As of the July, 2022, release via CMS

HENNEPIN COUNTY MEDICAL CENTER

CMS id: 240004
701 PARK AVE P-1, MINNEAPOLIS MN 55415. County: HENNEPIN
System: --
CBSA: Minneapolis-St. Paul-Bloomington, MN-WI

The 469-bed, acute-care hospital had $-71,923,000 in net service to patients*, with a total profit margin of 3.61815% in fiscal year 2021, the latest year available.
It spent 1.46% of its operating expenses on uncompensated care and reported $30,008,690 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	250 118	235 118	235 119.5	235 118	239 119
Total beds Median	476 162	465 162	465 162	465 162	469 163.5
FTEs Median	5,791.19 788.06	5,840.34 793.42	5,912.14 806.03	5,750.88 787.61	5,923.67 804.34

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	928,140,491 150,932,746	950,864,000 158,950,878	987,664,000 168,696,998	922,445,000 163,454,693	1,102,036,000 186,589,412
Operating expenses Median	990,180,491 149,311,209	1,001,065,000 156,110,414	1,075,444,000 164,890,568	1,096,600,000 166,516,854	1,173,959,000 180,120,888
Net income from service 2 patients (NS2P) ? Median	-62,040,000 -964,173	-50,201,000 -643,601.5	-87,780,000 -116,254	-174,155,000 -5,025,862	-71,923,000 -1,284,564
NS2P margin ? Median	-6.68% -0.62	-5.28% -0.29	-8.89% 0.18	-18.88% -5.07	-6.53% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HENNEPIN COUNTY 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	42,102,000 5,089,215	67,144,000 4,572,541	77,832,000 5,268,134	217,867,000 13,092,619	119,693,000 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	497,000 224,999	322,000 199,009	302,000 206,870.5	329,000 194,343	130,000 249,496
⊳ Line 7: Investments ? ⊳ Median	1,250,000 299,524	938,000 188,688.5	2,646,000 370,813	-1,243,000 309,361.5	351,000 375,329
⊳ 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	40,355,000	65,884,000	74,884,000	218,781,000	119,212,000
Total income ? Median	-19,938,000 6,586,430	16,943,000 6,767,106	-9,948,000 8,419,950	43,712,000 8,094,175	47,770,000 15,162,888
Non-operating expenses Median	0 146,289.5	3,557,000 164,857	4,731,000 89,880.5	4,041,000 106,761	3,566,000 31,473.5
Net income Median	-19,938,000 6,043,842	13,386,000 5,845,112	-14,679,000 7,606,259	39,671,000 7,283,041	44,204,000 14,957,241
Net margin Median	-2.05495% 4.62%	1.31492% 4.42%	-1.37767% 5.16%	3.47896% 5.2%	3.61815% 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 HENNEPIN COUNTY 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	114,548,112 23,241,334	112,982,738 23,709,545	104,647,276 24,248,380	101,112,218 22,858,541	100,140,361 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	101,470,161 21,577,146	101,828,695 22,041,594	92,660,965 22,722,063	90,902,796 21,570,441	90,474,258 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	11,215,621 1,845,420	9,157,533 1,757,392	10,695,847 1,738,842	8,308,339 1,510,463	8,121,964 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,862,330 3,535,627	1,996,510 3,746,588	1,290,464 3,782,288	1,901,083 3,865,578	1,544,139 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	38,568,511 11,160,864	39,209,801 11,987,345	36,374,948 12,926,866	30,511,627 11,884,480	31,784,749 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	38,360,601 10,918,923	38,600,181 11,706,976	35,527,306 12,615,917	29,579,464 11,458,116	30,856,526 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	207,910 1,282,808	609,620 1,407,728	847,642 1,341,512	932,163 1,407,046	928,223 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	28,888,245 3,284,314	29,106,571 3,250,551	26,746,299 3,386,837	26,115,530 3,360,806	25,149,757 3,508,953
Disproportionate-share hospital (DSH) Median	4,963,742 594,888	4,860,566 595,761	3,897,897 577,894	3,894,395 542,168	3,770,888 549,667
Outlier Median	6,735,917 582,572	5,033,703 538,116	1,729,243 212,434	1,320,852 126,559	974,539 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,740,622 3,662,910	3,148,783 3,730,911	13,323,088 4,081,319	22,892,492 4,643,908	30,008,690 4,389,147
Charity care Median	17,627,544 2,654,636	20,017,074 2,940,659	20,874,444 3,380,215	18,905,456 3,488,738	9,736,830 3,233,405
Uncompensated care (UCC) Median	23,396,082 5,147,790	27,181,869 5,337,617	27,525,398 5,711,082	24,782,407 5,923,418	17,120,058 5,508,107
UCC as a % of operating expenses Median	2.36% 3.24	2.72% 3.12	2.56% 3.21	2.26% 3.3	1.46% 2.86
Total shortfall/UCC Median	30,136,704 9,489,989	30,330,652 9,424,297	40,848,486 10,120,158	47,674,899 11,171,337	47,128,748 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	536,247,683 52,142,039	552,219,330 54,485,252	579,094,710 57,395,589	591,134,029 58,830,919	627,648,878 61,722,907
Salaries as a % of operating expenses Median	54.06 36.68	54.82 36.56	53.44 36.37	53.59 35.93	53.08 35.24
Intern, resident salaries* Median	13,821,884 2,598,592	14,598,819 2,686,824	15,401,602 2,753,773	15,904,922 2,937,156	16,630,185 2,909,848
Contract intern, resident salaries* Median	7,427,477 1,251,927	7,323,055 1,186,494	7,678,208 1,204,885	7,922,826 1,279,653	8,301,473 1,469,317
Contract adjusted salaries, direct-care Median	9,843,989 1,449,244	11,702,895 1,475,986	11,315,101 1,563,078	11,970,358 1,721,954	19,119,571 2,991,828
Contract hours, direct-care Median	244,669.00 22,725	280,152.00 23,018.5	263,290.95 24,503.48	273,871.91 25,026.5	342,493.36 33,786
Contract wages, direct-care Median	40.23 64.67	41.77 64.53	42.98 65.06	43.71 68.97	55.82 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.