As of the July, 2022, release via CMS

MIAMI VALLEY HOSPITAL

CMS id: 360051
ONE WYOMING STREET, DAYTON OH 45409. County: MONTGOMERY
System: PREMIER HEALTH PARTNERS
CBSA: Dayton-Kettering, OH

The 910-bed, acute-care hospital had $214,375,934 in net service to patients*, with a total profit margin of 21.78821% in fiscal year 2021, the latest year available.
It spent 2.35% of its operating expenses on uncompensated care and reported $48,535,681 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	584 118	574 118	698 119.5	685 118	660 119
Total beds Median	810 162	825 162	954 162	919 162	910 163.5
FTEs Median	4,729.40 788.06	5,300.30 793.42	5,342.60 806.03	5,223.00 787.61	4,667.80 804.34

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	750,931,100 150,932,746	910,705,982 158,950,878	1,116,578,568 168,696,998	1,094,260,017 163,454,693	1,279,518,459 186,589,412
Operating expenses Median	788,265,734 149,311,209	943,996,513 156,110,414	967,904,008 164,890,568	956,212,089 166,516,854	1,065,142,525 180,120,888
Net income from service 2 patients (NS2P) ? Median	-37,334,634 -964,173	-33,290,531 -643,601.5	148,674,560 -116,254	138,047,928 -5,025,862	214,375,934 -1,284,564
NS2P margin ? Median	-4.97% -0.62	-3.66% -0.29	13.32% 0.18	12.62% -5.07	16.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MIAMI VALLEY 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	61,634,922 5,089,215	14,594,932 4,572,541	95,989,994 5,268,134	157,632,010 13,092,619	97,266,700 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	57,538,839 309,361.5	58,760,803 375,329
⊳ 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	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	61,634,922	14,594,932	95,989,994	100,093,171	38,505,897
Total income ? Median	24,300,288 6,586,430	-18,695,599 6,767,106	244,664,554 8,419,950	295,679,938 8,094,175	311,642,634 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	19,752,453 106,761	11,665,757 31,473.5
Net income Median	24,300,288 6,043,842	-18,695,599 5,845,112	244,664,554 7,606,259	275,927,485 7,283,041	299,976,877 14,957,241
Net margin Median	2.99056% 4.62%	-2.02049% 4.42%	20.17738% 5.16%	22.04084% 5.2%	21.78821% 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 MIAMI VALLEY 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	110,906,162 23,241,334	132,506,961 23,709,545	161,153,872 24,248,380	150,995,404 22,858,541	158,685,449 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	104,801,015 21,577,146	125,836,155 22,041,594	155,450,918 22,722,063	148,040,754 21,570,441	157,737,537 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	1,064,543 1,845,420	1,296,884 1,757,392	1,005,719 1,738,842	918,711 1,510,463	947,912 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,040,604 3,535,627	5,373,922 3,746,588	4,697,235 3,782,288	2,035,939 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	33,469,226 11,160,864	44,101,001 11,987,345	57,390,821 12,926,866	53,803,013 11,884,480	61,284,853 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	33,469,226 10,918,923	44,101,001 11,706,976	57,390,821 12,615,917	53,803,013 11,458,116	61,284,853 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	9,870,701 3,284,314	12,470,768 3,250,551	16,207,989 3,386,837	17,942,401 3,360,806	19,312,080 3,508,953
Disproportionate-share hospital (DSH) Median	4,182,887 594,888	4,075,809 595,761	4,596,645 577,894	4,261,796 542,168	4,333,601 549,667
Outlier Median	3,629,249 582,572	4,958,906 538,116	1,612,062 212,434	968,732 126,559	700,302 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	36,997,081 3,662,910	55,787,338 3,730,911	62,655,562 4,081,319	58,268,905 4,643,908	48,535,681 4,389,147
Charity care Median	13,249,368 2,654,636	11,097,430 2,940,659	10,916,044 3,380,215	10,147,797 3,488,738	6,440,582 3,233,405
Uncompensated care (UCC) Median	22,843,023 5,147,790	23,572,093 5,337,617	28,065,692 5,711,082	29,006,624 5,923,418	24,987,677 5,508,107
UCC as a % of operating expenses Median	2.90% 3.24	2.50% 3.12	2.90% 3.21	3.03% 3.3	2.35% 2.86
Total shortfall/UCC Median	59,840,104 9,489,989	79,359,431 9,424,297	90,721,254 10,120,158	87,275,529 11,171,337	73,523,358 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	292,137,287 52,142,039	350,614,274 54,485,252	347,369,947 57,395,589	348,396,733 58,830,919	353,735,710 61,722,907
Salaries as a % of operating expenses Median	37.06 36.68	37.14 36.56	35.89 36.37	36.44 35.93	33.21 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	1,156,914 1,251,927	1,667,468 1,186,494	0 1,204,885	2,232,496 1,279,653	2,203,531 1,469,317
Contract adjusted salaries, direct-care Median	9,004,009 1,449,244	22,005,482 1,475,986	26,377,789 1,563,078	18,375,689 1,721,954	46,743,498 2,991,828
Contract hours, direct-care Median	141,388.70 22,725	340,890.00 23,018.5	377,169.13 24,503.48	260,814.49 25,026.5	412,573.29 33,786
Contract wages, direct-care Median	63.68 64.67	64.55 64.53	69.94 65.06	70.46 68.97	113.30 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.