As of the July, 2022, release via CMS

SUMMA HEALTH SYSTEM

CMS id: 360020
525 E. MARKET STREET, AKRON OH 44308. County: SUMMIT
System: SUMMA HEALTH HB-0704
CBSA: Akron, OH

The 648-bed, acute-care hospital had $-72,684,913 in net service to patients*, with a total profit margin of 7.38107% in fiscal year 2021, the latest year available.
It spent 2.43% of its operating expenses on uncompensated care and reported $5,021,045 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	479 118	494 118	467 119.5	501 118	475 119
Total beds Median	648 162	653 162	634 162	668 162	648 163.5
FTEs Median	4,490.62 788.06	4,156.55 793.42	4,233.96 806.03	4,191.46 787.61	4,378.46 804.34

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	817,711,395 150,932,746	842,535,605 158,950,878	876,713,432 168,696,998	842,279,950 163,454,693	1,033,997,033 186,589,412
Operating expenses Median	840,857,171 149,311,209	802,504,078 156,110,414	870,326,482 164,890,568	933,186,562 166,516,854	1,106,681,946 180,120,888
Net income from service 2 patients (NS2P) ? Median	-23,145,776 -964,173	40,031,527 -643,601.5	6,386,950 -116,254	-90,906,612 -5,025,862	-72,684,913 -1,284,564
NS2P margin ? Median	-2.83% -0.62	4.75% -0.29	0.73% 0.18	-10.79% -5.07	-7.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SUMMA HEALTH SYSTEM 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	37,816,511 5,089,215	49,462,770 4,572,541	54,499,552 5,268,134	87,104,818 13,092,619	160,879,640 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	4,191,252 299,524	17,234,639 188,688.5	14,725,584 370,813	-2,484,873 309,361.5	39,329,422 375,329
⊳ 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	1,585,195	1,661,256	1,556,712	1,267,368	1,502,951
⊳ Line 13: Revenue from laundry and linen service	245,678	294,653	342,741	15,997	22,877
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,996,459	5,338,059	5,654,908	4,726,148	5,149,476
⊳ 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	613,527	1,944,352	12,729,382	45,882,105	94,957,877
⊳ Line 18: Revenue from sale of medical records and abstracts	430,285	409,354	383,090	314,356	473,215
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	422,274	745,178	752,723	715,210	735,905
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-68,373	-94,067	-23,258	-2,465	-118,655
⊳ Line 21: Rental of vending machines	3,882,198	9,317,452	4,565,132	1,290,885	4,186,287
⊳ Line 22: Rental of hospital space	3,039,693	3,295,961	3,393,017	3,693,184	2,364,760
⊳ Line 23: Gov appropriations ? ⊳ Median	1,017,693 1,017,693	1,059,909 983,261.5	2,059,556 1,173,286	1,349,352 1,987,202	1,743,630 1,597,664
⊳ Sum Line 24	17,460,630	8,256,024	8,359,965	30,337,551	10,531,895
Total income ? Median	14,670,735 6,586,430	89,494,297 6,767,106	60,886,502 8,419,950	-3,801,794 8,094,175	88,194,727 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	14,670,735 6,043,842	89,494,297 5,845,112	60,886,502 7,606,259	-3,801,794 7,283,041	88,194,727 14,957,241
Net margin Median	1.71482% 4.62%	10.03301% 4.42%	6.53841% 5.16%	-0.40907% 5.2%	7.38107% 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 SUMMA HEALTH SYSTEM 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	98,354,312 23,241,334	96,533,209 23,709,545	101,752,910 24,248,380	100,703,168 22,858,541	105,814,768 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	95,827,182 21,577,146	93,696,483 22,041,594	99,282,427 22,722,063	98,427,697 21,570,441	103,342,825 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	2,527,130 1,845,420	2,836,726 1,757,392	2,470,483 1,738,842	2,275,471 1,510,463	2,471,943 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	52,819,433 11,160,864	50,708,758 11,987,345	43,818,037 12,926,866	38,815,066 11,884,480	41,609,907 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	47,067,274 10,918,923	45,799,400 11,706,976	43,818,037 12,615,917	38,815,066 11,458,116	41,609,907 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,752,159 1,282,808	4,909,358 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	19,544,070 3,284,314	19,023,026 3,250,551	19,705,603 3,386,837	20,841,272 3,360,806	21,504,863 3,508,953
Disproportionate-share hospital (DSH) Median	2,024,537 594,888	1,979,447 595,761	2,104,949 577,894	1,960,793 542,168	1,993,096 549,667
Outlier Median	3,458,163 582,572	1,859,024 538,116	278,078 212,434	196,781 126,559	178,556 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,836,456 3,662,910	6,925,919 3,730,911	11,219,578 4,081,319	13,097,845 4,643,908	5,021,045 4,389,147
Charity care Median	9,132,296 2,654,636	12,448,196 2,940,659	17,605,099 3,380,215	14,077,928 3,488,738	19,768,415 3,233,405
Uncompensated care (UCC) Median	17,824,666 5,147,790	22,295,928 5,337,617	27,998,833 5,711,082	23,397,162 5,923,418	26,900,788 5,508,107
UCC as a % of operating expenses Median	2.12% 3.24	2.78% 3.12	3.22% 3.21	2.51% 3.3	2.43% 2.86
Total shortfall/UCC Median	25,661,122 9,489,989	29,221,847 9,424,297	39,218,411 10,120,158	36,495,007 11,171,337	31,921,833 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	258,775,763 52,142,039	240,648,683 54,485,252	252,029,961 57,395,589	258,523,101 58,830,919	291,686,513 61,722,907
Salaries as a % of operating expenses Median	30.78 36.68	29.99 36.56	28.96 36.37	27.70 35.93	26.36 35.24
Intern, resident salaries* Median	13,375,686 2,598,592	13,149,948 2,686,824	13,765,087 2,753,773	14,805,077 2,937,156	15,825,256 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	1,090,686 1,449,244	2,891,798 1,475,986	2,846,967 1,563,078	5,248,548 1,721,954	12,407,749 2,991,828
Contract hours, direct-care Median	19,961.63 22,725	50,661.82 23,018.5	45,810.64 24,503.48	75,167.00 25,026.5	124,077.00 33,786
Contract wages, direct-care Median	54.64 64.67	57.08 64.53	62.15 65.06	69.83 68.97	100.00 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.