As of the July, 2022, release via CMS

FAIRFIELD MEDICAL CENTER

CMS id: 360072
401 NORTH EWING STREET, LANCASTER OH 43130. County: FAIRFIELD
System: --
CBSA: Columbus, OH

The 202-bed, acute-care hospital had $15,856,101 in net service to patients*, with a total profit margin of 2.66618% in fiscal year 2021, the latest year available.
It spent 2.71% of its operating expenses on uncompensated care and reported $12,144,591 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	193 118	193 118	192 119.5	178 118	180 119
Total beds Median	213 162	213 162	214 162	200 162	202 163.5
FTEs Median	1,651.31 788.06	1,642.86 793.42	1,618.50 806.03	1,480.45 787.61	1,435.00 804.34

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	270,306,227 150,932,746	274,455,807 158,950,878	302,117,192 168,696,998	264,487,190 163,454,693	302,024,320 186,589,412
Operating expenses Median	256,067,799 149,311,209	272,749,361 156,110,414	289,991,810 164,890,568	276,502,118 166,516,854	286,168,219 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,238,428 -964,173	1,706,446 -643,601.5	12,125,382 -116,254	-12,014,928 -5,025,862	15,856,101 -1,284,564
NS2P margin ? Median	5.27% -0.62	0.62% -0.29	4.01% 0.18	-4.54% -5.07	5.25% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FAIRFIELD MEDICAL CENTER 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	14,209,679 5,089,215	-22,874 4,572,541	12,324,738 5,268,134	37,103,794 13,092,619	18,294,874 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	907,535 224,999	-132,629 199,009	475,859 206,870.5	233,749 194,343	146,445 249,496
⊳ Line 7: Investments ? ⊳ Median	10,325,619 299,524	-2,739,637 188,688.5	8,984,873 370,813	-4,999,417 309,361.5	5,994,522 375,329
⊳ 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	4,783	3,623	4,641	4,182	4,848
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,028,324	1,110,787	1,117,251	820,801	894,845
⊳ 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	17,451	13,923	16,427	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	1,925,967	1,721,059	1,725,687	41,044,479	11,254,214
Total income ? Median	28,448,107 6,586,430	1,683,572 6,767,106	24,450,120 8,419,950	25,088,866 8,094,175	34,150,975 15,162,888
Non-operating expenses Median	14,274,895 146,289.5	26,960,689 164,857	25,233,294 89,880.5	20,364,245 106,761	25,610,685 31,473.5
Net income Median	14,173,212 6,043,842	-25,277,117 5,845,112	-783,174 7,606,259	4,724,621 7,283,041	8,540,290 14,957,241
Net margin Median	4.98152% 4.62%	-9.21067% 4.42%	-0.24907% 5.16%	1.56657% 5.2%	2.66618% 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 FAIRFIELD MEDICAL CENTER 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	45,859,823 23,241,334	42,140,064 23,709,545	42,138,933 24,248,380	37,982,154 22,858,541	35,833,705 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	45,859,823 21,577,146	42,140,064 22,041,594	42,138,933 22,722,063	37,982,154 21,570,441	35,833,705 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	24,945,500 11,160,864	19,553,312 11,987,345	26,758,268 12,926,866	26,187,993 11,884,480	25,278,111 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	24,945,500 10,918,923	19,553,312 11,706,976	26,758,268 12,615,917	26,187,993 11,458,116	25,278,111 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	3,661,118 3,284,314	3,320,622 3,250,551	3,527,482 3,386,837	3,445,970 3,360,806	3,394,062 3,508,953
Disproportionate-share hospital (DSH) Median	895,416 594,888	620,922 595,761	746,833 577,894	585,537 542,168	498,992 549,667
Outlier Median	1,246,472 582,572	735,011 538,116	179,133 212,434	219,640 126,559	178,983 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,734,437 3,662,910	14,655,696 3,730,911	13,796,563 4,081,319	13,595,057 4,643,908	12,144,591 4,389,147
Charity care Median	3,497,964 2,654,636	2,957,179 2,940,659	6,113,221 3,380,215	7,084,441 3,488,738	5,066,731 3,233,405
Uncompensated care (UCC) Median	7,063,104 5,147,790	5,132,402 5,337,617	9,238,823 5,711,082	12,778,873 5,923,418	7,764,304 5,508,107
UCC as a % of operating expenses Median	2.76% 3.24	1.88% 3.12	3.19% 3.21	4.62% 3.3	2.71% 2.86
Total shortfall/UCC Median	22,797,541 9,489,989	19,788,098 9,424,297	23,035,386 10,120,158	26,373,930 11,171,337	19,908,895 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	94,736,225 52,142,039	94,953,997 54,485,252	96,640,026 57,395,589	93,095,041 58,830,919	93,144,438 61,722,907
Salaries as a % of operating expenses Median	38.75 36.68	37.58 36.56	36.73 36.37	33.67 35.93	32.55 35.24
Intern, resident salaries* Median	1,492,128 2,598,592	1,872,048 2,686,824	1,543,400 2,753,773	2,190,165 2,937,156	2,300,153 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	0 1,449,244	0 1,475,986	218,762 1,563,078	466,637 1,721,954	3,107,947 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	3,429.46 24,503.48	7,040.00 25,026.5	34,210.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	63.79 65.06	66.28 68.97	90.85 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.