As of the July, 2022, release via CMS

AULTMAN HOSPITAL

CMS id: 360084
2600 SIXTH STREET SW, CANTON OH 44710. County: STARK
System: AULTMAN HEALTH FOUNDATION
CBSA: Canton-Massillon, OH

The 476-bed, acute-care hospital had $-11,773,664 in net service to patients*, with a total profit margin of 4.25687% in fiscal year 2021, the latest year available.
It spent 2.13% of its operating expenses on uncompensated care and reported $15,718,776 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	341 118	333 118	333 119.5	322 118	322 119
Total beds Median	534 162	512 162	487 162	476 162	476 163.5
FTEs Median	2,785.01 788.06	2,990.23 793.42	3,156.43 806.03	3,154.27 787.61	3,033.99 804.34

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	339,127,661 150,932,746	492,397,189 158,950,878	513,729,312 168,696,998	528,966,765 163,454,693	586,277,443 186,589,412
Operating expenses Median	455,026,475 149,311,209	507,290,669 156,110,414	536,652,473 164,890,568	558,763,272 166,516,854	598,051,107 180,120,888
Net income from service 2 patients (NS2P) ? Median	-115,898,814 -964,173	-14,893,480 -643,601.5	-22,923,161 -116,254	-29,796,507 -5,025,862	-11,773,664 -1,284,564
NS2P margin ? Median	-34.18% -0.62	-3.02% -0.29	-4.46% 0.18	-5.63% -5.07	-2.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AULTMAN 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	141,468,098 5,089,215	22,300,860 4,572,541	65,530,903 5,268,134	56,279,778 13,092,619	38,363,825 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,565 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	53,736 299,524	-198,035 188,688.5	242,569 370,813	175,609 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	23,005	20,402	17,482	17,322	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	53,618	336,724	293,372	205,725	0
⊳ Line 13: Revenue from laundry and linen service	0	128,131	94,153	77,920	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	-52	135,361	83,363	73,714	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	5,338,572	5,386,402	5,380,700	6,114,717	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	2,256	1,742	1,390	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	4,059,450	4,165,881	3,787,683	4,423,613	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,557,969	1,578,640	1,612,501	1,177,189	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,042,402	2,062,235	2,165,913	2,364,964	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	114,655 983,261.5	70,854 1,173,286	16,521 1,987,202	0 1,597,664
⊳ Sum Line 24	128,337,833	8,305,013	51,499,141	41,296,247	38,363,825
Total income ? Median	25,569,284 6,586,430	7,407,380 6,767,106	42,607,742 8,419,950	26,483,271 8,094,175	26,590,161 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	25,569,284 6,043,842	7,407,380 5,845,112	42,607,742 7,606,259	26,483,271 7,283,041	26,590,161 14,957,241
Net margin Median	5.32033% 4.62%	1.43917% 4.42%	7.35554% 5.16%	4.52515% 5.2%	4.25687% 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 AULTMAN 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	73,742,839 23,241,334	77,330,334 23,709,545	82,565,545 24,248,380	66,485,347 22,858,541	68,707,821 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	66,028,785 21,577,146	70,321,125 22,041,594	75,674,279 22,722,063	60,548,942 21,570,441	62,295,763 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	625,757 1,845,420	273,194 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,749,510 3,535,627	3,376,782 3,746,588	4,224,938 3,782,288	3,320,259 3,865,578	4,462,205 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	3,338,787 1,203,033	3,359,233 1,215,295	2,666,328 1,313,657	2,616,146 1,365,298	1,949,853 1,179,746
All outpatient revenue Median Click here to show/hide details	26,474,828 11,160,864	30,036,238 11,987,345	29,897,724 12,926,866	35,102,272 11,884,480	36,851,208 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	26,474,828 10,918,923	30,036,238 11,706,976	29,897,724 12,615,917	35,102,272 11,458,116	36,851,208 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	7,659,420 3,284,314	9,478,761 3,250,551	9,603,044 3,386,837	8,399,344 3,360,806	9,857,185 3,508,953
Disproportionate-share hospital (DSH) Median	1,320,731 594,888	1,239,373 595,761	1,183,112 577,894	868,208 542,168	818,563 549,667
Outlier Median	1,020,182 582,572	644,135 538,116	52,549 212,434	39,190 126,559	79,671 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,796,584 3,662,910	21,232,500 3,730,911	18,567,750 4,081,319	16,049,745 4,643,908	15,718,776 4,389,147
Charity care Median	3,452,931 2,654,636	3,565,196 2,940,659	6,305,235 3,380,215	3,424,456 3,488,738	4,698,833 3,233,405
Uncompensated care (UCC) Median	8,346,798 5,147,790	9,236,631 5,337,617	12,240,929 5,711,082	10,669,416 5,923,418	12,713,001 5,508,107
UCC as a % of operating expenses Median	1.83% 3.24	1.82% 3.12	2.28% 3.21	1.91% 3.3	2.13% 2.86
Total shortfall/UCC Median	19,143,382 9,489,989	30,469,131 9,424,297	30,808,679 10,120,158	26,719,161 11,171,337	28,431,777 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	171,652,386 52,142,039	187,376,533 54,485,252	197,868,369 57,395,589	194,070,120 58,830,919	200,890,134 61,722,907
Salaries as a % of operating expenses Median	37.72 36.68	36.94 36.56	36.87 36.37	34.73 35.93	33.59 35.24
Intern, resident salaries* Median	138,749 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	436,412 1,449,244	3,112,694 1,475,986	1,137,736 1,563,078	68,715 1,721,954	0 2,991,828
Contract hours, direct-care Median	6,944.00 22,725	47,102.81 23,018.5	17,922.85 24,503.48	1,080.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	62.85 64.67	66.08 64.53	63.48 65.06	63.63 68.97	0.00 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.