As of the July, 2022, release via CMS

JOHN FITZGIBBON MEMORIAL HOSPITAL

CMS id: 260142
2305 SOUTH HIGHWAY 65, MARSHALL MO 65340. County: SALINE
System: FITZGIBBON HOSPITAL HOME OFFICE
CBSA: Marshall, MO

The 52-bed, acute-care hospital had $-6,878,987 in net service to patients*, with a total profit margin of 1.42440% in fiscal year 2021, the latest year available.
It spent 4.02% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	35 118	35 118	35 119.5	35 118	35 119
Total beds Median	52 162	52 162	52 162	52 162	52 163.5
FTEs Median	404.48 788.06	387.24 793.42	377.90 806.03	367.33 787.61	350.38 804.34

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	48,436,633 150,932,746	48,786,822 158,950,878	48,597,014 168,696,998	48,631,346 163,454,693	50,936,655 186,589,412
Operating expenses Median	51,679,784 149,311,209	53,959,280 156,110,414	57,082,495 164,890,568	58,202,997 166,516,854	57,815,642 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,243,151 -964,173	-5,172,458 -643,601.5	-8,485,481 -116,254	-9,571,651 -5,025,862	-6,878,987 -1,284,564
NS2P margin ? Median	-6.70% -0.62	-10.60% -0.29	-17.46% 0.18	-19.68% -5.07	-13.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JOHN FITZGIBBON MEMORIAL 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	2,492,525 5,089,215	1,671,638 4,572,541	1,639,552 5,268,134	3,399,528 13,092,619	7,715,017 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	972,823 224,999	34,479 199,009	46,025 206,870.5	47,742 194,343	36,983 249,496
⊳ Line 7: Investments ? ⊳ Median	256,873 299,524	198,286 188,688.5	155,470 370,813	136,810 309,361.5	149,509 375,329
⊳ 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	267,722	280,640	241,062	262,453	204,962
⊳ 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	19,000	16,806	35,546	15,019	-134
⊳ 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	1,200	1,100	300	1,100	520
⊳ Line 22: Rental of hospital space	0	0	276,069	297,394	198,887
⊳ 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	974,907	1,140,327	885,080	2,639,010	7,124,290
Total income ? Median	-750,626 6,586,430	-3,500,820 6,767,106	-6,845,929 8,419,950	-6,172,123 8,094,175	836,030 15,162,888
Non-operating expenses Median	-557,938 146,289.5	-341,168 164,857	-354,649 89,880.5	0 106,761	598 31,473.5
Net income Median	-192,688 6,043,842	-3,159,652 5,845,112	-6,491,280 7,606,259	-6,172,123 7,283,041	835,432 14,957,241
Net margin Median	-0.37835% 4.62%	-6.26189% 4.42%	-12.92142% 5.16%	-11.86242% 5.2%	1.42440% 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 JOHN FITZGIBBON MEMORIAL 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	4,939,402 23,241,334	5,138,740 23,709,545	4,671,611 24,248,380	4,981,488 22,858,541	4,674,393 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	4,676,337 21,577,146	4,957,203 22,041,594	4,428,046 22,722,063	4,853,329 21,570,441	4,496,460 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	263,065 1,845,420	181,537 1,757,392	243,565 1,738,842	128,159 1,510,463	177,933 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	7,981,926 11,160,864	7,635,673 11,987,345	7,777,790 12,926,866	7,421,124 11,884,480	7,247,801 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	6,189,589 10,918,923	6,013,028 11,706,976	6,283,288 12,615,917	6,134,750 11,458,116	6,030,049 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	657,161 1,282,808	561,130 1,407,728	518,947 1,341,512	375,107 1,407,046	341,462 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	1,135,176 618,038	1,061,515 697,279	975,555 690,232	911,267 684,010	876,290 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	86,132 594,888	100,300 595,761	85,017 577,894	92,119 542,168	77,909 549,667
Outlier Median	87,282 582,572	47,773 538,116	22,745 212,434	17,879 126,559	71,517 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,441,701 3,662,910	1,548,171 3,730,911	1,843,191 4,081,319	750,785 4,643,908	0 4,389,147
Charity care Median	128,059 2,654,636	307,903 2,940,659	122,812 3,380,215	198,129 3,488,738	125,804 3,233,405
Uncompensated care (UCC) Median	3,296,878 5,147,790	3,720,352 5,337,617	3,622,170 5,711,082	5,200,711 5,923,418	2,321,595 5,508,107
UCC as a % of operating expenses Median	6.38% 3.24	6.89% 3.12	6.35% 3.21	8.94% 3.3	4.02% 2.86
Total shortfall/UCC Median	4,738,579 9,489,989	5,268,523 9,424,297	5,465,361 10,120,158	5,951,496 11,171,337	2,321,595 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,080,364 52,142,039	23,967,934 54,485,252	24,451,221 57,395,589	23,607,973 58,830,919	23,472,312 61,722,907
Salaries as a % of operating expenses Median	46.60 36.68	44.42 36.56	42.83 36.37	40.56 35.93	40.60 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	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	1,028,750 1,449,244	1,538,031 1,475,986	1,602,385 1,563,078	1,111,776 1,721,954	80 2,991,828
Contract hours, direct-care Median	13,196.00 22,725	23,633.00 23,018.5	25,960.00 24,503.48	17,404.00 25,026.5	1.00 33,786
Contract wages, direct-care Median	77.96 64.67	65.08 64.53	61.73 65.06	63.88 68.97	80.00 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.