As of the July, 2022, release via CMS

TRUMBULL MEMORIAL HOSPITAL

CMS id: 360055
1350 EAST MARKET ST., WARREN OH 44483. County: TRUMBULL
System: STEWARD HEALTHCARE
CBSA: Youngstown-Warren-Boardman, OH-PA

The 214-bed, acute-care hospital had $-15,371,486 in net service to patients*, with a total profit margin of -4.78658% in fiscal year 2021, the latest year available.
It spent 1.63% of its operating expenses on uncompensated care and reported $2,955,381 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	245	365	365	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	201 118	173 118	173 119.5	172 118	167 119
Total beds Median	250 162	219 162	219 162	219 162	214 163.5
FTEs Median	734.61 788.06	854.70 793.42	973.31 806.03	946.26 787.61	861.14 804.34

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	85,045,005 150,932,746	139,046,874 158,950,878	150,431,229 168,696,998	127,778,995 163,454,693	137,890,472 186,589,412
Operating expenses Median	91,689,662 149,311,209	135,230,447 156,110,414	166,890,202 164,890,568	147,219,587 166,516,854	153,261,958 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,644,657 -964,173	3,816,427 -643,601.5	-16,458,973 -116,254	-19,440,592 -5,025,862	-15,371,486 -1,284,564
NS2P margin ? Median	-7.81% -0.62	2.74% -0.29	-10.94% 0.18	-15.21% -5.07	-11.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRUMBULL MEMORIAL 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	924,511 5,089,215	1,983,688 4,572,541	2,131,699 5,268,134	6,619,696 13,092,619	8,375,917 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	13,869 299,524	31,171 188,688.5	29,052 370,813	21,628 309,361.5	5,658 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	13	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	337,334	294,955	806,653	658,447
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	14,943	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	255,763	484,274	568,130	430,483	346,177
⊳ 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	30,717	43,800	30,178	3,361	2,956
⊳ 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	13,322	20,687	24,190	6,880	37,474
⊳ Line 22: Rental of hospital space	517,859	884,669	1,025,941	982,965	844,789
⊳ 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	78,025	181,753	159,253	4,367,726	6,480,416
Total income ? Median	-5,720,146 6,586,430	5,800,115 6,767,106	-14,327,274 8,419,950	-12,820,896 8,094,175	-6,995,569 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	74,191 89,880.5	28,395 106,761	5,585 31,473.5
Net income Median	-5,720,146 6,043,842	5,800,115 5,845,112	-14,401,465 7,606,259	-12,849,291 7,283,041	-7,001,154 14,957,241
Net margin Median	-6.65369% 4.62%	4.11267% 4.42%	-9.43969% 5.16%	-9.56058% 5.2%	-4.78658% 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 TRUMBULL MEMORIAL 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	15,021,060 23,241,334	22,756,010 23,709,545	29,484,254 24,248,380	27,648,408 22,858,541	28,089,693 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	14,703,761 21,577,146	21,915,932 22,041,594	27,894,963 22,722,063	26,289,149 21,570,441	26,813,976 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	317,299 1,845,420	840,078 1,757,392	1,589,291 1,738,842	1,359,259 1,510,463	1,275,717 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	6,356,162 11,160,864	9,047,499 11,987,345	10,752,161 12,926,866	8,635,796 11,884,480	8,548,405 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	6,356,162 10,918,923	9,047,499 11,706,976	10,752,161 12,615,917	8,635,796 11,458,116	8,548,405 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	1,361,200 3,250,551	6,195,506 3,386,837	6,099,814 3,360,806	6,105,754 3,508,953
Disproportionate-share hospital (DSH) Median	463,494 594,888	610,034 595,761	555,242 577,894	602,244 542,168	450,259 549,667
Outlier Median	233,249 582,572	407,005 538,116	170,888 212,434	18,861 126,559	30,140 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,730,702 3,662,910	9,112,166 3,730,911	8,430,520 4,081,319	6,615,007 4,643,908	2,955,381 4,389,147
Charity care Median	508,778 2,654,636	620,642 2,940,659	697,959 3,380,215	409,702 3,488,738	1,047,191 3,233,405
Uncompensated care (UCC) Median	1,713,911 5,147,790	2,445,223 5,337,617	2,441,828 5,711,082	2,771,563 5,923,418	2,501,287 5,508,107
UCC as a % of operating expenses Median	1.87% 3.24	1.81% 3.12	1.46% 3.21	1.88% 3.3	1.63% 2.86
Total shortfall/UCC Median	10,444,613 9,489,989	11,557,389 9,424,297	10,872,348 10,120,158	9,386,570 11,171,337	5,456,668 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	28,826,789 52,142,039	49,149,268 54,485,252	52,048,533 57,395,589	47,823,462 58,830,919	48,604,057 61,722,907
Salaries as a % of operating expenses Median	31.44 36.68	36.34 36.56	31.19 36.37	32.48 35.93	31.71 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	861,092 1,449,244	634,950 1,475,986	1,812,448 1,563,078	3,645,492 1,721,954	7,174,972 2,991,828
Contract hours, direct-care Median	8,982.00 22,725	9,827.00 23,018.5	28,026.06 24,503.48	40,477.35 25,026.5	62,212.83 33,786
Contract wages, direct-care Median	95.87 64.67	64.61 64.53	64.67 65.06	90.06 68.97	115.33 88.94

* in an approved program

Return to top

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.