As of the July, 2022, release via CMS

MOUNT CARMEL HEALTH

CMS id: 360035
6001 E BROAD ST, COLUMBUS OH 43213. County: FRANKLIN
System: TRINITY HEALTH CORPORATION
CBSA: Columbus, OH

The 578-bed, acute-care hospital had $-31,710,219 in net service to patients*, with a total profit margin of 2.27151% in fiscal year 2021, the latest year available.
It spent 2.55% of its operating expenses on uncompensated care and reported $41,846,552 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	493 118	492 118	422 119.5	431 118	433 119
Total beds Median	671 162	672 162	583 162	576 162	578 163.5
FTEs Median	4,221.16 788.06	4,063.98 793.42	4,051.12 806.03	3,835.67 787.61	3,576.53 804.34

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	750,127,257 150,932,746	760,750,316 158,950,878	709,812,364 168,696,998	683,374,562 163,454,693	772,394,997 186,589,412
Operating expenses Median	726,555,832 149,311,209	722,685,802 156,110,414	759,324,794 164,890,568	799,437,688 166,516,854	804,105,216 180,120,888
Net income from service 2 patients (NS2P) ? Median	23,571,425 -964,173	38,064,514 -643,601.5	-49,512,430 -116,254	-116,063,126 -5,025,862	-31,710,219 -1,284,564
NS2P margin ? Median	3.14% -0.62	5.00% -0.29	-6.98% 0.18	-16.98% -5.07	-4.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MOUNT CARMEL 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	29,713,640 5,089,215	31,113,198 4,572,541	32,332,088 5,268,134	66,995,253 13,092,619	50,415,728 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	184,142 299,524	221,706 188,688.5	288,539 370,813	0 309,361.5	6,818,602 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	-476,477	-571,564	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	71,097	12,431	79,446	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	2,812,316	3,336,543	4,090,800	2,923,335	2,536,509
⊳ 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	14,870,924
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	1,450
⊳ Line 21: Rental of vending machines	62,855	48,797	44,416	30,834	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	26,583,230	27,970,198	28,400,451	64,041,084	26,188,243
Total income ? Median	53,285,065 6,586,430	69,177,712 6,767,106	-17,180,342 8,419,950	-49,067,873 8,094,175	18,705,509 15,162,888
Non-operating expenses Median	696,939 146,289.5	0 164,857	1,617,391 89,880.5	9,704,221 106,761	15,264 31,473.5
Net income Median	52,588,126 6,043,842	69,177,712 5,845,112	-18,797,733 7,606,259	-58,772,094 7,283,041	18,690,245 14,957,241
Net margin Median	6.74344% 4.62%	8.73607% 4.42%	-2.53289% 5.16%	-7.83242% 5.2%	2.27151% 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 MOUNT CARMEL 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	113,113,575 23,241,334	114,372,072 23,709,545	102,365,864 24,248,380	97,827,053 22,858,541	104,864,975 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	110,742,446 21,577,146	113,737,972 22,041,594	101,857,739 22,722,063	97,827,053 21,570,441	104,864,975 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	542,422 1,845,420	634,100 1,757,392	508,125 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,828,707 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	36,269,973 11,160,864	37,322,155 11,987,345	35,989,600 12,926,866	32,396,724 11,884,480	33,469,366 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	36,269,973 10,918,923	37,322,155 11,706,976	35,989,600 12,615,917	32,396,724 11,458,116	33,469,366 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	8,457,882 3,284,314	8,573,259 3,250,551	7,739,329 3,386,837	7,700,689 3,360,806	8,144,507 3,508,953
Disproportionate-share hospital (DSH) Median	2,684,569 594,888	2,699,983 595,761	2,295,353 577,894	1,967,071 542,168	2,179,668 549,667
Outlier Median	2,273,752 582,572	1,565,865 538,116	1,161,112 212,434	193,831 126,559	553,736 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	37,171,562 3,662,910	25,907,951 3,730,911	34,336,917 4,081,319	56,486,522 4,643,908	41,846,552 4,389,147
Charity care Median	11,336,233 2,654,636	15,230,068 2,940,659	17,927,120 3,380,215	15,607,697 3,488,738	11,608,035 3,233,405
Uncompensated care (UCC) Median	19,687,673 5,147,790	22,407,819 5,337,617	27,345,159 5,711,082	26,193,311 5,923,418	20,536,309 5,508,107
UCC as a % of operating expenses Median	2.71% 3.24	3.10% 3.12	3.60% 3.21	3.28% 3.3	2.55% 2.86
Total shortfall/UCC Median	56,859,235 9,489,989	48,315,770 9,424,297	61,682,076 10,120,158	82,679,833 11,171,337	62,382,861 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	255,612,591 52,142,039	260,621,942 54,485,252	265,774,524 57,395,589	262,632,731 58,830,919	251,705,143 61,722,907
Salaries as a % of operating expenses Median	41.11 36.68	42.26 36.56	41.17 36.37	38.70 35.93	31.30 35.24
Intern, resident salaries* Median	4,375,750 2,598,592	4,703,459 2,686,824	4,602,193 2,753,773	4,835,015 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	826,099 1,251,927	164,774 1,186,494	470,919 1,204,885	590,311 1,279,653	719,018 1,469,317
Contract adjusted salaries, direct-care Median	8,890,877 1,449,244	10,078,293 1,475,986	10,141,531 1,563,078	12,516,020 1,721,954	14,838,166 2,991,828
Contract hours, direct-care Median	124,515.00 22,725	126,466.00 23,018.5	147,545.00 24,503.48	185,185.00 25,026.5	247,899.00 33,786
Contract wages, direct-care Median	71.40 64.67	79.69 64.53	68.74 65.06	67.59 68.97	59.86 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.