minneapolis-St. Paul-Bloomington, MN-WI

The 372-bed, acute-care hospital had $-165,306,434 in net service to patients*, with a total profit margin of 9.66990% in fiscal year 2021, the latest year available.
It spent 1.49% of its operating expenses on uncompensated care and reported $22,124,469 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	253 118	253 118	253 119.5	253 118	249 119
Total beds Median	385 162	385 162	376 162	376 162	372 163.5
FTEs Median	4,186.39 788.06	4,301.97 793.42	3,613.29 806.03	2,924.69 787.61	2,907.58 804.34

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	651,329,634 150,932,746	720,909,183 158,950,878	703,664,581 168,696,998	518,394,550 163,454,693	565,727,142 186,589,412
Operating expenses Median	824,572,442 149,311,209	835,357,542 156,110,414	825,206,491 164,890,568	707,173,353 166,516,854	731,033,576 180,120,888
Net income from service 2 patients (NS2P) ? Median	-173,242,808 -964,173	-114,448,359 -643,601.5	-121,541,910 -116,254	-188,778,803 -5,025,862	-165,306,434 -1,284,564
NS2P margin ? Median	-26.60% -0.62	-15.88% -0.29	-17.27% 0.18	-36.42% -5.07	-29.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH MEMORIAL HEALTH CARE 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	144,555,992 5,089,215	97,603,122 4,572,541	169,830,993 5,268,134	217,000,668 13,092,619	243,562,403 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,551,840 224,999	5,162,191 199,009	4,266,387 206,870.5	2,695,106 194,343	5,530,883 249,496
⊳ Line 7: Investments ? ⊳ Median	1,376 299,524	17,890,240 188,688.5	16,576,253 370,813	9,368,215 309,361.5	25,693,023 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	-3,952	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	1,914,978	1,682,411	1,241,675	1,028,994	1,144,686
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	228,512	211,967	979,539	1,658,689	1,853,073
⊳ 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	6,823,021	7,141,051	15,720,627	33,505,901	46,199,887
⊳ Line 18: Revenue from sale of medical records and abstracts	237,132	247,316	265,378	129,875	79,092
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	633,870	585,524	432,304	304,846	338,228
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	418,027	332,093	315,048	125,635	128,976
⊳ Line 21: Rental of vending machines	42,531	45,042	48,874	31,205	15,756
⊳ 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	131,708,694	64,305,287	129,984,908	168,152,202	162,578,799
Total income ? Median	-28,686,816 6,586,430	-16,845,237 6,767,106	48,289,083 8,419,950	28,221,865 8,094,175	78,255,969 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	780 106,761	-1,544 31,473.5
Net income Median	-28,686,816 6,043,842	-16,845,237 5,845,112	48,289,083 7,606,259	28,221,085 7,283,041	78,257,513 14,957,241
Net margin Median	-3.60439% 4.62%	-2.05803% 4.42%	5.52826% 5.16%	3.83754% 5.2%	9.66990% 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 NORTH MEMORIAL HEALTH CARE 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	95,324,273 23,241,334	98,591,815 23,709,545	74,195,624 24,248,380	67,777,218 22,858,541	66,349,631 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	91,212,402 21,577,146	94,956,004 22,041,594	71,365,312 22,722,063	64,769,652 21,570,441	63,792,101 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	2,383,227 1,845,420	2,008,292 1,757,392	1,513,435 1,738,842	1,408,871 1,510,463	1,367,009 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,728,644 3,535,627	1,627,519 3,746,588	1,316,877 3,782,288	1,598,695 3,865,578	1,190,521 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	38,812,878 11,160,864	39,529,335 11,987,345	28,828,733 12,926,866	25,217,527 11,884,480	22,735,585 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	38,812,878 10,918,923	39,529,335 11,706,976	28,828,733 12,615,917	25,217,527 11,458,116	22,735,585 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	3,365,645 3,284,314	3,584,107 3,250,551	2,835,931 3,386,837	2,613,721 3,360,806	2,667,240 3,508,953
Disproportionate-share hospital (DSH) Median	3,248,838 594,888	3,068,262 595,761	2,189,117 577,894	2,136,369 542,168	2,010,789 549,667
Outlier Median	2,720,009 582,572	2,792,683 538,116	175,506 212,434	205,997 126,559	155,216 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,940,001 3,662,910	14,418,808 3,730,911	14,998,833 4,081,319	22,004,089 4,643,908	22,124,469 4,389,147
Charity care Median	7,348,186 2,654,636	6,436,933 2,940,659	6,752,067 3,380,215	6,889,855 3,488,738	5,691,266 3,233,405
Uncompensated care (UCC) Median	13,038,148 5,147,790	13,450,821 5,337,617	11,777,047 5,711,082	11,981,389 5,923,418	10,875,812 5,508,107
UCC as a % of operating expenses Median	1.58% 3.24	1.61% 3.12	1.43% 3.21	1.69% 3.3	1.49% 2.86
Total shortfall/UCC Median	25,978,149 9,489,989	27,869,629 9,424,297	26,775,880 10,120,158	33,985,478 11,171,337	33,000,281 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	377,936,057 52,142,039	386,774,960 54,485,252	321,630,269 57,395,589	246,563,551 58,830,919	260,224,410 61,722,907
Salaries as a % of operating expenses Median	47.42 36.68	46.77 36.56	47.44 36.37	45.09 35.93	45.89 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	2,445,696 1,251,927	2,157,319 1,186,494	2,309,494 1,204,885	2,371,424 1,279,653	2,337,514 1,469,317
Contract adjusted salaries, direct-care Median	9,283,894 1,449,244	9,281,835 1,475,986	8,515,228 1,563,078	8,689,725 1,721,954	15,888,017 2,991,828
Contract hours, direct-care Median	188,424.92 22,725	169,560.82 23,018.5	149,482.79 24,503.48	142,035.74 25,026.5	183,985.30 33,786
Contract wages, direct-care Median	49.27 64.67	54.74 64.53	56.96 65.06	61.18 68.97	86.35 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.