As of the July, 2022, release via CMS

GREAT PLAINS HEALTH

CMS id: 280065
601 W LEOTA ST, NORTH PLATTE NE 69101. County: LINCOLN
System: --
CBSA: North Platte, NE

The 115-bed, acute-care hospital had $23,062,443 in net service to patients*, with a total profit margin of 20.72002% in fiscal year 2021, the latest year available.
It spent 3.38% of its operating expenses on uncompensated care and reported $162,700 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	81 118	78 118	65 119.5	64 118	64 119
Total beds Median	116 162	116 162	116 162	115 162	115 163.5
FTEs Median	943.09 788.06	973.00 793.42	988.00 806.03	936.00 787.61	997.00 804.34

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	201,138,281 150,932,746	219,145,974 158,950,878	223,771,677 168,696,998	224,967,615 163,454,693	263,405,573 186,589,412
Operating expenses Median	197,050,366 149,311,209	205,424,766 156,110,414	214,221,195 164,890,568	213,162,880 166,516,854	240,343,130 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,087,915 -964,173	13,721,208 -643,601.5	9,550,482 -116,254	11,804,735 -5,025,862	23,062,443 -1,284,564
NS2P margin ? Median	2.03% -0.62	6.26% -0.29	4.27% 0.18	5.25% -5.07	8.76% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GREAT PLAINS HEALTH 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	15,174,593 5,089,215	-5,889,806 4,572,541	23,220,449 5,268,134	12,900,431 13,092,619	39,751,849 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-6,602,795 299,524	-12,512,154 188,688.5	20,024,951 370,813	-2,627,171 309,361.5	32,182,909 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	26,853	9,670	14,356	6,731	4,855
⊳ Line 11: Rebates and refunds of expenses	531	1,642	2,634	4,006	3,671
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	60,711
⊳ Line 14: Revenue from meals sold to emplyees and guests	573,750	650,822	721,573	438,602	526,852
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	3,838	7,348	6,704	3,077	0
⊳ Line 17: Revenue from sale of drugs to other than patients	6,973	11,563	9,370	10,760	0
⊳ Line 18: Revenue from sale of medical records and abstracts	37,885	20,934	27,932	15,594	3,457
⊳ 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	48,466
⊳ Line 21: Rental of vending machines	17,046	8,493	2,929	0	0
⊳ Line 22: Rental of hospital space	270,630	80,970	320,834	118,939	72,092
⊳ 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	20,839,882	5,830,906	2,089,166	14,929,893	6,848,836
Total income ? Median	19,262,508 6,586,430	7,831,402 6,767,106	32,770,931 8,419,950	24,705,166 8,094,175	62,814,292 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	19,262,508 6,043,842	7,831,402 5,845,112	32,770,931 7,606,259	24,705,166 7,283,041	62,814,292 14,957,241
Net margin Median	8.90493% 4.62%	3.67230% 4.42%	13.26801% 5.16%	10.38608% 5.2%	20.72002% 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 GREAT PLAINS HEALTH 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	29,382,766 23,241,334	33,808,820 23,709,545	32,083,963 24,248,380	29,513,260 22,858,541	29,215,199 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	28,375,673 21,577,146	32,728,151 22,041,594	31,268,182 22,722,063	28,824,423 21,570,441	28,372,406 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	1,007,093 1,845,420	1,080,669 1,757,392	815,781 1,738,842	688,837 1,510,463	842,793 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	23,151,307 11,160,864	26,411,100 11,987,345	32,309,965 12,926,866	33,172,893 11,884,480	39,104,570 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	22,252,916 10,918,923	25,491,679 11,706,976	31,281,901 12,615,917	31,904,297 11,458,116	37,840,360 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	898,391 1,282,808	919,421 1,407,728	1,028,064 1,341,512	1,268,596 1,407,046	1,264,210 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	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	218,381 594,888	250,481 595,761	193,248 577,894	238,130 542,168	277,410 549,667
Outlier Median	1,784,573 582,572	2,749,389 538,116	673,812 212,434	551,396 126,559	799,271 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,763,498 3,662,910	2,383,166 3,730,911	3,861,362 4,081,319	4,237,221 4,643,908	162,700 4,389,147
Charity care Median	8,016,156 2,654,636	3,269,585 2,940,659	4,756,307 3,380,215	4,671,021 3,488,738	5,948,094 3,233,405
Uncompensated care (UCC) Median	10,148,829 5,147,790	4,958,335 5,337,617	10,202,377 5,711,082	7,603,579 5,923,418	8,115,783 5,508,107
UCC as a % of operating expenses Median	5.15% 3.24	2.41% 3.12	4.76% 3.21	3.57% 3.3	3.38% 2.86
Total shortfall/UCC Median	13,912,327 9,489,989	7,341,501 9,424,297	14,063,739 10,120,158	11,840,800 11,171,337	8,278,483 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,711,729 52,142,039	80,378,994 54,485,252	85,501,109 57,395,589	87,274,230 58,830,919	102,764,247 61,722,907
Salaries as a % of operating expenses Median	39.39 36.68	39.21 36.56	40.07 36.37	41.05 35.93	42.82 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	5,225,488 1,449,244	6,254,014 1,475,986	5,893,722 1,563,078	6,863,295 1,721,954	6,651,418 2,991,828
Contract hours, direct-care Median	70,660.73 22,725	94,814.16 23,018.5	91,581.80 24,503.48	116,365.30 25,026.5	75,936.24 33,786
Contract wages, direct-care Median	73.95 64.67	65.96 64.53	64.35 65.06	58.98 68.97	87.59 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.