As of the July, 2022, release via CMS

INSPIRA MEDICAL CENTER ELMER

CMS id: 310069
501 FRONT STREET, ELMER NJ 8318. County: SALEM
System: --
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 275-bed, acute-care hospital had $31,213,509 in net service to patients*, with a total profit margin of 10.53756% in fiscal year 2021, the latest year available.
It spent 1.51% of its operating expenses on uncompensated care and reported $10,443,815 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	76 118	76 118	84 119.5	248 118	248 119
Total beds Median	83 162	83 162	92 162	275 162	275 163.5
FTEs Median	363.41 788.06	358.80 793.42	417.05 806.03	1,582.77 787.61	1,740.41 804.34

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	66,007,396 150,932,746	66,516,209 158,950,878	73,192,382 168,696,998	283,143,651 163,454,693	386,144,599 186,589,412
Operating expenses Median	60,274,964 149,311,209	59,157,588 156,110,414	70,557,178 164,890,568	292,634,860 166,516,854	354,931,090 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,732,432 -964,173	7,358,621 -643,601.5	2,635,204 -116,254	-9,491,209 -5,025,862	31,213,509 -1,284,564
NS2P margin ? Median	8.68% -0.62	11.06% -0.29	3.60% 0.18	-3.35% -5.07	8.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for INSPIRA MEDICAL CENTER ELMER 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	2,136,763 5,089,215	2,458,452 4,572,541	2,726,841 5,268,134	27,230,890 13,092,619	13,698,762 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	2,136,763 1,017,693	2,458,452 983,261.5	2,726,841 1,173,286	8,682,166 1,987,202	13,595,098 1,597,664
⊳ Sum Line 24	--	--	--	18,548,724	103,664
Total income ? Median	7,869,195 6,586,430	9,817,073 6,767,106	5,362,045 8,419,950	17,739,681 8,094,175	44,912,271 15,162,888
Non-operating expenses Median	2,911,424 146,289.5	3,170,326 164,857	4,114,262 89,880.5	8,105,824 106,761	2,778,531 31,473.5
Net income Median	4,957,771 6,043,842	6,646,747 5,845,112	1,247,783 7,606,259	9,633,857 7,283,041	42,133,740 14,957,241
Net margin Median	7.27542% 4.62%	9.63651% 4.42%	1.64357% 5.16%	3.10395% 5.2%	10.53756% 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 INSPIRA MEDICAL CENTER ELMER 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	11,727,379 23,241,334	11,206,030 23,709,545	9,859,960 24,248,380	47,546,262 22,858,541	51,720,459 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	11,727,379 21,577,146	11,206,030 22,041,594	9,859,960 22,722,063	47,546,262 21,570,441	51,720,459 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	5,486,133 11,160,864	5,465,606 11,987,345	4,775,125 12,926,866	15,582,746 11,884,480	22,262,915 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	5,486,133 10,918,923	5,465,606 11,706,976	4,775,125 12,615,917	15,582,746 11,458,116	22,262,915 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	0 3,284,314	0 3,250,551	0 3,386,837	185,124 3,360,806	2,557,058 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	61,018 577,894	655,011 542,168	754,801 549,667
Outlier Median	248,646 582,572	169,750 538,116	17,717 212,434	133,709 126,559	304,400 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	953,642 3,662,910	1,500,962 3,730,911	3,547,105 4,081,319	10,354,532 4,643,908	10,443,815 4,389,147
Charity care Median	954,127 2,654,636	1,677,931 2,940,659	1,632,239 3,380,215	3,541,939 3,488,738	4,002,537 3,233,405
Uncompensated care (UCC) Median	1,689,169 5,147,790	2,213,670 5,337,617	2,228,243 5,711,082	4,223,424 5,923,418	5,362,874 5,508,107
UCC as a % of operating expenses Median	2.80% 3.24	3.74% 3.12	3.16% 3.21	1.44% 3.3	1.51% 2.86
Total shortfall/UCC Median	2,642,811 9,489,989	3,714,632 9,424,297	5,775,348 10,120,158	14,577,956 11,171,337	15,806,689 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	26,900,169 52,142,039	27,197,708 54,485,252	31,827,350 57,395,589	122,779,172 58,830,919	144,684,841 61,722,907
Salaries as a % of operating expenses Median	44.63 36.68	45.98 36.56	45.11 36.37	41.96 35.93	40.76 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	1,215,092 1,449,244	189,918 1,475,986	1,299,924 1,563,078	4,750,803 1,721,954	7,546,249 2,991,828
Contract hours, direct-care Median	23,699.00 22,725	1,399.14 23,018.5	22,678.61 24,503.48	56,529.08 25,026.5	75,359.02 33,786
Contract wages, direct-care Median	51.27 64.67	135.74 64.53	57.32 65.06	84.04 68.97	100.14 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.